Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results

Introduction The pedophilic disorder is characterized by a sexual preference for children and leads to child sexual abuse (CSA) in half of the patients. Studies showed that pedophiles with a history of CSA (CSA+) are inferior, in inhibitory control, to those without (CSA-). Objectives Inhibitory...

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Main Authors: J. Szczypiński, M. Wypych, A. Michalska, A. Krasowska, M. Kopera, H. Suszek, A. Marchewka, A. Jakubczyk, M. Wojnar
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821011020/type/journal_article
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author J. Szczypiński
M. Wypych
A. Michalska
A. Krasowska
M. Kopera
H. Suszek
A. Marchewka
A. Jakubczyk
M. Wojnar
author_facet J. Szczypiński
M. Wypych
A. Michalska
A. Krasowska
M. Kopera
H. Suszek
A. Marchewka
A. Jakubczyk
M. Wojnar
author_sort J. Szczypiński
collection DOAJ
description Introduction The pedophilic disorder is characterized by a sexual preference for children and leads to child sexual abuse (CSA) in half of the patients. Studies showed that pedophiles with a history of CSA (CSA+) are inferior, in inhibitory control, to those without (CSA-). Objectives Inhibitory control may be influenced by negative affectivity, which was shown to be a state factor facilitating sexual abuse. Nevertheless, it is not known if distress influence CSA+ and CSA- equally. Methods We recruited three groups of participants: healthy controls (HC) CSA+ and CSA- who performed an emotional Go-NoGo block task. The task was design specifically to correspond to a situation in which an indivisual is opposed by a negative life event. In each trial, participants were presented with photographs, either of neutral or negative valence, which did not require reaction. After the photographs, a circle (Go stimuli) or a square (NoGo stimuli) was presented. Results We found that HC and CSA- had slower reaction time in negative compared to neutral condition (regardless of the block type), while CSA+ did not. Consequently, HC and CSA- showed increased activation in the right dorsolateral prefrontal cortex (DLPFC) in negative compared to the neutral condition, what was not observed in CSA+. Conclusions DLPFC is crucial for cognitive control, however, the activity of this region is modulated by emotional valence. Reduced engagement of dlPFC in CSA+ in negative condition (irrespectively of the task instructions), suggest that negative emotions in CSA+ disrupt also other aspects of cognitive control, rather than inhibition specifically.
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spelling doaj.art-365fb4104ab94f689c74dcc3c2f9f77b2023-11-17T05:08:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S412S41310.1192/j.eurpsy.2021.1102Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary resultsJ. Szczypiński0M. Wypych1A. Michalska2A. Krasowska3M. Kopera4H. Suszek5A. Marchewka6A. Jakubczyk7M. Wojnar8Department Of Psychiatry, Medical University of Warsaw, Warszawa, Poland Laboratory Of Brain Imaging, Nencki Institute of Experimental Biology, Warszawa, PolandLaboratory Of Brain Imaging, Nencki Institute of Experimental Biology, Warszawa, PolandDepartment Of Psychiatry, Medical University of Warsaw, Warszawa, PolandDepartment Of Psychiatry, Medical University of Warsaw, Warszawa, PolandDepartment Of Psychiatry, Medical University of Warsaw, Warszawa, PolandFaculty Of Psychology, University of Warsaw, Warszawa, PolandLaboratory Of Brain Imaging, Nencki Institute of Experimental Biology, Warszawa, PolandDepartment Of Psychiatry, Medical University of Warsaw, Warszawa, PolandDepartment Of Psychiatry, Medical University of Warsaw, Warszawa, Poland Introduction The pedophilic disorder is characterized by a sexual preference for children and leads to child sexual abuse (CSA) in half of the patients. Studies showed that pedophiles with a history of CSA (CSA+) are inferior, in inhibitory control, to those without (CSA-). Objectives Inhibitory control may be influenced by negative affectivity, which was shown to be a state factor facilitating sexual abuse. Nevertheless, it is not known if distress influence CSA+ and CSA- equally. Methods We recruited three groups of participants: healthy controls (HC) CSA+ and CSA- who performed an emotional Go-NoGo block task. The task was design specifically to correspond to a situation in which an indivisual is opposed by a negative life event. In each trial, participants were presented with photographs, either of neutral or negative valence, which did not require reaction. After the photographs, a circle (Go stimuli) or a square (NoGo stimuli) was presented. Results We found that HC and CSA- had slower reaction time in negative compared to neutral condition (regardless of the block type), while CSA+ did not. Consequently, HC and CSA- showed increased activation in the right dorsolateral prefrontal cortex (DLPFC) in negative compared to the neutral condition, what was not observed in CSA+. Conclusions DLPFC is crucial for cognitive control, however, the activity of this region is modulated by emotional valence. Reduced engagement of dlPFC in CSA+ in negative condition (irrespectively of the task instructions), suggest that negative emotions in CSA+ disrupt also other aspects of cognitive control, rather than inhibition specifically. https://www.cambridge.org/core/product/identifier/S0924933821011020/type/journal_articlePedophiliachild sexual offendingemotioncognition
spellingShingle J. Szczypiński
M. Wypych
A. Michalska
A. Krasowska
M. Kopera
H. Suszek
A. Marchewka
A. Jakubczyk
M. Wojnar
Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results
European Psychiatry
Pedophilia
child sexual offending
emotion
cognition
title Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results
title_full Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results
title_fullStr Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results
title_full_unstemmed Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results
title_short Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results
title_sort pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition preliminary results
topic Pedophilia
child sexual offending
emotion
cognition
url https://www.cambridge.org/core/product/identifier/S0924933821011020/type/journal_article
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