Limbic and prefrontal responses to facial emotion expressions in depersonalization

E Lemche, S A Surguladze, Vincent Giampietro, A Anilkumar, M J Brammer, M Sierra, X Chitnis, S C R Williams, D Gasston, P Joraschky, A S David, M L Phillips

Research output: Contribution to journalArticlepeer-review

69 Citations (Scopus)

Abstract

Depersonalization disorder, characterized by emotional detachment, has been associated with increased prefrontal cortical and decreased autonomic activity to emotional stimuli. Event-related fMRI with simultaneous measurements of skin conductance levels occurred in nine depersonalization disorder patients and 12 normal controls to neutral, mild and intense happy and sad facial expressions. Patients, but not controls, showed decreases in subcortical limbic activity to increasingly intense happy and sad facial expressions, respectively. For both happy and sad expressions, negative correlations between skin conductance measures in bilateral dorsal prefrontal cortices occurred only in depersonalization disorder patients. Abnormal decreases in limbic activity to increasingly intense emotional expressions, and increases in dorsal prefrontal cortical activity to emotionally arousing stimuli may underlie the emotional detachment of depersonalization disorder
Original languageEnglish
Pages (from-to)473 - 477
Number of pages5
JournalNeuroreport
Volume18
Issue number5
DOIs
Publication statusPublished - Mar 2007

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