Abstract:Different lines of research suggest that anxiety-related personality traits may influence the visual and vestibular control of balance, although the brain mechanisms underlying this effect remain unclear. To our knowledge, this is the first functional magnetic resonance imaging (fMRI) study that investigates how individual differences in neuroticism and introversion, two key personality traits linked to anxiety, modulate brain regional responses and functional connectivity patterns during a fMRI task simulatin… Show more
“…Specifically, we observed that greater right hemisphere dominance was associated with lower anxiety, whereas increased anxiety was found in less right hemisphere dominant individuals. Our results highlight the interplay between vestibular processing and anxiety networks (Riccelli et al., ), but also implicate the importance of hemispheric lateralisation upon influencing these systems.…”
Section: Discussionsupporting
confidence: 75%
“…The link between anxiety and the vestibular system that are both vital processes in balance control was initially described in the 19th century (Gowers, ). Since then, a close interaction of these two systems has been highlighted (Balaban, Jacob, & Furman, ; Riccelli et al., ; Staab, Balaban, & Furman, ; Viaud‐Delmon, Venault, & Chapouthier, ). Examples of such reciprocal influences include previous findings which demonstrate that patients suffering from vestibular dysfunction are at higher risk of developing anxiety disorders compared to healthy individuals(Best, Eckhardt‐Henn, Tschan, & Dieterich, ), and that following an acute unilateral vestibular loss, outcome is most aptly predicted by the patients anxiety level and bodily vigilance status(Cousins et al., ).…”
Vestibular processing and anxiety networks are functionally intertwined, as demonstrated by reports of reciprocal influences upon each other. Yet whether there is an underlying link between these two systems remains unknown. Previous findings have highlighted the involvement of hemispheric lateralisation in processing of both anxiety and vestibular signals. Accordingly, we explored the interaction between vestibular cortical processing and anxiety by assessing the relationship between anxiety levels and the degree of hemispheric lateralisation of vestibulo‐cortical processing in 64 right‐handed, healthy individuals. Vestibulo‐cortical hemispheric lateralisation was determined by gaging the degree of caloric‐induced nystagmus suppression following modulation of cortical excitability using trans‐cranial direct current stimulation targeted over the posterior parietal cortex, an area implicated in the processing of vestibular signals. The degree of nystagmus suppression yields an objective biomarker, allowing the quantification of the degree of right vestibulo‐cortical hemisphere dominance. Anxiety levels were quantified using the Trait component of the Spielberger State‐Trait Anxiety Questionnaire. Our findings demonstrate that the degree of an individual’s vestibulo‐cortical hemispheric dominance correlates with their anxiety levels. That is, those individuals with greater right hemispheric vestibulo‐cortical dominance exhibited lower levels of anxiety. By extension, our results support the notion that hemispheric lateralisation determines an individual’s emotional processing, thereby linking cortical circuits involved in processing anxiety and vestibular signals, respectively.
“…Specifically, we observed that greater right hemisphere dominance was associated with lower anxiety, whereas increased anxiety was found in less right hemisphere dominant individuals. Our results highlight the interplay between vestibular processing and anxiety networks (Riccelli et al., ), but also implicate the importance of hemispheric lateralisation upon influencing these systems.…”
Section: Discussionsupporting
confidence: 75%
“…The link between anxiety and the vestibular system that are both vital processes in balance control was initially described in the 19th century (Gowers, ). Since then, a close interaction of these two systems has been highlighted (Balaban, Jacob, & Furman, ; Riccelli et al., ; Staab, Balaban, & Furman, ; Viaud‐Delmon, Venault, & Chapouthier, ). Examples of such reciprocal influences include previous findings which demonstrate that patients suffering from vestibular dysfunction are at higher risk of developing anxiety disorders compared to healthy individuals(Best, Eckhardt‐Henn, Tschan, & Dieterich, ), and that following an acute unilateral vestibular loss, outcome is most aptly predicted by the patients anxiety level and bodily vigilance status(Cousins et al., ).…”
Vestibular processing and anxiety networks are functionally intertwined, as demonstrated by reports of reciprocal influences upon each other. Yet whether there is an underlying link between these two systems remains unknown. Previous findings have highlighted the involvement of hemispheric lateralisation in processing of both anxiety and vestibular signals. Accordingly, we explored the interaction between vestibular cortical processing and anxiety by assessing the relationship between anxiety levels and the degree of hemispheric lateralisation of vestibulo‐cortical processing in 64 right‐handed, healthy individuals. Vestibulo‐cortical hemispheric lateralisation was determined by gaging the degree of caloric‐induced nystagmus suppression following modulation of cortical excitability using trans‐cranial direct current stimulation targeted over the posterior parietal cortex, an area implicated in the processing of vestibular signals. The degree of nystagmus suppression yields an objective biomarker, allowing the quantification of the degree of right vestibulo‐cortical hemisphere dominance. Anxiety levels were quantified using the Trait component of the Spielberger State‐Trait Anxiety Questionnaire. Our findings demonstrate that the degree of an individual’s vestibulo‐cortical hemispheric dominance correlates with their anxiety levels. That is, those individuals with greater right hemispheric vestibulo‐cortical dominance exhibited lower levels of anxiety. By extension, our results support the notion that hemispheric lateralisation determines an individual’s emotional processing, thereby linking cortical circuits involved in processing anxiety and vestibular signals, respectively.
