PMID- 23327934 OWN - NLM STAT- MEDLINE DCOM- 20141201 LR - 20220330 IS - 1749-5024 (Electronic) IS - 1749-5016 (Print) IS - 1749-5016 (Linking) VI - 9 IP - 4 DP - 2014 Apr TI - Cognitive behavioral therapy for depression changes medial prefrontal and ventral anterior cingulate cortex activity associated with self-referential processing. PG - 487-93 LID - 10.1093/scan/nst009 [doi] AB - Cognitive behavioral therapy (CBT), an effective treatment for depression, targets self-referential processing of emotional stimuli. We examined the effects of CBT on brain functioning during self-referential processing in depressive patients using functional magnetic resonance imaging (fMRI). Depressive patients (n = 23) and healthy participants (n = 15) underwent fMRI scans during a self-referential task using emotional trait words. The depressive patients had fMRI scans before and after completing a total of 12 weekly sessions of group CBT for depression, whereas the healthy participants underwent fMRI scans 12 weeks apart with no intervention. Before undergoing CBT, the depressive patients showed hyperactivity in the medial prefrontal cortex (MPFC) during self-referential processing of negative words. Following CBT, MPFC and ventral anterior cingulate cortex (vACC) activity during self-referential processing among depressive patients was increased for positive stimuli, whereas it was decreased for negative stimuli. Improvements in depressive symptoms were negatively correlated with vACC activity during self-referential processing of negative stimuli. These results suggest that CBT-related improvements in depressive symptoms are associated with changes in MPFC and vACC activation during self-referential processing of emotional stimuli. FAU - Yoshimura, Shinpei AU - Yoshimura S AD - Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan. syoshimura1981@hotmail.co.jp. FAU - Okamoto, Yasumasa AU - Okamoto Y FAU - Onoda, Keiichi AU - Onoda K FAU - Matsunaga, Miki AU - Matsunaga M FAU - Okada, Go AU - Okada G FAU - Kunisato, Yoshihiko AU - Kunisato Y FAU - Yoshino, Atsuo AU - Yoshino A FAU - Ueda, Kazutaka AU - Ueda K FAU - Suzuki, Shin-ichi AU - Suzuki S FAU - Yamawaki, Shigeto AU - Yamawaki S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130117 PL - England TA - Soc Cogn Affect Neurosci JT - Social cognitive and affective neuroscience JID - 101288795 RN - S88TT14065 (Oxygen) SB - IM MH - Adult MH - Analysis of Variance MH - Cognitive Behavioral Therapy/*methods MH - Depression/pathology/*rehabilitation MH - Female MH - Follow-Up Studies MH - Gyrus Cinguli/*blood supply MH - Humans MH - Image Processing, Computer-Assisted MH - Judgment MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Oxygen/blood MH - Prefrontal Cortex/*blood supply MH - Psychiatric Status Rating Scales MH - *Self Report MH - Time Factors MH - Treatment Outcome PMC - PMC3989129 OTO - NOTNLM OT - cognitive behavioral therapy OT - depression OT - emotion OT - fMRI OT - self-referential processing EDAT- 2013/01/19 06:00 MHDA- 2014/12/15 06:00 PMCR- 2015/04/01 CRDT- 2013/01/19 06:00 PHST- 2013/01/19 06:00 [entrez] PHST- 2013/01/19 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2015/04/01 00:00 [pmc-release] AID - nst009 [pii] AID - 10.1093/scan/nst009 [doi] PST - ppublish SO - Soc Cogn Affect Neurosci. 2014 Apr;9(4):487-93. doi: 10.1093/scan/nst009. Epub 2013 Jan 17.