Anatomical and functional overlap within the insula and anterior cingulate cortex during interoception and phobic symptom provocation

The anterior insula and the dorsal anterior cingulate cortex (ACC) are regarded as key brain structures associated with the integration of perceived phobic characteristics of external stimuli and the perception of ones own body responses that leads to emotional feelings. To test to what extent the a...

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Veröffentlicht in:Human brain mapping 2013-05, Vol.34 (5), p.1220-1229
Hauptverfasser: Caseras, Xavier, Murphy, Kevin, Mataix-Cols, David, López-Solà, Marina, Soriano-Mas, Carles, Ortriz, Hector, Pujol, Jesus, Torrubia, Rafael
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container_issue 5
container_start_page 1220
container_title Human brain mapping
container_volume 34
creator Caseras, Xavier
Murphy, Kevin
Mataix-Cols, David
López-Solà, Marina
Soriano-Mas, Carles
Ortriz, Hector
Pujol, Jesus
Torrubia, Rafael
description The anterior insula and the dorsal anterior cingulate cortex (ACC) are regarded as key brain structures associated with the integration of perceived phobic characteristics of external stimuli and the perception of ones own body responses that leads to emotional feelings. To test to what extent the activity in these two brain structures anatomically and functionally overlap during phobic reactions and interoception, we submitted the same group of phobic participants (n = 29; either spider or blood‐injection‐injury (BII) phobics) and controls (n = 17) to both type of experimental paradigms. Results showed that there was a clear anatomical overlap in the Blood Oxygen Level‐Dependent (BOLD) responses within the anterior insula and ACC elicited during phobic symptom provocation and during interoceptive awareness. The activity within these two brain structures also showed to be correlated in the spider phobia group, but not in the BII phobic participants. Our results seem to support the idea that the activity within these two brain areas would be associated with the integration of perceived stimuli characteristics and bodily responses that lead to what we label as “fear.” However, that seems not to be the case in BII phobia, where more research is needed in order to clarify to what extent that could be associated with the idiosyncratic physiological response that these patients present in front of phobic stimuli (i.e., drop in heart rate and blood pressure). Hum Brain Mapp, 2013. © 2011 Wiley Periodicals, Inc.
doi_str_mv 10.1002/hbm.21503
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To test to what extent the activity in these two brain structures anatomically and functionally overlap during phobic reactions and interoception, we submitted the same group of phobic participants (n = 29; either spider or blood‐injection‐injury (BII) phobics) and controls (n = 17) to both type of experimental paradigms. Results showed that there was a clear anatomical overlap in the Blood Oxygen Level‐Dependent (BOLD) responses within the anterior insula and ACC elicited during phobic symptom provocation and during interoceptive awareness. The activity within these two brain structures also showed to be correlated in the spider phobia group, but not in the BII phobic participants. Our results seem to support the idea that the activity within these two brain areas would be associated with the integration of perceived stimuli characteristics and bodily responses that lead to what we label as “fear.” However, that seems not to be the case in BII phobia, where more research is needed in order to clarify to what extent that could be associated with the idiosyncratic physiological response that these patients present in front of phobic stimuli (i.e., drop in heart rate and blood pressure). 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Electric activity recording ; Emocions ; emotion ; Emotional problems ; fear ; Female ; Functional Laterality ; Fòbies ; Gyrus Cinguli - blood supply ; Gyrus Cinguli - pathology ; Gyrus Cinguli - physiopathology ; Humans ; Image Processing, Computer-Assisted ; insula ; interoceptive ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Nervous system ; Neural Pathways - blood supply ; Neural Pathways - pathology ; Oxygen - blood ; Phobias ; Phobic Disorders - etiology ; Phobic Disorders - pathology ; Psicologia ; Radiodiagnosis. Nmr imagery. 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Brain Mapp</addtitle><description>The anterior insula and the dorsal anterior cingulate cortex (ACC) are regarded as key brain structures associated with the integration of perceived phobic characteristics of external stimuli and the perception of ones own body responses that leads to emotional feelings. To test to what extent the activity in these two brain structures anatomically and functionally overlap during phobic reactions and interoception, we submitted the same group of phobic participants (n = 29; either spider or blood‐injection‐injury (BII) phobics) and controls (n = 17) to both type of experimental paradigms. Results showed that there was a clear anatomical overlap in the Blood Oxygen Level‐Dependent (BOLD) responses within the anterior insula and ACC elicited during phobic symptom provocation and during interoceptive awareness. The activity within these two brain structures also showed to be correlated in the spider phobia group, but not in the BII phobic participants. 