TY  - JOUR
AU  - Kogler, Lydia
AU  - Regenbogen, Christina
AU  - Müller, Veronika I.
AU  - Kohn, Nils
AU  - Schneider, Frank
AU  - Gur, Ruben C.
AU  - Derntl, Birgit
TI  - Cognitive Stress Regulation in Schizophrenia Patients and Healthy Individuals: Brain and Behavior
JO  - Journal of Clinical Medicine
VL  - 12
IS  - 7
SN  - 2077-0383
CY  - Basel
PB  - MDPI
M1  - FZJ-2023-01849
SP  - 2749 -
PY  - 2023
AB  - Stress is an important factor in the development, triggering, and maintenance of psychotic symptoms. Still, little is known about the neural correlates of cognitively regulating stressful events in schizophrenia. The current study aimed at investigating the cognitive down-regulation of negative, stressful reactions during a neuroimaging psychosocial stress paradigm (non-regulated stress versus cognitively regulated stress). In a randomized, repeated-measures within-subject design, we assessed subjective reactions and neural activation in schizophrenia patients (SZP) and matched healthy controls in a neuroimaging psychosocial stress paradigm. In general, SZP exhibited an increased anticipation of stress compared to controls (p = 0.020). During non-regulated stress, SZP showed increased negative affect (p = 0.033) and stronger activation of the left parietal operculum/posterior insula (p < 0.001) and right inferior frontal gyrus/anterior insula (p = 0.005) than controls. Contrarily, stress regulation compared to non-regulated stress led to increased subjective reactions in controls (p = 0.003) but less deactivation in SZP in the ventral anterior cingulate cortex (p = 0.027). Our data demonstrate stronger reactions to and anticipation of stress in patients and difficulties with cognitive stress regulation in both groups. Considering the strong association between mental health and stress, the investigation of cognitive regulation in individuals vulnerable to stress, including SZP, has crucial implications for improving stress intervention trainings.
LB  - PUB:(DE-HGF)16
C6  - 37048832
UR  - <Go to ISI:>//WOS:000970269300001
DO  - DOI:10.3390/jcm12072749
UR  - https://juser.fz-juelich.de/record/1006796
ER  -