Altered brain responses to specific negative emotions in schizophrenia

Deficits in emotion processing are a core feature of schizophrenia, but their neurobiological bases are poorly understood. Previous research, mainly focused on emotional face processing and emotion recognition deficits, has shown controverted results. Furthermore, the use of faces has been questione...

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Main Authors: Maria Angeles Garcia-Leon, Paola Fuentes-Claramonte, Alicia Valiente-Gómez, Carmen Natividad, Pilar Salgado-Pineda, Jesús J. Gomar, Amalia Guerrero-Pedraza, Francisco Portillo, Jordi Ortiz-Gil, Silvia Alonso-Lana, Teresa Maristany, Joaquim Raduà, Raymond Salvador, Salvador Sarró, Edith Pomarol-Clotet
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158221003387
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author Maria Angeles Garcia-Leon
Paola Fuentes-Claramonte
Alicia Valiente-Gómez
Carmen Natividad
Pilar Salgado-Pineda
Jesús J. Gomar
Amalia Guerrero-Pedraza
Francisco Portillo
Jordi Ortiz-Gil
Silvia Alonso-Lana
Teresa Maristany
Joaquim Raduà
Raymond Salvador
Salvador Sarró
Edith Pomarol-Clotet
author_facet Maria Angeles Garcia-Leon
Paola Fuentes-Claramonte
Alicia Valiente-Gómez
Carmen Natividad
Pilar Salgado-Pineda
Jesús J. Gomar
Amalia Guerrero-Pedraza
Francisco Portillo
Jordi Ortiz-Gil
Silvia Alonso-Lana
Teresa Maristany
Joaquim Raduà
Raymond Salvador
Salvador Sarró
Edith Pomarol-Clotet
author_sort Maria Angeles Garcia-Leon
collection DOAJ
description Deficits in emotion processing are a core feature of schizophrenia, but their neurobiological bases are poorly understood. Previous research, mainly focused on emotional face processing and emotion recognition deficits, has shown controverted results. Furthermore, the use of faces has been questioned for not entailing an appropriate stimulus to study emotional processing. This highlights the importance of investigating emotional processing abnormalities using evocative stimuli. For the first time, we have studied the brain responses to scenic stimuli in patients with schizophrenia. We selected scenes from the IAPS that elicit fear, disgust, happiness, and sadness. Twenty-six patients with schizophrenia and thirty age-, sex- and premorbid IQ-matched healthy controls were included. Behavioral task results show that patients tended to misclassify disgust and sadness as fear. Brain responses in patients were different from controls in images eliciting disgust and fear. In response to disgust images, patients hyperactivated the right temporal cortex, which was not activated by the controls. With fear images, hyperactivation was observed in brain regions involved in fear processing, including midline regions from the medial frontal cortex to the anterior cingulate cortex, the superior frontal gyrus, inferior and superior temporal cortex, and visual areas. These results suggest that schizophrenia is characterized by hyper-responsivity to stimuli evoking high-arousal, negative emotions, and a bias towards fear in emotion recognition.
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spelling doaj.art-dee99548348946b7b15b4485e226cc722022-12-21T23:34:27ZengElsevierNeuroImage: Clinical2213-15822021-01-0132102894Altered brain responses to specific negative emotions in schizophreniaMaria Angeles Garcia-Leon0Paola Fuentes-Claramonte1Alicia Valiente-Gómez2Carmen Natividad3Pilar Salgado-Pineda4Jesús J. Gomar5Amalia Guerrero-Pedraza6Francisco Portillo7Jordi Ortiz-Gil8Silvia Alonso-Lana9Teresa Maristany10Joaquim Raduà11Raymond Salvador12Salvador Sarró13Edith Pomarol-Clotet14FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), SpainFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), SpainIMIM (Hospital del Mar Medical Research Institute), Barcelona, SpainHospital Mare de Déu de la Mercè, Barcelona, SpainFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), SpainLitwin-Zucker Alzheimer’s Disease Center, Feinstein Institute, Manhassett, NY, USABenito Menni Complex Assistencial en Salut Mental, Barcelona, SpainBenito Menni Complex Assistencial en Salut Mental, Barcelona, SpainGeneral Hospital of Granollers, Barcelona, SpainFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Research Center and Memory Clinic, Fundació ACE Institut Català de Neurociències Aplicades - Universitat Internacional de Catalunya (UIC), Barcelona, SpainHospital Sant Joan de Déu, Esplugues de Llobregat, SpainFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Imaging of Mood- and Anxiety-Related Disorders(IMARD) Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Early Psychosis: Interventions and Clinical-Detection (EPIC) Laboratory, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King College London, London, UK; Centre for Psychiatric Research and Education, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), SpainFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), SpainFIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Corresponding author at: FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain.Deficits in emotion processing are a core feature of schizophrenia, but their neurobiological bases are poorly understood. Previous research, mainly focused on emotional face processing and emotion recognition deficits, has shown controverted results. Furthermore, the use of faces has been questioned for not entailing an appropriate stimulus to study emotional processing. This highlights the importance of investigating emotional processing abnormalities using evocative stimuli. For the first time, we have studied the brain responses to scenic stimuli in patients with schizophrenia. We selected scenes from the IAPS that elicit fear, disgust, happiness, and sadness. Twenty-six patients with schizophrenia and thirty age-, sex- and premorbid IQ-matched healthy controls were included. Behavioral task results show that patients tended to misclassify disgust and sadness as fear. Brain responses in patients were different from controls in images eliciting disgust and fear. In response to disgust images, patients hyperactivated the right temporal cortex, which was not activated by the controls. With fear images, hyperactivation was observed in brain regions involved in fear processing, including midline regions from the medial frontal cortex to the anterior cingulate cortex, the superior frontal gyrus, inferior and superior temporal cortex, and visual areas. These results suggest that schizophrenia is characterized by hyper-responsivity to stimuli evoking high-arousal, negative emotions, and a bias towards fear in emotion recognition.http://www.sciencedirect.com/science/article/pii/S2213158221003387SchizophreniaIAPSScenic stimulifMRIEmotions
spellingShingle Maria Angeles Garcia-Leon
Paola Fuentes-Claramonte
Alicia Valiente-Gómez
Carmen Natividad
Pilar Salgado-Pineda
Jesús J. Gomar
Amalia Guerrero-Pedraza
Francisco Portillo
Jordi Ortiz-Gil
Silvia Alonso-Lana
Teresa Maristany
Joaquim Raduà
Raymond Salvador
Salvador Sarró
Edith Pomarol-Clotet
Altered brain responses to specific negative emotions in schizophrenia
NeuroImage: Clinical
Schizophrenia
IAPS
Scenic stimuli
fMRI
Emotions
title Altered brain responses to specific negative emotions in schizophrenia
title_full Altered brain responses to specific negative emotions in schizophrenia
title_fullStr Altered brain responses to specific negative emotions in schizophrenia
title_full_unstemmed Altered brain responses to specific negative emotions in schizophrenia
title_short Altered brain responses to specific negative emotions in schizophrenia
title_sort altered brain responses to specific negative emotions in schizophrenia
topic Schizophrenia
IAPS
Scenic stimuli
fMRI
Emotions
url http://www.sciencedirect.com/science/article/pii/S2213158221003387
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