DOI QR코드

DOI QR Code

Alterations in Functions of Cognitive Emotion Regulation and Related Brain Regions in Maltreatment Victims

아동기 학대 경험이 인지적 정서조절 능력 및 관련 뇌영역 기능에 미치는 영향

  • Kim, Seungho (Department of Medical & Biological Engineering, Kyungpook National University) ;
  • Lee, Sang Won (Department of Psychiatry, Kyungpook National University Chilgok Hospital) ;
  • Chang, Yongmin (Department of Molecular Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Seung Jae (Department of Psychiatry, School of Medicine, Kyungpook National University)
  • 김승호 (경북대학교 의용생체공학과) ;
  • 이상원 (칠곡경북대학교병원 정신건강의학과) ;
  • 장용민 (경북대학교 의과대학 분자의학교실) ;
  • 이승재 (경북대학교 의과대학 정신건강의학교실)
  • Received : 2022.02.07
  • Accepted : 2022.03.31
  • Published : 2022.04.30

Abstract

Objectives Maltreatment experiences can alter brain function related to emotion regulation, such as cognitive reappraisal. While dysregulation of emotion is an important risk factor to mental health problems in maltreated people, studies reported alterations in brain networks related to cognitive reappraisal are still lacking. Methods Twenty-seven healthy subjects were recruited in this study. The maltreatment experiences and positive reappraisal abilities were measured using the Childhood Trauma Questionnaire-Short Form and the Cognitive Emotion Regulation Questionnaire, respectively. Twelve subjects reported one or more moderate maltreatment experiences. Subjects were re-exposed to pictures after the cognitive reappraisal task using the International Affective Picture System during fMRI scan. Results The maltreatment group reported more negative feelings on negative pictures which tried cognitive reappraisal than the no-maltreatment group (p < 0.05). Activities in the right superior marginal gyrus and right middle temporal gyrus were higher in the maltreatment group (uncorrected p < 0.001, cluster size > 20). Conclusions We found that paradoxical activities in semantic networks were shown in the victims of maltreatment. Further study might be needed to clarify these aberrant functions in semantic networks related to maltreatment experiences.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2021R1F1A1049460).

