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Table 2 Studies that investigated distraction in risk groups

From: Deficits in explicit emotion regulation in bipolar disorder: a systematic review

Study

Age

Medication

Paradigm

Dependent variables

Results behavioral

Results neural

Ladouceur et al. (2013)

Adolescents

No

Task:

N-back task with emotional distractors

Valence:

Negative, positive

Participants:

HBO (n = 15)

HC (n = 16)

Behavioral:

Performance in n-back task

Neural:

fMRI, PPI

Regions of interest:

Amygdala, Ventral Striatum, ventrolateral prefrontal cortex (VLPFC), DLPFC, and anterior cingulate cortex (ACC)

PPI seed:

VLPFC

PPI targets:

Amygdala, DLPFC

Distraction from emotional distractors:

NS

During distraction from emotional distractors:

Right VLPFC: happy: Risk group > HC

Right VLPFC: fearful: NS

PPI during distraction from emotional distractors:

VLPFC – Amygdala (positive connectivity)

Fearful: HC > Risk group (right amygdala)

Happy: HC > Risk group (left amygdala)

Neutral: HC vs. Risk group: NS

Right VLPFC – left DLPFC (positive connectivity)

Fearful: HC vs. Risk group: NS

Happy: HC > Risk group

Neutral: HC vs. Risk group: NS

Kanske et al. (2013)

Adults

No

Task:

Picture viewing task

Valence:

Negative, positive

Participants:

High HPS scores (n = 22)

FDR (n = 17)

HC (n = 22, n = 17)

Behavioral:

Performance in the distraction task

Neural:

fMRI

RT (mental arithmetic task):

NS

During distraction:

HC vs. Risk groups: NS

Heissler et al. (2014)

Young adults

No

Task:

Picture viewing task

Valence:

Negative, positive

Participants:

High HPS scores (n = 22)

HC (n = 24)

Behavioral:

Self-report (during and after the task)

Neural:

fMRI

Regions of interest:

Emotions reactivity: Amygdala, subgenual ACC, VMPFC, occipital and ventral temporal cortices, thalamus

Emotion regulation: OFC, DLPFC, DMPFC, dACC, parietal cortex, precuneus

Rating after the experiment:

Risk group > HC

Viewing condition:

NS

Emotion regulation:

NS

Performance in the mental arithmetic task:

NS

Viewing:

Negative vs. neutral: Right Amygdala: Risk group > HC

Positive vs. neutral: NS

Distraction vs. viewing:

Negative: NS

Positive: left inferior parietal cortex: Risk group > HC

Kanske et al. (2015)

Adults

No

Task:

Picture viewing task

Valence:

Negative, positive

Participants:

FDR (n = 17)

HC (n = 17)

Behavioral:

Self-report during and after the task

Neural:

fMRI

Regions of interest:

Bilateral OFC, dorsolateral (DLPFC, middle frontal) and dorsomedial prefrontal (DMPFC, superior medial), anterior cingulate (ACC), and parietal cortex (inferior, superior)

Rating after the experiment:

Risk group > HC (all pictures more positive)

Viewing:

Positive: Risk group < HC

Negative: NS

Distraction:

NS

Viewing:

NS

Distraction vs. viewing:

NS

  1. ACC anterior cingulate cortex, dACC dorsal anterior cingulate cortex, DLPFC dorsolateral prefrontal cortex, DMPFC dorsomedial prefrontal cortex, fMRI functional magnetic resonance imaging, FDR first-degree relatives, HBO healthy bipolar offspring, HC healthy controls, HPS hypomanic personality scale, NS not significant, OFC orbitofrontal cortex, PFC prefrontal cortex, PPI psychophysiological interaction, VLPFC ventrolateral prefrontal cortex, VMPFC ventromedial prefrontal cortex