Emotional Scenes Research Articles

Neuroimaging of emotional dysregulation in multiple sclerosis: relationship with alexithymia

Patients with multiple sclerosis (MS) often show alexithymia, but the brain mechanisms underlying this emotional disorder remains unknown. We used functional magnetic resonance imaging (fMRI) to investigate alterations of emotion processing and emotion regulation in patients with MS, and their relationships with alexithymia. Nineteen MS patients with minimal disability and twenty healthy control (HC) participants took part in this cross-sectional study. During fMRI, participants viewed scenes conveying negative or positive emotions, and were asked to rate the intensity of their emotional state (1) after spontaneous viewing and (2) after emotion regulation (cognitive reappraisal). Self-reported questionnaires targeting alexithymia and other affective disorders were collected, in addition to functional and anatomical MRI. We compared brain activity and functional connectivity between each group during emotion processing and reappraisal. Moreover, we performed correlation analyses between affective questionnaire scores, subjective emotion ratings, brain activity, and structural integrity. Results showed a higher rate of alexithymia in MS patients. Globally, subjective ratings of emotional state were similar between MS and HC during both spontaneous perception and reappraisal. However, in both task conditions, the MS group showed increased responses to emotional scenes in the orbital inferior frontal gyrus, compared with controls. Moreover, during the reappraisal of negative scenes, these regions displayed increased functional connectivity with the amygdala, whose activity was positively correlated with alexithymia severity in MS. Our findings suggest a direct relationship between alexithymia and a lack of down-regulation of amygdala activity in response to negative emotions during reappraisal in MS. Moreover, they highlight compensatory mechanisms in minimally disabled MS patients, recruiting fronto-striatal circuits, which may serve to preserve homeostasis of amygdala activity and affective state.

Establishment of Emotional Memories Is Mediated by Vagal Nerve Activation: Evidence from Noninvasive taVNS.

Emotional memories are better remembered than neutral ones, but the mechanisms leading to this memory bias are not well understood in humans yet. Based on animal research, it is suggested that the memory-enhancing effect of emotion is based on central noradrenergic release, which is triggered by afferent vagal nerve activation. To test the causal link between vagus nerve activation and emotional memory in humans, we applied continuous noninvasive transcutaneous auricular vagus nerve stimulation (taVNS) during exposure to emotional arousing and neutral scenes and tested subsequent, long-term recognition memory after 1 week. We found that taVNS, compared with sham, increased recollection-based memory performance for emotional, but not neutral, material. These findings were complemented by larger recollection-related brain potentials (parietal ERP Old/New effect) during retrieval of emotional scenes encoded under taVNS, compared with sham. Furthermore, brain potentials recorded during encoding also revealed that taVNS facilitated early attentional discrimination between emotional and neutral scenes. Extending animal research, our behavioral and neural findings confirm a modulatory influence of the vagus nerve in emotional memory formation in humans.SIGNIFICANCE STATEMENT Emotionally relevant information elicits stronger and more enduring memories than nonrelevant information. Animal research has shown that this memory-enhancing effect of emotion is related to the noradrenergic activation in the brain, which is triggered by afferent fibers of the vagus nerve (VN). In the current study, we show that noninvasive transcutaneous auricular VN stimulation enhances recollection-based memory formation specifically for emotionally relevant information as indicated by behavioral and electrophysiological indices. These human findings give novel insights into the mechanisms underlying the establishment of emotional episodic memories by confirming the causal link between the VN and memory formation which may help understand the neural mechanisms underlying disorders associated with altered memory functions and develop treatment options.

Neurophysiological Responses to Interpersonal Emotional Images: Associations with Symptoms of Depression and Social Anxiety.

