A Functional Magnetic Resonance Imaging Study of Deliberate Emotion Regulation in Resilience and Posttraumatic Stress Disorder
Abstract
Background Sexual violence is an important public health problem in the United States, with 13% to 26% of women reporting a history of sexual assault. While unfortunately common, there is substantial individual variability in response to sexual assault. Approximately half of rape victims develop posttraumatic stress disorder (PTSD), while others develop no psychopathology (e.g., trauma-exposed non-PTSD). In this project, we examined the neural mechanisms underlying differences in response to sexual violence, focusing specifically on the deliberate modification of emotional responses to negative stimuli. Methods Using functional magnetic resonance imaging (fMRI) blood oxygenation level-dependent (BOLD) response, we examined the neural circuitry underlying effortful modification of emotional responses to negative pictures in 42 women: 14 with PTSD after sexual trauma, 14 with no psychiatric diagnosis after sexual trauma, and 14 nontraumatized control subjects. Results In response to deliberate attempts to downregulate emotional responses, nontraumatized healthy control subjects were more successful than either trauma-exposed group (PTSD or non-PTSD) in downregulating responses to the negative pictures as measured by subjective rating and BOLD response in regions of prefrontal cortex (PFC). In contrast, after deliberate attempts to upregulate emotional responses, regions of PFC were activated by trauma-exposed non-PTSD subjects more than by healthy control subjects or PTSD subje…
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Individuals with PTSD demonstrate both automatic emotion regulation deficits and lack of cognitive control over emotion in clinical settings.
“It is noteworthy that individuals with PTSD demonstrate both of these deficits in clinical settings.57”
From Altered resting-state amygdala functional connectivity in men with posttraumatic stress disorder (2012) · cites this paper as [57]
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- Authors
- New, A. S., Fan, J., Murrough, J. W., Liu, X., Liebman, R. E., Guise, K. G., Tang, C. Y., & Charney, D. S.
- Affiliations
- James J. Peters VA Medical Center (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- New, Antonia S.
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 66
- Issue
- 7
- Pages
- 656-664
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2079538493
- Cited by
- 252
- References
- 52
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 12 · 2023: 11 · 2022: 12 · 2021: 19 · 2020: 16 · 2019: 15 · 2018: 21 · 2017: 17 · 2016: 16 · 2015: 18 · 2014: 16 · 2013: 25 · 2012: 13
- FWCI
- 13.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (5 M01RR00071, M01RR000071)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- emotion regulation, post-traumatic stress disorder, resilience, sexual assault, sexual violence, prefrontal cortex, trauma exposure, affective neuroscience, women
- MeSH terms
- Adult, Brain, Brain Mapping, Emotions, Facial Expression, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Middle Aged, Neuropsychological Tests, Oxygen, Photic Stimulation, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Multivariate Analysis, Young Adult
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