Emotion regulation flexibility: EEG/EMG predictors and consequences of switching between reappraisal and distraction strategies.

Flexible use of emotion regulation (ER) strategies is central to mental health. To advance our understanding of what drives adaptive strategy-switching decisions, in this preregistered study, we used event-related potentials (late positive potential, LPP and stimulus preceding negativity, SPN) and facial electromyography (EMG corrugator activity) to test the antecedents and consequences of switching to an alternative ER strategy. Participants (N = 63, Mage = 24.8 years, all female) passively watched and then implemented an instructed ER strategy (reappraisal or distraction) in response to high-intensity negative pictures that were either easy or difficult to reinterpret (high or low reappraisal affordance, respectively). Next, they decided to "switch from" or "maintain" the instructed strategy and subsequently implemented the chosen strategy. Reappraisal affordance manipulations successfully induced switching. Regarding antecedents, switching was predicted by the reduced ER efficacy of the current strategy (corrugator, but not LPP). Switching to distraction was additionally predicted by increased responses to the stimulus during passive viewing (corrugator and LPP) and increased anticipatory effort in implementing reappraisal (SPN). Concerning consequences, switching to distraction improved, whereas switching to reappraisal impaired post-choice ER effects (LPP). However, starting with reappraisal was overall more effective than starting with distraction, irrespective of the subsequent decision (corrugator). Our results suggest that switching between ER strategies occurs in accordance with situational demands (stimulus affordances) and is predicted by reduced peripheral physiological ER efficacy. However, only switching to distraction leads to improved regulatory effects. These insights provide neurocognitively grounded starting points for developing interventions targeting ER flexibility.

Inhibition of the dorsolateral cortex reveals specific mechanisms behind emotional control.

Reappraisal is a complex emotional control strategy based on cognitive change. To complete the reappraisal task, one is required to deeply elaborate on the affective stimulus to create its new interpretation. The involvement of the prefrontal cortex in this process was examined in the study, where inhibition of the left or right dorsolateral area was carried out using transcranial magnetic stimulation. In a between-subject design, we used an alternative control condition for the reappraisal task. It was intended to better account for overall task activity compared to typical passive conditions. Late positive potential was affected after inhibition of the prefrontal area, suggesting hindered emotional control. This effect was specific to the reappraisal task, which possibly reflects the disturbance of attention allocation to emotional stimuli. We could also observe an increased transfer of information from the visual area during the control task that was based on the elaboration of emotional stimuli but did not involve cognitive change. Our results support the additive impact of several factors on the overall efficiency of emotional control.

Theta-band Connectivity within Cognitive Control Brain Networks Suggests Common Neural Mechanisms for Cognitive and Implicit Emotional Control.

Self-control is a core aspect of adaptive human behavior. It allows the attainment of personal goals by regulating unwanted thoughts, emotions, and behavior. Previous research highlighted the crucial role of cognitive control for explicitly pursued self-control and explicit emotion regulation strategies (such as cognitive reappraisal or attentional distraction). The present study investigated whether similar neural mechanisms would be involved in an implicit self-control task that acted as a covert emotion regulation strategy. Thirty-six female participants unscrambled sentences of either neutral (no-regulation condition) or neutral and self-control-related content (regulation condition) before passively viewing negative and neutral pictures. Compared with the no-regulation condition, implicit induction of self-control reduced the amplitude of the late positive potential to negative pictures, indicating successful emotion downregulation. Crucially, implicit self-control enhanced connectivity within the two cognitive control brain networks in the theta frequency band. Specifically, for the frontoparietal network, increased connectivity from the dorsolateral PFC to the intraparietal cortex was observed. For the cingulo-opercular network, increased connectivity from dorsal anterior cingulate cortex to the left anterior insula/frontal operculum and from the right anterior insula/frontal operculum to the dorsal anterior cingulate cortex was observed. These effects were accompanied by a decrease in prestimulus alpha power in the right primary visual cortex, suggesting adjustment of attentional and perceptual processes in preparation for the upcoming affective stimulation. Together, our results indicate that self-control enhances cognitive control that is necessary for setting, maintaining, and monitoring the achievement of self-control behavior, as well as regulation of attentional and emotional processes.

