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Abstracts
  • Schienle, A., Schäfer, A., Hermann, A., & Vaitl, D. (2009). Binge-eating disorder: reward sensitivity and brain activation to images of food. Biological Psychiatry, 65(8), 654–661. https://doi.org/10.1016/j.biopsych.2008.09.028

    BACKGROUND: The underlying neurobiological mechanisms that account for the onset and maintenance of binge-eating disorder (BED) are not sufficiently understood. This functional magnetic resonance imaging (fMRI) study explored the neural correlates of visually induced food reward and loathing. METHOD: Sixty-seven female participants assigned to one of four groups (overweight BED patients, overweight healthy control subjects, normal-weight healthy control subjects, and normal-weight patients with bulimia nervosa) participated in the experiment. After an overnight fast, the participants' brain activation was recorded during each of the following three conditions: visual exposure to high-caloric food, to disgust-inducing pictures, and to affectively neutral pictures. After the fMRI experiment, the participants rated the affective value of the pictures. RESULTS: Each of the groups experienced the food pictures as very pleasant. Relative to the neutral pictures, the visual food stimuli provoked increased activation in the orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), and insula across all participants. The BED patients reported enhanced reward sensitivity and showed stronger medial OFC responses while viewing food pictures than all other groups. The bulimic patients displayed greater arousal, ACC activation, and insula activation than the other groups. Neural responses to the disgust-inducing pictures as well as trait disgust did not differ between the groups. CONCLUSIONS: This study provides first evidence of differential brain activation to visual food stimuli in patients suffering from BED and bulimia nervosa.

  • Stark, R., Schienle, A., Girod, C., Walter, B., Kirsch, P., Blecker, C., Ott, U., Schäfer, A., Sammer, G., Zimmermann, M., & Vaitl, D. (2005). Erotic and disgust-inducing pictures--differences in the hemodynamic responses of the brain. Biological Psychology, 70(1), 19–29. https://doi.org/10.1016/j.biopsycho.2004.11.014

    The aim of this fMRI study was to explore brain structures that are involved in the processing of erotic and disgust-inducing pictures. The stimuli were chosen to trigger approach and withdrawal tendencies, respectively. By adding sadomasochistic (SM) scenes to the design and examining 12 subjects with and 12 subjects without sadomasochistic preferences, we introduced a picture category that induced erotic pleasure in one sample and disgust in the other sample. Since we also presented neutral pictures, all subjects viewed pictures of four different categories: neutral, disgust-inducing, erotic, and SM erotic pictures. The analysis indicated that several brain structures are commonly involved in the processing of disgust-inducing and erotic pictures (occipital cortex, hippocampus, thalamus, and the amygdala). The ventral striatum was specifically activated when subjects saw highly sexually arousing pictures. This indicates the involvement of the human reward system during the processing of visual erotica.

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