PMID- 17306437 OWN - NLM STAT- MEDLINE DCOM- 20070817 LR - 20070430 IS - 0301-0511 (Print) IS - 0301-0511 (Linking) VI - 75 IP - 2 DP - 2007 May TI - Diminished medial prefrontal cortex activity in blood-injection-injury phobia. PG - 124-30 AB - We examined the effects of symptom induction on neural activation in blood-injection-injury (BII) phobia. Nine phobic and 10 non-phobic subjects participated in an fMRI study in which they were presented with disorder-relevant, generally disgust-inducing, generally fear-evoking and neutral pictures. We observed diminished medial prefrontal cortex (MPFC) activity in patients compared to controls for phobia-relevant and disgust-inducing pictures. The MPFC has been shown to be critically involved in the automatic and effortful cognitive regulation of emotions. Therefore, the results might reflect reduced cognitive control of emotions in BII phobics during the experience of phobic symptoms as well as during states of disgust. The latter response component might be a result of the elevated disgust sensitivity of BII phobics. FAU - Hermann, Andrea AU - Hermann A AD - Bender Institute of Neuroimaging, University of Giessen, Otto-Behaghel-Str. 10 H, 35394 Giessen, Germany. Andrea.Hermann@psychol.uni-giessen.de FAU - Schafer, Axel AU - Schafer A FAU - Walter, Bertram AU - Walter B FAU - Stark, Rudolf AU - Stark R FAU - Vaitl, Dieter AU - Vaitl D FAU - Schienle, Anne AU - Schienle A LA - eng PT - Journal Article DEP - 20070119 PL - Netherlands TA - Biol Psychol JT - Biological psychology JID - 0375566 SB - IM MH - Adolescent MH - Adult MH - Amygdala/physiopathology MH - Arousal/*physiology MH - *Blood MH - Brain Mapping MH - Cerebral Cortex/physiopathology MH - Dominance, Cerebral/physiology MH - Echo-Planar Imaging MH - Emotions/physiology MH - Fear/physiology MH - Female MH - Gyrus Cinguli/physiopathology MH - Hippocampus/physiopathology MH - Humans MH - *Image Processing, Computer-Assisted MH - Injections/*psychology MH - *Magnetic Resonance Imaging MH - Pattern Recognition, Visual/physiology MH - Personality Inventory MH - Phobic Disorders/*physiopathology/psychology MH - Prefrontal Cortex/*physiopathology MH - Syncope, Vasovagal/physiopathology/psychology MH - Thalamus/physiopathology EDAT- 2007/02/20 09:00 MHDA- 2007/08/19 09:00 CRDT- 2007/02/20 09:00 PHST- 2007/01/16 00:00 [received] PHST- 2007/01/16 00:00 [accepted] PHST- 2007/02/20 09:00 [pubmed] PHST- 2007/08/19 09:00 [medline] PHST- 2007/02/20 09:00 [entrez] AID - S0301-0511(07)00005-1 [pii] AID - 10.1016/j.biopsycho.2007.01.002 [doi] PST - ppublish SO - Biol Psychol. 2007 May;75(2):124-30. doi: 10.1016/j.biopsycho.2007.01.002. Epub 2007 Jan 19.