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| 2. |
- Bas-Hoogendam, Janna Marie, et al.
(författare)
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Voxel-based morphometry multi-center mega-analysis of brain structure in social anxiety disorder
- 2017
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Ingår i: NeuroImage. - : Elsevier BV. - 2213-1582. ; 16, s. 678-688
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Tidskriftsartikel (refereegranskat)abstract
- Social anxiety disorder (SAD) is a prevalent and disabling mental disorder, associated with significant psychiatric co-morbidity. Previous research on structural brain alterations associated with SAD has yielded inconsistent results concerning the direction of the changes in gray matter (GM) in various brain regions, as well as on the relationship between brain structure and SAD-symptomatology. These heterogeneous findings are possibly due to limited sample sizes. Multi-site imaging offers new opportunities to investigate SAD-related alterations in brain structure in larger samples.An international multi-center mega-analysis on the largest database of SAD structural T1-weighted 3T MRI scans to date was performed to compare GM volume of SAD-patients (n = 174) and healthy control (HC)-participants (n = 213) using voxel-based morphometry. A hypothesis-driven region of interest (ROI) approach was used, focusing on the basal ganglia, the amygdala-hippocampal complex, the prefrontal cortex, and the parietal cortex. SAD-patients had larger GM volume in the dorsal striatum when compared to HC-participants. This increase correlated positively with the severity of self-reported social anxiety symptoms. No SAD-related differences in GM volume were present in the other ROIs. Thereby, the results of this mega-analysis suggest a role for the dorsal striatum in SAD, but previously reported SAD-related changes in GM in the amygdala, hippocampus, precuneus, prefrontal cortex and parietal regions were not replicated. Our findings emphasize the importance of large sample imaging studies and the need for meta-analyses like those performed by the Enhancing NeuroImaging Genetics through Meta-Analysis (ENIGMA) Consortium.
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| 3. |
- Brännström, Jonas, et al.
(författare)
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The initial evaluation of an Internet-based support system for audiologists and first-time hearing aid clients
- 2016
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Ingår i: Internet Interventions. - : Elsevier BV. - 2214-7829. ; 4, s. 82-91
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Audiologists provide professional contact and support between appointments to clients with hearing impairment using telephone and e-mail, but more advanced and flexible technological platforms are also possible. The present study aimed to evaluate the clinical application of an Internet-based support system for audiologists and their first-time hearing aid clients. Design: An Internet-based support system developed by Månsson et al. (2013) for psychologists and their clients was adapted for audiologic purposes. Three audiologic clinics in Sweden tested the support system with their clients. Study sample: Twenty-three clients managed by four audiologists used and evaluated the support system. In addition, five of the clients and all four audiologists were interviewed and their responses were analyzed using content analysis. Results: The clients and the audiologists reported positive experiences and overall satisfaction but audiologists reported that the support system did not address the needs of all clients. More positive experiences and greater satisfaction with the support system were associated with reductions on self-reported consequences of hearing loss and positive hearing aids outcomes. Conclusions: An Internet-based support system can be used in audiologic rehabilitation. Both audiologists and clients recognized the system's potential value to offer an online support to the provision of audiologic services.
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| 5. |
- Brännström, Jonas, et al.
(författare)
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The Process of Developing an Internet-Based Support System for Audiologists and First-Time Hearing Aid Clients
- 2015
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Ingår i: American Journal of Audiology. - : American Speech-Language-Hearing Association. - 1059-0889 .- 1558-9137. ; 24:3, s. 320-324
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Tidskriftsartikel (refereegranskat)abstract
- Background: In audiologic practice, complementary information sources and access to the clinician between appointments improve information retention and facilitate adjustment behaviors. An Internet-based support system is a novel way to support information sharing and clinician access. Purpose: This research forum article describes the process of developing an Internet-based support system for audiologists and their first-time hearing aid clients. Method: The iterative development process, including revisions by 4 research audiologists and 4 clinical audiologists, is described. The final system is exemplified. Conclusion: An Internet-based support system was successfully developed for audiologic practice.
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| 6. |
- Cortes, Diana S., et al.
