Evidence map›Paper›PMID 28402571›Full record

ArticleSocial cognitive and affective neuroscience2017

Neural correlates of emotion acceptance vs worry or suppression in generalized anxiety disorder.

Kristen K Ellard, David H Barlow, Susan Whitfield-Gabrieli, John D E Gabrieli, Thilo Deckersbach

Abstract read
In one paragraph

Article in Social cognitive and affective neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A review of neuroimaging studies in generalized anxiety disorder: "So where do we stand?"Journal of neural transmission (Vienna, Austria : 1996) · 2019
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  6. Acceptance versus reappraisal: Behavioral, autonomic, and neural effects.Cognitive, affective & behavioral neuroscience · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kristen K EllardDepartment of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
David H BarlowDepartment of Psychology, Boston University, Boston, MA, USA.
Susan Whitfield-GabrieliDepartment of Brain and Cognitive Sciences, The McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
John D E GabrieliDepartment of Brain and Cognitive Sciences, The McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Thilo DeckersbachDepartment of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.

Funding

An fMRI Investigation of the Neural Pathways Behind Emotional AcceptanceF31MH084422 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI ELLARD, KRISTEN K · 2009 to 2011
$65k
NIMH NIH HHS F31 MH084422
6 · The paper itself

Abstract

Recent emotion dysregulation models of generalized anxiety disorder (GAD) propose chronic worry in GAD functions as a maladaptive attempt to regulate anxiety related to uncertain or unpredictable outcomes. Emotion acceptance is an adaptive emotion regulation strategy increasingly incorporated into newer cognitive behavioral therapy (CBT) approaches to GAD to counter chronic worry. The current study explores the mechanisms of emotion acceptance as an alternate emotion regulation strategy to worry or emotion suppression using functional magnetic resonance imaging. Twenty-one female participants diagnosed with GAD followed counterbalanced instructions to regulate responses to personally relevant worry statements by engaging in either emotion acceptance, worry or emotion suppression. Emotion acceptance resulted in lower ratings of distress than worry and was associated with increased dorsal anterior cingulate cortex (dACC) activation and increased ventrolateral prefrontal cortex (VLPFC)-amygdala functional connectivity. In contrast, worry showed significantly greater distress ratings than acceptance or suppression and was associated with increased precuneus, VLPFC, amygdala and hippocampal activation. Suppression did not significantly differ from acceptance in distress ratings or amygdala recruitment, but resulted in significantly greater insula and VLPFC activation and decreased VLPFC-amygdala functional connectivity. Emotion acceptance closely aligned with activation and connectivity patterns reported in studies of contextual extinction learning and mindful awareness.

Indexed as

EmotionsAdultAnxiety DisordersBrainBrain MappingDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMagnetic Resonance ImagingNerve NetPsychiatric Status Rating ScalesRecruitment, Neurophysiologicalemotion acceptanceemotion regulationfunctional magnetic resonance imaginggeneralized anxiety disorderworry

Identifiers

PMID28402571
PMCPMC5472113

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.