RESUMO
BACKGROUND: Panic disorder (PD) involves emotion dysregulation, but its underlying mechanisms remain poorly understood. Previous research suggests that implicit emotion regulation may play a central role in PD-related emotion dysregulation and symptom maintenance. However, there is a lack of studies exploring the neural mechanisms of implicit emotion regulation in PD using neurophysiological indicators. AIM: To study the neural mechanisms of implicit emotion regulation in PD with event-related potentials (ERP). METHODS: A total of 25 PD patients and 20 healthy controls (HC) underwent clinical eva-luations. The study utilized a case-control design with random sampling, selecting participants for the case group from March to December 2018. Participants performed an affect labeling task, using affect labeling as the experimental condition and gender labeling as the control condition. ERP and behavioral data were recorded to compare the late positive potential (LPP) within and between the groups. RESULTS: Both PD and HC groups showed longer reaction times and decreased accuracy under the affect labeling. In the HC group, late LPP amplitudes exhibited a dynamic pattern of initial increase followed by decrease. Importantly, a significant group × condition interaction effect was observed. Simple effect analysis revealed a reduction in the differences of late LPP amplitudes between the affect labeling and gender labeling conditions in the PD group compared to the HC group. Furthermore, among PD patients under the affect labeling, the late LPP was negatively correlated with disease severity, symptom frequency, and intensity. CONCLUSION: PD patients demonstrate abnormalities in implicit emotion regulation, hampering their ability to mobilize cognitive resources for downregulating negative emotions. The late LPP amplitude in response to affect labeling may serve as a potentially valuable clinical indicator of PD severity.
RESUMO
OBJECTIVE: To examine the automatic processing of facial expression and explore the pathogenesis in generalized anxiety disorder (GAD) patients. METHODS: Fifteen GAD patients and 15 gender-, age- and education-matched healthy volunteers were recruited from First Affiliated Hospital, Dalian Medical University. The expression-related mismatch negativity (MMN) was recorded to explore the automatic processing mechanism into emotional faces with task-irrelevant emotional faces as effective media. RESULTS: The MMNs elicited by emotional faces were significantly lower in GAD participants than those in healthy participants [MMN1:case group (-0.30 ± 0.09) µV, control group (-0.68 ± 0.13) µV, P = 0.0003; MMN2: case group (-0.22 ± 0.13) µV, control group (-0.72 ± 0.13) µV, P = 0.011] (Ps < 0.05) analyzing. For the effect of expression, it was found that the MMNs elicited by negative expression were lower in GAD participants than those in healthy participants mainly in right hemisphere while positive expression mainly in left hemisphere [MMN1:case group (-0.45 ± 0.15) µV, control group (-0.99 ± 0.15) µV, P = 0.017; MMN2:case group (0.23 ± 0.22) µV, control group (-1.23 ± 0.22) µV, P = 0.003; (MMN1:case group (-0.12 ± 0.14) µV, control group (-0.65 ± 0.14) µV, P = 0.015; MMN2:case group (0.14 ± 0.18) µV, control group (-0.42 ± 0.18) µV, P = 0.039]. CONCLUSION: There is an impairment of automatic processing of emotional faces.