Affective neuroscience research using electrocortical event-related potentials has provided valuable insights on alterations in emotion processing in internalizing disorders. However, internalizing disorders are accompanied by additional impairments in social cognition and functioning, and most extant research examines neural responses to broad categories of emotional scenes or faces presented irrespective of context. Examining neural reactivity specifically to interpersonal emotional scenes may more precisely capture and disentangle processes involved in depression and social anxiety, two highly comorbid forms of psychopathology. The current study validated a novel set of positive and threatening interpersonal emotional stimuli in a sample of emerging adults (N = 114) who completed a modified emotional interrupt paradigm while electroencephalogram and behavioral data were recorded. Participant ratings of valence and arousal supported the validity of the emotional images. Consistent with prior research, sustained neurophysiological processing indexed by the late positive potential (LPP) was observed for interpersonal emotional images, especially positive, compared with neutral images. Elevated LPP reactivity to both positive and threatening interpersonal images moderated the effects of chronic interpersonal stress on social anxiety symptoms, such that enhanced LPP reactivity in conjunction with higher levels of chronic interpersonal stress was associated with elevated social anxiety symptoms. These results were unique to social anxiety symptoms and not symptoms of depression, suggesting sustained neural processing of interpersonal stimuli may differentiate social anxiety from depression. Future research on emotional reactivity specifically within the interpersonal domain is needed to inform our understanding of developmental pathways to internalizing psychopathology.

Attentional Bias in Humans Toward Human and Bonobo Expressions of Emotion.

Correctly recognizing and efficiently attending to emotional situations are highly valuable skills for social species such as humans and bonobos, humans' closest living relatives. In the current study, we investigated whether humans perceive a range of emotional situations differently when these involved other humans compared to bonobos. A large group of children and adults participated in an emotion perception task and rated scenes showing either bonobos or humans in situations depicting distressed or aggressive behavior, yawning, scratching, grooming, playing, sex scenes or neutral situations. A new group of people performed a dot-probe task to assess attentional biases toward these materials. The main finding is that humans perceive emotional scenes showing people similarly as emotional scenes of bonobos, a result reflecting a shared evolutionary origin of emotional expressions. Other results show that children interpreted bonobos' bared teeth displays as a positive signal. This signal is related to the human smile, but is frequently seen in distressed situations, as was the case in the current experiment. Children may still need to learn to use contextual cues when judging an ambiguous expression as positive or negative. Further, the sex scenes were rated very positively, especially by male participants. Even though they rated these more positively than women, their attention was captured similarly, surpassing all other emotion categories. Finally, humans' attention was captured more by human yawns than by bonobo yawns, which may be related to the highly contagious nature of yawns, especially when shown by close others. The current research adds to earlier work showing morphological, behavioral and genetic parallels between humans and bonobos by showing that their emotional expressions have a common origin too.

Comparison of Four fMRI Paradigms Probing Emotion Processing.

Previous fMRI research has applied a variety of tasks to examine brain activity underlying emotion processing. While task characteristics are known to have a substantial influence on the elicited activations, direct comparisons of tasks that could guide study planning are scarce. We aimed to provide a comparison of four common emotion processing tasks based on the same analysis pipeline to suggest tasks best suited for the study of certain target brain regions. We studied an n-back task using emotional words (EMOBACK) as well as passive viewing tasks of emotional faces (FACES) and emotional scenes (OASIS and IAPS). We compared the activation patterns elicited by these tasks in four regions of interest (the amygdala, anterior insula, dorsolateral prefrontal cortex (dlPFC) and pregenual anterior cingulate cortex (pgACC)) in three samples of healthy adults (N = 45). The EMOBACK task elicited activation in the right dlPFC and bilateral anterior insula and deactivation in the pgACC while the FACES task recruited the bilateral amygdala. The IAPS and OASIS tasks showed similar activation patterns recruiting the bilateral amygdala and anterior insula. We conclude that these tasks can be used to study different regions involved in emotion processing and that the information provided is valuable for future research and the development of fMRI biomarkers.

Effects of affective content and motivational context on neural gain functions during naturalistic scene perception.

Visual scene processing is modulated by semantic, motivational, and emotional factors, in addition to physical scene statistics. An open question is to what extent those factors affect low-level visual processing. One index of low-level visual processing is the contrast response function (CRF), representing the change in neural or psychophysical gain with increasing stimulus contrast. Here we aimed to (a) establish the use of an electrophysiological technique for assessing CRFs with complex emotional scenes and (b) examine the effects of motivational context and emotional content on CRFs elicited by naturalistic stimuli, including faces and complex scenes (humans, animals). Motivational context varied by expectancy of threat (a noxious noise) versus safety. CRFs were measured in 18 participants by means of sweep steady-state visual evoked potentials. Results showed a facilitation in visuocortical sensitivity (contrast gain) under threat, compared with safe conditions, across all stimulus categories. Facial stimuli prompted heightened neural response gain, compared with scenes. Within the scenes, response gain was smaller for scenes high in emotional arousal, compared with low-arousing scenes, consistent with interference effects of emotional content. These findings support the notion that motivational context alters the contrast sensitivity of cortical tissue, differing from changes in response gain (activation) when visual cues themselves carry motivational/affective relevance.

