Altered brain activity during emotional empathy in somatoform disorder
Autor: | Annette F. Bölter, Jörg Frommer, Lisa Scheidt, Björn Enzi, Claus Tempelmann, Cornelia Ulrich, Eva Stockum, Shihui Han, Thilo Hoffmann, Georg Northoff, Moritz de Greck |
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Rok vydání: | 2011 |
Předmět: |
Adult
Male Brain activity and meditation media_common.quotation_subject Emotions Empathy Anger Brain mapping Alexithymia Image Interpretation Computer-Assisted medicine Humans Radiology Nuclear Medicine and imaging Somatoform Disorders Research Articles media_common Brain Mapping Radiological and Ultrasound Technology Brain medicine.disease Magnetic Resonance Imaging Disgust medicine.anatomical_structure Neurology Female Neurology (clinical) Anatomy Psychology Insula Parahippocampal gyrus Clinical psychology Cognitive psychology |
Zdroj: | Hum Brain Mapp |
ISSN: | 1065-9471 |
DOI: | 10.1002/hbm.21392 |
Popis: | Somatoform disorder patients suffer from impaired emotion recognition and other emotional deficits. Emotional empathy refers to the understanding and sharing of emotions of others in social contexts. It is likely that the emotional deficits of somatoform disorder patients are linked to disturbed empathic abilities; however, little is known so far about empathic deficits of somatoform patients and the underlying neural mechanisms. We used fMRI and an empathy paradigm to investigate 20 somatoform disorder patients and 20 healthy controls. The empathy paradigm contained facial pictures expressing anger, joy, disgust, and a neutral emotional state; a control condition contained unrecognizable stimuli. In addition, questionnaires testing for somatization, alexithymia, depression, empathy, and emotion recognition were applied. Behavioral results confirmed impaired emotion recognition in somatoform disorder and indicated a rather distinct pattern of empathic deficits of somatoform patients with specific difficulties in “empathic distress.” In addition, somatoform patients revealed brain areas with diminished activity in the contrasts “all emotions”–“control,” “anger”–“control,” and “joy”–“control,” whereas we did not find brain areas with altered activity in the contrasts “disgust”–“control” and “neutral”–“control.” Significant clusters with less activity in somatoform patients included the bilateral parahippocampal gyrus, the left amygdala, the left postcentral gyrus, the left superior temporal gyrus, the left posterior insula, and the bilateral cerebellum. These findings indicate that disturbed emotional empathy of somatoform disorder patients is linked to impaired emotion recognition and abnormal activity of brain regions responsible for emotional evaluation, emotional memory, and emotion generation. Hum Brain Mapp, 2012. © 2011 Wiley Periodicals, Inc. |
Databáze: | OpenAIRE |
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