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(Journal of Cognitive Neuroscience. 2005;17:874-883.)
© 2005 The MIT Press

Anxiety Reduction through Detachment: Subjective, Physiological, and Neural Effects

Raffael Kalisch, Katja Wiech, Hugo D. Critchley, Ben Seymour, John P. O'Doherty, David A. Oakley, Philip Allen and Raymond J. Dolan

University College London

Reprint requests should be sent to Raffael Kalisch, Functional Imaging Laboratory, Wellcome Department of Imaging Neuroscience, University College London, London WC1N 3BG, UK, or via e-mail: rkalisch{at}fil.ion.ucl.ac.uk.

The ability to volitionally regulate emotions helps to adapt behavior to changing environmental demands and can alleviate subjective distress. We show that a cognitive strategy of detachment attenuates subjective and physiological measures of anticipatory anxiety for pain and reduces reactivity to receipt of pain itself. Using functional magnetic resonance imaging, we locate the potential site and source of this modulation of anticipatory anxiety in the medial prefrontal/anterior cingulate and anterolateral prefrontal cortex, respectively.




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