Attentional bias during emotional processing: Behavioral and electrophysiological evidence from an Emotional Flanker Task.

Threatening stimuli seem to capture attention more swiftly than neutral stimuli. This attention bias has been observed under different experimental conditions and with different types of stimuli. It remains unclear whether this adaptive behaviour reflects the function of automatic or controlled attention mechanisms. Additionally, the spatiotemporal dynamics of its neural correlates are largely unknown. The present study investigates these issues using an Emotional Flanker Task synchronized with EEG recordings. A group of 32 healthy participants saw response-relevant images (emotional scenes from IAPS or line drawings of objects) flanked by response-irrelevant distracters (i.e., emotional scenes flanked by line drawings or vice versa). We assessed behavioural and ERP responses drawn from four task conditions (Threat-Central, Neutral-Central, Threat-Peripheral, and Neutral-Peripheral) and subjected these responses to repeated-measures ANOVA models. When presented as response-relevant targets, threatening images attracted faster and more accurate responses. They did not affect response accuracy to targets when presented as response-irrelevant flankers. However, response times were significantly slower when threatening images flanked objects than when neutral images were shown as flankers. This result replicated the well-known Emotional Flanker Effect. Behavioural responses to response-relevant threatening targets were accompanied by significant modulations of ERP activity across all time-windows and regions of interest and displayed some meaningful correlations. The Emotional Flanker Effect was accompanied by a modulation over parietal and central-parietal regions within a time-window between 550-690ms. Such a modulation suggests that the attentional disruption to targets caused by response-irrelevant threatening flankers appears to reflect less neural resources available, which are seemingly drawn away by distracting threatening flankers. The observed spatiotemporal dynamics seem to concur with understanding of the important adaptive role attributed to threat-related attention bias.

An eye-tracking study for measuring the attentional characteristics towards emotional scenes in children with autism spectrum condition

IntroductionThe difficulties in social interaction present in individuals with autism spectrum conditions may are related with the abnormal attentional processing of emotional information. Specifically, it has been hypothesized that the hypersensibility to threat shown by individuals with autism may explain an avoidance behaviour. However, this hypothesis is not supported by research and the underlying psychological mechanisms of social interaction in autism still unclear.ObjectivesThe aim of the present study was to examine attentional processing biases by administering a computer-based attentional task in a sample of 27 children with autism spectrum conditions and 25 typically developed participants (age 11-15 years).MethodsThe initial orienting of attention, the attention al engagement, and the attentional maintenance to different emotional scenes in competition (i.e. happy, neutral, threatening and sad) were measured by recording the eye movements during a 20 seconds free-viewing task.Results The main findings were: i) children with autism spectrum conditions showed an initial orientating bias towards threatening stimuli; and ii) while typically developed children revealed an attentional engagement and attentional maintenance bias towards threatening stimuli, children with autism spectrum conditions did not.ConclusionsThe findings of the present study are consistent with the affective information processing theories and shed light on the underlying mechanisms of social disturbances in autism spectrum conditions.

Working memory load reduces the electrocortical processing of positive pictures.

To date, the emotion regulation literature has focused primarily on the down-regulation of negative emotion, with far fewer studies interrogating the mechanisms at work in positive emotion regulation. This body of work has suggested that nonaffective mechanisms, such as cognitive load have a role to play in reducing emotional response. For example, the late positive potential (LPP), which tracks attention to salient stimuli, is reduced when task-irrelevant negative and neutral stimuli are presented under high compared with low working memory load. Using positive stimuli, working memory load has been shown to reduce the LPP elicited by positive words and faces but has not previously been shown to modulate the LPP elicited by positive scenes. Emotional scenes are the predominant type of stimuli used in the broader emotion regulation literature, are more arousing than faces, and have been shown to more strongly modulate the LPP. Here, 41 participants performed a working memory task interspersed with the presentation of positive and neutral scenes, while electroencephalography was recorded. Results showed that the LPP was increased for positive compared with neutral pictures and reduced on high-load compared to low-load trials. Working memory performance was worse on high-load compared with low-load trials, although it was not significantly correlated with the LPP, and picture type did not affect working memory performance. Results bridge to the willful emotion regulation literature to increase understanding of the mechanisms underlying positive emotion regulation, which has been relatively unexamined.