Reappraisal is less effective than distraction in downregulation of neural responses to physical threats-An event-related potential investigation.

Evolutionary threats (ETs), such as predatory animals and heights, elicit stronger fear responses and are more often the subject of specific phobias, as compared to modern threats (MTs, such as guns and motorcycles). Since processing of ET depends on lower-order, phylogenetically conserved neural fear circuits, it may be less susceptible to higher-order (vs. simpler) cognitive emotion regulation. Given the relevance for treatment of specific phobias, we tested this hypothesis in an ERP study. Sixty-one female participants passively watched high- and low-threat pictures of evolutionary (snakes, lizards) and modern (guns, water-guns) origin, and downregulated responses to the high-threat pictures (snakes and guns) using either cognitive reappraisal or a simpler cognitive distraction strategy. ET elicited stronger early (EPN) and sustained (LPP) attention processing compared to MT. Both strategies successfully downregulated subjective and LPP (but not EPN) responses compared to passive watching. Although reappraisal was more effective subjectively, distraction downregulated the LPP earlier and stronger than reappraisal, irrespective of the threat type. These findings provide novel evidence that neural responses to physical threat might be less susceptible to cognitive emotion regulation via higher-order (reappraisal) versus simpler (distraction) strategies, irrespective of the evolutionary or modern relevance of threat. Combining both strategies could be beneficial for the emotion regulation-enhancing interventions for specific phobias. Distraction could be used during initial exposure, to reduce immediate emotion responding and help endure the contact with the feared stimulus, whereas reappraisal could be used subsequently, when emotions are less intense, to change maladaptive thoughts about the stimulus for future encounters.

Offline rTMS inhibition of the right dorsolateral prefrontal cortex impairs reappraisal efficacy.

In this study we verified the causal role of the bilateral dorsolateral prefrontal cortex (DLPFC) in emotional regulation using a strategy of reappraisal, which involves intentionally changing the meaning of an affective event to reduce its emotional impact. Healthy participants (n = 26; mean age = 25.4) underwent three sessions of inhibitory continuous theta burst stimulation (cTBS) applied on three different days over the left or right DLPFC, or the vertex. After applying the stimulation protocol participants were presented with neutral and negative pictorial stimuli that had to be either passively watched or reappraised. The efficacy of emotional control was quantified using the Late Positive Potential (LPP), the neural marker of motivated attention and elaborated stimulus processing. The results showed that reappraisal was compromised after inhibitory stimulation of the right DLPFC compared to the vertex. This impairment of affective modulation was reflected in both early (350-750 ms) and late (750-1500 ms) time windows. As no session differences during the passive watching conditions were found, the decrease in reappraisal efficacy due to non-specific changes in basic perceptual processing was considered unlikely. Instead, we suggest that inhibition of the right DLPFC primarily affects the top-down mechanism of attentional deployment. This results in disturbances of attentional processes that are necessary to thoroughly elaborate the content of affective stimuli to enable their new, less negative interpretation.

High working memory load impairs reappraisal but facilitates distraction - An event-related potential investigation.

