Abstract
Bottom-up processes can interrupt ongoing cognitive processing in order to adaptively respond to emotional stimuli of high potential significance, such as those that threaten wellbeing. However it is vital that this interference can be modulated in certain contexts to focus on current tasks. Deficits in the ability to maintain the appropriate balance between cognitive and emotional demands can severely impact on day-to-day activities. This fMRI study examined this interaction between threat processing and cognition; 18 adult participants performed a visuospatial working memory (WM) task with two load conditions, in the presence and absence of anxiety induction by threat of electric shock. Threat of shock interfered with performance in the low cognitive load condition; however interference was eradicated under high load, consistent with engagement of emotion regulation mechanisms. Under low load the amygdala showed significant activation to threat of shock that was modulated by high cognitive load. A directed top-down control contrast identified two regions associated with top-down control; ventrolateral PFC and dorsal ACC. Dynamic causal modeling provided further evidence that under high cognitive load, top-down inhibition is exerted on the amygdala and its outputs to prefrontal regions. Additionally, we hypothesized that individual differences in a separate, non-emotional top-down control task would predict the recruitment of dorsal ACC and ventrolateral PFC during top-down control of threat. Consistent with this, performance on a separate dichotic listening task predicted dorsal ACC and ventrolateral PFC activation during high WM load under threat of shock, though activation in these regions did not directly correlate with WM performance. Together, the findings suggest that under high cognitive load and threat, top-down control is exerted by dACC and vlPFC to inhibit threat processing, thus enabling WM performance without threat-related interference.
Prefrontal inhibition of threat processing reduces working memory interference
In daily life we regulate our emotions continuously and automatically in order to remain focused on current thoughts and actions. There must be a balance between the ability to detect and attend to potentially significant, sometimes threatening emotional stimuli, and the ability to focus on current goals without unnecessary interruptions. In typical situations this balance is likely to be maintained automatically with little need for individuals to employ deliberate emotion regulation strategies (Mauss et al., 2007). However, anxiety is associated with reduced top-down control over threat related distractors (Bishop et al., ) and deficits in maintaining this balance are apparent in cases of highly anxious individuals where intrusive threat-related perceptions and thoughts severely impact day-to-day activities (Etkin et al., ). Interference by emotions and emotional stimuli may be overcome by top-down control mechanisms that either facilitate and protect task-related processing, inhibit the interfering emotional effects or a combination of the two. It is not clear whether overcoming emotional interference occurs with a concomitant regulation of subjective emotion, with the majority of studies using emotional stimuli as opposed to induced emotions per se. Here, we examined the interplay between bottom-up threat detection systems and top-down control mechanisms using a spatial WM task performed under threat of electric shock. We also investigated whether individual differences in a completely independent non-emotional attentional control task predict the recruitment of top-down control mechanisms in an emotional control task.
The neural basis of emotion regulation has been primarily studied by explicitly instructing participants to reappraise emotional stimuli (Ochsner et al., ; Schaefer et al., ; Ochsner and Gross, ), implicating a brain network including lateral and ventral prefrontal and cingulate regions. Fewer studies have used tasks in which regulating emotion is required but not explicitly instructed. An example is cognitive tasks performed in the context of emotional distractors or some form of emotion induction, for example anxiety (Dolcos and McCarthy, ; Shackman et al., ), which can impair task performance (Dolcos and McCarthy, ; Shackman et al., ; Blair et al., ; Oei et al., ), particularly for anxious individuals (Fales et al., ; Cisler and Koster, ). There is some evidence that this interference is reduced when the cognitive load of the task increases (Erthal et al., ; Van Dillen and Koole, 2009; Vytal et al., 2012), possibly through the automatic engagement of lateral prefrontal top-down control mechanisms that inhibit subcortical regions involved in emotional responding such as the amygdala (Blair et al., ; Van Dillen et al., 2009). However, results are not consistent with other studies reporting greater interference with increasing load (Eysenck et al., ).
Lavie's load model (Lavie et al., ) attempts to reconcile similar incongruences that exist in the non-emotional cognition and attention domain. Under this framework a distinction between perceptual and cognitive load determines whether distracting stimuli produce interference; under increasing perceptual load fewer resources are available to process the distracting stimuli and so interference is reduced whilst with increasing cognitive load there are fewer cognitive resources available to exert top-down control and so interference increases. It is not clear how such a system may operate for emotional distractors. A straightforward translation of Lavie's model would posit that tasks involving high perceptual load might deplete perceptual resources to such an extent that potentially significant emotional stimuli escape processing, and therefore such tasks do not show effects of interference from emotional stimuli, whereas tasks with high cognitive load will. Indeed, the perceptual load model can account for some results, for example the diminished emotional interference in Erthal et al. () where increased load is perceptual (comparing the orientation of peripherally presented bars) as are the emotional stimuli (negative images). A direct translation of Lavie's model cannot account, however, for a number of studies where emotional interference is diminished by high cognitive load (e.g., Van Dillen and Koole, 2009; Vytal et al., 2012). In addition, emotional stimuli gain preferential processing compared to non-emotional stimuli (Dolan and Vuilleumier, ; Alpers and Gerdes, ; Stout et al., 2013), and automatic processing of threatening stimuli can lead to increased emotional responding outside of awareness (Whalen et al., 1998; Vuilleumier et al., 2002; Dolan and Vuilleumier, ). Therefore, it is unclear whether high perceptual load could reduce perceptual resources to such an extent that emotional stimuli, particularly threatening stimuli, are no longer processed. On the other hand, a model that includes active top-down control allows for the processing and subsequent control of emotional, potentially threatening stimuli.
