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Table 4 Regions of significant activation differences and relative cluster extent. Functional connectivity of resting state EEG and symptom severity in patients with post-traumatic stress disorder.

A possible explanation for the lack of significant neurobiological correlates of such strong emotional event lies in the fact that the recruited SGP clients as compared to the RM ones have been Prostitutes Bovisio-Masciago exposed to the grief over time.

Anxiety 13, —

Sharing the traumatic memory with other members of the family and of the community also Prostitutes Bovisio-Masciago to experiencing components of social defeat and interpersonal distress Krabbendam et al. This implied an ongoing trauma processing which made the clients cope daily with the losses and grief, and partially Prostitutes Bovisio-Masciago fear-inducing situations resulting in more structured traumatic memories with Prostitutes Bovisio-Masciago social implications and difficult to be accessed by psychotherapy, although EMDR could relieve all clients from symptoms.

As a consequence, the activation of the prefrontal emotional cortex during the symptomatic phase was significantly lower in SGP clients than in RM ones Prostitutes Bovisio-Masciago did not significantly differ from that of normal controls exposed to a traumatic event in Prostitutes Bovisio-Masciago rationality overcame vivid emotions.

In this respect Prostitutes Bovisio-Masciago recent investigation has shown upon retrieval of negative memories a lower amygdala activation in older adults as compared to younger ones.

This would speak in favor of a time-related adaptation to emotional events occurring during life in which longer exposure to emotional events might result in a successful regulation of affective responses to negative stimuli Ge et al.

During the symptomatic phase the cortical activation in all 40 clients grouped together in Lateral Temporal Lobe and Fusiform and Lingual Prostitutes Bovisio-Masciago was significantly lower than in controls Table 4suggesting that in the latter group exposure to traumatic events resulted Prostitutes Bovisio-Masciago a prevalent activation of brain cortex with cognitive relevance instead of brain areas associated with emotions and behavior.

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Consistently, in response to negative emotions Cohen et al. The disappearance in all clients at T1 of the cortical hyperactivation in prefrontal regions present at Prostitutes Bovisio-Masciago is the most relevant functional correlate of Prostitutes Bovisio-Masciago, attenuating the negative emotional response to the index trauma and impacting on the neurobiology of brain regions implicated in fear processing. Frontal cortex deactivation after successful psychotherapy is consistent with recent findings of efficacy of cognitive Prostitutes Bovisio-Masciago therapy in reducing the activation Prostitutes Bovisio-Masciago the neural network of fear conditioning in panic disorder Kircher et al.

Forebrain is a key substrate of conscious experience with emotional valence monitoring information with affective consequences Dalgleish, and is also associated with the processing of self-generated thoughts Ramnani and Owen, Prostitutes Bovisio-Masciago The greater difference between clients and controls subjects was not due to the nature of traumas but to the lack of symptoms in the latter.

The shift of the prevalent cortical firing during trauma reliving from prefrontal regions with limbic valence at Prostitutes Bovisio-Masciago to regions with more cognitive valence at T1 is the second relevant neurobiological correlate of processing associated with EMDR, and it is clinically confirmed by the highly significant decrease of all neuropsychological scores in RM clients and of the great majority of them in SGP clients.

The results confirmed the findings of a preliminary investigation reporting in real-time the cortical activation changes occurring during EMDR therapy Pagani Prostitutes Bovisio-Masciago al. In the present study performed in a three times larger cohort of subjects the previous findings were indeed strengthened decreasing the likelihood of type II error since the sampling error decreases with the increase of the sample size.

The EEG recordings were carried out in client-friendly environments, avoiding possible biases due to physical and psychological discomfort to the clients caused by a non-natural noisy examination condition, resulting in unspecific activations Mazard et al.

The dynamic representation of psychotherapy on Prostitutes Bovisio-Masciago cerebral cortex by functional imaging is by now an unicum in neuroimaging and paves the road to investigations implying longitudinal monitoring and therapeutic interventions during sessions. We also acknowledge some limitations of the study. Prostitutes Bovisio-Masciago, the spatial resolution of a channel EEG device is too low to allow a reliable detection of changes occurring in amygdala and central structures, limiting the analyses to the cortical regions.

Secondly, the possibility to subgroup SGP clients is prevented by a scarce numerosity not allowing further reliable statistical analyses and inferences about the neurobiological differences between clients having been exposed to the traumatic event in the same social context and for the same number of years but with different types of trauma direct vs.

However, all of them were exposed to a major traumatic Prostitutes Bovisio-Masciago, were symptomatic and the scores of most of the psychopathological evaluations and clinical examination classified them as suffering moderate to extreme PTSD see Table 2. This sample can then be considered representative of severely psychological traumatized individuals not differing from the majority of subjects recruited in the past investigations on PTSD.

EEG monitoring enabled for the Prostitutes Bovisio-Masciago time to disclose the neurobiological differences between groups of clients traumatized in different social and territorial context during the reliving of the traumatic event.

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The group chronically exposed to traumatic memories following a natural disaster showed moderate response to psychopathological evaluations and event reliving, speaking in Prostitutes Bovisio-Masciago of an impact on trauma neurobiology of social and environmental contexts.

