2021
DOI: 10.1002/da.23191
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Neural processing of emotional facial stimuli in specific phobia: An fMRI study

Abstract: Background: Patients with specific phobia (SP) show altered brain activation when confronted with phobia-specific stimuli. It is unclear whether this pathogenic activation pattern generalizes to other emotional stimuli. This study addresses this question by employing a well-powered sample while implementing an established paradigm using nonspecific aversive facial stimuli. Methods: N = 111 patients with SP, spider subtype, and N = 111 healthy controls (HCs) performed a supraliminal emotional face-matching para… Show more

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Cited by 7 publications
(3 citation statements)
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“…Fear-driven behaviors are displayed by various mammalian species and are crucial for survival and adapting to an uncertain environment. Dysregulation of fear processing brain regions is associated with mental disorders such as anxiety and phobias [ 34–36 ]. While the prelimbic and infralimbic regions of the ventromedial prefrontal cortex have been extensively studied in the context of conditioned fear, the brain regions that regulate innate fear responses (more specifically, to predator odor) remains poorly understood.…”
Section: Discussionmentioning
confidence: 99%
“…Fear-driven behaviors are displayed by various mammalian species and are crucial for survival and adapting to an uncertain environment. Dysregulation of fear processing brain regions is associated with mental disorders such as anxiety and phobias [ 34–36 ]. While the prelimbic and infralimbic regions of the ventromedial prefrontal cortex have been extensively studied in the context of conditioned fear, the brain regions that regulate innate fear responses (more specifically, to predator odor) remains poorly understood.…”
Section: Discussionmentioning
confidence: 99%
“…It includes a sample of untreated patients with spider phobia according to DSM-IV criteria [25] aged 18-65 without major comorbidities (low to moderate depression was tolerated unless currently treated, as well as other animal phobias) and with a total Spider Phobia Questionnaire (SPQ) [26] score > 19 (clinical cut-off). See [27] for a complete study description and [10,[28][29][30][31] for other studies using the SPIDER-VR data. Bicentric recruitment was conducted in Würzburg (WÜ) and Münster (MS), Germany.…”
Section: Dataset and Sample Description The Bicentric Clinical Study ...mentioning
confidence: 99%
“…Spider stimuli are rapidly detected in a matrix of benign distractors by adults and children (LoBue, 2010;, and they are detected even when presented subliminally (Öhman & Soares, 1994) or irrelevant to task goals (New & German, 2015). They elicit greater fixations (Devue et al, 2011;LoBue et al, 2014), heart rate changes (Flykt et al, 2012), sensory cortical (Kopp & Altmann, 2005) and amygdala activity (Mobbs et al, 2010) than neutral stimuli, an effect that is pronounced in individuals with greater fear of spiders (Böhnlein et al, 2021;Michalowski et al, 2015;Siminski et al, 2021). Finally, infants with little exposure to spiders look at them preferentially (Rakison & Derringer, 2008) and with increased pupil dilation (Hoehl et al, 2017).…”
mentioning
confidence: 99%