Abstract
BackgroundPrevious research suggests that individuals with posttraumatic stress disorder (PTSD) preferentially attend to trauma-related emotional stimuli and have difficulty completing unrelated concurrent tasks. Compared to trauma-exposed control groups, individuals with PTSD also exhibit lower rostral anterior cingulate cortex (rACC) activation during tasks involving interference from trauma-related stimuli. However, it is not clear whether relatively diminished rACC activation in PTSD also occurs during interference tasks involving trauma-unrelated emotional stimuli. The present study employed functional magnetic resonance imaging (fMRI) and an interference task that involves emotional facial expressions and elicits rACC activation in healthy participants.FindingsWhile performing a trauma-unrelated emotional interference task, participants with PTSD (n=17) showed less rACC activation than trauma-exposed non-PTSD (TENP; n=18) participants. In the PTSD group, rACC activation was negatively correlated with the severity of re-experiencing symptoms. The two groups did not significantly differ on behavioral measures (i.e., response times and error rates).ConclusionsThese findings suggest that relatively diminished rACC activation in PTSD can be observed in interference tasks involving trauma-unrelated emotional stimuli, indicating a more general functional brain abnormality in this disorder. Future neuroimaging studies need not employ trauma-related stimuli in order to detect rACC abnormalities in PTSD.
Highlights
Previous research suggests that individuals with posttraumatic stress disorder (PTSD) preferentially attend to trauma-related emotional stimuli and have difficulty completing unrelated concurrent tasks
These findings suggest that relatively diminished rostral anterior cingulate cortex (rACC) activation in PTSD can be observed in interference tasks involving trauma-unrelated emotional stimuli, indicating a more general functional brain abnormality in this disorder
Posttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder that occurs in 9-20% of individuals following a traumatic event [1]
Summary
Previous research suggests that individuals with posttraumatic stress disorder (PTSD) preferentially attend to trauma-related emotional stimuli and have difficulty completing unrelated concurrent tasks. Compared to trauma-exposed control groups, individuals with PTSD exhibit lower rostral anterior cingulate cortex (rACC) activation during tasks involving interference from trauma-related stimuli. It is not clear whether relatively diminished rACC activation in PTSD occurs during interference tasks involving trauma-unrelated emotional stimuli. Posttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder that occurs in 9-20% of individuals following a traumatic event [1] Those with PTSD have difficulty suppressing trauma-related thoughts and suffer from persistent re-experiencing symptoms [2,3]. Activation of the rACC has been found to negatively correlate with PTSD symptom severity (e.g. [11,12])
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