Friend vs. Foe: Cognitive and Affective Empathy in Women With Different Hormonal States.

Empathy is crucial for social functioning as well as social coherence. It can be influenced by modulatory factors such as familiarity and liking (i.e., emotional closeness). Furthermore, there are first hints that hormonal status may modulate affective but not cognitive empathy in women. The aim of this study was to investigate potential separate as well as combined modulatory effects of emotional closeness and hormonal status on female cognitive and affective empathy. Three hormonal status groups of women (n = 62) were studied: (1) naturally-cycling (NC) women in the early follicular phase (fNC), (2) NC women during periovulatory phase (oNC), and (3) oral contraceptive (OC) users. All women underwent a newly developed empathy task (i.e., Tübinger Empathy Test, TET) presenting textual descriptions of positive and negative emotional scenes relating to three different perspectives (i.e., self vs. friend vs. enemy/disliked person). Regardless of hormonal status, empathic responses were higher for the friend compared to the enemy perspective for both empathy components. However, cognitive empathy was less affected by varying emotional closeness toward the target person than affective empathy. Hormonal status modulated only affective empathy. OC users showed significantly less affective empathy toward the enemy compared to the fNC women. Overall, affective empathy seems more sensitive to modulatory effects of emotional closeness and hormonal status than cognitive empathy. Possible implications of this current investigation for future research on empathy and OC use, contraceptive education as well as for other clinical applications are discussed.

Neural Processing of Repeated Emotional Scenes in Schizophrenia, Schizoaffective Disorder, and Bipolar Disorder.

Impaired emotional processing and cognitive functioning are common in schizophrenia, schizoaffective disorder, and bipolar disorders, causing significant socioemotional disability. While a large body of research demonstrates abnormal cognition/emotion interactions in these disorders, previous studies investigating abnormalities in the emotional scene response using event-related potentials (ERPs) have yielded mixed findings, and few studies compare findings across psychiatric diagnoses. The current study investigates the effects of emotion and repetition on ERPs in a large, well-characterized sample of participants with schizophrenia-bipolar syndromes. Two ERP components that are modulated by emotional content and scene repetition, the early posterior negativity (EPN) and late positive potential (LPP), were recorded in healthy controls and participants with schizophrenia, schizoaffective disorder, bipolar disorder with psychosis, and bipolar disorder without psychosis. Effects of emotion and repetition were compared across groups. Results displayed significant but small effects in schizophrenia and schizoaffective disorder, with diminished EPN amplitudes to neutral and novel scenes, reduced LPP amplitudes to emotional scenes, and attenuated effects of scene repetition. Despite significant findings, small effect sizes indicate that emotional scene processing is predominantly intact in these disorders. Multivariate analyses indicate that these mild ERP abnormalities are related to cognition, psychosocial functioning, and psychosis severity. This relationship suggests that impaired cognition, rather than diagnosis or mood disturbance, may underlie disrupted neural scene processing in schizophrenia-bipolar syndromes.

Modulation of Response Times During Processing of Emotional Body Language.

The investigation of how humans perceive and respond to emotional signals conveyed by the human body has been for a long time secondary compared with the investigation of facial expressions and emotional scenes recognition. The aims of this behavioral study were to assess the ability to process emotional body postures and to test whether motor response is mainly driven by the emotional content of the picture or if it is influenced by motor resonance. Emotional body postures and scenes (IAPS) divided into three clusters (fear, happiness, and neutral) were shown to 25 healthy subjects (13 males, mean age ± SD: 22.3 ± 1.8 years) in a three-alternative forced choice task. Subjects were asked to recognize the emotional content of the pictures by pressing one of three keys as fast as possible in order to estimate response times (RTs). The rating of valence and arousal was also performed. We found shorter RTs for fearful body postures as compared with happy and neutral postures. In contrast, no differences across emotional categories were found for the IAPS stimuli. Analysis on valence and arousal and the subsequent item analysis showed an excellent reliability of the two sets of images used in the experiment. Our results show that fearful body postures are rapidly recognized and processed, probably thanks to the automatic activation of a series of central nervous system structures orchestrating the defensive threat reactions, strengthening and supporting previous neurophysiological and behavioral findings in body language processing.

