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Neural basis of distorted self-face recognition in social anxiety disorder.


ABSTRACT:

Background

The observer perspective causes patients with social anxiety disorder (SAD) to excessively inspect their performance and appearance. This study aimed to investigate the neural basis of distorted self-face recognition in non-social situations in patients with SAD.

Methods

Twenty patients with SAD and 20 age- and gender-matched healthy controls participated in this fMRI study. Data were acquired while participants performed a Composite Face Evaluation Task, during which they had to press a button indicating how much they liked a series of self-faces, attractively transformed self-faces, and attractive others' faces.

Results

Patients had a tendency to show more favorable responses to the self-face and unfavorable responses to the others' faces compared with controls, but the two groups' responses to the attractively transformed self-faces did not differ. Significant group differences in regional activity were observed in the middle frontal and supramarginal gyri in the self-face condition (patients < controls); the inferior frontal gyrus in the attractively transformed self-face condition (patients > controls); and the middle frontal, supramarginal, and angular gyri in the attractive others' face condition (patients > controls). Most fronto-parietal activities during observation of the self-face were negatively correlated with preference scores in patients but not in controls.

Conclusion

Patients with SAD have a positive point of view of their own face and experience self-relevance for the attractively transformed self-faces. This distorted cognition may be based on dysfunctions in the frontal and inferior parietal regions. The abnormal engagement of the fronto-parietal attentional network during processing face stimuli in non-social situations may be linked to distorted self-recognition in SAD.

SUBMITTER: Kim MK 

PROVIDER: S-EPMC5153555 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Publications

Neural basis of distorted self-face recognition in social anxiety disorder.

Kim Min-Kyeong MK   Yoon Hyung-Jun HJ   Shin Yu-Bin YB   Lee Seung-Koo SK   Kim Jae-Jin JJ  

NeuroImage. Clinical 20160428


<h4>Background</h4>The observer perspective causes patients with social anxiety disorder (SAD) to excessively inspect their performance and appearance. This study aimed to investigate the neural basis of distorted self-face recognition in non-social situations in patients with SAD.<h4>Methods</h4>Twenty patients with SAD and 20 age- and gender-matched healthy controls participated in this fMRI study. Data were acquired while participants performed a Composite Face Evaluation Task, during which t  ...[more]

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