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Table 6 Studies that investigated reappraisal in euthymic BD patients

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

Study

Age

Medication use

Paradigm

Dependent variables

Results behavioral

Results neural

Kanske et al. (2015)

Adults

Yes

Task:

Picture viewing task

Valence:

Negative, positive

Participants:

BD-I, euthymic (n = 22)

HC (N = 22)

Behavioral:

Self-report during and after the task

Neural:

fMRI, PPI

Regions of interest:

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

PPI seed:

Amygdala

PPI targets:

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

Rating after the experiment:

NS

Viewing:

NS

Reappraisal:

NS

Viewing:

NS

Reappraisal vs. viewing:

Amygdala: BD-I > HC

Parahippocampal: BD-I > HC

PPI during reappraisal:

Left amygdala/right OFC

HC negative connectivity, BD-I positive connectivity

Left amygdala/ventral ACC:

HC negative connectivity, BD-I positive connectivity

Right amygdala/right OFC

HC negative connectivity, BD-I positive connectivity

Corbalán et al. (2015)

Adults

Yes

Task:

Picture viewing task

Valence:

Negative

Participants:

BD-I, euthymic (n = 19)

HC (n = 17)

Behavioral:

Self-report

Behavioral

fMRI

Regions of interest:

Whole brain

NS

Viewing negative:

VLPFC: BD-I > HC

Reappraisal negative:

VLPFC: BD-I > HC

Reappraisal negative vs. viewing negative:

Amygdala: BD-I > HC

Townsend et al. (2013)

Adults

Yes

Task:

Picture viewing task

Valence:

Negative

Participants:

BD-I, euthymic (n = 30)

HC (n = 26)

Neural:

fMRI

Regions of interest:

Bilateral amygdala

PPI seed:

Bilateral amygdala

PPI target:

Whole brain (and a priori VLPFC)

No affect related behavioral data was reported

Viewing negative vs. viewing neutral:

HC vs. BD-I: NS

Reappraisal Negative vs. Viewing Negative:

Amygdala: HC vs. BD-I: n.s. differences

Bilateral VLPFC: HC > BD-I

Insula: HC > BD-I

Bilateral MFG: HC > BD-I

Bilateral cingulate: HC > BD-I

pre-SMA: HC > BD-I

PPI Seed: Left amygdala

Negative Functional connectivity

Left VLPFC: HC > BD-I

Left occipital gyrus: HC > BD-I

Right posterior cingulate: HC > BD-I

PPI Seed: Right amygdala:

Negative functional connectivity

Right MFG: BD-I > HC

Zhang et al. (2018)

Adults

Yes

Task:

Picture viewing task

Valence:

Negative

Participants:

BD patients,euthymic (n = 23), (2 currently depressed)

HC (n = 17)

Behavioral:

Self-report

Neural:

fMRI, DCM

VOI:

DLPFC, left VLPFC, and left amygdala

ER and emotion reactivity:

NS

GLM contrasts:

NS

DCM:

DLPFC to Amygdala during reappraisal: BD < HC

Gruber et al. (2014)

Adults

Yes

Task:

Film clips

Valence:

Negative, positive

Participants:

BD-I, remitted (n = 23)

HC (n = 23)

Behavioral:

Self-report, analysis of facial expression

Physiological measures:

Skin conductivity and Respiratory sinus arrhythmia

Uninstructed vs. Reappraisal:

NS

X

Kjærstad et al. (2016)

Adults

Yes

Tasks:

Social scenarios task,

Picture viewing task

Valence:

Negative

Participants:

BD-I, full or partial remitted (n = 9)

BD-II, full or partial remitted (n = 11)

Depression, full or partial remitted (n = 20)

HC (n = 20)

Behavioral:

Self-report

Emotion reactivity:

NS

Social Scenarios/dampen:

Negative: BD < HC

Positive: NS

Picture task/reappraisal:

NS

X

Rive et al. (2015)

Adults

No

Task:

Picture viewing task

Valence:

Negative, positive

Participants:

BD-I/BD-II, remitted (n = 26)

HC (n = 36)

Behavioral:

Self-report

Neural:

fMRI

Regions of interest:

Amygdala, thalamus, insula, DLPFC, ACC, medial PFC, and hippocampus

ER success in remitted groups across all emotions:

BDr < HC

Regulate vs. viewing across emotions:

DLPFC: NS

  1. ACC anterior cingulate cortex, BD bipolar disorder, DCM dynamic causal modeling, DLPFC dorsolateral prefrontal cortex, DMPFC dorsomedial prefrontal cortex, fMRI functional magnetic resonance imaging, HC healthy controls, HPS hypomanic personality scale, OFC orbitofrontal cortex, PFC prefrontal cortex, PPI psychophysiological interaction, VLPFC ventrolateral prefrontal cortex