Attentional biases to emotional scenes in schizophrenia: An eye-tracking study

Attentional biases to emotional information may play a key role in the onset and course of schizophrenia. The aim of this experiment was to examine the attentional processing of four emotional scenes in competition (happy, neutral, sad, threatening) in 53 patients with schizophrenia and 51 controls. The eye movements were recorded in a 20-seconds free-viewing task. The results were: (i) patients showed increased attention on threatening scenes, compared to controls, in terms of attentional engagement and maintenance; (ii) patients payed less attention to happy scenes than controls, in terms of attentional maintenance; (iii) whereas positive symptoms were associated with a late avoidance of sad scenes, negative symptoms were associated with heightened attention to threat. The findings suggest that a threat-related bias and a lack of sensitivity to positive information may represent an underlying psychological mechanism of schizophrenia. Importantly, schizophrenia symptoms modulated the attentional biases, which has aetiological and therapeutic implications.

Using item response theory to select emotional pictures for psychophysiological experiments

Standardized picture databases such as the International Affective Picture System (IAPS; Lang et al., 2008) and Emotional Picture Set (EmoPicS; Wessa et al., 2010) facilitate the study of emotional scene perception, and have the potential to increase replicability and comparability of results within and across labs. However, with the availability of large numbers of pictures comes the challenge of selecting subsets of pictures for inclusion in experimental paradigms. Typically, researchers rely on expert consensus or normed ratings to select emotional pictures, but these methods may favor pictures with high agreement over those that provide the most information or best differentiate individuals. Here, in n = 297 individuals, we demonstrate how item response theory (IRT), which provides information on psychometric functioning at both the item and test level, can be used to select negative and positive pictures for eliciting the late positive potential (LPP), a measure of emotional attention. We present results for 50 negative and 50 positive pictures, and show how pictures with higher discrimination values improve differentiation between individuals with different levels of emotional attention. Moreover, “strong” modulators of the LPP – i.e., erotic and mutilation pictures – provided the most information about individuals with low levels of emotional attention, whereas, “weak” modulators of the LPP – i.e., affiliative and exciting pictures – provided the most information about individuals with high levels of emotional attention. Results demonstrate how IRT can inform emotional picture selection and improve the psychometrics of psychophysiological tasks, which can ultimately increase the replicability of findings based on standardized pictures.

Investigating real-life emotions in romantic couples: a mobile EEG study

The neural basis of emotional processing has been largely investigated in constrained spatial environments such as stationary EEGs or fMRI scanners using highly artificial stimuli like standardized pictures depicting emotional scenes. Typically, such standardized experiments have low ecological validity and it remains unclear whether their results reflect neuronal processing in real-life affective situations at all. Critically, emotional situations do not only encompass the perception of emotions, but also behavioral components associated with them. In this study, we aimed to investigate real-life emotions by recording couples in their homes using mobile EEG technology during embracing, kissing and emotional speech. We focused on asymmetries in affective processing as emotions have been demonstrated to be strongly lateralized in the brain. We found higher alpha and beta power asymmetry during kissing and embracing on frontal electrodes during emotional kisses and speech compared to a neutral control condition indicative of stronger left-hemispheric activation. In contrast, we found lower alpha power asymmetry at parieto-occipital electrode sites in the emotional compared to the neutral condition indicative of stronger right-hemispheric activation. Our findings for alpha power asymmetries are in line with models of emotional lateralization that postulate a valence-specific processing over frontal cortices and right-hemispheric dominance in emotional processing in parieto-occipital regions. In contrast, beta power asymmetries pointed more towards valence-specific processing indicating that, while alpha and beta frequencies seem to be functionally associated, they are not reflecting identical cognitive processing.

Research on the Application of Virtual Reality Technology in Psychotherapy

The popularization and application of virtual reality technology provides a new way for psychotherapy. This paper expounds the advantages of virtual reality technology and its specific application in the treatment of psychological diseases such as social anxiety, phobia and eating disorder. At the same time, aiming at the psychological pressure problem faced by modern people, a set of psychological adjustment system for improving emotional experience and virtual scene is designed based on behaviourism-oriented psychotherapy theory and virtual reality technology.

