Attention control and its emotion-specific association with cognitive emotion regulation in depression

Attention control and its emotion-specific association with cognitive emotion regulation in depression
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DOI:
10.1007/s11682-019-00174-9
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发表时间:
2019-12-01
影响因子:
3.2
通讯作者:
Derntl, Birgit
Derntl, Birgit
中科院分区:
医学3区
文献类型:
--
作者:
Loeffler, Leonie Anne Kathrin;Satterthwaite, Theodore Daniel;Derntl, Birgit

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患有严重抑郁症的人对注意力和情绪的控制受损。这两个过程在概念上都是相似的,并且可能具有共同的机制。当前的研究旨在检查注意力控制及其与抑郁症中认知情绪调节的关联。有26例重度抑郁史(14名女性)和26个健康对照(14个女性)的患者执行了情感上的脸部障碍任务和认知情绪调节任务,同时进行了fMRI。在这两个任务中,患者和对照均显示出类似的行为表现。在整个群体中,不一致的词“悲伤”(Stroop任务)不太分心快乐面孔的参与者更好地调节了自己的幸福(情感调节任务)。值得注意的是,Stroop和情感调节任务都招募了左上角的回旋。此外,在Stroop任务中,与负面刺激相比,只有患者显示出阳性的相对注意力脱离。注意力控制和认知情绪调节能力似乎在行为和神经层面均连接。共同的机制表明,针对注意力控制的干预措施,尤其是在阳性刺激的处理方面,可能会改善抑郁症的情绪障碍。
Individuals with major depression show impaired control of attention and emotions. Both processes are conceptually similar and might share common mechanisms. The current study aims to examine attention control and its association with cognitive emotion regulation in depression. 26 patients with a history of major depression (14 females) and 26 healthy controls (14 females) performed an emotional face-word Stroop task and a cognitive emotion regulation task while undergoing fMRI. Patients and controls showed a similar behavioral performance in both tasks. Across groups, participants who were less distracted from happy faces by the incongruent word "sadness" (Stroop task) were better at regulating their happiness (emotion regulation task). Notably, both the Stroop and emotion regulation task recruited the left supramarginal gyrus. Additionally, only patients showed a relative attentional disengagement from positive compared to negative stimuli in the Stroop task. Attention control and cognitive emotion regulation capabilities appear to be linked at both the behavioral and neural level. Shared mechanisms suggest that emotional disturbances in depression may be improved by interventions that target attention control, particularly regarding the processing of positive stimuli.