Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals

Abstract Loneliness exacerbates psychological distress and increases the risk of psychopathology after trauma exposure. However, it is still unclear whether a lack of social connectedness affects trauma‐related intrusions and the neural processing of fear signals. Moreover, it is uncertain, whether...

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Main Authors: Mitjan Morr, Jeanine Noell, Daphne Sassin, Jule Daniels, Alexandra Philipsen, Benjamin Becker, Birgit Stoffel‐Wagner, René Hurlemann, Dirk Scheele
Format: Article
Language:English
Published: Wiley 2022-05-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202105336
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author Mitjan Morr
Jeanine Noell
Daphne Sassin
Jule Daniels
Alexandra Philipsen
Benjamin Becker
Birgit Stoffel‐Wagner
René Hurlemann
Dirk Scheele
author_facet Mitjan Morr
Jeanine Noell
Daphne Sassin
Jule Daniels
Alexandra Philipsen
Benjamin Becker
Birgit Stoffel‐Wagner
René Hurlemann
Dirk Scheele
author_sort Mitjan Morr
collection DOAJ
description Abstract Loneliness exacerbates psychological distress and increases the risk of psychopathology after trauma exposure. However, it is still unclear whether a lack of social connectedness affects trauma‐related intrusions and the neural processing of fear signals. Moreover, it is uncertain, whether loneliness plays a different role in women and men. A prestratification strategy is used and n = 47 (n = 20 women) healthy lonely individuals and n = 35 controls (n = 18 women) are recruited. Participants are exposed to an experimental trauma and evoked intrusive thoughts in daily life are monitored for three consecutive days. Functional magnetic resonance imaging is used to assess neural habituation to fearful faces and fear learning (conditioning and extinction) prior to trauma exposure. The results reveal a significant interaction between loneliness and sex such that loneliness is associated with more intrusions in men, but not in women. A similar pattern emerges at the neural level, with both reduced amygdala habituation to repeated fearful faces and amygdala hyperreactivity during the conditioning of fear signals in lonely men. The findings indicate that loneliness may confer vulnerability to intrusive memories after trauma exposure in healthy men and that this phenotype relates to altered limbic processing of fear signals.
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spelling doaj.art-89176cb25055436a9c9fc7a4f573ff4f2022-12-22T03:23:11ZengWileyAdvanced Science2198-38442022-05-01915n/an/a10.1002/advs.202105336Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear SignalsMitjan Morr0Jeanine Noell1Daphne Sassin2Jule Daniels3Alexandra Philipsen4Benjamin Becker5Birgit Stoffel‐Wagner6René Hurlemann7Dirk Scheele8Research Section Medical Psychology Department of Psychiatry and Psychotherapy University Hospital Bonn Bonn 53127 GermanyResearch Section Medical Psychology Department of Psychiatry and Psychotherapy University Hospital Bonn Bonn 53127 GermanyResearch Section Medical Psychology Department of Psychiatry and Psychotherapy University Hospital Bonn Bonn 53127 GermanyResearch Section Medical Psychology Department of Psychiatry and Psychotherapy University Hospital Bonn Bonn 53127 GermanyDepartment of Psychiatry and Psychotherapy University Hospital Bonn Bonn 53127 GermanyClinical Hospital of Chengdu Brain Science Institute School of Life Science and Technology University of Electronic Science and Technology of China Chengdu 610054 ChinaInstitute of Clinical Chemistry and Clinical Pharmacology University Hospital Bonn Bonn 53127 GermanyDepartment of Psychiatry School of Medicine and Health Sciences University of Oldenburg Oldenburg 26129 GermanyResearch Section Medical Psychology Department of Psychiatry and Psychotherapy University Hospital Bonn Bonn 53127 GermanyAbstract Loneliness exacerbates psychological distress and increases the risk of psychopathology after trauma exposure. However, it is still unclear whether a lack of social connectedness affects trauma‐related intrusions and the neural processing of fear signals. Moreover, it is uncertain, whether loneliness plays a different role in women and men. A prestratification strategy is used and n = 47 (n = 20 women) healthy lonely individuals and n = 35 controls (n = 18 women) are recruited. Participants are exposed to an experimental trauma and evoked intrusive thoughts in daily life are monitored for three consecutive days. Functional magnetic resonance imaging is used to assess neural habituation to fearful faces and fear learning (conditioning and extinction) prior to trauma exposure. The results reveal a significant interaction between loneliness and sex such that loneliness is associated with more intrusions in men, but not in women. A similar pattern emerges at the neural level, with both reduced amygdala habituation to repeated fearful faces and amygdala hyperreactivity during the conditioning of fear signals in lonely men. The findings indicate that loneliness may confer vulnerability to intrusive memories after trauma exposure in healthy men and that this phenotype relates to altered limbic processing of fear signals.https://doi.org/10.1002/advs.202105336amygdalafear conditioningfear habituationlonelinesstrauma memory
spellingShingle Mitjan Morr
Jeanine Noell
Daphne Sassin
Jule Daniels
Alexandra Philipsen
Benjamin Becker
Birgit Stoffel‐Wagner
René Hurlemann
Dirk Scheele
Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals
Advanced Science
amygdala
fear conditioning
fear habituation
loneliness
trauma memory
title Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals
title_full Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals
title_fullStr Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals
title_full_unstemmed Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals
title_short Lonely in the Dark: Trauma Memory and Sex‐Specific Dysregulation of Amygdala Reactivity to Fear Signals
title_sort lonely in the dark trauma memory and sex specific dysregulation of amygdala reactivity to fear signals
topic amygdala
fear conditioning
fear habituation
loneliness
trauma memory
url https://doi.org/10.1002/advs.202105336
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