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Decreased frontal regulation during pain anticipation in unmedicated subjects with major depressive disorder

Overview of attention for article published in Translational Psychiatry, March 2013
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Title
Decreased frontal regulation during pain anticipation in unmedicated subjects with major depressive disorder
Published in
Translational Psychiatry, March 2013
DOI 10.1038/tp.2013.15
Pubmed ID
Authors

I A Strigo, S C Matthews, A N Simmons

Abstract

Major depressive disorder (MDD) is characterized by impaired processing of negative information, possibly due to dysfunction in both, the bottom-up emotional network and top-down modulatory network. By acquiring functional magnetic resonance imaging (fMRI) on a pain-anticipation task, we tested the hypothesis that individuals with MDD would show increased negative biasing that may be associated with reduced frontal connectivity. Thirty-one (15 females) unmedicated young adults with current MDD and 22 (11 females) healthy subjects with no history of MDD were recruited. Groups did not differ significantly in age, race, level of education, marital status or gender distribution. fMRI data were collected during an event-related pain-anticipation paradigm, during which subjects were cued to anticipate painful heat stimuli of high or low intensity. All temperature stimuli were applied to each subject's left forearm. We found that relative to healthy comparison subjects, participants with MDD showed significantly stronger responses to high versus low pain anticipation within right ventral anterior insula (AI), but overlapping response within right dorsal AI, which correlated positively with the depression symptoms severity in the MDD group. Functional connectivity analyses showed increased functional connectivity between dorsal insula and posterior thalamus and decreased functional connectivity between dorsal insula and the right inferior frontal gyrus in the MDD compared with the non-MDD group. Our results demonstrate that unmedicated individuals with current MDD compared with healthy never-depressed subjects show both differential and overlapping response within AI during anticipation of pain. Furthermore, the overlapping insular response is less regulated by frontal brain systems and is more subservient to affective processing regions in the posterior thalamus in MDD. These results support and provide functional validation of the co-occurring enhanced 'bottom-up' and attenuated 'top-down' processing of salient, unpleasant emotional information in MDD.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 81 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Mexico 1 1%
Italy 1 1%
Brazil 1 1%
Unknown 77 95%

Demographic breakdown

Readers by professional status Count As %
Researcher 17 21%
Student > Master 13 16%
Student > Ph. D. Student 9 11%
Student > Bachelor 6 7%
Student > Doctoral Student 5 6%
Other 16 20%
Unknown 15 19%
Readers by discipline Count As %
Psychology 18 22%
Medicine and Dentistry 14 17%
Neuroscience 13 16%
Agricultural and Biological Sciences 3 4%
Unspecified 2 2%
Other 8 10%
Unknown 23 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 May 2013.
All research outputs
#15,272,611
of 22,711,242 outputs
Outputs from Translational Psychiatry
#2,564
of 3,211 outputs
Outputs of similar age
#122,866
of 195,531 outputs
Outputs of similar age from Translational Psychiatry
#15
of 20 outputs
Altmetric has tracked 22,711,242 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,211 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.5. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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We're also able to compare this research output to 20 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.