(författare)
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Increased dorsomedial prefrontal cortex activity to negative emotion displays in men but not in women
- 2019
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Ingår i: Program.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The neuropeptide oxytocin plays a prominentrole in social and emotional cognition. Findings suggest that exogenous intranasal oxytocin administration facilitates emotion recognition in humans, but individual and contextual differences may have moderating effects. A major caveat in this line of work is that it is predominantly based on young males, which limits current knowledge and potential for generalizability across gender. To uncover potential gender effects, the present study included younger and older men and women. Utilizing a randomized, double-blind, placebo-controlled, within-subjects study design, we investigated the effects of a single-dose of 40 IUs intranasal oxytocin administration on emotion recognition of dynamic positive and negative stimuli in 32 men (mean age 45.78, sd. 22.87) and 39 women (mean 47.87, sd. 47.87), 40 minutes prior to MRI scanning. Preliminary analyses show that oxytocin induced brain activity reductions during exposure to negative (relative to positive) stimuli in women, while increasing brain activity in dorsomedial prefrontal cortex in men. We speculate that the effects of oxytocin on emotion recognition may possibly be related to emotion regulation and mentalization processes, and that oxytocin is related to potential sex-differences in these processes. The results also raise concern that previous oxytocin literature on emotion recognition may be biased as there appears to be gender-differential effects of oxytocin on brain activity across adulthood that have been underestimated. In the next stage of the present study, we will investigate the interaction effects among treatment, sex, age, and presentation modality.
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| 7. |
- Cortes, Diana S., et al.
(författare)
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Oxytocin Induces Brain Activity Reductions to Negative Emotional Stimuli in Younger and Older Adults
- 2018
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Konferensbidrag (refereegranskat)abstract
- In recent years, the intranasal administration of the neuropeptide oxytocin has mainly been related to improvements in domains such as emotion recognition and memory, but to date the effects of oxytocin in aging remain largely unknown. A major caveat in oxytocin research is that it is almost exclusively based on young men which may reflect an inadequate picture of the potential benefits of oxytocin administration. In a randomized, double blind, placebo controlled, within-subjects study design, we investigated whether oxytocin affects the recognition of positive and negative stimuli differently in younger and older adults. Forty-four older adults (50% women; M= 69.82) and 44 younger adults (50% women; M= 24.75) participated in this study two times, receiving a single intranasal dose of 40 IUs of placebo and oxytocin in randomized order 40 minutes before engaging in the task. Participants watched short videoclips where actors displayed nine emotions: neutrality, happiness, pride, interest, relief, anger, despair, sadness, and disgust. Preliminary results indicate that oxytocin-induced reductions to negative emotions were found in bilateral fusiform gyrus (Z > 4.16, Family wise error corrected, pFWE < 0.009), hippocampus (Z > 4.53, pFWE < 0.002), insula (Z > 3.69, pFWE < 0.045), and superior temporal gyrus (Z > 4.34, pFWE < 0.008), as well as, right-lateralized reductions in the amygdala (Z = 3.73, pFWE = 0.005). These findings are in line with previous studies showing decreased brain activity to negative stimuli and suggest that this mechanism in not only present in younger adults but it can also be extended to an older population. Future studies should investigate how oxytocin impacts socioemotional and cognitive processes in elderly.
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| 8. |
- Cortes, Diana S., et al.
(författare)
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Oxytocin may facilitate neural recruitment in medial prefrontal cortex and superior temporal gyrus during emotion recognition in young but not older adults
- 2020
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Ingår i: 2020 Cognitive Aging Conference. ; , s. 22-23
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Konferensbidrag (refereegranskat)abstract
- Normal adult aging is associated with decline in some socioemotional abilities, such as the ability to recognize emotions in others, and age-related neurobiological processes may contribute to these deficits. There is increasing evidence that the neuropeptide oxytocin plays a key role in social cognition, including emotion recognition. The mechanisms through which oxytocin promotes emotion recognition are not well understood yet, and particularly in aging. In a randomized, double-blind, placebo-controlled within-subjects design, we investigated the extent to which a single dose of 40 IU of intranasal oxytocin facilitates emotion recognition in 40 younger (M = 24.90 yrs., SD = 2.97, 48% women) and 40 older (M = 69.70 yrs., SD = 2.99, 55% women) men and women. During two fMRI sessions, participants viewed dynamic positive and negative emotional displays. Preliminary analyses show that younger participants recognized positive and negative emotions more accurately than older participants (p < .001), with this behavioral effect not modulated by oxytocin. In the brain data, however, we found an age x treatment interaction in medial prefrontal cortex (xyz [14, 14, 6], p = .007) and superior temporal gyrus (xyz [53, 9, 2], p = .031). In particular, oxytocin (vs. placebo) reduced activity in these regions for older participants, while it enhanced activity in these regions for younger participants. In line with previous research, these findings support the notion that the effects of oxytocin vary by context and individual factors (e.g., social proficiency, age).
