title: Somatization severity associated with postero-medial complex structures.
abstract: Somatisation is a frequent problem in various psychiatric disorders, yet the cerebral mechanisms of somatisation remain unexamined. To test if somatisation is susceptible to emotional states, we investigated relationships between somatisation severity, neural effective connectivity, and autonomic responses to emotional facial expressions. Volunteering participants (N = 20) were presented with facial expressions of happy and sad emotion at three intensity levels (0%-50%-100%) in a fast implicit ER-fMRI design with concurrent derivation of skin conductance levels (SCL). Self-reported somatisation severity as assessed with Rief's SOMS-2 index was correlated with neural response controlling for other clinical traits to ascertain brain bases of somatisation. Regression analyses estimated effective connectivity of main clusters so determined with peripheral autonomic responses. Regions in which magnitude of activity correlated with somatisation severity consisted in both happy and sad conditions of the anterior ventral precuneus (BA7), along with posterior cingulate gyrus (PCC, BA23, sad condition) and anteromedial thalamus (happy condition).
authors.affiliation: Section of Cognitive Neuropsychiatry, Institute of Psychiatry, King's College Medical School, London SE5 8AF, United Kingdom. erwin.lemche@kcl.ac.uk
authors.forename: Erwin
authors.initials: E
authors.lastname: Lemche
authors.forename: Vincent P
authors.initials: VP
authors.lastname: Giampietro
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Brammer
authors.forename: Simon A
authors.initials: SA
authors.lastname: Surguladze
authors.forename: Steven C R
authors.initials: SC
authors.lastname: Williams
authors.forename: Mary L
authors.initials: ML
authors.lastname: Phillips
mesh_terms: D000328:Adult; D000342:Affective Symptoms; D001921:Brain / Q000502:physiology; D001931:Brain Mapping; D004644:Emotions / Q000502:physiology; D005149:Facial Expression; D005260:Female; D006240:Happiness; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D059906:Neuroimaging; D011618:Psychotic Disorders / Q000378:metabolism*; D013001:Somatoform Disorders / Q000378:metabolism*