ArticleNeuroImage. Clinical2019
Functional reorganization of neural networks involved in emotion regulation following trauma therapy for complex trauma disorders.
Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Distinct oscillatory signatures of emotional reactivity and cognitive reappraisal revealed through multiclass EEG decoding.Cognitive, affective & behavioral neuroscience · 2026Article
- Fronto-parietal oscillatory dynamics of emotion regulation as a function of adult attachment orientations.Frontiers in human neuroscience · 2026Article
- Unraveling Hierarchical Brain Dysfunction in Major Depressive Disorder: A Multimodal Imaging and Transcriptomic Approach.Human brain mapping · 2025Article
- Phase-synchronized brain connectivity during emotion regulation: attachment as a moderator.Social cognitive and affective neuroscience · 2025Article
- Neuroscience-based relational art therapy and deep brain reorienting in the treatment of dissociative identity disorder.Frontiers in psychology · 2025Article
- Emotion regulation unveiled through the categorical lens of attachment.BMC psychology · 2024Article
- The moderating role of the late positive potential in the link between attachment anxiety and emotion regulation difficulties.Frontiers in psychology · 2024Article
- Identity state-dependent self-relevance and emotional intensity ratings of words in dissociative identity disorder: A controlled longitudinal study.Brain and behavior · 2023Article
- Emotion regulation strategies and the two-dimensional model of adult attachment: a pilot study.Frontiers in behavioral neuroscience · 2023Article
- Altered frontal electroencephalography as a potential correlate of acute dissociation in dissociative disorders: novel findings from a mirror confrontation study.BJPsych open · 2022Article
- Attachment-based parent-adolescent interaction linked to visual attention and autonomic arousal to distress and comfort stimuli.BMC psychology · 2022Article
- Source localization and functional network analysis in emotion cognitive reappraisal with EEG-fMRI integration.Frontiers in human neuroscience · 2022Article
- Functional connectivity changes in the delta frequency band following trauma treatment in complex trauma and dissociative disorder patients.Frontiers in psychiatry · 2022Article
- Resting-state functional connectivity in patients with a complex PTSD or complex dissociative disorder before and after inpatient trauma treatment.Brain and behavior · 2021Article
- Electroencephalographic (EEG) alterations in young women with high subclinical eating pathology levels: a quantitative EEG study.Eating and weight disorders : EWD · 2020Article
- Maladaptive Alterations of Defensive Response Following Developmental Complex Stress in Rats.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2020Article
- Schematherapy in DID: treatment length and related studies on dissociative amnesia.European journal of psychotraumatology · 2020Article
- Considerations regarding treatment efficiency, dissociative parts and dissociative amnesia for Huntjens et al.'s Schema Therapy for Dissociative Identity Disorder.European journal of psychotraumatology · 2019Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesWe investigated whether patients with complex interpersonal trauma engage neural networks that are commonly activated during cognitive reappraisal and responding naturally to affect-laden images. In this naturalistic study, we examined whether trauma treatment not only reduces symptoms but also changes neural networks involved in emotional control.
methodsBefore and after eight weeks of phase-oriented inpatient trauma treatment, patients (n = 28) with complex posttraumatic stress disorder (cPTSD) and complex dissociative disorders (CDD) performed a cognitive reappraisal task while electroencephalography (EEG) was registered. Patients were measured as a prototypical dissociative part that aims to fulfill daily life goals while avoiding traumatic memories and associated dissociative parts. Matched healthy controls (n = 38) were measured twice as well. We examined task-related functional connectivity and assessed self-reports of clinical symptoms and emotion regulation skills.
resultsPrior to treatment and compared to controls, patients showed hypoconnectivity within neural networks involved in emotional downregulation while reappraising affect-eliciting pictures as well as viewing neutral and affect-eliciting pictures. Following treatment, connectivity became normalized in these networks comprising regions associated with cognitive control and memory. Additionally, patients showed a treatment-related reduction of negative but not of positive dissociative symptoms.
conclusionsThis is the first study demonstrating that trauma-focused treatment was associated with favorable changes in neural networks involved in emotional control. Emotional overregulation manifesting as negative dissociative symptoms was reduced but not emotional underregulation, manifesting as positive dissociative symptoms.
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