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Electric activity recording</subject><subject>Emocions</subject><subject>emotion</subject><subject>Emotional problems</subject><subject>fear</subject><subject>Female</subject><subject>Functional Laterality</subject><subject>Fòbies</subject><subject>Gyrus Cinguli - blood supply</subject><subject>Gyrus Cinguli - pathology</subject><subject>Gyrus Cinguli - physiopathology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>insula</subject><subject>interoceptive</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system</subject><subject>Neural Pathways - blood supply</subject><subject>Neural Pathways - pathology</subject><subject>Oxygen - blood</subject><subject>Phobias</subject><subject>Phobic Disorders - etiology</subject><subject>Phobic Disorders - pathology</subject><subject>Psicologia</subject><subject>Radiodiagnosis. 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Electric activity recording</topic><topic>Emocions</topic><topic>emotion</topic><topic>Emotional problems</topic><topic>fear</topic><topic>Female</topic><topic>Functional Laterality</topic><topic>Fòbies</topic><topic>Gyrus Cinguli - blood supply</topic><topic>Gyrus Cinguli - pathology</topic><topic>Gyrus Cinguli - physiopathology</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>insula</topic><topic>interoceptive</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system</topic><topic>Neural Pathways - blood supply</topic><topic>Neural Pathways - pathology</topic><topic>Oxygen - blood</topic><topic>Phobias</topic><topic>Phobic Disorders - etiology</topic><topic>Phobic Disorders - pathology</topic><topic>Psicologia</topic><topic>Radiodiagnosis. Nmr imagery. 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Brain Mapp</addtitle><date>2013-05</date><risdate>2013</risdate><volume>34</volume><issue>5</issue><spage>1220</spage><epage>1229</epage><pages>1220-1229</pages><issn>1065-9471</issn><eissn>1097-0193</eissn><abstract>The anterior insula and the dorsal anterior cingulate cortex (ACC) are regarded as key brain structures associated with the integration of perceived phobic characteristics of external stimuli and the perception of ones own body responses that leads to emotional feelings. To test to what extent the activity in these two brain structures anatomically and functionally overlap during phobic reactions and interoception, we submitted the same group of phobic participants (n = 29; either spider or blood‐injection‐injury (BII) phobics) and controls (n = 17) to both type of experimental paradigms. Results showed that there was a clear anatomical overlap in the Blood Oxygen Level‐Dependent (BOLD) responses within the anterior insula and ACC elicited during phobic symptom provocation and during interoceptive awareness. The activity within these two brain structures also showed to be correlated in the spider phobia group, but not in the BII phobic participants. Our results seem to support the idea that the activity within these two brain areas would be associated with the integration of perceived stimuli characteristics and bodily responses that lead to what we label as “fear.” However, that seems not to be the case in BII phobia, where more research is needed in order to clarify to what extent that could be associated with the idiosyncratic physiological response that these patients present in front of phobic stimuli (i.e., drop in heart rate and blood pressure). Hum Brain Mapp, 2013. © 2011 Wiley Periodicals, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22162203</pmid><doi>10.1002/hbm.21503</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Access via Wiley Online Library; Recercat; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adolescent
Analysis of Variance
Biological and medical sciences
Brain Mapping
cingulate gyrus
Ciències de la salut
Electrodiagnosis. Electric activity recording
Emocions
emotion
Emotional problems
fear
Female
Functional Laterality
Fòbies
Gyrus Cinguli - blood supply
Gyrus Cinguli - pathology
Gyrus Cinguli - physiopathology
Humans
Image Processing, Computer-Assisted
insula
interoceptive
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medical sciences
Nervous system
Neural Pathways - blood supply
Neural Pathways - pathology
Oxygen - blood
Phobias
Phobic Disorders - etiology
Phobic Disorders - pathology
Psicologia
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Salut mental
specific phobia
Young Adult
Àrees temàtiques de la UPC
title Anatomical and functional overlap within the insula and anterior cingulate cortex during interoception and phobic symptom provocation
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