Cited by 3,059Neural and Behavioral Psychology StudiesMemory and Neural MechanismsNeurotransmitter Receptor Influence on Behavior

Emotional processing in anterior cingulate and medial prefrontal cortex

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Etkin, Amit, Egner, Tobias, Kalisch, Raffael·2011·Trends in Cognitive Sciences

Abstract

Negative emotional stimuli activate a broad network, including the medial prefrontal (mPFC) and anterior cingulate (ACC) cortices. An early influential view dichotomized these regions into dorsal-caudal “cognitive” and ventral-rostral “affective” subdivisions. In this review, we examine a wealth of recent research on negative emotions in animals and humans, using the example of fear/anxiety, and conclude that, contrary to the traditional dichotomy, both subdivisions make key contributions to emotional processing. Specifically, dorsal-caudal regions of the ACC/mPFC are involved in appraisal and expression of negative emotion, while ventral-rostral portions of the ACC/mPFC have a regulatory role with respect to limbic regions involved in generating emotional responses. Moreover, this new framework is broadly consistent with emerging data on other negative and positive emotions.

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Crossref · 10.1016/j.tics.2010.11.004

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  • Particular connectivity between the dMPFC and the rostral ACC has been implicated in the conscious appraisal of emotion.

    “particular connectivity between the dMPFC and the rostral ACC has been implicated in the conscious appraisal of emotion (Etkin et al., 2011),”

    From Distinct functional connectivities predict clinical response with emotion regulation therapy (2017) · cites this paper as Etkin et al., 2011

    The ‘Amygdala-ACC/mPFC functional connectivity’ section (page not provided) links dorsal ACC/mPFC connectivity with negative-emotion appraisal and expression. It does not identify connectivity specifically between the dmPFC and rostral ACC or link that connection to conscious appraisal. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Increased late-phase dACC activation in the acceptance condition was found in regions that directly overlap with those reported in the extinction of contextual fear, and in particular the early stages of within-session extinction.

    “Increased late-phase dACC activation in the acceptance condition was found in regions that directly overlap with those reported in the extinction of contextual fear, and in particular the early stages of within-session extinction (Lang et al., 2009; Etkin et al., 2011).”

    From Neural correlates of emotion acceptance<i>vs</i>worry or suppression in generalized anxiety disorder (2017) · cites this paper as Etkin et al., 2011

    The “Fear conditioning and extinction in humans” section (page unavailable) reports dACC activation during within-session fear extinction and notes that activation in early trials may reflect residual conditioned fear. It does not establish that the extinction was specifically of contextual fear or document direct spatial overlap with the citing study’s acceptance-condition activation. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Pregenual ACC has been implicated in social pain and rejection, regulation of emotional conflicts, and responses to social-evaluative threat.

    “Like dACC, pregenual ACC has been implicated in social pain and rejection (Rotge et al., 2014), as well as during the regulation of emotional conflicts (Etkin et al., 2011), and responses to social-evaluative threat (Wager et al., 2009).”
  • The dACC is involved in monitoring and appraisal of potential threat and emotion conflict.

    “The dACC has been shown to be involved in monitoring and appraisal of potential threat and emotion conflict (Etkin et al., 2011).”
  • Etkin et al. proposes both dorsal and ventral ACC sections to be involved in emotion processing, with dorsal regions playing a role in evaluation and expression of negative affect, and ventral regions (subgenual and pregenual ACC) having a regulatory role by inhibiting the emotional response via the limbic system.

    “Etkin et al. (45) proposes both sections to be involved in emotion processing, but with the dorsal regions playing a role in evaluation and expression of negative affect, and the ventral regions (subgenual and pregenual ACC) having a regulatory role by inhibiting the emotional response via the limbic system.”

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Research works printed but not linked: 1

  1. [48]Delgado MR Diminishing Fear: Shared Neural Circuitry Underlies Emotion Regulation and Extinction Neuron 2008 in press

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Authors
Etkin, A., Egner, T., & Kalisch, R.
Affiliations
  • VA Palo Alto Health Care System (US)
  • Duke University (US)
Corresponding author
Etkin, Amit
Venue
Trends in Cognitive Sciences
Publisher
Elsevier BV
Published
2011-02
Volume
15
Issue
2
Pages
85-93
ISSN
1364-6613 (ISSN-L)
OpenAlex
W2050618347
Cited by
3,059
References
103
Citations by year
2026: 191 · 2025: 190 · 2024: 196 · 2023: 186 · 2022: 178 · 2021: 216 · 2020: 228 · 2019: 226 · 2018: 271 · 2017: 227 · 2016: 237 · 2015: 203 · 2014: 199 · 2013: 159 · 2012: 96
FWCI
7.26
Type
journal article
Language
en
Open access
Locations
  • Trends in Cognitive Sciences (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (R01MH091860, P30MH089888)
  • NIH Clinical Center
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
emotional processing, anterior cingulate cortex, medial prefrontal cortex, negative emotions, fear, anxiety, emotion appraisal, emotional expression, positive emotions
MeSH terms
Animals, Brain Mapping, Emotions, Gyrus Cinguli, Humans, Prefrontal Cortex

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