Neural correlates of emotional processing in psychosis risk and onset – A systematic review and meta-analysis of fMRI studies

•The neural bases of altered emotion processing in psychosis are still unclear.•Systematic review indicated widespread activation decreases to emotion in first-episode psychosis.•Evidence in people at clinical high-risk for psychosis lacked convergence.•These findings were corroborated by image-base...

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Published inNeuroscience and biobehavioral reviews Vol. 128; pp. 780 - 788
Main Authors Lukow, P.B., Kiemes, A., Kempton, M.J., Turkheimer, F.E., McGuire, P., Modinos, G.
Format Journal Article
LanguageEnglish
Published United States Elsevier Ltd 01.09.2021
Pergamon Press
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Abstract •The neural bases of altered emotion processing in psychosis are still unclear.•Systematic review indicated widespread activation decreases to emotion in first-episode psychosis.•Evidence in people at clinical high-risk for psychosis lacked convergence.•These findings were corroborated by image-based meta-analyses. Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the role of emotion processing abnormalities in the emergence of psychosis and the underlying neurobiology remain unclear. Here, we systematically reviewed functional magnetic resonance studies that used emotion processing task paradigms in FEP patients, and in people at clinical high-risk for psychosis (CHRp). Image-based meta-analyses with Seed-based d Mapping on available studies (n = 6) were also performed. Compared to controls, FEP patients showed decreased neural responses to emotion, particularly in the amygdala and anterior cingulate cortex. There were no significant differences between CHRp subjects and controls, but a high degree of heterogeneity was identified across studies. The role of altered emotion processing in the early phase of psychosis may be clarified through more homogenous experimental designs, particularly in the CHRp population.
AbstractList • The neural bases of altered emotion processing in psychosis are still unclear. • Systematic review indicated widespread activation decreases to emotion in first-episode psychosis. • Evidence in people at clinical high-risk for psychosis lacked convergence. • These findings were corroborated by image-based meta-analyses. Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the role of emotion processing abnormalities in the emergence of psychosis and the underlying neurobiology remain unclear. Here, we systematically reviewed functional magnetic resonance studies that used emotion processing task paradigms in FEP patients, and in people at clinical high-risk for psychosis (CHRp). Image-based meta-analyses with Seed-based d Mapping on available studies (n = 6) were also performed. Compared to controls, FEP patients showed decreased neural responses to emotion, particularly in the amygdala and anterior cingulate cortex. There were no significant differences between CHRp subjects and controls, but a high degree of heterogeneity was identified across studies. The role of altered emotion processing in the early phase of psychosis may be clarified through more homogenous experimental designs, particularly in the CHRp population.
Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the role of emotion processing abnormalities in the emergence of psychosis and the underlying neurobiology remain unclear. Here, we systematically reviewed functional magnetic resonance studies that used emotion processing task paradigms in FEP patients, and in people at clinical high-risk for psychosis (CHRp). Image-based meta-analyses with Seed-based d Mapping on available studies (n = 6) were also performed. Compared to controls, FEP patients showed decreased neural responses to emotion, particularly in the amygdala and anterior cingulate cortex. There were no significant differences between CHRp subjects and controls, but a high degree of heterogeneity was identified across studies. The role of altered emotion processing in the early phase of psychosis may be clarified through more homogenous experimental designs, particularly in the CHRp population.Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the role of emotion processing abnormalities in the emergence of psychosis and the underlying neurobiology remain unclear. Here, we systematically reviewed functional magnetic resonance studies that used emotion processing task paradigms in FEP patients, and in people at clinical high-risk for psychosis (CHRp). Image-based meta-analyses with Seed-based d Mapping on available studies (n = 6) were also performed. Compared to controls, FEP patients showed decreased neural responses to emotion, particularly in the amygdala and anterior cingulate cortex. There were no significant differences between CHRp subjects and controls, but a high degree of heterogeneity was identified across studies. The role of altered emotion processing in the early phase of psychosis may be clarified through more homogenous experimental designs, particularly in the CHRp population.
Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the role of emotion processing abnormalities in the emergence of psychosis and the underlying neurobiology remain unclear. Here, we systematically reviewed functional magnetic resonance studies that used emotion processing task paradigms in FEP patients, and in people at clinical high-risk for psychosis (CHRp). Image-based meta-analyses with Seed-based d Mapping on available studies (n = 6) were also performed. Compared to controls, FEP patients showed decreased neural responses to emotion, particularly in the amygdala and anterior cingulate cortex. There were no significant differences between CHRp subjects and controls, but a high degree of heterogeneity was identified across studies. The role of altered emotion processing in the early phase of psychosis may be clarified through more homogenous experimental designs, particularly in the CHRp population.
•The neural bases of altered emotion processing in psychosis are still unclear.•Systematic review indicated widespread activation decreases to emotion in first-episode psychosis.•Evidence in people at clinical high-risk for psychosis lacked convergence.•These findings were corroborated by image-based meta-analyses. Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the role of emotion processing abnormalities in the emergence of psychosis and the underlying neurobiology remain unclear. Here, we systematically reviewed functional magnetic resonance studies that used emotion processing task paradigms in FEP patients, and in people at clinical high-risk for psychosis (CHRp). Image-based meta-analyses with Seed-based d Mapping on available studies (n = 6) were also performed. Compared to controls, FEP patients showed decreased neural responses to emotion, particularly in the amygdala and anterior cingulate cortex. There were no significant differences between CHRp subjects and controls, but a high degree of heterogeneity was identified across studies. The role of altered emotion processing in the early phase of psychosis may be clarified through more homogenous experimental designs, particularly in the CHRp population.
Author Kiemes, A.
McGuire, P.
Lukow, P.B.
Kempton, M.J.
Turkheimer, F.E.
Modinos, G.
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Keywords Psychosis
Seed-based d mapping
Functional magnetic resonance imaging
Emotion
Clinical high-risk
Language English
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Snippet •The neural bases of altered emotion processing in psychosis are still unclear.•Systematic review indicated widespread activation decreases to emotion in...
Aberrant emotion processing is a well-established component of psychotic disorders and is already present at the first episode of psychosis (FEP). However, the...
• The neural bases of altered emotion processing in psychosis are still unclear. • Systematic review indicated widespread activation decreases to emotion in...
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SubjectTerms Amygdala
Brain - diagnostic imaging
Clinical high-risk
Emotion
Emotions
Functional magnetic resonance imaging
Gyrus Cinguli
Humans
Magnetic Resonance Imaging
Psychosis
Psychotic Disorders - diagnostic imaging
Review
Seed-based d mapping
Title Neural correlates of emotional processing in psychosis risk and onset – A systematic review and meta-analysis of fMRI studies
URI https://dx.doi.org/10.1016/j.neubiorev.2021.03.010
https://www.ncbi.nlm.nih.gov/pubmed/33722617
https://www.proquest.com/docview/2501848836
https://pubmed.ncbi.nlm.nih.gov/PMC8345001
Volume 128
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