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@ARTICLE{Kogler:1006796,
      author       = {Kogler, Lydia and Regenbogen, Christina and Müller,
                      Veronika I. and Kohn, Nils and Schneider, Frank and Gur,
                      Ruben C. and Derntl, Birgit},
      title        = {{C}ognitive {S}tress {R}egulation in {S}chizophrenia
                      {P}atients and {H}ealthy {I}ndividuals: {B}rain and
                      {B}ehavior},
      journal      = {Journal of Clinical Medicine},
      volume       = {12},
      number       = {7},
      issn         = {2077-0383},
      address      = {Basel},
      publisher    = {MDPI},
      reportid     = {FZJ-2023-01849},
      pages        = {2749 -},
      year         = {2023},
      abstract     = {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.},
      cin          = {INM-7},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-7-20090406},
      pnm          = {5251 - Multilevel Brain Organization and Variability
                      (POF4-525)},
      pid          = {G:(DE-HGF)POF4-5251},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {37048832},
      UT           = {WOS:000970269300001},
      doi          = {10.3390/jcm12072749},
      url          = {https://juser.fz-juelich.de/record/1006796},
}