2009
DOI: 10.1016/j.biopsych.2009.01.019
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Neural Mechanisms of Grief Regulation

Abstract: Background: The death of an attachment figure triggers intrusive thoughts of the deceased, sadness, and yearning for reunion. Recovery requires reduction of symptoms. We hypothesized that symptoms might correlate with a capacity to regulate attention toward reminders of the deceased, and activity in, and functional connectivity between, prefrontal regulatory regions and the amygdala.

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Cited by 75 publications
(71 citation statements)
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References 58 publications
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“…Early and chronic stress and trauma are well known to predict health outcomes, impacting on energy regulating hormonal systems (Danese & McEwen, 2012; Davis et al, 2013b). Significant trauma in both humans and animal models leads to activation of biological stress response systems, including the HPA axis, and temporary cognitive disorganization, especially in brain areas associated with memory, including the hippocampus, amygdala, and prefrontal cortex (Bremner, 2005; Freed, Yanagihara, Hirsch, & Mann, 2009; Hostinar et al, 2013; Landers & Sullivan, 2012; Najib, Lorberbaum, Kose, Bohning, & George, 2004). …”
Section: Discussionmentioning
confidence: 99%
“…Early and chronic stress and trauma are well known to predict health outcomes, impacting on energy regulating hormonal systems (Danese & McEwen, 2012; Davis et al, 2013b). Significant trauma in both humans and animal models leads to activation of biological stress response systems, including the HPA axis, and temporary cognitive disorganization, especially in brain areas associated with memory, including the hippocampus, amygdala, and prefrontal cortex (Bremner, 2005; Freed, Yanagihara, Hirsch, & Mann, 2009; Hostinar et al, 2013; Landers & Sullivan, 2012; Najib, Lorberbaum, Kose, Bohning, & George, 2004). …”
Section: Discussionmentioning
confidence: 99%
“…We do not, however, expect attachment to perfectly correlate with the frequency of viewing images. Bereavement research has shown that while the majority of those highly attached to their deceased loved ones are more likely to engage in 'searching behaviors' (which we presume, here, would include revisiting photographs of them when alive), a significant minority avoid all reminders of the deceased -including viewing photographic images of them (see Archer and Winchester, 1994;Freed et al, 2009).…”
Section: Interactions Between Attachment Image-viewing Behavior Andmentioning
confidence: 97%
“…The usual interpretation is that the brain activation patterns reflect an emotional state of craving but a fundamental problem with this interpretation is the lack of specificity in the findings. For example, similar brain regions become activated when subjects are shown sexually explicit videos [7] or photographs of loved ones that have passed away [8]. Increased attention or arousal is a major confounding variable in many of these studies.…”
Section: Introductionmentioning
confidence: 99%