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  Behavioural and neural correlates of self-focused emotion regulation in social anxiety disorder

Gaebler, M., Daniels, J. K., Lamke, J.-P., Fydrich, T., & Walter, H. (2014). Behavioural and neural correlates of self-focused emotion regulation in social anxiety disorder. Journal of Psychiatry & Neuroscience, 39(4), 249-258. doi:10.1503/jpn.130080.

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Item Permalink: http://hdl.handle.net/11858/00-001M-0000-0023-D16A-7 Version Permalink: http://hdl.handle.net/21.11116/0000-0003-82D3-B
Genre: Journal Article

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 Creators:
Gaebler, Michael1, 2, Author              
Daniels, Judith K.2, 3, Author
Lamke, Jan-Peter2, 4, Author
Fydrich, Thomas4, Author
Walter, Henrik2, Author
Affiliations:
1Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634549              
2Division of Mind and Brain Research, Charité University Medicine Berlin, Germany, ou_persistent22              
3Department of Psychosomatic Medicine and Psychotherapy, Otto von Guericke University Magdeburg, Germany, ou_persistent22              
4Department of Psychology, Humboldt University Berlin, Germany, ou_persistent22              

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 Abstract: Background: In healthy individuals, voluntary modification of self-relevance has proven effective in regulating subjective emotional experience as well as physiologic responses evoked by emotive stimuli. As social anxiety disorder (SAD) is characterized by both altered emotional and self-related processing, we tested if emotion regulation through self-focused reappraisal is effective in individuals with SAD. Methods: While undergoing 3 T functional magnetic resonance imaging, individuals with SAD and matched healthy controls either passively viewed neutral and aversive pictures or actively increased or decreased their negative emotional experience through the modification of selfrelevance or personal distance to aversive pictures. Participants rated all pictures with regard to the intensity of elicited emotions and self-relatedness. Results: We included 21 individuals with SAD and 23 controls in our study. Individuals with SAD reported significantly stronger emotional intensity across conditions and showed a nonsignificant tendency to judge pictures as more self-related than controls. Compared with controls, individuals with SAD showed an overactivation in bilateral temporoparietal regions and in the posterior midcingulate cortex during the passive viewing of aversive compared with neutral pictures. During instructed emotion regulation, activation patterns normalized and no significant group differences were detected. Limitations: As no positive pictures were presented, results might be limited to the regu lation of negative emotion. Conclusion: During passive viewing of aversive images, individuals with SAD showed evidence of neural hyperreactivity that may be interpreted as increased bodily self-consciousness and heightened perspective-taking. During voluntary increase and decrease of negative emotional intensity, group differences disappeared, suggesting self-focused reappraisal as a successful emotion regulation strategy for individuals with SAD.

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Language(s): eng - English
 Dates: 2013-11-222013-04-302014-01-062014-07
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Method: Peer
 Identifiers: DOI: 10.1503/jpn.130080
PMID: 24690369
 Degree: -

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Title: Journal of Psychiatry & Neuroscience
  Abbreviation : J Psychiatry Neurosci
Source Genre: Journal
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Publ. Info: Ottawa, Ont., Canada : Journal of Psychiatry and Neuroscience
Pages: - Volume / Issue: 39 (4) Sequence Number: - Start / End Page: 249 - 258 Identifier: ISSN: 1180-4882
CoNE: /journals/resource/1180-4882