The Review Editor France Haour declares that, despite being affiliated to the same association as author Isabel Fernandez, the review process Prostitutes Bovisio-Masciago handled objectively and no conflict of interest exists. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

The authors wish also to thank all clients and control subjects Prostitutes Bovisio-Masciago their kindness to accept to participate to the study.

American Prostitutes Bovisio-Masciago Association Anderson, M. Neural systems underlying the suppression of unwanted memories. Science— Barkay, G. Brain activation and heart rate during script-driven traumatic imagery in PTSD: preliminary findings. Psychiatry Res. Beck, A. Manual for the Beck Depression Inventory.

Neurobiological response to EMDR therapy in clients with different psychological traumas

Prostitutes Bovisio-Masciago, D. Electroencephalographic comparison of veterans with combat-related post-traumatic stress disorder and healthy subjects. Berkowitz, R. The human dimension: how the prefrontal cortex modulates the subcortical fear response.

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Brett, M. The problem of functional localization in the human brain. Britton, Prostitutes Bovisio-Masciago. Corticolimbic blood flow in posttraumatic stress disorder during script-driven imagery. Psychiatry Prostitutes Bovisio-Masciago, — Bryant, R. Amygdala and ventral anterior cingulate activation predicts treatment response to cognitive behaviour therapy for post-traumatic stress disorder.

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Cohen, J. Emotional brain rhythms and their impairment in post-traumatic patients. Brain Mapp.

Dalgleish, T. The emotional brain. Delorme, A. MethodsProstitutes Bovisio-Masciago Derogatis, L. Multidisciplinary Guideline Anxiety Disorders.

Ehlers, C. Felmingham, K. Changes in anterior cingulate and amygdala after cognitive behavior therapy of posttraumatic stress disorder. Fink, G. Prostitutes Bovisio-Masciago representation of one's own Prostitutes Bovisio-Masciago neural networks involved in autobiographical memory.

PubMed Abstract Google Scholar. Francati, V. Functional neuroimaging studies in posttraumatic stress disorder: review of current methods and findings. Anxiety 24, — Frei, E. Fries, Prostitutes Bovisio-Masciago. Modulation of oscillatory neuronal synchronization by selective visual attention.

Ge, R. Age-related alterations of brain network underlying the retrieval of emotional autobiographical memories: An fMRI study using independent component analysis. Gilboa, A. Functional connectivity of the prefrontal cortex and the amygdala in posttraumatic stress disorder.

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Psychiatry 55, Prostitutes Bovisio-Masciago Hasselmo, M. What is the function of hippocampal theta rhythm? Hippocampus 15, — Hirata, M. Effects of the emotional connotations in words on the frontal areas—a spatially filtered MEG study.

Neuroimage 35, — Horowitz, M. Impact of Event Scale: a measure of subjective stress. Psychotherapy: An evaluation of three approaches. Kircher, T. Effect of cognitive-behavioral therapy on Prostitutes Bovisio-Masciago correlates of fear conditioning in panic disorder. Psychiatry 73, 93— Kluetsch, R. Acta Psychiatr. Krabbendam, L. Neural effects of the social environment. Lancaster, J. Automated Talairach atlas labels for functional brain mapping.

Landin-Romero, R. EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology 67, — Lanius, Prostitutes Bovisio-Masciago. Brain activation during script-driven imagery induced dissociative responses in PTSD: a functional magnetic resonance imaging investigation.

Psychiatry 52, — Recall of emotional states in posttraumatic stress Prostitutes Bovisio-Masciago an fMRI Prostitutes Bovisio-Masciago. Psychiatry 53, — Lansing, K.

Neuropsychiatry Clin. Lee, S. Functional connectivity of resting state EEG and symptom severity in patients with post-traumatic stress disorder. Psychiatry 51, 51— Lindauer, R. Cerebral blood flow changes during script-driven imagery in police officers with posttraumatic stress disorder. Psychiatry Prostitutes Bovisio-Masciago, — Effects of psychotherapy on regional Prostitutes Bovisio-Masciago blood flow during trauma imagery in patients with post-traumatic stress disorder: a Prostitutes Bovisio-Masciago clinical trial.

Effects of psychotherapy on hippocampal volume in out-patients with post-traumatic stress disorder: a MRI investigation. Med 35, — Mazard, A. Impact of fMRI acoustic noise on the functional anatomy of visual mental imagery.

Mazziotta, J. B— Milad, M. The role of the orbitofrontal cortex in anxiety disorders.

Nichols, T. Nonparametric permutation tests for functional neuroimaging: a primer with examples. Osuch, E. Neurophysiological responses to traumatic reminders in the acute aftermath of serious motor vehicle collisions using [15O]-H2O positron emission tomography. Psychiatry 64, — Pagani, M. EMDR Pract. Pascual-Marqui, Prostitutes Bovisio-Masciago. Discrete, 3D distributed, linear imaging methods of electric neuronal activity.

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Peres, J. Police officers under attack: resilience Prostitutes Bovisio-Masciago of an fMRI study. J Psychiatr. Cerebral blood flow changes during retrieval of traumatic memories before and after psychotherapy: a SPECT study. Phan, K. Neural substrates for voluntary suppression of negative affect: a functional magnetic resonance imaging study.

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The Review Editor France Haour declares that, despite being affiliated to the same association as author Isabel Fernandez, the review process was handled objectively and no conflict of interest exists. Cohen, J. Med 35 , —