Neural correlates of attention bias to threat in post-traumatic stress disorder
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Attentional biases have been proposed to contribute to symptom maintenance in posttraumatic stress disorder (PTSD), although the neural correlates of these processes have not been well defined; this was the goal of the present study. We administered an attention bias task, the dot probe, to a sample of 37 (19 control, 18 PTSD+) traumatized African-American adults during fMRI. Compared to controls, PTSD+ participants demonstrated increased activation in the dorsolateral prefrontal cortex (dlPFC) in response to threat cue trials. In addition, attentional avoidance of threat corresponded with increased ventrolateral prefrontal cortex (vlPFC) and dorsal anterior cingulate cortex (dACC) activation in the PTSD group, a pattern that was not observed in controls. These data provide evidence to suggest that relative increases in dlPFC, dACC and vlPFC activation represent neural markers of attentional bias for threat in individuals with PTSD, reflecting selective disruptions in attentional control and emotion processing networks in this disorder.
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First evidence from studies in healthy participants and patients with generalized anxiety disorder, posttraumatic stress disorder, or panic disorder suggests involvement of dorsolateral, dorsomedial, and ventrolateral aspects of the prefrontal cortex in processing the attention bias towards threat-related stimuli.
“First evidence from studies in healthy participants [17] as well as patients with generalized anxiety disorder [18]–[20], posttraumatic stress disorder [21], or panic disorder [22] suggests an involvement of dorsolateral [17], [19]–[21], dorsomedial [21], and ventrolateral [18], [21], [22] aspects of the prefrontal cortex in the processing of the attention bias towards threat-related stimuli.”
From They are laughing at me: Cerebral mediation of cognitive biases in social anxiety (2014) · cites this paper as [21]
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“First evidence from studies in healthy participants [17] as well as patients with generalized anxiety disorder [18–20], posttraumatic stress disorder [21], or panic disorder [22] suggests an involvement of dorsolateral [17,19–21], dorsomedial [21], and ventrolateral [18,21,22] aspects of the prefrontal cortex in the p…”
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- Authors
- Fani, N., Jovanovic, T., Ely, T. D., Bradley, B., Gutman, D., Tone, E. B., & Ressler, K. J.
- Affiliations
- Emory University (US)
- Georgia State University (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Fani, Negar
- Venue
- Biological Psychology
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 90
- Issue
- 2
- Pages
- 134-142
- ISSN
- 0301-0511 (ISSN-L)
- PMC
- PMC3340884
- OpenAlex
- W2040185749
- Cited by
- 150
- References
- 69
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 13 · 2019: 20 · 2018: 13 · 2017: 7 · 2016: 26 · 2015: 12 · 2014: 9 · 2013: 9 · 2012: 2
- FWCI
- 11.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Archive @ GSU (submittedVersion)
- Counseling And Psychological Services Dissertations (Georgia State University) (submittedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health (UL1TR000454)
- National Institute of Mental Health (MH 071537, R21MH098212, R01MH096764, R01MH071537, F32MH095456, R56MH071537)
- National Center for Research Resources (M01-RR00039, UL1RR025008, M01RR000039)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- post-traumatic stress disorder, attentional bias to threat, attentional avoidance, neural correlates, dorsolateral prefrontal cortex, ventrolateral prefrontal cortex, dorsal anterior cingulate cortex, attentional control, emotional processing, African American adults
- MeSH terms
- Adult, Analysis of Variance, Attention, Brain Mapping, Cerebral Cortex, Facial Expression, Fear, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Middle Aged, Neuropsychological Tests, Oxygen, Photic Stimulation, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Bias, Young Adult
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