The present experiments investigated the impact of working memory (WM) load on emotion regulation (ER) efficacy using reappraisal (Experiment 1, n = 30) and distraction (Experiment 2, n = 30). Considering that WM is necessary for storage, elaboration, and manipulation of information and that reappraisal acts by storing, elaborating, and manipulating the stimulus meaning, we hypothesized that high (versus low) WM-load would reduce reappraisal efficacy. By contrast, given that distraction acts by blocking elaborated processing of the stimulus meaning, we expected that high WM-load would enhance distraction efficacy. To test these predictions, we employed a dual-task paradigm in which a low- or high WM-load task was combined with an ER (reappraisal or distraction) task. We measured the Late Positive Potential (LPP)-an electrocortical marker of sustained motivated attention, and a well-established index of emotional arousal-in response to negative pictures. Results confirmed that although reappraisal successfully reduced the LPP amplitude in the down- compared to up-regulation condition in low WM-load trials, high WM-load eliminated this difference, suggesting the disrupting influence of high WM-load on ER for reappraisal (Experiment 1). By contrast, although distraction failed to modulate the LPP amplitude in low WM-load trials, the difference between down- and no-regulation conditions was significant when distraction was combined with high WM-load, suggesting the facilitatory influence of high WM-load on ER for distraction (Experiment 2). Our findings show that the effect of WM-load on ER is strategy-dependent, and that the availability of WM resources is an important situational moderator of ER efficacy in healthy young adults.

To remember, or not to remember? Potential impact of memory modification on narrative identity, personal agency, mental health, and well-being.

Memory modification technologies (MMTs)-interventions within the memory affecting its functions and contents in specific ways-raise great therapeutic hopes but also great fears. Ethicists have expressed concerns that developing and using MMTs may endanger the very fabric of who we are-our personal identity. This threat has been mainly considered in relation to two interrelated concerns: truthfulness and narrative self-constitution. In this article, we propose that although this perspective brings up important matters concerning the potential aftermaths of MMT utilization, it fails to tell the whole story. We suggest that capturing more tangible potential consequences of MMT use, namely, its psychological ramifications is crucial both in ethical considerations and in making decisions regarding the permissibility of such interventions. To this end, we first examine what current MMTs are capable of and what are the prospects of emerging MMTs. Subsequently, we outline the relationship between memory and personal identity; specifically, we indicate that concepts of self-defining memories and narrative identity are crucial to considering how MMTs may influence one's psychological functioning. On this basis, we analyze potential consequences of narrative disruption that may be the result of the use of MMTs; more precisely, we consider its potential effects on mental health, well-being, and personal agency, and outline the ethical dilemmas that decision-makers face in this context. We conclude by considering the broader cultural context that may have influence on policymaking regarding permissibility of memory modification interventions.

Personality and Authenticity in Light of the Memory-Modifying Potential of Optogenetics.

There has been a growing interest in research concerning memory modification technologies (MMTs) in recent years. Neuroscientists and psychologists are beginning to explore the prospect of controllable and intentional modification of human memory. One of the technologies with the greatest potential to this end is optogenetics-an invasive neuromodulation technique involving the use of light to control the activity of individual brain cells. It has recently shown the potential to modify specific long-term memories in animal models in ways not yet possible with other MMTs. As the therapeutic potential of optogenetics has already prompted approval of the first human trials, it is especially important and timely to consider the opportunities and dangers this technology may entail. In this article, we focus on possible consequences of optogenetics as an MMT by analyzing fundamental threats potentially associated with memory modifications: the potential disruption of personality and authenticity.

Implicit induction of emotional control-A comparative fMRI investigation of self-control and reappraisal goal pursuit.

Implicit forms of emotion regulation are of growing interest and have been shown to be efficient in controlling emotional responses despite the fact that they operate without conscious awareness of the ongoing regulatory process and deliberate attempts to influence emotional responding. Although such forms of affective modulation are considered natural and crucial for mental health, their brain mechanisms have hardly been studied until now. Here, we employ a novel procedure and compare directly brain responses to emotional stimuli after implicitly inducing either a self-control goal or a reappraisal goal with a scrambled sentence task. Both induction methods showed robust attenuation of visual, attentional, and emotion-related brain networks. Moreover, after induction of the self-control goal we observed increased activity in the dorsolateral prefrontal cortex (dlPFC) and the right insula, which are involved in top-down modulation of emotional responses. Reappraisal goal induction led to weaker activation in the right dlPFC, which was localized similarly as in the self-control induction task. Our results not only confirm the effectiveness of implicit induction of affective control, but also indicate the important similarities in underlying neural mechanisms that are putatively shared with conscious forms of emotional regulation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The dynamics of pain reappraisal: the joint contribution of cognitive change and mental load.

