To our best knowledge, this is the first neuroimaging study on nightmare disorder, and we have characterized the cerebral activities underlying altered hyperarousal and emotion regulation in nightmare disorder at resting-state.

Personality disorders often act as a common denominator for many psychiatric problems, and studies on personality disorders contribute to the etiopathology, diagnosis, and treatment of many mental disorders. In recent years, increasing evidence from various studies has shown distinctive features of personality disorders, and that from genetic and neuroimaging studies has been especially valuable. Genetic studies primarily target the genes encoding neurotransmitters and enzymes in the serotoninergic and dopaminergic systems, and neuroimaging studies mainly focus on the frontal and temporal lobes as well as the limbic-paralimbic system in patients with personality disorders. Although some studies have suffered due to unclear diagnoses of personality disorders and some have included few patients for a given personality disorder, great opportunities remain for investigators to launch new ideas and technologies in the field.

BackgroundHeadache symptoms self-reported by migraine patients are largely congruent with the clinician-used diagnostic criteria, but not always so. Patients’ self-reports of headache symptoms might offer additional clues to characterize migraine with (MA) and without (MO) aura more precisely.MethodsFirstly, we invited 324 participants with a life-long headache attack to answer an item-matrix measuring symptoms of primary headaches, then we performed both exploratory and confirmatory factor analyses to their answers and refined a headache symptom questionnaire. Secondly, we applied this questionnaire to 28 MA and 52 MO patients.ResultsIn participants with a life-long headache, we refined a 27-item, structure-validated headache symptom questionnaire, with four factors (scales) namely the Somatic /Aura Symptoms, Gastrointestinal and Autonomic Symptoms, Tightness and Location Features, and Prodromal/Aggravating Symptoms. Further, we found that MA patients reported higher than did MO patients on the Somatic/Aura Symptoms and Tightness and Location Features scales.ConclusionsCompared to MO, MA was conferred with more prominent tightness and location features besides its higher somatic or aura symptoms. Patients’ self-reports of headache symptoms might offer more clues to distinguish two types of migraine besides their clinician-defined criteria.

There is a need to use selected pictures with pure emotion as stimulation or treatment media for basic and clinical research. Pictures from the widely-used International Affective Picture System (IAPS) contain rich emotions, but no study has clearly stated that an emotion is exclusively expressed in its putative IAPS picture to date. We hypothesize that the IAPS images contain at least pure vectors of disgust, erotism (or erotica), fear, happiness, sadness and neutral emotions. Accordingly, we have selected 108 IAPS images, each with a specific emotion, and invited 219 male and 274 female university students to rate only the intensity of the emotion conveyed in each picture. Their answers were analyzed using exploratory and confirmatory factor analysis. Four first-order factors manifested as disgust-fear, happiness-sadness, erotism, and neutral. Later, ten second-order sub-factors manifested as mutilation-disgust, vomit-disgust, food-disgust, violence-fear, happiness, sadness, couple- erotism, female-erotism, male- erotism, and neutral. Fifty-nine pictures for the ten sub-factors, which had established good model-fit indices, satisfactory sub-factor internal reliabilities, and prominent gender-differences in the picture intensity ratings were ultimately retained. We thus have selected a series of pure-emotion IAPS pictures, which together displayed both satisfactorily convergent and discriminant structure-validities. We did not intend to evaluate all IAPS items, but instead selected some pictures conveying pure emotions, which might help both basic and clinical researches in the future.

BackgroundThe relationship between normal personality and hypnotic susceptibility is important for understanding mental processing and mental disorders, but it is less consistent in normal people or in patients with a psychiatric disorder. We have hypothesized that the correlation exists but varies in individuals with different levels of hypnotizability.Participants and methodsWe invited 72 individuals with high (HIGH group) and 47 individuals with low (LOW group) hypnotic susceptibilities to undertake tests of NEO-PI-R and the Stanford Hypnotic Susceptibility Scale, Form C (SHSSC).ResultsThe HIGH group scored significantly higher than the LOW group did on openness to experience and its facet openness to feelings. In the LOW group, SHSSC total was positively predicted by openness to ideas; age regression was positively predicted by openness to experience and negatively predicted by extraversion; anosmia to ammonia was negatively predicted by agreeableness; and negative visual hallucination was positively predicted by openness to experience. In the HIGH group, hallucinated voice was positively predicted by openness to experience and negatively predicted by agreeableness, and posthypnotic amnesia was positively predicted by extraversion and negatively predicted by openness to experience.ConclusionThe associations between normal personality traits and hypnotic susceptibility items were weak and different in the two groups, which imply that managing mental or somatoform disorders might be through adjusting hypnotizability and mobilizing personality functions.