Prioritization and Interference of Emotional Information in Briefly Presented Scenes: Selection Advantage for Positive Emotional Scenes

Previous studies have repeatedly demonstrated the attentional prioritization of emotional information over neutral information. However, the parsing of interference from negative and positive stimuli has not received the same attention. In the study reported here, we examined the effect of real-world visual scenes of neutral, positive, and negative valence, as well as the effect of both high- and low-arousal (differentially categorized based on their arousal and valence ratings) on scene gist identification. Using a partial-report paradigm, participants were asked to report the gist of a post-cued scene from a briefly-presented array of four scenes. Scene gist identification performance was significantly higher for positive scenes, regardless of arousal, than for negative scenes. All emotional scenes, regardless of valence and arousal, interfered with reporting the gist of neutral scenes. The findings support the hypothesis that emotional scenes more often interfere with processing of neutral scenes and are selectively attended to during briefly-presented scene arrays. Moreover, the results suggest that the identification and the interference of positive, high-arousal scenes are prioritized in visual information processing.

Attentional patterns as emotion regulation strategies during the anticipation of repetitive emotional scenes: an eye-tracker study.

As difficulties in managing the anticipation of situations is one of the characteristics of emotional problems, the study of regulatory strategies during anticipatory period anticipation is important. In the present study, attentional patterns during the anticipation period were studied. The ability of those attentional patterns to regulate mood after the event's occurrence was analyzed. An experimental paradigm was designed in which participants repeatedly anticipated emotional information. Attentional patterns in response to emotionally expressive faces (happy and sad) were recorded with an eye tracker. The results showed that the valence of the expected outcomes did affect attentional preferences. Specifically, participants spent more time looking at sad faces when they anticipated a negative rather than a positive outcome. The opposite pattern was found for happy faces. With respect to the ability to regulate the emotions of these attention patterns, it was found that emotions experienced after a negatively anticipated event were independent of previous attention patterns, while happiness experienced after a previously anticipated positive event was found to be related to attentional patterns. Specifically, people who spent more time looking at happy faces during the anticipation of a positive outcome reported higher levels of happiness after the event. In conclusion, these results indicate that during the anticipation of emotional outcomes participants implement attentional strategies, although the emotions associated with experiencing those outcomes were independent of those attentional patterns in the negative anticipation, they were found to magnify positive emotions in positive anticipation.

Pain Modulates Responses to Emotional Stimuli

Pain and emotion are common subjective experiences that play vital roles in daily life. Pain has been clinically confirmed to increase depressive mood. However, little is known about how pain modulates cognitive emotional judgment processing. A better understanding of this may help explain the effect of pain on the development of depressive moods. We recruited 30 adult participants to test their responses to pictures of scenes (Experiment 1) and faces (Experiment 2) that represented happy, neutral, and sad emotions, while experiencing painful (induced via topical capsaicin cream) and control (hand cream) treatments. Results showed that participants in the painful condition showed lower accuracy to emotional scene stimuli and longer reaction times to both emotional scene and face stimuli, relative to the control condition. In addition, the difference values of the reaction times between the painful and control conditions were larger for sad scenes than for happy or neutral scenes. These results suggest that pain alters attentional processing of emotional stimuli, especially with regards to sad scene stimuli, which may explain how painful stimuli affect the development of depressive moods.

Effects of SSRI Antidepressants on Attentional Bias toward Emotional Scenes in First-Episode Depressive Patients: Evidence from an Eye-Tracking Study.

Objective Attentional biases toward emotional scenes may represent vulnerability and maintenance factors in depression. Antidepressant therapy may improve cognitive function and reduce depression, and is considered as the mechanism of action of antidepressants. Therefore, we conducted an eye-tracking test to examine whether selective serotonin re-uptake inhibitor (SSRI) antidepressants can reduce negative attentional biases and elicit clinical responses in depression. Methods Twenty first-episode depressive patients freely viewed three types of pictures that depicted different emotional scenes (i.e., positive-control, neutral-control, and negative-control) for 4,000 ms while their eye movements were monitored. The attentional bias to different emotional scenes was assessed before and after eight weeks of SSRI treatment using the eye-tracking method. The control group included a group of healthy individuals. Results The results revealed that first-episode depressive patients oriented their gaze more frequently to negative images and less to happy images, compared to controls. Importantly, the attentional bias in depressive patients was regulated after eight weeks of SSRI treatment. Patients showed an increased tendency to fixate on positive images and a decreased tendency to focus on negative images. Conclusion This suggests that SSRI antidepressants decrease vulnerability to negative images, while having an effect on attention in respect to positive images.