Neurobiology of emotion perception II: Implications for major psychiatric disorders

Mary L. Phillips, Wayne C. Drevets, Scott L. Rauch, Richard Lane

Research output: Contribution to journalReview article

1227 Scopus citations

Abstract

To date, there has been little investigation of the neurobiological basis of emotion processing abnormalities in psychiatric populations. We have previously discussed two neural systems: 1) a ventral system, including the amygdala, insula, ventral striatum, ventral anterior cingulate gyrus, and prefrontal cortex, for identification of the emotional significance of a stimulus, production of affective states, and automatic regulation of emotional responses; and 2) a dorsal system, including the hippocampus, dorsal anterior cingulate gyrus, and prefrontal cortex, for the effortful regulation of affective states and subsequent behavior. In this critical review, we have examined evidence from studies employing a variety of techniques for distinct patterns of structural and functional abnormalities in these neural systems in schizophrenia, bipolar disorder, and major depressive disorder. In each psychiatric disorder, the pattern of abnormalities may be associated with specific symptoms, including emotional flattening, anhedonia, and persecutory delusions in schizophrenia, prominent mood swings, emotional lability, and distractibility in bipolar disorder during depression and mania, and with depressed mood and anhedonia in major depressive disorder. We suggest that distinct patterns of structural and functional abnormalities in neural systems important for emotion processing are associated with specific symptoms of schizophrenia and bipolar and major depressive disorder.

Original languageEnglish (US)
Pages (from-to)515-528
Number of pages14
JournalBiological Psychiatry
Volume54
Issue number5
DOIs
StatePublished - Sep 1 2003

Keywords

  • Bipolar disorder
  • Depression
  • Emotion
  • Neuroanatomy
  • Schizophrenia

ASJC Scopus subject areas

  • Biological Psychiatry

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