Many studies suggest top-down control of emotion shares common mechanisms with top-down mechanisms for (non-emotional) attentional control and response inhibition (e.g., Pessoa et al., ; Ridderinkhof et al., ; Stevens et al., 2007; Etkin et al., ; Shackman et al., ). Two specific brain regions, the ventrolateral prefrontal cortex (vlPFC) and dorsal anterior cingulate cortex (dACC) implicated in emotion regulation (Blair et al., ; Ochsner and Gross, ; Van Dillen et al., 2009) overlap with regions commonly identified in studies of cognitive control (e.g., Herath et al., ; Dux et al., ). Dorsal ACC is implicated in performance monitoring and detecting when control is necessary (MacDonald et al., 2000; Ridderinkhof et al., ) possibly by conflict monitoring (Botvinick et al., , ; Kerns et al., ; Kerns, ; Botvinick, 2007; Kim et al., ) or by comparing actual and predicted outcomes (Alexander and Brown, ), whilst lateral PFC regions including vlPFC are posited to be involved in implementing the appropriate attentional or behavioral adjustments (Ridderinkhof et al., ; King et al., ). In one study of healthy adolescents using versions of a counting Stroop task, emotion control activated vlPFC, cognitive control activated dlPFC and both conditions activated an area in between, Brodmann Area (BA) 45 (inferior frontal gyrus), with higher activation in faster responders (Mincic, ). The authors suggested BA 45 serves as a common mechanism for top-down attentional control in cognitive and emotional contexts. Ochsner et al. () used different versions of the Erkisen flanker task to examine response and affective conflict, observing common dACC and dlPFC activity but rostral medial PFC and left vlPFC were differentially activated by affective versus cognitive conflict. Similarly Krug and Carter () used emotional and non-emotional versions of a facial Stroop task showing commonalities in dlPFC and dACC activity in both tasks.
One aspect of previous studies of top-down control of emotion that might explain discrepant findings is the nature of the emotional stimuli. Most previous research on top-down control of emotion has used emotional stimuli designed to distract from the cognitive task due to the salience of the stimulus, rather than due to any actual induced emotion. In this study we were interested in the mechanisms of emotional control that allow an individual to overcome the detrimental effects of an experienced emotion—induced anxiety—in order to perform a completely unrelated cognitive task.
We conducted an fMRI study of an emotional control task where anticipatory anxiety was induced by threat of shock whilst participants performed a visuospatial WM task under two load conditions (based on Shackman et al., ). We hypothesized that high WM load would reduce interference from threatening stimuli via an active top-down control mechanism, and that this effect would correspond to increased lateral PFC and dACC activation and decreased amygdala activation. We also aimed to test two possible active mechanisms by which interference from irrelevant stimuli can be overcome; facilitating task-related processing and inhibiting threat processing. Dynamic causal modeling was employed to compare the evidence for cognitive facilitation versus threat inhibition. We further predicted that an index of non-emotional top-down control taken from participant's performance on a dichotic listening task would predict activation in the same brain regions as emotional top-down control, pointing to a possible overlap in the neural circuitry underlying general adaptive top-down control.
Materials and methods
Participants
Nineteen volunteers (13 female) took part in the study. One participant was excluded from all analyses due to performing at chance on the emotional control task leaving 18 participants (13 Female) aged between 21 and 40 (mean = 25, S.D = 5) with normal or corrected to normal vision and hearing. All participants were right-handed and did not report any history of neurological or psychiatric problems. Participants were scanned at the University of Reading Centre for Integrative Neuroscience and Neurodynamics (CINN). Participants gave fully informed consent and the research was approved by the University of Reading Research Ethics Committee. All participants received images of their brain as compensation for their time.
Procedure
There were two components to this study. The task used to directly assess spontaneous top-down regulation of emotion was a visuospatial WM task with threat of shock to induce anxiety. A directed dichotic listening task was used as an index of non-emotional top-down attentional control.
Visuospatial WM task
This n-back WM task was based on the study by Shackman et al. () and consisted of a 2 (WM Load: Low Load/High Load) by 2 (Threat: Safe/Threat) within-subjects factorial design, with trials presented in blocks corresponding to the 4 experimental conditions (Low Load/Safe, Low Load/Threat, High Load/Safe and High Load/Threat. The structure of the task is shown in Figure 1. Each trial presentation consisted of a box containing one of six letters in one of eight locations; the remaining area of the display was occupied by a random array of letters. The box was presented for 350 ms, followed by an inter-trial interval (1500 ms) where the box disappeared but the background array of letters remained, following which the box reappeared. On 2-back trials participants judged whether the box displayed on the current trial occurred in the same spatial location two trials previously (and responded accordingly with a button press), whilst on 3-back trials they indicated whether the box appeared in the same location three trials previously. As in Shackman et al. (), the boxes appeared in overlapping, asymmetric, non-cardinal locations to encourage the use of visuospatial WM as opposed to verbal strategies. The task was presented using E-Prime 2 software (Psychological Software Tools Inc.) and a Nordic Neuro Labs goggle visual display system displaying the stimuli at 60 Hz on an 800 × 600 pixel screen, with a field of view of 30 × 23°. The goggles included a built in infrared camera for recording relative pupil dilation (recorded using 60 Hz sample rate).
Figure 1
The possibility of receiving an unpleasant electrical shock to the index finger of the non-dominant hand was used to induce anxiety. Blocks were either Safe or Threat as indicated before the block began and throughout by the background color (counterbalanced across participants). In Safe blocks, participants were told that there was no possibility of shock whilst in Threat blocks participants were told that they may receive one or more electric shocks. Each block began with a 4 s display indicating the type of block (2- or 3-back) with the background color representing the threat level.