“…Moreover, an introverted, dependent, and anxious personality is a potential risk factor for the development and negative course of PPV . Patients with a personality of high resilience and optimism are less likely to develop persistent dizziness after an acute vestibular disorder, whereas personality traits such as neuroticism and introversion influence brain responses to vestibular and visual stimuli on visual‐vestibular‐anxiety systems . We found task‐dependent hyperconnectivities within brain networks regulating various aspects of emotional behavior and interoceptive pathways in PPV patients (Fig.…”
ObjectiveFunctional dizziness syndromes are among the most common diagnoses made in patients with chronic dizziness, but their underlying neural characteristics are largely unknown. The aim of this neuroimaging study was to analyze the disease‐specific brain changes in patients with phobic postural vertigo (PPV).MethodsWe measured brain morphology, task response, and functional connectivity in 44 patients with PPV and 44 healthy controls.ResultsThe analyses revealed a relative structural increase in regions of the prefrontal cortex and the associated thalamic projection zones as well as in the primary motor cortex. Morphological increases in the ventrolateral prefrontal cortex positively correlated with disease duration, whereas increases in dorsolateral, medial, and ventromedial prefrontal areas positively correlated with the Beck depression index. Visual motion stimulation caused an increased task‐dependent activity in the subgenual anterior cingulum and a significantly longer duration of the motion aftereffect in the patients. Task‐based functional connectivity analyses revealed aberrant involvement of interoceptive, fear generalization, and orbitofrontal networks.InterpretationOur findings agree with some of the typical characteristics of functional dizziness syndromes, for example, excessive self‐awareness, anxious appraisal, and obsessive controlling of posture. This first evidence indicates that the disease‐specific mechanisms underlying PPV are related to networks involved in mood regulation, fear generalization, interoception, and cognitive control. They do not seem to be the result of aberrant processing in cortical visual, visual motion, or vestibular regions.
“…. Moreover, fMRI data during simulated vertigo suggest an association between psychological traits and functional connectivity patterns within visuo‐vestibular and anxiety‐related cortical networks, but the directionality of this association remains unclear. Our findings highlight (1) the importance of early identification of abnormal visual dependency and concurrent anxiety in VN and (2) the potential for early treatments to improve long‐term outcome by reducing visual dependency (sensory reweighting strategies) and combining pharmacotherapy and cognitive therapies to reduce anxiety and autonomic arousal.…”
We sought to identify predictors of symptomatic recovery in vestibular neuritis. Forty VN patients were prospectively studied in the acute phase (median = 2 days) and 32 in the recovery phase (median = 10 weeks) with vestibulo‐ocular reflex, vestibular‐perceptual, and visual dependence tests and psychological questionnaires. Clinical outcome was Dizziness Handicap Inventory score at recovery phase. Acute visual dependency and autonomic arousal predicted outcome. Worse recovery was associated with a combination of increased visual dependence, autonomic arousal, anxiety/depression, and fear of bodily sensations, but not with vestibular variables. Findings highlight the importance of early identification of abnormal visual dependency and concurrent anxiety.
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