References

  1. Ministry of Health and Welfare. Child abuse and neglect Korea 2020. Sejong: Ministry of Health and Welfare;2021.
  2. Dvir Y, Ford JD, Hill M, Frazier JA. Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities. Harv Rev Psychiatry 2014;22:149-161. https://doi.org/10.1097/HRP.0000000000000014
  3. Hart H, Rubia K. Neuroimaging of child abuse: a critical review. Front Hum Neurosci 2012;6:52.
  4. Teicher MH, Samson JA. Annual research review: enduring neurobiological effects of childhood abuse and neglect. J Child Psychol Psychiatry 2016;57:241-266. https://doi.org/10.1111/jcpp.12507
  5. Dannlowski U, Kugel H, Huber F, Stuhrmann A, Redlich R, Grotegerd D, et al. Childhood maltreatment is associated with an automatic negative emotion processing bias in the amygdala. Hum Brain Mapp 2013;34:2899-2909. https://doi.org/10.1002/hbm.22112
  6. Lee SW, Yoo JH, Kim KW, Lee JS, Kim D, Park H, et al. Aberrant function of frontoamygdala circuits in adolescents with previous verbal abuse experiences. Neuropsychologia 2015;79(Pt A):76-85. https://doi.org/10.1016/j.neuropsychologia.2015.10.029
  7. Tottenham N, Hare TA, Millner A, Gilhooly T, Zevin JD, Casey BJ. Elevated amygdala response to faces following early deprivation. Dev Sci 2011;14:190-204. https://doi.org/10.1111/j.1467-7687.2010.00971.x
  8. Dillon DG, Holmes AJ, Birk JL, Brooks N, Lyons-Ruth K, Pizzagalli DA. Childhood adversity is associated with left basal ganglia dysfunction during reward anticipation in adulthood. Biol Psychiatry 2009;66:206-213. https://doi.org/10.1016/j.biopsych.2009.02.019
  9. Hanson JL, Hariri AR, Williamson DE. Blunted ventral striatum development in adolescence reflects emotional neglect and predicts depressive symptoms. Biol Psychiatry 2015;78:598-605. https://doi.org/10.1016/j.biopsych.2015.05.010
  10. Cicchetti D, Rogosch FA. Adaptive coping under conditions of extreme stress: multilevel influences on the determinants of resilience in maltreated children. New Dir Child Adolesc Dev 2009;124:47-59. https://doi.org/10.1002/cd.242
  11. Lee SW, Choi J, Lee JS, Yoo JH, Kim KW, Kim D, et al. Altered function of ventrolateral prefrontal cortex in adolescents with peer verbal abuse history. Psychiatry Investig 2017;14:441-451. https://doi.org/10.4306/pi.2017.14.4.441
  12. McLaughlin KA, Peverill M, Gold AL, Alves S, Sheridan MA. Child maltreatment and neural systems underlying emotion regulation. J Am Acad Child Adolesc Psychiatry 2015;54:753-762. https://doi.org/10.1016/j.jaac.2015.06.010
  13. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 2003;85:348-362. https://doi.org/10.1037/0022-3514.85.2.348
  14. Gross JJ. Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J Pers Soc Psychol 1998;74:224-237. https://doi.org/10.1037/0022-3514.74.1.224
  15. Ochsner KN, Gross JJ. The cognitive control of emotion. Trends Cogn Sci 2005;9:242-249. https://doi.org/10.1016/j.tics.2005.03.010
  16. Buhle JT, Silvers JA, Wager TD, Lopez R, Onyemekwu C, Kober H, et al. Cognitive reappraisal of emotion: a meta-analysis of human neuroimaging studies. Cereb Cortex 2014;24:2981-2990. https://doi.org/10.1093/cercor/bht154
  17. Kohn N, Eickhoff SB, Scheller M, Laird AR, Fox PT, Habel U. Neural network of cognitive emotion regulation--an ALE meta-analysis and MACM analysis. Neuroimage 2014;87:345-355. https://doi.org/10.1016/j.neuroimage.2013.11.001
  18. Messina I, Bianco S, Sambin M, Viviani R. Executive and semantic processes in reappraisal of negative stimuli: insights from a meta-analysis of neuroimaging studies. Front Psychol 2015;6:956.
  19. Lee SW, Kim S, Lee SJ, Cha H, Song H, Won S, et al. Effects of emotional maltreatment on semantic network activity during cognitive reappraisal. Brain Imaging Behav 2021;15:1181-1190. https://doi.org/10.1007/s11682-020-00318-2
  20. Holland AC, Kensinger EA. The neural correlates of cognitive reappraisal during emotional autobiographical memory recall. J Cogn Neurosci 2013;25:87-108. https://doi.org/10.1162/jocn_a_00289
  21. Speer ME, Ibrahim S, Schiller D, Delgado MR. Finding positive meaning in memories of negative events adaptively updates memory. Nat Commun 2021;12:6601.
  22. Lee SW, Won S, Jeong B. Moderating effect of emotional awareness on the association between maltreatment experiences and resilience. Pers Individ Differ 2019;148:38-44. https://doi.org/10.1016/j.paid.2019.05.037
  23. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse Negl 2003;27:169-190. https://doi.org/10.1016/S0145-2134(02)00541-0
  24. Kim D, Park SC, Yang H, Oh DH. Reliability and validity of the Korean version of the childhood trauma questionnaire-short form for psychiatric outpatients. Psychiatry Investig 2011;8:305-311. https://doi.org/10.4306/pi.2011.8.4.305
  25. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Pers Individ Differ 2001;30:1311-1327. https://doi.org/10.1016/S0191-8869(00)00113-6
  26. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385-401. https://doi.org/10.1177/014662167700100306
  27. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32:381-399.
  28. Ahn HN, Lee NB, Joo HS. Validation of the cognitive emotion regulation questionnaire in a Korean population. Korean Journal of Counseling 2013;14:1773-1794. https://doi.org/10.15703/kjc.14.3.201306.1773
  29. Salzinger S, Feldman RS, Hammer M, Rosario M. The effects of physical abuse on children's social relationships. Child Dev 1993;64:169-187. https://doi.org/10.2307/1131444
  30. Weissman DG, Bitran D, Miller AB, Schaefer JD, Sheridan MA, McLaughlin KA. Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology. Dev Psychopathol 2019;31:899-915. https://doi.org/10.1017/S0954579419000348
  31. Sistad RE, Simons RM, Mojallal M, Simons JS. The indirect effect from childhood maltreatment to PTSD symptoms via thought suppression and cognitive reappraisal. Child Abuse Negl 2021;114:104939.
  32. Pollak SD, Sinha P. Effects of early experience on children's recognition of facial displays of emotion. Dev Psychol 2002;38:784-791. https://doi.org/10.1037/0012-1649.38.5.784
  33. Pollak SD, Messner M, Kistler DJ, Cohn JF. Development of perceptual expertise in emotion recognition. Cognition 2009;110:242-247. https://doi.org/10.1016/j.cognition.2008.10.010
  34. Gibb BE, Schofield CA, Coles ME. Reported history of childhood abuse and young adults' information-processing biases for facial displays of emotion. Child Maltreat 2009;14:148-156. https://doi.org/10.1177/1077559508326358
  35. Dorfel D, Lamke JP, Hummel F, Wagner U, Erk S, Walter H. Common and differential neural networks of emotion regulation by detachment, reinterpretation, distraction, and expressive suppression: a comparative fMRI investigation. Neuroimage 2014;101:298-309. https://doi.org/10.1016/j.neuroimage.2014.06.051
  36. Ochsner KN, Silvers JA, Buhle JT. Functional imaging studies of emotion regulation: a synthetic review and evolving model of the cognitive control of emotion. Ann N Y Acad Sci 2012;1251:E1-E24. https://doi.org/10.1111/j.1749-6632.2012.06751.x
  37. Ochsner KN, Ray RD, Cooper JC, Robertson ER, Chopra S, Gabrieli JD, et al. For better or for worse: neural systems supporting the cognitive down- and up-regulation of negative emotion. Neuroimage 2004;23:483-499. https://doi.org/10.1016/j.neuroimage.2004.06.030
  38. Takiguchi S, Fujisawa TX, Mizushima S, Saito DN, Okamoto Y, Shimada K, et al. Ventral striatum dysfunction in children and adolescents with reactive attachment disorder: functional MRI study. BJPsych Open 2015;1:121-128. https://doi.org/10.1192/bjpo.bp.115.001586
  39. Shah SG, Klumpp H, Angstadt M, Nathan PJ, Phan KL. Amygdala and insula response to emotional images in patients with generalized social anxiety disorder. J Psychiatry Neurosci 2009;34:296-302.
  40. Masten CL, Morelli SA, Eisenberger NI. An fMRI investigation of empathy for 'social pain' and subsequent prosocial behavior. Neuroimage 2011;55:381-388. https://doi.org/10.1016/j.neuroimage.2010.11.060
  41. Rosenman R, Tennekoon V, Hill LG. Measuring bias in self-reported data. Int J Behav Healthc Res 2011;2:320-332. https://doi.org/10.1504/IJBHR.2011.043414