During a training phase in which the visuospatial WM task was performed outside the scanner, electric shocks were delivered via an ADInstruments ML856 PowerLab 26T Isolated Stimulator using an MLADDF30 stimulating bar electrode with 30 mm spacing of 9 mm contacts. Each participant's stimulation level was set by first exposing them to an electric stimulation of 1 mA (10 pulses at 50 Hz, with a pulse duration of 200 μs) and increasing the current in steps of 0.5 mA, up to a maximum of 10 mA, until a suitable participant-specific threshold was found that was uncomfortable and unpleasant but not painful. This level was then used throughout the task for that subject (subject-specific levels ranged between 3 mA and 10 mA). Participants were told they would receive between one and 20 random shocks throughout the course of the experiment, and that the intensity of stimulation would vary. In fact, during the training WM task prior to scanning, shocks were delivered during 50% of Threat blocks. This setup allowed practice in the task, ensured that experience of the electric shock was unpleasant and that the threat of shock was capable of inducing anxiety. During the scan sham electrodes were used meaning that the scan was free from contamination by shocks, though identical instructions were given. At the end of each block, participants rated their level of anxiety in the preceding block on a sliding scale ranging from 0 (not at all anxious) to 10 (extremely anxious) moving in steps of 0.25. After the scan participants were asked whether they did in fact believe during the scan that there was a chance of receiving any electric shocks.
Each block contained 18 response trials and lasted 45 s, with 4 blocks of each of the 4 experimental conditions. As the task was repetitive in nature and required continuous concentration from the participant, the task was divided into two scan runs of eight blocks with a break period in between. The order of conditions was counterbalanced across participants.
Dichotic listening task
The dichotic listening task (Hugdahl et al., ) was carried out prior to scanning on the same day as the visuospatial WM task. This involved the auditory presentation of stimuli simultaneously to the right and left ears. The stimuli consisted of six syllables comprising the stop-consonants b, d, g, p, t, and k combined with the vowel a (/ba/, /pa/, etc.). These six syllables were combined into 36 pairs (including the homonyms) with one being played to the left and the other to the right ear. Each syllable had a duration of approximately 350 ms, with an interval between presentations of 4 s. Participants repeated back the sound they heard and this was then marked down by the researcher. There were three conditions; non-forced, forced right and forced left. In the non-forced condition there was no special instruction to direct attention towards either ear, whilst in the forced right and forced left conditions participants were instructed to listen only to the right or left ear respectively and ignore any sound they heard through the other ear. Each condition composed a full run of the 36 syllable combinations. The non-forced condition was always carried out first and participants were advised not to spend too long thinking about their answer and if they believed they had heard more than one sound to indicate which sound they heard most clearly. The orders of the forced right and left conditions were counterbalanced across participants. The procedure and stimuli used have been used elsewhere (e.g., Hugdahl, ) and the ability to direct attention to either ear in dichotic listening tasks has been proposed as an index of top-down control (Hugdahl et al., ).
Participants' responses were recorded as they performed the task. These were later classified as correctly producing the syllable presented to the left ear (Correct Left), correctly producing the syllable presented to the right ear (Correct Right), or incorrect. Trials where identical sounds were presented to both ears were not scored but used to ensure typical hearing. An index of top-down control was calculated for each participant; this was taken as the sum of Correct Right in the forced right condition minus Correct Right in the non-forced condition and Correct Left in the forced left condition minus Correct Left in the non-forced condition. Higher scores represent a greater ability to direct attention to either ear compared to the control condition. The demeaned scores were used to perform a regression analysis to identify regions where activation in the emotional control task correlated with non-emotional attentional control.
MRI acquisition
Two identical T2*-weighted echo planar imaging (EPI) functional scans lasting 7 min and 44 s were acquired (TR = 2 s, TE = 30 ms, flip angle = 90°, FOV = 192 × 192 mm, 3 × 3 mm voxels, slice thickness 4 mm with an interslice gap of 1 mm, 30 axial slices), separated by a short break and recalibration of the eye tracking system. Participants held an MRI-compatible response box in their dominant right hand, with the sham stimulating electrodes attached to the index finger of the left hand. Following completion of the functional scans, a high-resolution T1-weighted anatomical scan was acquired (MPRAGE, 1 × 1 mm in-plane resolution, 256 × 256 mm FOV, axial slices with 1 mm slice thickness).
MRI data processing
fMRI analyses were carried out in Feat version 5.98 part of FSL (FMRIB's Software Library, www.fmrib.ox.ac.uk/fsl). Brain extraction was carried out using the FSL Brain Extraction Tool (BET; Smith, ). Motion correction using MCFLIRT (Jenkinson et al., ), Gaussian smoothing (FWHM 5 mm) and a 200 s high pass temporal filter were employed. First-level GLM analysis was carried out for each functional scan run and then the two runs of each participant were combined using a fixed effects analysis. Separate regressors were specified for each of the four experimental conditions (Low Load/Safe, Low Load/Threat, High Load/Safe, and High Load/Threat) by convolving a binary boxcar function with an ideal haemodynamic response. A regressor for the anxiety rating period was included, as were six motion parameters to model residual signal changes due to participant motion.
Two main effect contrasts were defined; the first to reveal WM Load-related activity by identifying regions more active in High Load compared to Low Load trials (High Load/Safe + High Load/Threat − Low Load/Safe − Low Load/Threat) and the second to reveal regions more active under threat than safety (Low Load/Threat + High Load/Threat − Low Load/Safe − High Load/Safe).
In addition to these main effect analyses, directed contrasts were set to address specific questions of this study. Firstly, a contrast was defined to identify top-down control activity by looking for areas with activation greater in the condition posited to engender top-down control (High Load/Threat) compared to all others. Secondly, a contrast to identify areas more active in the Low Load/Threat condition versus all others was defined to identify regions associated with emotional responding to threat that is reduced under high cognitive load. Given the strong a priori evidence for the role of the amygdala in negative emotions including anxiety (LeDoux, ; Kalin et al., ; Etkin and Wager, 2007; Etkin et al., ), a region of interest analysis was carried out with a bilateral amygdala mask (threshold 25% of the Harvard-Oxford subcortical atlas (FMRIB Software Library). Furthermore, a regression analysis with each participant's index of top-down control taken from the dichotic listening task was performed to identify how individual differences in top-down control of attention in a non-emotional task may predict individual differences in engagement of particular brain regions in the emotional control task.
Contrast images were registered to a standard space template (MNI152_T1_2 mm_brain) with FLIRT (Jenkinson and Smith, ; Jenkinson et al., ) using a two stage linear registration (functional-structural-template). Higher-level mixed effect analysis using OLS consisted of regressors for the group mean, demeaned dichotic listening scores and demeaned belief in receiving a shock (coded with 1 for expressing no doubt and −1 for expressing any). Whole-brain analysis was carried out using cluster thresholding based on Random Field Theory (Worsley, 2001) to ensure a corrected p < 0.05.
Results
Behavioral results
Anxiety induction
In order to reduce the effect of response biases (e.g., participants tending to cluster around one part of the scale) anxiety ratings were standardized using each participant's average rating and standard deviation across all conditions. A 2 × 2 within subject ANOVA with anxiety rating as the dependent variable revealed a significant main effect of threat of shock [F(1, 17) = 9.697, p = 0.006] with a greater anxiety rating in Threat compared to Safe blocks. Neither WM Load [F(1, 18) = 2.208, p = 0.155] nor the interaction [F(1, 18) = 0.109, p = 0.745] reached significance. Whilst the absolute ratings of anxiety [scaled from 0 (‘not at all anxious’) to 10 (‘extremely anxious’)] were low (threat = 4.3, S.D = 1.33; safety = 3.6, S.D = 1.48), the significant main effect supports the conclusion that threat of shock successfully induced anxiety.
Visuospatial WM performance
In order to make decisive inferences about the differential effects of anxiety at both WM loads it is important to demonstrate psychometric equivalence. Discriminating power (Chapman and Chapman, ) was calculated by multiplying reliability in Safe conditions (measured by Cronbach's alpha) by the accuracy variance. This indicates the sensitivity of a test to detect an experimental manipulation. There was no significant difference in discriminating power in Low Load compared to High Load [t(17) = −0.367, p = 0.718] conditions suggesting the sensitivity to detect an effect of threat was the same at both loads.
A within-subject ANOVA revealed a main effect of WM Load [F(1, 17) = 15.865, p = 0.001], with significantly better performance on 2-back (86.8%, S.D = 10.24) than 3-back (81.8%, S.D = 12.21) trials. There was no main effect of Threat [F(1, 17) = 0.422, p = 0.525] but a significant WM Load × Threat interaction effect [F(1, 17) = 17.480, p = 0.001]. Under the Low Load condition threat of shock significantly interfered with performance [Low Load/Safe vs. Low Load/Threat; mean difference = +3.8%, S.D = 4.8; t(17) = 3.370, p = 0.004] whereas under increased cognitive load there was no significant interference from threat of shock, in fact there was a trend for an improvement in performance [High Load/Safe vs. High Load/Threat; mean difference = −2.5%, S.D = 5.8; t(17) = −1.792, p = 0.091] (see Figure 2).
Figure 2
This interference effect was not the result of a speed-accuracy trade-off; reaction times were slower in Threat (733 ms, S.D = 151.7) than Safe conditions (703 ms, S.D = 154.6) [F(1, 17) = 14.254, p = 0.002] with no significant interaction effect [F(1, 17) = 0.074, p = 0.789]. As expected there was a main effect of WM Load [F(1, 17) = 4.825, p = 0.042] with faster responses in the 2-back (706 ms, S.D = 139) than 3-back (730 ms, S.D = 168) conditions.
Pupil dilation
Pupil dilation has been shown to be a reliable index of cognitive effort (Beatty,
Main effect imaging results
Main effect of WM load: high load—low load
No regions survived whole-brain cluster corrected thresholding, however at an uncorrected z-threshold of 2.3 a cluster located in the right dlPFC was found to be significantly more active in High Load compared to Low Load blocks (see Table 1 and Figure 3). This region has been previously associated with visuospatial WM (e.g., Manoach et al.,
Table 1
| Contrast | Local maxima (mm) | Cluster size (mm3) | ||||
|---|---|---|---|---|---|---|
| Z score | x | y | z | |||
| High Load > Low Load Uncorrected | r. Superior frontal gyrus | 3.77 | 24 | 8 | 46 | 7056 |
| r. Middle frontal gyrus | 3.33 | 30 | 4 | 50 | ||
| r. Angular gyrus | 3.55 | 48 | −50 | 56 | 5868 | |
| r. Lateral occipital cortex, superior division | 3.18 | 40 | −64 | 56 | ||
| r. Superior parietal lobule | 2.63 | 32 | −70 | 56 | ||
| l. Superior frontal gyrus | 3.33 | −24 | 10 | 58 | 2988 | |
| r. Postcentral gyrus | 2.47 | 53 | 70 | 64 | 1764 | |
| Threat > Safety | Cingulate gyrus, anterior division | 5.03 | 0 | 22 | 26 | 62676 |
| r. Frontal pole | 4.67 | 24 | 58 | 24 | ||
| Superior frontal gyrus | 4.12 | 6 | 48 | 40 | ||
| l. Inferior frontal gyrus, pars opercularis | 4.78 | −50 | 14 | 18 | 48024 | |
| l. Inferior frontal gyrus, pars triangularis | 4.39 | −50 | 32 | 2 | ||
| l. Middle frontal gyrus | 4.22 | −50 | 20 | 30 | ||
| l. Frontal pole | 4.21 | −28 | 64 | 16 | ||
| Top-down control contrast: WM Load/Threat > Others | l. Middle frontal gyrus | 3.67 | −50 | 18 | 36 | 20952 |
| l. Inferior frontal gyrus, pars opercularis | 3.63 | −58 | 14 | 16 | ||
| l. Inferior frontal gyrus, pars triangularis | 3.57 | −48 | 34 | 14 | ||
| r. Inferior frontal gyrus, pars triangularis | 4.1 | 54 | 34 | 12 | 18144 | |
| Frontal pole | 3.67 | 38 | 95 | 48 | ||
| Paracingulate gyrus | 3.97 | −8 | 30 | 28 | 16740 | |
| Cingulate gyrus, anterior division | 3.61 | −10 | 30 | 24 | ||
| Emotion modulation: Low Load/Threat > Others (bilateral amygdala mask) | l. Amygdala | 3.24 | −22 | −4 | −18 | 2268 |
| r. Amygdala | 3.67 | 24 | −6 | −18 | 1836 | |
Summary of imaging results for the main effect of WM Load, Threat, and the directed contrasts to investigate top-down control and emotion modulation.
Displaying the coordinates and Z-score of non-redundant local maxima for each cluster. Unless otherwise stated data was thresholded at z = 2.3 with cluster thresholding (Worsley, 2001) to ensure a corrected p < 0.05.
Figure 3

Top: High Load—Low Load contrast imaging results. Threshold of z = 2.3 uncorrected. Bottom: A right dorsolateral cluster displayed greater activation under High Load compared to Low Load in both Safe and Threat trials [High Load/Safe—Low Load/Safe: mean difference = 0.121%, S.D = 0.178, t(17) = 2.880, p = 0.010; High Load/Threat—Low Load/Threat: mean difference = 0.162%, S.D = 0.188, t(17) = 3.656, p = 0.002]. Error bars display within-subject standard error (Morey,
Using a mask of regions involved in WM [constrained by inference meta-analysis map based on the term “Working Memory” generated on neurosynth.org (Yarkoni et al., 2011)]. Two separate clusters were extracted from the uncorrected data; a cluster in right dlPFC and a small cluster in the angular gyrus of the right parietal cortex. Activation in the right dlPFC cluster under the High Load versus Low Load contrast displayed a positive correlation with performance on the WM task under each condition and with WM accuracy overall (r = 0.558, n = 18, p = 0.016). However there was no correlation with WM performance under the same WM Load contrast (r = 0.321, n = 18, p = 0.194). This supports the role of this region in this task and suggests that people who are able to engage this region more under High Load than Low Load conditions perform better in general on this task. The parietal cluster was equivalent to less than five voxels in native space and so further analysis was not conducted.
Main effect of threat: threat—safe
This contrast identified areas more active under threat of shock than safety. Such a contrast is sensitive to areas involved in anxiety but would also reveal brain regions responsible for down-regulating emotion regardless of WM Load. Two significant clusters of activation were revealed in the middle frontal gyrus bilaterally, extending from a dorsal to a more ventral lateral region in the left hemisphere, as well as the medial PFC and anterior cingulate (see Table 1 and Figure 4).
Figure 4

Top: Threat—Safety contrast imaging results. Two significant clusters were identified revealing significant bilateral middle frontal gyrus, medial PFC and dACC activation under Threat compared to Safe conditions. Bottom: Pairwise comparisons of the signal change in the clusters identified. Activation in both clusters was significantly greater under Threat than Safety at both Low and High Load [left middle frontal gyrus: Low Load/Threat—Low Load/Safe: mean difference = 0.153%, S.D = 0.213, t(17) = 3.043, p = 0.007; High Load/Threat—High Load/Safe: mean difference = 0.192%, S.D = 0.183, t(17) = 4.468, p < 0.001; right middle frontal gyrus, medial PFC and dACC cluster: Low Load/Threat—Low Load/Safe: mean difference = 0.149%, S.D = 0.146, t(17) = 4.335, p < 0.001; High Load/Threat—High Load/Safe: mean difference = 0.147%, S.D = 0.132, t(17) = 4.729, p < 0.001]. Error bars display within-subject standard error (Morey,
Top-down control contrast: high load/threat > others
This contrast identified regions more active under the condition proposed to engage top-down control (High Load/Threat) compared to all others. Consistent with our hypotheses we identified a significant cluster in the anterior cingulate and paracingulate gyrus as well as bilateral vlPFC activation (see Table 1 and Figure 5). Whilst activation in these clusters under the top-down control contrast did not correlate with task performance general activation in these clusters correlated with overall task performance in both the right vlPFC and the dACC cluster (r = 0.629, n = 18, p = 0.005; r = 0.615, n = 18, p = 0.006, respectively) suggesting that participants who generally display greater recruitment of these regions whilst performing the task perform better at the task.
Figure 5

Top: Top-down control contrast imaging results. This contrast revealed areas where activation was greater under High Load/Threat conditions compared to all others. Three clusters were identified: Dorsal ACC as well as bilateral PFC. Medial (upper panel) and lateral (lower panel) views are displayed. Bottom: Pairwise comparisons of the signal change in the regions identified. Activation in all three clusters was greater under threat compared to safety under the equivalent working memory loads, however this increase was only significant under High Load [cingulate: High Load/Threat—High Load/Safe: mean difference = 0.139%, S.D = 0.122, t(17) = 4.838, p < 0.001; left vlPFC: High Load/Threat—High Load/Safe: mean difference = 0.197%, S.D = 0.181, t(17) = 4.614, p < 0.001; right vlPFC: High Load/Threat—High Load/Safe: mean difference = 0.288%, S.D = 0.236, t(17) = 5.176, p < 0.001]. Error bars display within-subject standard error (Morey,
Emotion modulation contrast: low load/threat > others
This region of interest analysis using an amygdala mask identified significant bilateral amygdala activation in Low Load/Threat conditions compared to all others (see Figure 6). Activation in this cluster was significantly higher under Low Load/Threat than Low Load/Safe [mean difference = 0.17%, S.D = 0.17; t(17) = 4.191, p = 0.001] with no significant difference between High Load/Threat and High Load/Safe [mean difference = −0.02%, S.D = 0.25; t(17) = 0.294, p = 0.772]. Activation in this cluster under this emotion modulation contrast correlated positively with overall task performance (r = 0.541, n = 18, p = 0.021). This correlation remained significant after controlling for Low Load/Threat—Low Load/Safe activity in this amygdala cluster (r = 0.518, n = 18, p = 0.033). Thus the correlation is not driven by greater amygdala reactivity to threat under Low Load, but rather suggests that general task performance in this emotional control task was related to individual differences in the load-dependent reduction of amygdala activity. However, it should be noted that activation under this contrast did not correlate with anxiety ratings (r = 0.130, n = 18, p = 0.606).
Figure 6

Top: Emotion modulation contrast imaging results. This contrast revealed areas where activation was greater under Low Load/Threat conditions compared to all others. A ROI analysis was carried out using a bilateral amygdala mask (red). Bottom: Pairwise comparisons of the signal change. Activation in the amygdala cluster displayed a load-dependent modulation by threat with increased amygdala activation under threat compared to safety in Low Load but not High Load conditions [Low Load/Threat—Low Load/Safe: mean difference = 0.170%, S.D = 0.172, t(17) = 4.191, p = 0.001; High Load/Threat—High Load/Safe: mean difference = 0.018%, S.D = 0.254, t(17) = 0.294, p < 0.772]. Error bars display within-subject standard error (Morey,
Dynamic causal modelling (DCM)
Based on the proposed mechanism of top-down control of subcortical emotional regions, we employed dynamic causal modeling (DCM) (Friston et al.,
We were motivated to investigate the route by which top-down control may act, hypothesizing that the modulation of the detrimental effect of induced anxiety could proceed by inhibiting some level of emotion processing, by facilitating task related activity, or some combination of the two. To test this, we used family inference, whereby families of models that differ only on specific features of interest are contrasted in order to provide evidence for or against this specific characteristic (Penny et al.,
The observed data were fit to each model, and random effect Bayesian model selection was used to estimate the posterior probabilities of each model given the data. A random effects analysis was used to permit different participants to favor different models as may be the case if individual differences determine the predominance of an inhibitory or facilitative route. Based on this the exceedance probability can be computed for each family, this represents the probability that one family is more likely than any other given the group data. Figure 7 displays the exceedance probabilities for each family; this identified the winning family as Emotion Modulation; the exceedance probability for this family was 0.653 meaning we can be 65.3% confident that it has a greater posterior probability than any other family. The exceedance probability for the Working Memory Modulation family was 0.263 and 0.085 for Combined (though it must be noted that this family had the arbitrary constraint of only including equivalent modulations of Emotion and Working Memory connections). This result favors inhibition of emotional processing as the most probable route by which top-down control acts in this specific task.
Figure 7

Bayesian model selection for families. The Emotion Modulation family displayed the greatest exceedance probability, favoring models where connections between top-down nodes and the amygdala were modulated over ones with modulation of connections between top-down and task-related nodes.
Classical inference on the parameter estimates across participants (weighted by the evidence of each model for each participant) was conducted with a Bonferonni corrected p-threshold of 0.0018 (see Figure 8 for model architecture and parameter estimates). This revealed a significant decrease in both the amygdalae to dACC connection [t(17) = −6.273, p = 0.00009] and amygdalae to vlPFC connection [t(17) = −6.297, p < 0.00008] under High Load/Threat conditions. The modulation of the connection from the dACC to amygdalae displayed only a trend to decrease [t(17) = −2.449, p = 0.025] and the vlPFC to amygdalae connection did not display significant modulation under High Load/Threat conditions [t(17) = −0.855, p = 0.404]. Additionally, the dlPFC to vlPFC connections were significantly increased by High Load/Threat [t(17) = 5.351, p = 0.000053] whilst the dlPFC to dACC connection displayed a borderline significant modulation[t(17) = 3.168, p = 0.0056].
Figure 8

Architecture of the model: Two top-down control nodes, left vlPFC and cingulate, from the top-down control contrast, a task-related node, right dlPFC, from the uncorrected High Load—Low Load contrast and an emotion node from the emotion modulation contrast. All threatening conditions had a driving input to the amygdala and all High Load conditions to the right dlPFC. Modulation of connections by High Load/Threat are also displayed. Full connectivity was permitted between all nodes. Average parameter estimates for each intrinsic connection, driving input and modulation are displayed. *p < 0.05 (two-tailed; uncorrected). **p < 0.05(two-tailed, Bonferonni correction applied).
Taken together these results suggest that whilst the family inference favors inhibition of emotion, there is also some evidence (in the dlPFC to vlPFC connection) for facilitation of WM-related activity. Furthermore, there is stronger evidence that this mechanism acts by suppressing the output of the amygdala in the case of inhibition of emotional processing and by boosting the output of the dlPFC in the case of facilitating task activity than by modulating the activity of these regions directly. Additionally, we found significant negative bidirectional connectivity between the amygdala and right dlPFC [amygdala to dlPFC: t(17) = −7.573, p = 0.000001; dlPFC to amygdala: t(17) = −11.543, p < 0.000001], consistent with interacting inhibitory emotional and cognitive networks (Dolcos and McCarthy,
Regression analysis of non-emotional top-down control scores
We hypothesized that individual differences in people's performance on a non-emotional top-down control task would predict their recruitment of regions implicated in top-down control of emotion. To address this issue a regression analysis was performed using the index of non-emotional top-down control taken from the behavioral dichotic listening task as a regressor in the between subjects GLM of the emotional top-down control contrast. This would reveal brain regions for which non-emotional top-down control ability predicts activation associated with emotional top-down control.
A number of regions displayed this relationship (see Table 2). As hypothesized both the left vlPFC and dACC showed greater activation under this top-down control contrast in subjects who were better at the unrelated non-emotional attentional control task (left vlPFC: r = 0.927, n = 18, p < 0.001; cingulate: r = 0.825, n = 18, p < 0.001) (see Figure 9).
Table 2
| Contrast | Local maxima (mm) | Cluster size (mm3) | Pearson's r. N = 18 | ||||
|---|---|---|---|---|---|---|---|
| Z score | x | y | z | ||||
| Dichotic listening: Top-down control contrast regression analysis | Visual cortex V1 | 4.46 | 2 | −80 | 12 | 50220 | 0.843** |
| r. Lateral occipital cortex, inferior division | 4.07 | 30 | −88 | 0 | |||
| l. Inferior frontal gyrus, pars opercularis | 4.25 | −54 | 16 | 0 | 33048 | 0.928** | |
| l. Inferior frontal gyrus, pars triangularis | 3.74 | −52 | 26 | 14 | |||
| l. Precentral gyrus | 4.42 | −42 | −16 | 56 | 22932 | 0.606** | |
| l. Postcentral gyrus | 3.9 | −42 | −34 | 56 | |||
| r. Inferior parietal lobule | 3.5 | 60 | −30 | 44 | 15012 | 0.709** | |
| r. Postcentral gyrus | 3.41 | 36 | −30 | 48 | |||
| Paracingulate gyrus | 4.11 | 4 | 48 | 20 | 13536 | 0.828** | |
| Cingulate gyrus, anterior division | 3.69 | 0 | 22 | 22 | |||
| l. Lateral occipital cortex, superior division | 4.01 | −34 | −80 | 18 | 13212 | 0.714** | |
| l. Lateral occipital cortex, inferior division | 3.41 | −46 | −78 | −6 | |||
Summary of imaging results for regression analysis under the top-down control contrast.
This identifies regions whose activation under the top-down control contrast (High Load/Threat > Others) correlates with dichotic listening scores; Pearson's r are displayed.
indicates significance at 01 (two-tailed). Data were thresholded at z = 2.3 with cluster thresholding (Worsley, 2001) to ensure a corrected p < 0.05.
Figure 9

Top: Top-down control regression imaging results overlaid on main effect top-down control (red). This identified regions where activation under the top-down control contrast in the emotional control task correlated with the index of attentional control from the dichotic listening task. Medial (upper panel) and lateral (lower panel) views are displayed. Dorsal ACC and left vlPFC identified by this analysis displayed some overlap with the main effect top-down control results. Bottom: Pairwise comparisons of the signal change in the regions identified. Both regions displayed a significant increase in activation under threat compared to safety in High Load conditions [Cingulate: High Load/Threat—High Load/Safe: mean difference = 0.104%, S.D = 0.170, t(17) = 2.585, p = 0.019; left vlPFC: High Load/Threat—High Load/Safe: mean difference = 0.143%, S.D = 0.194, t(17) = 3.133, p = 0.006]. The cingulate also displayed a borderline significant increase under threat in Low Load conditions [mean difference = 0.044%, S.D = 0.089, t(17) = 2.094, p = 0.052]. Error bars display within-subject standard error (Morey,
In addition to prefrontal regions implicated in top-down control widespread activation related to visual processing was discovered by this analysis, including a large cluster covering right lateral and mid occipital cortex, V1 and V2 as well as a smaller cluster in left lateral occipital cortex. This finding was not hypothesized but is consistent with individual differences in the ability to direct attention in the dichotic listening correlating with the ability to direct attention to the visual domain in this spatial WM task. Clusters were also identified bilaterally in the postcentral gyrus of the parietal cortex, relating to primary somatosensory cortex.
Activity in these regions specifically under the top-down control contrast correlated with performance on the dichotic listening task; general activity in these regions did not (with the exception of the left somatosensory cluster (r = −0.548, n = 18, p = 0.019). Thus the index of top-down attentional control predicts the recruitment of these regions under the conditions posited to require top-down emotional control, and not their general recruitment across all conditions. Furthermore, there was no direct correlation between the index of top-down control on the dichotic listening task and WM performance on the emotional control task (r = 0.191, n = 18, p = 0.447).
In the emotional control task, error rates differed across conditions and so present a potential confound for the results since dACC has been shown to be sensitive to errors (Kiehl et al.,
Discussion
The current study investigated how interfering effects of threat induced anxiety can be modulated in order to focus on current tasks. We demonstrated how threat-related interference can be overcome by increasing the load of a cognitive task; in this case interference of anxiety under threat of shock on a visual spatial WM task was eradicated when the WM load was increased. Activation in dorsal ACC and ventrolateral PFC under high working memory load with threat of shock was consistent with their hypothesized roles in top-down control, suggesting they are recruited to modulate the interfering effects of emotion. Furthermore, a bilateral amygdala cluster displayed significantly greater activation under threat of shock compared to safety at low load but no effect of threat at a higher WM load, providing evidence that cognitive load can modulate threat-related amygdala activity. Dynamical Causal Modeling further suggested that this top-down control might be achieved through inhibition of ascending outputs from the amygdala to the prefrontal cortex.
The interaction between anxiety and cognition is not straightforward; anxiety is an adaptive mechanism that plays a vital role in warning of potential threats which might occur at any time, including when we are occupied with other activities. Accordingly, anxiety increases sensitivity to potential threats even when people are engaged in highly demanding perceptual tasks (Cornwell et al.,
These results highlight a potential difference between top-down control of emotional versus non-emotional interference. In the non-emotional domain, for example, evidence exists that when cognitive/executive load is increased, interference from task-irrelevant information is exacerbated, as explained by the load theory of attention and cognitive control proposed by Lavie et al. (
If threat cannot be processed entirely automatically, however, an alternative explanation to an active top-down control theory that could account for the reduced interference of threat under greater cognitive task demands must be acknowledged. Depletion of cognitive or attentional resources might prevent emotional stimuli from being processed sufficiently to interfere with the task (the latter case would be similar to how Lavie et al. (
The proposed active control mechanism could act by facilitating the task at hand, inhibiting the interfering effect of the emotion or a combination of the two. Some studies suggest there are dissociable neural systems implementing top-down control in emotional and non-emotional contexts (Ochsner et al.,
Dynamic causal modeling was exploited to further probe the proposed circuitry. Models were partitioned into distinct families dependent on whether the pattern of modulation of connections was consistent with an emotion inhibition or WM task facilitation account. Family level inference found greater evidence that emotional interference is overcome by inhibition of emotional processing. Interestingly, the DCM analysis provided evidence that top-down control acts via the modulation of amygdala output, in addition to direct reduction of amygdala activity. The current results relate only to estimates of effective connectivity. Determining the precise anatomical routes and physiological mechanisms by which this control is implemented is a challenge for future studies, perhaps making use of diffusion tensor imaging to characterize the white matter pathways and pharmacological manipulations and/or magnetic resonance spectroscopy to understand the neurotransmitters involved.
A related issue is that although the ability to modulate interfering effects of emotion is significant in itself, it is not clear whether this requires a concomitant regulation in emotional experience. This highlights the multifactorial nature of emotions, which are made up of subjective feelings, physiological and neurological responses, as well as cognitive processes and action tendencies (Scherer,
We also examined whether individual differences in the performance of a completely non-emotional attentional control task (a dichotic listening task) would predict the recruitment of brain regions involved in the top-down control of threat. A regression analysis identified a number of such brain regions including both dACC and left vlPFC. Dorsal ACC and vlPFC have been associated with both emotion regulation (Blair et al.,
Several studies have implicated regions of the cingulate in different types of cognitive control (see Vogt et al., 1992; Carter et al.,
A further point is that although we hypothesize the existence of domain-general top-down control mechanisms which can be recruited in different contexts, they do not preclude the existence of neural circuitry involved in emotion regulation more specifically. For example, in the case of more voluntary emotion regulation such as that engaged in studies of emotion reappraisal, there is substantial evidence for the involvement of neural regions such as the orbitofrontal cortex (Lévesque et al.,
The precise mechanisms by which top-down control can maintain task performance in the presence of threat or other sources of emotional interference, and the conditions under which such control mechanisms are effective or break down is highly clinically relevant. For example dysfunction in the neural circuitry that supports the top-down regulation of emotion has been demonstrated in several psychological disorders including bipolar disorder (Foland et al.,
The current study demonstrates a load-dependent modulation of the interfering effects of induced anxiety and provides evidence that this occurs by an active mechanism favoring inhibition of emotional processing over task facilitation, though the predominance of either route under different contexts requires further study. We also show that the ability to exert attentional control on a completely independent non-emotional task predicts the recruitment of vlPFC and dACC in this emotional control task, consistent with a proposed role in domain general top-down control, of which emotion regulation is just one example. The interaction between these emotional and cognitive networks is relevant to the understanding of a range of psychopathologies and further elucidation of how these networks interact as well as how they are modulated under different contexts is crucial.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Statements
Acknowledgments
This research was funded by an ESRC Ph.D. studentship to Robert Clarke (H016503/1) and BBSRC project grant H5100700 to Tom Johnstone. The authors thank Shan Shen for technical assistance in data collection.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
emotion, emotion regulation, top-down control, prefrontal cortex (PFC), amygdala, anterior cingulate cortex, anxiety, DCM
Citation
Clarke R and Johnstone T (2013) Prefrontal inhibition of threat processing reduces working memory interference. Front. Hum. Neurosci. 7:228. doi: 10.3389/fnhum.2013.00228
Received
20 February 2013
Accepted
13 May 2013
Published
30 May 2013
Volume
7 - 2013
Edited by
Alexander J. Shackman, University of Maryland, USA
Reviewed by
Alexander J. Shackman, University of Maryland, USA; Katherine E. Vytal, National Institutes of Health, USA
Copyright
© 2013 Clarke and Johnstone.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.
*Correspondence: Tom Johnstone, Centre for Integrative Neuroscience and Neurodynamics, Harry Pitt Building, School of Psychology and Clinical Language Sciences, The University of Reading, Whiteknights, Reading, Berkshire, RG6 6AH, UK e-mail: i.t.johnstone@reading.ac.uk
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