Emotional and personality changes following cingulotomy
Abstract
The effects of bilateral anterior cingulate cortex (ACC) lesions on emotional and personality functioning were studied. Patients undergoing cingulotomy for chronic intractable pain were assessed on the Minnesota Multiphasic Personality Inventory (MMPI), the Profile of Mood States (POMS), cognitive tests, and pain ratings, pre- and postsurgically. Patients with intractable pain, not treated with cingulotomy, served as controls. Cingulotomy patients experienced reductions in POMS-Tension, POMS-Anger, and MMPI Scale 7 (Psychasthenia) compared with baseline and the controls. POMS-Tension was significantly correlated with attention-intention performance. The results indicate that the ACC modulates emotional experience, related to self-perceived tension, and that there is relationship between the emotional and the attentional effects of cingulotomy.
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No alterations were observed in measures of self-perceived energy and emotional vibrancy after cingulotomy for chronic pain.
“Meanwhile, no alterations were observed in measures of self-perceived energy and emotional vibrancy (Cohen et al., 2001).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cohen et al., 2001
A common feature of improvement after cingulotomy appears to be a lessening in attention to negative thoughts, anxieties, and tension.
“of which a common feature appears to be a lessening in attention to negative thoughts, anxieties, and tension (Cohen et al., 2001).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cohen et al., 2001
A year after cingulotomy for chronic pain, patients compared to controls showed greater improvement on tension and anger scales.
“A year after surgery, the cingulotomy patients, compared to controls, showed the greater improvement on tension and anger scales (Cohen et al., 2001).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cohen et al., 2001
Behavioural passivity and apathy remain frequently reported by families of patients after cingulotomy.
“it should be noted that behavioural passivity and apathy remain frequently reported by families of patients (Cohen et al., 1999b, 2001).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cohen et al., 2001
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References 69 · Cited by 93
- Authors
- Cohen, R. A., Paul, R., Zawacki, T. M., Moser, D. J., Sweet, L., & Wilkinson, H.
- Affiliations
- Brown University (US)
- Venue
- Emotion
- Published
- 2001
- Volume
- 1
- Issue
- 1
- Pages
- 38-50
- ISSN
- 1528-3542 (ISSN-L)
- 1931-1516
- OpenAlex
- W2084170698
- Cited by
- 93
- References
- 69
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 9 · 2012: 3
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Emotion (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- cingulotomy, anterior cingulate cortex, refractory pain, emotional change, personality change, psychasthenia, tension, anger, mood states, attention, chronic pain
- MeSH terms
- Adult, Chronic Disease, Female, Gyrus Cinguli, Humans, Functional Laterality, Male, Middle Aged, MMPI, Pain, Personality Disorders, Postoperative Complications, Severity of Illness Index, Tomography, X-Ray Computed, Neurosurgical Procedures, Mood Disorders
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