Subjects: Psychology >> Social Psychology submitted time 2023-03-27 Cooperative journals: 《心理学报》
Abstract： Increasing evidence shows that the right ventrolateral prefrontal cortex (rVLPFC) plays an important role in emotion regulation, especially for social-relevant negative emotions. Negative interpersonal experiences and social events contribute largely to the occurrence of depression. Meanwhile, patients diagnosed with major depressive disorder are characterized by impaired social functions. Previous studies have revealed that depressed patients frequently show impaired emotional regulation for social pain. Recently, the work of our lab found that using transcranial magnetic stimulation (TMS) to activate the rVLPFC significantly reduced the subjects’ negative emotional feelings and improved their emotional regulation ability for down-regulating social pain. In order to improve the emotional regulation ability in depressed patients when they are in front of negative social events, this study examined the changed emotional regulation ability in depression following the activation of the rVLPFC using the TMS.A total of 127 patients who were diagnosed with major depressive disorder were recruited in this study. Participants were randomly assigned to experimental (n= 64) or control group (n = 63) while their age, gender, depressive level, social anxious level, rejection sensitivity and empathy ability were counterbalanced between the two groups. During the experiment, the participants were required to view pictures containing social exclusion events or reinterpret the situation using reappraisal strategy, followed by rating their negative emotional feeling on a 9-point scale. The experiment had two conditions, i.e., a passive viewing block and a cognitive reappraisal block.The results showed that the main effect of the task was significant: the negative emotional intensity reported by participants was lower during cognitive reappraisal when compared to that during passive viewing, indicating a successful manipulation of explicit emotional regulation. Meanwhile, the main effect of the group was significant: the negative emotional intensity reported by the experimental group was significantly reduced compared to that reported by the control group, suggesting the critical role of rVLPFC in emotional regulation. More importantly, the interaction between task and group was significant: while the two groups reported comparable distressful feelings during the passive view block, the experimental group reported decreased negative feelings compared to the control group during the cognitive reappraisal block. This result indicated that enhanced activation of the rVLPFC could effectively improve the ability of explicit down-regulating social pain using the cognitive reappraisal strategy in depressed patients.The current findings provide strong evidence for the causal relationship between the VLPFC and explicit emotional regulation using the cognitive reappraisal strategy. Also this study provides a potential neural target for clinical treatments of emotional regulation impairment in patients with social dysfunctions including individuals diagnosed with major depressive disorder, social anxiety disorder, and autism spectrum disorder. Future studies are suggested to use other paradigms (e.g., Cyberball, Chat Rooms, Online Ostracism, and Island Getaway) to induce a “first-hand” social pain and exclude the potential influence of empathy. Furthermore, optimized multi-session TMS protocols are required to enhance and prolong the TMS effects observed in this study. Also, the TMS-based treatment effects in depression should be compared between the left and the right part of the ventrolateral prefrontal cortices, and across different emotional regulation strategies including cognitive reappraisal, distraction, distancing, etc.
Subjects: Psychology >> Social Psychology submitted time 2023-03-27 Cooperative journals: 《心理学报》
Abstract： Depression is a common mental disorder characterized by persistent low mood and anhedonia. While healthy people can voluntarily forget unpleasant events, depressed patients cannot or have difficulty in forgetting negative stimuli. Studies focused on healthy population have found that memory suppression is not only associated with decreased neural activation in the hippocampus, but also significantly activates a wide network in the prefrontal cortex, especially the right dorsolateral prefrontal cortex (DLPFC). Meanwhile, studies have demonstrated that depressed participants could not effectively recruit their frontal brain network responsible for inhibition control of negative materials. Thus, the key question of this study is to examine whether an enhancement of the neural activation in DLPFC using transcranial magnetic stimulation (TMS) could improve the ability of voluntary forgetting of negative information in depressed patients. We recruited a total of 123 participants. Among them, 31 healthy participants were stimulated by TMS at the right DLPFC (right DLPFC-activated controls), 32 patients and 30 patients were stimulated by TMS at the left and right DLPFC respectively (left and right DLPFC-activated patients). The other 30 patients were assigned into a sham TMS group. This study contained three independent variables. The two within-subject variables were TMS (baseline or TMS condition) and directed forgetting instruction (remember or forget), and the between-subject variable was group (left or right DLPFC-activated patient, or right DLPFC-activated control). We focused on the memory suppression of social feedbacks in this study, since social feedback processing plays a vital role in everyday interpersonal activities. Previous studies have found that depressed patients cannot perceive and evaluate social feedbacks accurately and adaptively, which makes negative social experiences being an important inducing factor of depression. Meanwhile, evidence indicates that depressed patients have more deficits in processing social relative to nonsocial information. Results of the explicit memory test showed that the recall accuracy of social rejection was higher in patients than healthy