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Abstract #4149

Neural correlates of habitual expressive-suppression in trauma-exposed individuals

Luke Norman 1 , Andrew Iles 2 , Natalia Lawrence 2 , Abdelmalek Benattayallah 3 , and Anke Karl 2

1 Institute of Psychiatry, Department of Child and Adolescent Psychiatry, King's College, London, London, United Kingdom, 2 Mood Disorders Centre, School of Psychology, University of Exeter, Exeter, United Kingdom, 3 Exeter MR Research Centre, University of Exeter, Exeter, United Kingdom

Expressive-suppression is a maladaptive emotion-regulation method, which is associated with increased post-traumatic symptoms following trauma. Thirty-five individuals took part in the first neuroimaging study of expressive-suppression in a trauma-exposed population. We found that self-reported use of expressive-suppression was associated with decreased activation in the mPFC, and increased activation in the insula, in an emotional-faces task. Our findings suggest that deficits in mPFC limbic circuitry may prompt compensatory use of expressive-suppression in trauma exposed individuals. Furthermore, they suggest that insula hyperactivation in PTSD may partially result from increased habitual expressive-suppression suppression to emotional material in this population.

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