Left orbital frontal activation in pathological anxiety

Twelve patients with anxiety disorder were studied with respect to regional cerebral blood flow (rCBF) using a 32-detector system with the 133 Xe inhalation technique. Measurements were taken during a rest condition and during anxiety induction. Anxiety relevant to the patient's psychological disorder was induced with a projective test, the meta-contrast technique (MCT). Increased blood flow in the orbital frontal region of the left hemisphere was observed in each of the 11 subjects who showed evidence of experiencing anxiety during the procedure. In a second study four additional anxiety patients were studied with a high-resolution (254-detector)Xe rCBF system. In addition to the anxiety and resting conditions, a neutral verbalization condition was added to control for the verbal aspects of the anxiety induction procedure. The results again showed the experience of anxiety to be accompanied by increased blood flow in the left orbital frontal region, with the patients showing this flow increase to be greater in the posterior, paralimbic, areas of the region. These results are consistent with previous suggestions of left hemisphere involvement in anxiety. They also suggest that imaging methods may allow research into what appears to be exaggerated corticolimbic activity in this disorder.     

Cognitive Control in the Face of Fear: Reduced Cognitive-Emotional Flexibility in Women with a History of Child Abuse

Child abuse can negatively affect neurobiological systems involved in regulating emotions. Adults who were maltreated as children show diminished capacity to flexibly integrate the prefrontal and limbic circuits underlying emotion regulation. Using a facial identification Stroop task with nonemotional and emotional stimuli, we found that women who reported more childhood abuse (N = 44) were no different from women reporting less childhood abuse (N = 45) on nonemotional conflict adaptation, but were significantly less able to adapt to emotional conflict. Women who reported more abuse were especially impaired in adapting to emotional conflict when incongruent stimuli involved a fearful face. These results help characterize the relation between cognitive control and emotion regulation and highlight the far-reaching effects of childhood abuse on cognitive-emotional flexibility.     

Functions of parahippocampal place area and retrosplenial cortex in real-world scene analysis: An fMRI study

We used functional MRI to investigate several hypotheses concerning the functions of posterior parahippocampal cortex and retrosplenial cortex, two regions that preferentially activate to images of real-world scenes compared to images of other meaningful visual stimuli such as objects and faces. We compared activation resulting from photographs of rooms, city streets, cityscapes, and landscapes against activation to a control condition of objects. Activation in posterior parahippocampal cortex, including parahippocampal place area, was greater for all scene types than objects, and greater for scenes that clearly convey information about local three-dimensional (3-D) structure (city streets and rooms) than scenes that do not (cityscapes and landscapes). Similar differences were observed in retrosplenial cortex, though activation was also greater for city streets than rooms. These results suggest that activation in both cortical areas is primarily related to analysis or representation of local 3-D space. The results are not consistent with hypotheses that these areas reflect panoramic spatial volume, an artificial versus natural category distinction, an indoor versus outdoor distinction, or the number of explicit objects depicted in a scene image.     

Validity and reliability of electroencephalographic frontal alpha asymmetry and frontal midline theta as biomarkers for depression

Electroencephalographic (EEG) frontal alpha asymmetry (FAA) and frontal midline (FM) theta have been suggested as biomarkers for depression and anxiety, but have mostly been assessed in small and non‐clinical studies. In a clinical sample of 79 adults with depression (ICD‐10: F32), resting EEG and scales of depression (MADRS) and anxiety (HADS‐A) were measured at intake and after 3 months. FAA and FM theta values were referenced to a normative population database. Internal consistency, test‐retest reliability, and correlations with psychiatric tests were examined. Reliability was sufficient. However, FAA and FM theta values were close to the general population, and correlations with psychiatric tests were mostly small and non‐significant, with the exception of FAA on F7–F8 z‐scores and HADS‐A. We conclude that the validity of FAA and FM theta and therefore their potential as biomarkers for depression and anxiety remain unclear.     

Parietal theta burst TMS: Functional fractionation observed during bistable perception not evident in attention tasks

When visual input is ambiguous, perception spontaneously alternates between interpretations: bistable perception. Studies have identified two distinct sites near the right intraparietal sulcus where inhibitory transcranial magnetic stimulation (TMS) affects the frequency of occurrence of these alternations, but strikingly with opposite directions of effect for the two sites. Lesion and TMS studies on spatial and sustained attention have also indicated a parcellation of right parietal cortex, into areas serving distinct attentional functions. We used the exact TMS procedure previously employed to affect bistable perception, yet measured its effect on spatial and sustained attention tasks. Although there was a trend for TMS to affect performance, trends were consistently similar for both parietal sites, with no indication of opposite effects. We interpret this as signifying that the previously observed parietal fractionation of function regarding the perception of ambiguous stimuli is not due to TMS-induced modification of spatial or sustained attention.     

Progress in Executive-Function Research: From Tasks to Functions to Regions to Networks

ABSTRACT— It has long been observed that damage to the frontal cortex affects a person's ability to control thought, behavior, and emotion while sometimes leaving fundamental processes such as vision, hearing, and long-term memory intact. Such observations have led theoreticians to suppose that a set of executive control functions exists, at the top of the hierarchy of mental processes. To study these executive functions and their relation to the frontal cortex and its subregions, researchers have long employed several now-classic cognitive tests in patients with brain damage. Yet until recently it has proved difficult to reliably localize the putative executive functions to discrete regions. This article illustrates how recent progress in executive-functions research has been driven by the coupling of sophisticated neuroscience techniques with advances in experimental psychology. Taking examples from recent studies, it shows how experimental tasks may be decomposed into cognitive components that can be localized to discrete—but structurally connected—brain regions. What emerges is a new ontology for executive function in terms of which cognitive components exist and of how, and when, they are recruited during task performance.     

Full scenes produce more activation than close-up scenes and scene-diagnostic objects in parahippocampal and retrosplenial cortex: an fMRI study

We used fMRI to directly compare activation in two cortical regions previously identified as relevant to real-world scene processing: retrosplenial cortex and a region of posterior parahippocampal cortex functionally defined as the parahippocampal place area (PPA). We compared activation in these regions to full views of scenes from a global perspective, close-up views of sub-regions from the same scene category, and single objects highly diagnostic of that scene category. Faces were included as a control condition. Activation in parahippocampal place area was greatest for full scene views that explicitly included the 3D spatial structure of the environment, with progressively less activation for close-up views of local scene regions containing diagnostic objects but less explicitly depicting 3D scene geometry, followed by single scene-diagnostic objects. Faces did not activate parahippocampal place area. In contrast, activation in retrosplenial cortex was greatest for full scene views, and did not differ among close-up views, diagnostic objects, and faces. The results showed that parahippocampal place area responds in a graded fashion as images become more completely scene-like and include more explicit 3D structure, whereas retrosplenial cortex responds in a step-wise manner to the presence of a complete scene. These results suggest scene processing areas are particularly sensitive to the 3D geometric structure that distinguishes scenes from other types of complex and meaningful visual stimuli.