Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia

Understanding the specific mechanisms that explain why people who have relatives with schizophrenia (i.e., people at familial high risk; FHR) are more likely to develop the disorder is crucial for prevention. We investigated a diathesis-stress model of familial risk by testing whether FHR individual...

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Main Authors: Erik C. Nook, David Dodell-Feder, Laura T. Germine, Jill M. Hooley, Lynn E. DeLisi, Christine I. Hooker
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:NeuroImage: Clinical
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158218300044
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author Erik C. Nook
David Dodell-Feder
Laura T. Germine
Jill M. Hooley
Lynn E. DeLisi
Christine I. Hooker
author_facet Erik C. Nook
David Dodell-Feder
Laura T. Germine
Jill M. Hooley
Lynn E. DeLisi
Christine I. Hooker
author_sort Erik C. Nook
collection DOAJ
description Understanding the specific mechanisms that explain why people who have relatives with schizophrenia (i.e., people at familial high risk; FHR) are more likely to develop the disorder is crucial for prevention. We investigated a diathesis-stress model of familial risk by testing whether FHR individuals under-recruit brain regions central to emotion regulation when exposed to social conflict, resulting in worse mood and symptoms following conflict. FHR and non-FHR participants listened to critical, neutral, and praising comments in an fMRI scanner before completing 4 weeks of daily-diary records. Compared to non-FHR individuals, FHR individuals under-recruited the bilateral dorsolateral prefrontal cortex (DLPFC)—a region strongly implicated in cognitive emotion regulation—following criticism. Furthermore, within FHR participants, weak DLPFC response to criticism in the laboratory task was associated with elevated negative mood and positive symptoms on days with distressing social conflicts in daily-diary assessments. Results extend diathesis-stress models of schizophrenia by clarifying neural and environmental pathways to dysregulation in FHR individuals. Keywords: Familial high risk, Schizophrenia, Emotion regulation, Expressed emotion, DLPFC
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spelling doaj.art-46a07a2ed12048459c09fa066f7e01972022-12-21T19:12:07ZengElsevierNeuroImage: Clinical2213-15822018-01-01184050Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophreniaErik C. Nook0David Dodell-Feder1Laura T. Germine2Jill M. Hooley3Lynn E. DeLisi4Christine I. Hooker5Department of Psychology, Harvard University, USA; Corresponding author at: Department of Psychology, William James Hall, Harvard University, 33 Kirkland St., Cambridge, MA 02138, USA.Department of Psychology, Harvard University, USAInstitute for Technology in Society, McLean Hospital, USA; Department of Psychiatry, Harvard Medical School, USADepartment of Psychology, Harvard University, USADepartment of Psychiatry, Harvard Medical School, USA; Boston VA Medical Center, USADepartment of Psychiatry, Rush University Medical Center, USAUnderstanding the specific mechanisms that explain why people who have relatives with schizophrenia (i.e., people at familial high risk; FHR) are more likely to develop the disorder is crucial for prevention. We investigated a diathesis-stress model of familial risk by testing whether FHR individuals under-recruit brain regions central to emotion regulation when exposed to social conflict, resulting in worse mood and symptoms following conflict. FHR and non-FHR participants listened to critical, neutral, and praising comments in an fMRI scanner before completing 4 weeks of daily-diary records. Compared to non-FHR individuals, FHR individuals under-recruited the bilateral dorsolateral prefrontal cortex (DLPFC)—a region strongly implicated in cognitive emotion regulation—following criticism. Furthermore, within FHR participants, weak DLPFC response to criticism in the laboratory task was associated with elevated negative mood and positive symptoms on days with distressing social conflicts in daily-diary assessments. Results extend diathesis-stress models of schizophrenia by clarifying neural and environmental pathways to dysregulation in FHR individuals. Keywords: Familial high risk, Schizophrenia, Emotion regulation, Expressed emotion, DLPFChttp://www.sciencedirect.com/science/article/pii/S2213158218300044
spellingShingle Erik C. Nook
David Dodell-Feder
Laura T. Germine
Jill M. Hooley
Lynn E. DeLisi
Christine I. Hooker
Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
NeuroImage: Clinical
title Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
title_full Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
title_fullStr Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
title_full_unstemmed Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
title_short Weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
title_sort weak dorsolateral prefrontal response to social criticism predicts worsened mood and symptoms following social conflict in people at familial risk for schizophrenia
url http://www.sciencedirect.com/science/article/pii/S2213158218300044
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