Prone to excitement: Adolescent females with Non-suicidal self-injury (NSSI) show altered cortical pattern to emotional and NSS-related material
Abstract
Emotion-regulation difficulties have been identified as one of the core components in Non-suicidal self-injury (NSSI), a behaviour often beginning in adolescence. This pilot study evaluated differences in emotion processing between 18 female adolescents with and without NSSI by using verbal responses and functional magnetic resonance imaging (fMRI). Responses to pictures taken from the International Affective Picture System and slides with reference to NSSI were recorded both by verbal rating of valence and arousal and by fMRI. The NSSI group rated pictures with self-injurious reference as significantly more arousing than controls. For emotional pictures, the NSSI group showed a significantly stronger brain response in the amygdala, hippocampus and anterior cingulate cortex bilaterally. Depression explained differences between groups in the limbic area. Furthermore, the NSSI group also showed increased activity in the middle orbitofrontal cortex, and inferior and middle frontal cortex when viewing NSSI picture material. Participants with NSSI showed decreased activity in correlation to arousal in the occipital cortex and to valence in inferior frontal cortex when watching emotional pictures. The fMRI data support the notion that individuals with NSSI show an altered neural pattern for emotional and NSSI pictures. Behavioural data highlight proneness to excitement regarding NSSI topics. This fMRI study provides evidence for emotion-regulation deficits in the developing brain of adolescents with NSSI.
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Compared to healthy youth, self-injurers exhibit greater activation in OFC, inferior parietal cortex, and inferior/middle frontal cortex to NSSI stimuli.
“Compared to healthy youth, self-injurers exhibit greater activation in OFC, inferior parietal cortex, and inferior/middle frontal cortex to NSSI stimuli (95).”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [95]
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Self-citation
- Authors
- Plener, P. L., Bubalo, N., Fladung, A. K., Ludolph, A. G., & Lulé, D.
- Affiliations
- Universität Ulm (DE)
- Corresponding author
- Ludolph, Andrea G.
- Venue
- Psychiatry Research Neuroimaging
- Publisher
- Elsevier BV
- Published
- 2012-08
- Volume
- 203
- Issue
- 2-3
- Pages
- 146-152
- ISSN
- 0925-4927 (ISSN-L)
- OpenAlex
- W2170344916
- Cited by
- 149
- References
- 57
- Citations by year
- 2026: 14 · 2025: 11 · 2024: 14 · 2023: 22 · 2022: 17 · 2021: 14 · 2020: 6 · 2019: 8 · 2018: 7 · 2017: 9 · 2016: 5 · 2015: 12 · 2014: 5 · 2013: 4 · 2012: 1
- FWCI
- 7.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research Neuroimaging (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- non-suicidal self-injury, adolescent girls, emotion regulation, emotional picture processing, amygdala, hippocampus, anterior cingulate cortex, orbitofrontal cortex, arousal, valence, depression, limbic system, adolescent brain development
- MeSH terms
- Adolescent, Arousal, Bipolar Disorder, Brain Mapping, Cerebral Cortex, Major Depressive Disorder, Depressive Disorder, Dominance, Cerebral, Emotions, Female, Frontal Lobe, Humans, Image Interpretation, Computer-Assisted, Internal-External Control, Interview, Psychological, Magnetic Resonance Imaging, Occipital Lobe, Organ Size, Pattern Recognition, Visual, Reference Values, Statistics as Topic, Stress Disorders, Post-Traumatic, Self-Injurious Behavior
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