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Christine Amrhein

Publications and source records attributed to Christine Amrhein.

3 recordsLinked to original sources

Electrocortical evidence for an early abnormal processing of panic-related words in panic disorder patients.

Panic patients are hypothesized to have particularly elaborated cortical networks for panic-related stimuli, and this characteristic should be associated with an abnormal automatic processing of these stimuli. Panic-related and neutral words were presented to 25 panic patients and 25 matched healthy controls either at individually determined perception thresholds (threshold condition) or for 1000 ms (above threshold condition). Word recognition for words presented at perception threshold (threshold words), and event-related brain potentials (ERPs) triggered by threshold and above threshold words were analyzed. In the threshold condition, both panic patients and control participants correctly recognized more panic-related than neutral words. An additional analysis restricted to participants who used an intuitive strategy for word identification revealed an enhanced frequency of correctly identified panic-related words in panic patients. In the ERPs, only panic patients exhibited enhanced positive potentials during early time windows (200-400 ms after stimulus presentation) triggered by panic-related compared to neutral threshold words. In late (400-600 ms) and very late (600-1000 ms) time windows, both groups showed a greater ERP positivity for panic-related than for neutral words. These data suggest that panic patients are characterized by an early automatic and elaborated processing of disorder-relevant stimuli.

Adult↗

Covariation bias and its physiological correlates in panic disorder patients.

A covariation bias, i.e., the overestimation of random contingencies between fear-relevant stimuli and aversive consequences, seems to characterize anxiety disorders. Panic patients (n=30) and healthy controls (n=25) were exposed to panic-relevant, neutral, and phobia-relevant but panic-irrelevant picture stimuli, followed randomly be aversive consequences (acoustic startle stimuli). While covariation estimates reflected objective contingencies in both groups, only panic patients revealed a more negative Contingent Negative Variation (CNV) to panic-relevant than to phobia-relevant and neutral pictures. For startle reflex, only main effects of picture category were found, indicating that valence effects of picture stimuli were not specifically distorted in panic patients. CNV presumably reflects a biased processing of disorder-relevant stimuli by panic patients, perhaps with the expectation that aversive consequences will follow these stimuli.

Acoustic Stimulation↗

Modulation of event-related brain potentials during affective picture processing: a complement to startle reflex and skin conductance response?

The present study compared startle response, skin conductance response (SCR) and subjective variables (valence and arousal ratings, viewing time) assessed in an affective picture paradigm with simultaneously registered event-related brain potentials (ERPs) parameters such as P300 and positive slow waves (PSW). Pleasant, neutral and unpleasant pictures from the International Affective Picture System [Lang, P.J., Bradley, M.M., Cuthbert, B.N., 1999. International Affective Picture System (IAPS): Instruction manual and affective ratings. Technical Report A-4, Center for Research in Psychophysiology. University of Florida, Gainesville, Florida] were presented for 8 s, and startle probes were delivered during picture presentation. Startle response was modulated by picture valence, and SCR by picture arousal. ERP positivity was greater for pleasant and unpleasant than for neutral pictures for the P300 amplitude and the positive slow wave (PSW). ERPs showed characteristic differences and a distinct time course for pictures of different valence categories and may deliver useful information not contained in startle response or SCR measures. The simultaneous registration of startle responses and ERPs in the affective picture paradigm seems valuable.

Adult↗