controls in baseline condition, suggesting that patients had difficulty in voluntarily forgetting negative social feedback. After we used the TMS to activate the left or right DLPFC of participants, we found no significant difference in the recall accuracy of social rejection between the three groups. This result suggested that the ability of memory suppression for negative social feedback was improved by TMS in patients. Moreover, it was also found that patients rated the feedback senders as being more attractive after they had forgotten negative social feedback provided by these feedback senders. The main contribution of this study is that we first attempt to improve the ability of memory suppression of negative information in depressed patients using the TMS technique. Still now, there have been only two neuroscience studies focusing on the deficits of directed forgetting in depression ( Xie, Jiang, & Zhang, 2018; Yang et al., 2016). Beyond these two studies, we demonstrated a causal relationship between the DLPFC and memory suppression impairment in depressed patients by employing TMS to facilitate the function of DLPFC. Thus, we provide a potential neural target for the clinical treatment of depressed patients with voluntary forgetting deficits. In addition to depression, difficulties in voluntary forgetting is a common problem found in patients diagnosed with post-traumatic stress disorder, anxiety disorder (including obsessive compulsive disorder), schizophrenia and many other mental disorders. Meanwhile, difficulties in forgetting the euphoria or enjoyment coming from drugs or high-calorie foods might be an important reason for the persistence and aggravation of drug addiction and bulimia. Our finding suggests that the right DLPFC may be a potential brain target for the treatment of memory suppression deficits in these disorders. Facilitating the cognitive control of this brain region using the TMS is expected to restore the inhibitory control function of patients and thus significantly improve their voluntary forgetting ability, helping them to relieve symptoms and recover from disorders.
Subjects: Psychology >> Cognitive Psychology submitted time 2021-07-23
Abstract： " "
Peer Review Status:
Awaiting Review
Subjects: Psychology >> Cognitive Psychology submitted time 2021-01-12
Abstract： Increasing evidence shows that the right ventrolateral prefrontal cortex (rVLPFC) plays an important role in emotion regulation, especially for social-relevant negative emotions. Negative interpersonal experiences and social events contribute largely to the occurrence of depression. Meanwhile, patients diagnosed with major depressive disorder are characterized by impaired social functions. Previous studies have revealed that depressed patients frequently show impaired emotional regulation for social pain. Recently, the work of our lab found that using transcranial magnetic stimulation (TMS) to activate the rVLPFC significantly reduced the subjects’ negative emotional feelings and improved their emotional regulation ability for down-regulating social pain. In order to improve the emotional regulation ability in depressed patients when they are in front of negative social events, this study examined the changed emotional regulation ability in depression following the activation of the rVLPFC using the TMS. A total of 127 patients who were diagnosed with major depressive disorder were recruited in this study. Participants were randomly assigned to experimental (n = 64) or control group (n = 63) while their age, gender, depressive level, social anxious level, rejection sensitivity and empathy ability were counterbalanced between the two groups. During the experiment, the participants were required to view pictures containing social exclusion events or reinterpret the situation using reappraisal strategy, followed by rating their negative emotional feeling on a 9-point scale. The experiment had two conditions, i.e., a passive viewing block and a cognitive reappraisal block. The results showed that the main effect of the task was significant: the negative emotional intensity reported by participants was lower during cognitive reappraisal when compared to that during passive viewing, indicating a successful manipulation of explicit emotional regulation. Meanwhile, the main effect of the group was significant: the negative emotional intensity reported by the experimental group was significantly reduced compared to that reported by the control group, suggesting the critical role of rVLPFC in emotional regulation. More importantly, the interaction between task and group was significant: while the two groups reported comparable distressful feelings during the passive view block, the experimental group reported decreased negative feelings compared to the control group during the cognitive reappraisal block. This result indicated that enhanced activation of the rVLPFC could effectively improve the ability of explicit down-regulating social pain using the cognitive reappraisal strategy in depressed patients. The current findings provide strong evidence for the causal relationship between the VLPFC and explicit emotional regulation using the cognitive reappraisal strategy. Also this study provides a potential neural target for clinical treatments of emotional regulation impairment in patients with social dysfunctions including individuals diagnosed with major depressive disorder, social anxiety disorder, and autism spectrum disorder. Future studies are suggested to use other paradigms (e.g., Cyberball, Chat Rooms, Online Ostracism, and Island Getaway) to induce a “first-hand” social pain and exclude the potential influence of empathy. Furthermore, optimized multi-session TMS protocols are required to enhance and prolong the TMS effects observed in this study. Also, the TMS-based treatment effects in depression should be compared between the left and the right part of the ventrolateral prefrontal cortices, and across different emotional regulation strategies including cognitive reappraisal, distraction, distancing, etc. "
Peer Review Status:Awaiting Review
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