Dalton Stefan Daniel Paul, Cooper Holly, Jennings Ben, Cheeta Survjit
Centre for Cognitive and Clinical Neuroscience, Department of Life Sciences, College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, UB8 3PH, UK.
Department of Psychology, Royal Holloway, University of London, Uxbridge, UK.
Sci Rep. 2025 Jun 4;15(1):19564. doi: 10.1038/s41598-025-03828-5.
Maladaptive implicit emotion regulation has been highlighted as a transdiagnostic characteristic of mood and anxiety disorders. Whilst clinical diagnosis has relied on signs and symptoms, the integration of clinical neurosciences is becoming more important as a means of enhancing assessment, diagnosis, and treatment. Thus, activation likelihood estimation (ALE) meta-analysis was conducted for whole-brain foci comparing implicit emotion regulation in a large sample of patients with mood and anxiety disorders and healthy controls. Twenty-four clinical studies were identified based on established criteria (e.g., DSM-5). ALE meta-analysis reported convergence of hypoactivation in patients (n = 432) in the right medial frontal gyrus (BA9), spreading to the right anterior cingulate gyrus (BA32); and in the left middle temporal gyrus (BA21), spreading to the left superior temporal gyrus (BA22). Convergence of hyperactivation was reported in patients (n = 536) in the left medial frontal gyrus (BA9), spreading to the left superior frontal gyrus and the left middle frontal gyrus. Separate analysis of the mood disorders subgroup further highlighted convergence of hyperactivation in the insula and claustrum. The implications of the current findings are discussed within the context of the Research Domain Criteria (RDoC) framework of developing diagnostic systems that are more predictive of treatment outcomes.
适应不良的内隐情绪调节已被视为情绪和焦虑障碍的一种跨诊断特征。虽然临床诊断依赖于体征和症状,但临床神经科学的整合作为加强评估、诊断和治疗的一种手段正变得越来越重要。因此,进行了激活可能性估计(ALE)元分析,以比较大量情绪和焦虑障碍患者及健康对照者的全脑内隐情绪调节焦点。根据既定标准(如《精神疾病诊断与统计手册》第5版)确定了24项临床研究。ALE元分析报告称,患者(n = 432)右侧额内侧回(BA9)存在激活不足的汇聚,延伸至右侧前扣带回(BA32);左侧颞中回(BA21)也存在激活不足的汇聚,延伸至左侧颞上回(BA22)。报告显示,患者(n = 536)左侧额内侧回(BA9)存在激活过度的汇聚,延伸至左侧额上回和左侧额中回。对情绪障碍亚组的单独分析进一步突出了岛叶和屏状核激活过度的汇聚。在开发更能预测治疗结果的诊断系统的研究领域标准(RDoC)框架背景下,讨论了当前研究结果的意义。