This study was designed to investigate the neural mechanism of cognitive modulation of pain via a reappraisal strategy with high temporal resolution. The EEG signal was recorded from 29 participants who were instructed to down-regulate, up-regulate, or maintain their pain experience. The L2 minimum norm source reconstruction method was used to localize areas in which a significant effect of the instruction was present. Down-regulating pain by reappraisal exerted a robust effect on pain processing from as early as ~100 ms that diminished the activity of limbic brain regions: the anterior cingulate cortex, right orbitofrontal cortex, left anterior temporal region, and left insula. However, compared with the no-regulation condition, the neural activity was similarly attenuated in the up- and down-regulation conditions. We suggest that this effect could be ascribed to the cognitive load that was associated with the execution of a cognitively demanding reappraisal task that could have produced a general attenuation of pain-related areas regardless of the aim of the reappraisal task (i.e., up- or down-regulation attempts). These findings indicate that reappraisal effects reflect the joint influence of both reappraisal-specific (cognitive change) and unspecific (cognitive demand) factors, thus pointing to the importance of cautiously selected control conditions that allow the modulating impact of both processes to be distinguished.

Effective Connectivity of Beta Oscillations in Endometriosis-Related Chronic Pain During rest and Pain-Related Mental Imagery.

Using the EEG recordings of patients with endometriosis-related chronic pelvic pain, we have examined the effective connectivity within the cortical pain-related network during rest and during pain-related imagery. During rest, an altered connectivity was hypothesized between cortical somatosensory pain areas and regions involved in emotional and cognitive modulation of pain. During pain-related imagery, alterations in prefrontal-temporal connectivity were expected. The effective connectivity was estimated using the Directed Transfer Function method. Differences between endometriosis patients and controls were found in the beta band (14-25 Hz). During rest, endometriosis was associated with an increased connectivity from the left dorsolateral prefrontal cortex to the left somatosensory cortex and also from the left somatosensory cortex to the orbitofrontal cortex and the right temporal cortex. These results might be related to sustained activation of the somatosensory pain system caused by the ongoing pain. During pain-related imagery, endometriosis patients showed an increased connectivity from the left dorsolateral prefrontal cortex to the right temporal cortex. This finding might point to impaired emotional regulation when processing pain-related stimuli, or it might be related to altered memorization of pain experiences. Results of this study open up new directions in chronic pain research aimed at exploring the beta band connectivity alterations. PERSPECTIVE: This study examined the pain system's dynamics in endometriosis patients with chronic pelvic pain during resting-state and pain-related mental imagery. The results could contribute to the development of new therapies using guided mental imagery.

Pain catastrophizing is associated with altered EEG effective connectivity during pain­related mental imagery.

Pain catastrophizing - defined as a tendency to exaggerate the threat value or seriousness of experienced pain ­ has been shown to be a risk factor for pain chronification. However, the neural basis of pain catastrophizing remains unclear and requires thorough investigation. This study aimed to explore the relationship between pain catastrophizing and effective connectivity of the pain systems in healthy participants. EEG data were collected during an induced state of pain­related negative, depressive, positive and neutral mental imagery conditions, and pain catastrophizing tendencies were measured by the Pain Catastrophizing Scale. The Directed Transfer Function, a method based on Granger causality principles, was used to assess the effective connectivity. Linear mixed effects analyses revealed a negative relationship between pain catastrophizing and beta information flow from the right temporal cortex to the frontal regions and a positive relationship between pain catastrophizing and increased beta information flow from the right somatosensory cortices to the right temporal cortices when thinking about pain. These patterns were not found in other imagery conditions. Taken together, this study suggests that individual differences in pain catastrophizing might be related to an altered frontotemporal regulatory loop and increased connectivity between pain and affective systems. Our study reveals connectivity patterns related to pain catastrophizing tendencies that are detectable even in pain­free, healthy individuals.