Dysfunctional regulation of mood and emotion is a key component of major depressive disorder and leads to sustained negative feelings. Using functional MRI (fMRI), we investigated the temporal dynamics of emotion regulation in patients with major depressive disorder and in healthy controls, testing for acute and sustained neural effects of active emotion regulation. Moderately depressed individuals (n ϭ 17) and never-depressed healthy control subjects (n ϭ 17) underwent fMRI during performance of an active cognitive emotion regulation task while viewing emotionally arousing pictures. In a second task, completed 15 min later, subjects were presented with the same stimuli in a passive viewing task. Whole-brain analyses and connectivity measures were used to determine acute and sustained effects of emotion regulation on brain activation and coupling between regions. On the group level, patients were able to downregulate negative emotions and corresponding amygdala activation, but this ability decreased with increasing symptom severity. Moreover, only healthy control subjects showed a sustained regulation effect in the amygdala after a 15 min delay, whereas depressed patients did not. Finally, patients exhibited diminished prefrontal activation and reduced prefrontolimbic coupling during active regulation. Although emotion regulation capacity in medicated depressive patients appears to be preserved depending on symptom severity, the effect is not sustained. Correlational analyses provide evidence that this diminished sustained-regulation effect might be related to reduced prefrontal activation during regulation.

Both schizophrenia (SCZ) and autism spectrum disorder (ASD) are characterized by mentalizing problems and associated neural dysfunction of the social brain. However, the deficits in mental state attribution are somehow opposed: Whereas patients with SCZ tend to over-attribute intentions to agents and physical events ("hyper-intentionality"), patients with autism treat people as devoid of intentions ("hypo-intentionality"). Here we aimed to investigate whether this hypo-hyper-intentionality hypothesis can be supported by neural evidence during a mentalizing task. Using functional magnetic resonance imaging (fMRI), we investigated the neural responses and functional connectivity during reading others intention. Scanning was performed in 23 individuals with ASD, 18 with paranoid SCZ and 23 gender and IQ matched control subjects. Both clinical groups showed reduced brain activation compared to controls for the contrast intentional vs physical information processing in left posterior superior temporal sulcus (pSTS) and ventral medial prefrontal cortex (vMPFC) for SCZ, and right pSTS in ASD. As predicted, these effects were caused in a group specific way: Relative increased activation for physical information processing in SCZ that was also correlated with positive PANNS score and relative decreased activation for intentional information processing in ASD. Additionally, we could demonstrate opposed connectivity patterns between the right pSTS and vMPFC in the clinical groups, ie, increased for SCZ, decreased for ASD. These findings represent opposed neural signatures in key regions of the social brain as predicted by the hyper-hypointentionality hypothesis.

MBCT is feasible and well perceived among bipolar patients. Larger and randomized controlled studies are required to further evaluate its efficacy, in particular regarding depressive and (hypo)manic relapse prevention. The mediating role of mindfulness on clinical outcome needs further examination and efforts should be provided to enhance the persistence of meditation practice with time.

Neuroscience studies on creativity have revealed highly variegated findings that often seem to be inconsistent. As recently argued in Fink and Benedek (Neurosci Biobehav Rev, 2012), this might be primarily due to the broad diversity in defining and measuring creativity as well as to the diversity of experimental procedures and methodologies used in this field of research. In specifically focusing on one measure of brain activation and on the well-established process of creative ideation (i.e., divergent thinking), EEG studies revealed a quite consistent and replicable pattern of right-lateralized brain activity over posterior parietal and occipital sites. In this study, we related regional gray matter density (as assessed by means of voxel-based morphometry) to different facets of psychometrically determined verbal creativity in a sample of 71 participants. Results revealed that verbal creativity was significantly and positively associated with gray matter density in clusters involving the right cuneus and the right precuneus. Enhanced gray matter density in these regions may be indicative of vivid imaginative abilities in more creative individuals. These findings complement existing functional studies on creative ideation which are, taken as a whole, among the most consistent findings in this field.

API adjuvant CT statistically increases the 3 year-DFS of patients with US.

No abstract

This study was aimed at examining the relation of an individual's EEG asymmetry in the lateral frontal cortex, assessed in resting conditions, to affective flexibility. An auditory paradigm was used to induce negative (sad) and positive (cheerful) affective states, and state-dependent shifts of dorsolateral EEG asymmetry in response to and after the emotional provocations were observed. A Left>Right activation pattern at rest was associated with a shift to the right during negative and a shift to the left during positive stimulation, and efficient recovery after negative stimulation. Right>Left participants appeared unresponsive to both sounds. Distinct and differentiated responses to provocation with negative and positive affect and efficient recovery suggest that Left>Right prefrontal activity at rest is related to a flexible pattern of affective responding, which has been linked to adaptive emotional processing in the relevant literature.

No abstract