SURE: Web Posters from SURE 2002

The Relationship between Harm Avoidance and Brain Response to Negative, Unpredictable Stimuli
Jessica Jajosky, Sara Giordano, Megan Martin, and Greg Berns, MD, PhD
Department of Psychiatry, Emory University.

Abstract

People generally react negatively to uncertainty, although the response evoked on individual levels differs in degree. We are studying the relationship between harm avoidance, a component of temperament, and the brain’s response to negative, unpredictable stimuli. We expect to find a positive correlation between the harm avoidance score of an individual and activation in the amygdala in response to negative, unpredictable stimuli. In order to measure harm avoidance, each subject took a modified version of the Temperament and Character Index (TCI), which contains a series of true/false questions. To measure their brain response, we used functional magnetic resonance imaging (fMRI) to scan subjects while they watched a screen that projected colored disks; the disks indicated whether they would receive quinine, an unpleasant tasting fluid, and whether they would receive it in a predictable amount of time. A group analysis using one-sided t-tests was conducted with SPM99. The following contrasts were examined: predictable quinine v. no quinine and unpredictable quinine v. predictable quinine. A correlation test was conducted for each of the contrasts to determine which activations in the brain were associated with high harm avoidance scores. After examining twelve subjects, the predictable quinine v. no quinine contrast showed activation in the left inferior parietal lobe; in this contrast, high harm avoidance scores correlated with increased brain activity in the left superior temporal gyrus and the right lingual gyrus. The unpredictable quinine v. predictable quinine contrast showed activation in the insula, the left parahippocampal gyrus, the right superior frontal gyrus, the left inferior frontal gyrus, and the right precentral gyrus; in this contrast, high harm avoidance scores correlated with increased brain activity in the left posterior cingulate, the left precuneus, the right precentral gyrus, the right insula, and the left claustrum. We conclude that subjects with high harm avoidance scores correlate with increased insular activity in response to negative, unpredictable stimuli. To improve this experimentation, I would like to study the effects of comforting messages, i.e. “Only one minute left,” on the brain’s response to negative, unpredictable stimuli. The point of these experiments would be to relieve fear, not create it.