RT Journal Article SR Electronic T1 Amygdala reactivity to masked negative faces is associated with automatic judgmental bias in major depression: a 3 T fMRI study JF Journal of Psychiatry and Neuroscience JO JPN FD Canadian Medical Association SP 423 OP 429 VO 32 IS 6 A1 Udo Dannlowski A1 Patricia Ohrmann A1 Jochen Bauer A1 Harald Kugel A1 Volker Arolt A1 Walter Heindel A1 Anette Kersting A1 Bernhard T. Baune A1 Thomas Suslow YR 2007 UL http://jpn.ca/content/32/6/423.abstract AB Objective: In a previous study, we demonstrated that amygdala reactivity to masked negative facial emotions predicts negative judgmental bias in healthy subjects. In the present study, we extended the paradigm to a sample of 35 inpatients suffering from depression to investigate the effect of amygdala reactivity on automatic negative judgmental bias and clinical characteristics in depression.Methods: Amygdala activity was recorded in response to masked displays of angry, sad and happy facial expressions by means of functional magnetic resonance imaging at 3 T. In a subsequent experiment, the patients performed an affective priming task that characterizes automatic emotion processing by investigating the biasing effect of subliminally presented emotional faces on evaluative ratings to subsequently presented neutral stimuli.Results: Significant associations between (right) amygdala reactivity and automatic negative judgmental bias were replicated in our patient sample (r = −0.59, p < 0.001). Further, negatively biased evaluative processing was associated with severity and longer course of illness (r = −0.57, p = 0.001).Conclusion: Amygdala hyperactivity is a neural substrate of negatively biased automatic emotion processing that could be a determinant for a more severe disease course.