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| 9. |
- Cortes S., Diana, et al.
(författare)
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Does single-dose intranasal oxytocin facilitate neural recruitment in younger and older adults during negative compared to positive dynamic multimodal expressions?
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Tidskriftsartikel (refereegranskat)abstract
- Normal adult aging is associated with a decline in socioemotional abilities, and underlying these deficits are age-related neurobiological processes. There is increasing evidence that the neuropeptide oxytocin plays a key role in social cognition, specifically in the ability to recognize emotions. In a randomized, double-blind, placebo controlled within-subjects design, we investigated the extent to which a single dose of 40 IU of intranasal oxytocin facilitates neural recruitment in younger and older adults during negative compared to positive dynamic multimodal expressions. Based on the literature, several regions of interest were selected prior analyses: insula, amygdala, caudate head, fusiform gyrus, superior temporal gyrus, medial prefrontal cortex, medial orbitofrontal cortex, ventral medial prefrontal cortex, and dorsomedial prefrontal cortex. Behavioral data showed that younger adults outperformed older adults. and higher accuracy scores were observed during the PL condition compared to the OT condition. This was further qualified by the brain data, where OT induced brain activity reductions in the fusiform gyrus, dorsomedial prefrontal cortex, and medial orbitofrontal cortex in response to negative compared to positive expressions. Both age groups showed hypoactivity in most regions of interest during auditory stimuli compared to visual and multimodal stimuli. In line with previous research, these findings suggest that the effects of oxytocin may vary due to context, social proficiency, and individual factors (i.e. age). Future studies should target how age, presentation modality, and oxytocin interact.
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| 10. |
- Costache, Madalina Elena, et al.
(författare)
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Higher- and lower-order personality traits and cluster subtypes in social anxiety disorder
- 2020
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Ingår i: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 15:4
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Tidskriftsartikel (refereegranskat)abstract
- Social anxiety disorder (SAD) can come in different forms, presenting problems for diagnostic classification. Here, we examined personality traits in a large sample of patients (N = 265) diagnosed with SAD in comparison to healthy controls (N = 164) by use of the Revised NEO Personality Inventory (NEO-PI-R) and Karolinska Scales of Personality (KSP). In addition, we identified subtypes of SAD based on cluster analysis of the NEO-PI-R Big Five personality dimensions. Significant group differences in personality traits between patients and controls were noted on all Big Five dimensions except agreeableness. Group differences were further noted on most lower-order facets of NEO-PI-R, and nearly all KSP variables. A logistic regression analysis showed, however, that only neuroticism and extraversion remained significant independent predictors of patient/control group when controlling for the effects of the other Big Five dimensions. Also, only neuroticism and extraversion yielded large effect sizes when SAD patients were compared to Swedish normative data for the NEO-PI-R. A two-step cluster analysis resulted in three separate clusters labelled Prototypical (33%), Introvert-Conscientious (29%), and Instable-Open (38%) SAD. Individuals in the Prototypical cluster deviated most on the Big Five dimensions and they were at the most severe end in profile analyses of social anxiety, self-rated fear during public speaking, trait anxiety, and anxiety-related KSP variables. While additional studies are needed to determine if personality subtypes in SAD differ in etiological and treatment-related factors, the present results demonstrate considerable personality heterogeneity in socially anxious individuals, further underscoring that SAD is a multidimensional disorder.
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