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Increased Amygdala Activity Associated With Cognitive Reappraisal Strategy in Functional Neurologic Disorder

Increased Amygdala Activity Associated With Cognitive Reappraisal Strategy in Functional Neurologic Disorder

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HASSA, Thomas, Stefan SPITERI, Roger SCHMIDT, Christian MERKEL, Mircea Ariel SCHOENFELD, 2021. Increased Amygdala Activity Associated With Cognitive Reappraisal Strategy in Functional Neurologic Disorder. In: Frontiers in psychiatry. Frontiers Research Foundation. 12, 613156. eISSN 1664-0640. Available under: doi: 10.3389/fpsyt.2021.613156

@article{Hassa2021Incre-53464, title={Increased Amygdala Activity Associated With Cognitive Reappraisal Strategy in Functional Neurologic Disorder}, year={2021}, doi={10.3389/fpsyt.2021.613156}, volume={12}, journal={Frontiers in psychiatry}, author={Hassa, Thomas and Spiteri, Stefan and Schmidt, Roger and Merkel, Christian and Schoenfeld, Mircea Ariel}, note={Article Number: 613156} }

<rdf:RDF xmlns:dcterms="http://purl.org/dc/terms/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:bibo="http://purl.org/ontology/bibo/" xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#" xmlns:foaf="http://xmlns.com/foaf/0.1/" xmlns:void="http://rdfs.org/ns/void#" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > <rdf:Description rdf:about="https://kops.uni-konstanz.de/rdf/resource/123456789/53464"> <dc:language>eng</dc:language> <dc:creator>Hassa, Thomas</dc:creator> <dc:contributor>Schmidt, Roger</dc:contributor> <dspace:hasBitstream rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/53464/1/Hassa_2-ra1hy32do1ln1.pdf"/> <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/53464"/> <dc:contributor>Merkel, Christian</dc:contributor> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-04-23T09:42:24Z</dc:date> <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/rdf/resource/123456789/43"/> <dcterms:rights rdf:resource="http://creativecommons.org/licenses/by/4.0/"/> <dc:contributor>Spiteri, Stefan</dc:contributor> <dcterms:title>Increased Amygdala Activity Associated With Cognitive Reappraisal Strategy in Functional Neurologic Disorder</dcterms:title> <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-04-23T09:42:24Z</dcterms:available> <dc:creator>Merkel, Christian</dc:creator> <dc:creator>Schoenfeld, Mircea Ariel</dc:creator> <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/rdf/resource/123456789/43"/> <dcterms:issued>2021</dcterms:issued> <dc:creator>Spiteri, Stefan</dc:creator> <dc:creator>Schmidt, Roger</dc:creator> <foaf:homepage rdf:resource="http://localhost:8080/jspui"/> <dc:contributor>Hassa, Thomas</dc:contributor> <dcterms:hasPart rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/53464/1/Hassa_2-ra1hy32do1ln1.pdf"/> <dc:contributor>Schoenfeld, Mircea Ariel</dc:contributor> <dc:rights>Attribution 4.0 International</dc:rights> <dcterms:abstract xml:lang="eng">Cognitive reappraisal is an emotion regulation strategy to reduce the impact of affective stimuli. This regulation could be incomplete in patients with functional neurologic disorder (FND) resulting in an overflowing emotional stimulation perpetuating symptoms in FND patients. Here we employed functional MRI to study cognitive reappraisal in FND. A total of 24 FND patients and 24 healthy controls employed cognitive reappraisal while seeing emotional visual stimuli in the scanner. The Symptom Checklist-90-R (SCL-90-R) was used to evaluate concomitant psychopathologies of the patients. During cognitive reappraisal of negative IAPS images FND patients show an increased activation of the right amygdala compared to normal controls. We found no evidence of downregulation in the amygdala during reappraisal neither in the patients nor in the control group. The valence and arousal ratings of the IAPS images were similar across groups. However, a subgroup of patients showed a significant higher account of extreme low ratings for arousal for negative images. These low ratings correlated inversely with the item "anxiety" of the SCL-90-R. The increased activation of the amygdala during cognitive reappraisal suggests altered processing of emotional stimuli in this region in FND patients.</dcterms:abstract> </rdf:Description> </rdf:RDF>

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