Anxious individuals shift emotion control from lateral frontal pole to dorsolateral prefrontal cortex.

ABSTRACT: Anxious individuals consistently fail in controlling emotional behavior, leading to excessive avoidance, a trait that prevents learning through exposure. Although the origin of this failure is unclear, one candidate system involves control of emotional actions, coordinated through lateral frontopolar cortex (FPl) via amygdala and sensorimotor connections. Using structural, functional, and neurochemical evidence, we show how FPl-based emotional action control fails in highly-anxious individuals. Their FPl is overexcitable, as indexed by GABA/glutamate ratio at rest, and receives stronger amygdalofugal projections than non-anxious male participants. Yet, high-anxious individuals fail to recruit FPl during emotional action control, relying instead on dorsolateral and medial prefrontal areas.

SUBMITTER: Bramson B 

PROVIDER: S-EPMC10423291 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature