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Updated: Mar 16, 2026

Real-time fMRI Biofeedback Targeting the Orbitofrontal Cortex for Contamination Anxiety
Published on: January 20, 2012
Greater Attention to Task-Relevant Threat Due to Orbitofrontal Lesion
Verónica Mäki-Marttunen1,2, Venla Kuusinen1,3, Jari Peräkylä1,3
11 Behavioral Neurology Research Unit, Department of Neurosciences and Rehabilitation, Tampere University Hospital , Tampere, Finland .
Patients with orbitofrontal cortex (OFC) injury show altered attention to emotional stimuli. OFC lesions lead to increased allocation of attention and cognitive control resources towards task-relevant threat signals.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neurology
Background:
- Orbitofrontal cortex (OFC) injury, common after head trauma, often results in impaired emotional and social behavior regulation.
- Previous research suggests a link between OFC function and emotion-attention interactions.
- Understanding OFC's role in emotion-attention and cognitive control is crucial for explaining affective dysfunctions.
Purpose of the Study:
- To investigate attention allocation in patients with OFC lesions during cognitive tasks involving emotional stimuli.
- To examine how OFC lesions affect interactions between emotion, attention, and cognitive control.
- To elucidate the neural mechanisms underlying these interactions using electrophysiological measures.
Main Methods:
- A Go/NoGo visual discrimination task was administered to 13 patients with OFC lesions and 11 healthy controls.
- Task-relevant and task-irrelevant stimuli included threat-related (spider) and neutral (flower) figures.
- Behavioral performance and event-related potentials (ERPs) were recorded to assess attention and cognitive processing.
Main Results:
- Overall task performance did not significantly differ between groups.
- Patients with OFC lesions demonstrated improved performance with relevant threat signals compared to neutral signals, unlike controls.
- Task-relevant threat signals elicited larger frontocentral N2-P3 amplitudes in the OFC lesion group, indicating heightened resource allocation.
Conclusions:
- OFC injury leads to altered attentional and cognitive control resource allocation towards task-relevant emotional stimuli.
- The OFC plays a significant role in mediating emotion-attention and emotion-cognitive control interactions.
- Findings suggest the OFC contributes to balancing voluntary and involuntary attention networks, particularly with emotional stimuli, offering insights into affective dysfunction.
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