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      Self perception and facial emotion perception of others in anorexia nervosa

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          Abstract

          Background: Whether individuals with anorexia nervosa (AN) are able to accurately perceive emotions from faces of others is unclear. Furthermore, whether individuals with AN process images of their own face differently to healthy individuals has thus far not been investigated. Therefore, the aim of this study was to investigate facial affect processing and the processing of one’s own face through measures of emotion identification, functional magnetic resonance imaging (fMRI) and eyetracking.

          Methods: Twenty-four females with AN and 25 matched healthy control participants were presented with an implicit emotion processing task during fMRI and eyetracking, followed by an explicit emotion identification task.

          Results: The AN group were found to ‘hyperscan’ stimuli and avoided visually attending to salient features of their own face images. Results of the fMRI revealed increased activity to own face stimuli in AN in the right inferior and middle temporal gyri, and right lingual gyrus. AN participants were not found to display emotion identification deficits to the standard emotional face stimuli.

          Discussion: The findings are discussed in terms of increased anxiety to disorder-relevant stimuli in AN. Potential clinical implications are discussed in relation to the use of eyetracking techniques to improve the perception of self in AN.

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          Most cited references31

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          Multiband multislice GE-EPI at 7 tesla, with 16-fold acceleration using partial parallel imaging with application to high spatial and temporal whole-brain fMRI.

          Parallel imaging in the form of multiband radiofrequency excitation, together with reduced k-space coverage in the phase-encode direction, was applied to human gradient echo functional MRI at 7 T for increased volumetric coverage and concurrent high spatial and temporal resolution. Echo planar imaging with simultaneous acquisition of four coronal slices separated by 44mm and simultaneous 4-fold phase-encoding undersampling, resulting in 16-fold acceleration and up to 16-fold maximal aliasing, was investigated. Task/stimulus-induced signal changes and temporal signal behavior under basal conditions were comparable for multiband and standard single-band excitation and longer pulse repetition times. Robust, whole-brain functional mapping at 7 T, with 2 x 2 x 2mm(3) (pulse repetition time 1.25 sec) and 1 x 1 x 2mm(3) (pulse repetition time 1.5 sec) resolutions, covering fields of view of 256 x 256 x 176 mm(3) and 192 x 172 x 176 mm(3), respectively, was demonstrated with current gradient performance. (c) 2010 Wiley-Liss, Inc.
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            Self-face recognition activates a frontoparietal "mirror" network in the right hemisphere: an event-related fMRI study.

            Self-recognition has been demonstrated by a select number of primate species and is often used as an index of self-awareness. Whether a specialized neural mechanism for self-face recognition in humans exists remains unclear. We used event-related fMRI to investigate brain regions selectively activated by images of one's own face. Ten right-handed normal subjects viewed digital morphs between their own face and a gender-matched familiar other presented in a random sequence. Subjects were instructed to press a button with the right hand if the image looked like their own face, and another button if it looked like a familiar or scrambled face. Contrasting the trials in which images contain more "self" with those containing more familiar "other" revealed signal changes in the right hemisphere (RH) including the inferior parietal lobule, inferior frontal gyrus, and inferior occipital gyrus. The opposite contrast revealed voxels with higher signal intensity for images of "other" than for "self" in the medial prefrontal cortex and precuneus. Additional contrasts against baseline revealed that activity in the "self" minus "other" contrasts represent signal increases compared to baseline (null events) in "self" trials, while activity in the "other" minus "self" contrasts represent deactivations relative to baseline during "self" trials. Thus, a unique network involving frontoparietal structures described as part of the "mirror neuron system" in the RH underlies self-face recognition, while regions comprising the "default/resting state" network deactivate less for familiar others. We provide a model that reconciles these findings and previously published work to account for the modulations in these two networks previously implicated in social cognition.
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              Explicit and implicit neural mechanisms for processing of social information from facial expressions: a functional magnetic resonance imaging study.

              The processing of changing nonverbal social signals such as facial expressions is poorly understood, and it is unknown if different pathways are activated during effortful (explicit), compared to implicit, processing of facial expressions. Thus we used fMRI to determine which brain areas subserve processing of high-valence expressions and if distinct brain areas are activated when facial expressions are processed explicitly or implicitly. Nine healthy volunteers were scanned (1.5T GE Signa with ANMR, TE/TR 40/3,000 ms) during two similar experiments in which blocks of mixed happy and angry facial expressions ("on" condition) were alternated with blocks of neutral faces (control "off" condition). Experiment 1 examined explicit processing of expressions by requiring subjects to attend to, and judge, facial expression. Experiment 2 examined implicit processing of expressions by requiring subjects to attend to, and judge, facial gender, which was counterbalanced in both experimental conditions. Processing of facial expressions significantly increased regional blood oxygenation level-dependent (BOLD) activity in fusiform and middle temporal gyri, hippocampus, amygdalohippocampal junction, and pulvinar nucleus. Explicit processing evoked significantly more activity in temporal lobe cortex than implicit processing, whereas implicit processing evoked significantly greater activity in amygdala region. Mixed high-valence facial expressions are processed within temporal lobe visual cortex, thalamus, and amygdalohippocampal complex. Also, neural substrates for explicit and implicit processing of facial expressions are dissociable: explicit processing activates temporal lobe cortex, whereas implicit processing activates amygdala region. Our findings confirm a neuroanatomical dissociation between conscious and unconscious processing of emotional information.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                10 August 2015
                2015
                : 6
                : 1181
                Affiliations
                [1] 1Department of Optometry and Vision Sciences, The University of Melbourne Melbourne, VIC, Australia
                [2] 2Department of Psychiatry, The University of Melbourne Melbourne, VIC, Australia
                [3] 3Department of Mental Health, St Vincent’s Hospital, Melbourne VIC, Australia
                [4] 4Department of Psychiatry, St Vincent’s Hospital, Melbourne VIC, Australia
                [5] 5Faculty of Health Sciences, Australian Catholic University, Melbourne VIC, Australia
                [6] 6Brain and Psychological Sciences Research Centre, Swinburne University of Technology, Melbourne VIC, Australia
                [7] 7Monash Alfred Psychiatry Research Centre, Melbourne VIC, Australia
                Author notes

                Edited by: Marco Steinhauser, Catholic University of Eichstätt-Ingolstadt, Germany

                Reviewed by: Tobias Flaisch, University of Konstanz, Germany; Martin Ernst Maier, Catholic University Eichstätt-Ingolstadt, Germany

                *Correspondence: Andrea Phillipou, Department of Mental Health, St Vincent’s Hospital, Fitzroy, Melbourne, VIC 3065, Australia, ap@ 123456unimelb.edu.au

                This article was submitted to Cognition, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2015.01181
                4530666
                26321993
                dc743368-a193-4deb-8ffd-bb3a86aecf8f
                Copyright © 2015 Phillipou, Abel, Castle, Hughes, Gurvich, Nibbs and Rossell.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 02 June 2015
                : 27 July 2015
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 48, Pages: 9, Words: 0
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                eating disorders,fmri,eyetracking,eye movements,affect
                Clinical Psychology & Psychiatry
                eating disorders, fmri, eyetracking, eye movements, affect

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