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Disgust dissects emotion: an fMRI study of euthymic bipolar patients using facial disgust stimuli
Abstract   Peer reviewed

Disgust dissects emotion: an fMRI study of euthymic bipolar patients using facial disgust stimuli

Jim Lagopoulos, Gin S Malhi, Belinda Ivanovski and Catherine Cahill
Australian and New Zealand Journal of Psychiatry, Vol.39(Supplement 2), p.A55
Joint CINP/ASPR Scientific Meeting, 2005 (Brisbane, Australia, 07-Dec-2005–09-Dec-2005)
2005
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http://insights.ovid.com/australian-new-zealand-psychiatry/anzjp/2005/12/002/disgust-dissects-emotion/149/00000929View
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Abstract

Medical and Health Sciences Psychology and Cognitive Sciences biological psychiatry neuropsychiatry
Background: Facial expression stimuli are used extensively in cognitive neuroscience to study the processing of emotion in the brain. It is well established that specific expressions that signal behavioural cues, draw upon distinct neural circuits that are specialised for their evaluation. Disgust putatively constitutes a basic emotion and is believed to evoke innate, automatic behaviour. The expression of disgust, which is a form of threat, related to physical contamination, activates circumscribed neural circuits, which overlap with networks involved in the generation and modulation of mood. Hence, elucidating disgust processing may provide insight into the modulation of mood in bipolar disorder, and ultimately into its pathophysiology. Methods: We conducted an fMRI study in eleven euthymic bipolar patients and 11 healthy controls matched for age and sex using a 3T Philips Intera scanner. Blood Oxygenated Level Dependant fMRI was employed to detect areas of the brain activated in response to facial emotions. Galvanic Skin Response (GSR) was simultaneously acquired and was used to partition neural epochs associated with neurophysiological arousal. Results: Sub-averaging neural epochs on the basis of whether or not a GSR was elicited produced a differential pattern of activation for both the patients and controls. In both sub-averages controls subjects exhibited significant activations in several key frontal regions (superior and inferior frontal gyri). In contrast, the patients with bipolar disorder displayed a differential pattern of activation in response to disgust - recruiting subcortical structures (parahippocampal gyrus and caudate nucleus) to a greater extent with a notable absence of frontal activation. Conclusion: The results from this study suggest that euthymic patients with bipolar disorder have impaired prefrontal function in relation to the processing of emotional content, in particular that related to disgust.

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