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1.
Adolescents view thousands of food commercials annually, but the neural response to food advertising and its association with obesity is largely unknown. This study is the first to examine how neural response to food commercials differs from other stimuli (e.g. non-food commercials and television show) and to explore how this response may differ by weight status. The blood oxygen level-dependent functional magnetic resonance imaging activation was measured in 30 adolescents ranging from lean to obese in response to food and non-food commercials imbedded in a television show. Adolescents exhibited greater activation in regions implicated in visual processing (e.g. occipital gyrus), attention (e.g. parietal lobes), cognition (e.g. temporal gyrus and posterior cerebellar lobe), movement (e.g. anterior cerebellar cortex), somatosensory response (e.g. postcentral gyrus) and reward [e.g. orbitofrontal cortex and anterior cingulate cortex (ACC)] during food commercials. Obese participants exhibited less activation during food relative to non-food commercials in neural regions implicated in visual processing (e.g. cuneus), attention (e.g. posterior cerebellar lobe), reward (e.g. ventromedial prefrontal cortex and ACC) and salience detection (e.g. precuneus). Obese participants did exhibit greater activation in a region implicated in semantic control (e.g. medial temporal gyrus). These findings may inform current policy debates regarding the impact of food advertising to minors.  相似文献   

2.
Older adults, compared to younger adults, focus on emotional well-being. While the lifespan trajectory of emotional processing and its regulation has been characterized behaviorally, few studies have investigated the underlying neural mechanisms. Here, older adults (range: 59–73 years) and younger adults (range: 19–33 years) participated in a cognitive reappraisal task during functional magnetic resonance imaging (fMRI) scanning. On each trial, participants viewed positive, negative or neutral pictures and either naturally experienced the image (‘Experience’ condition) or attempted to detach themselves from the image (‘Reappraise’ condition). Across both age groups, cognitive reappraisal activated prefrontal regions similar to those reported in prior studies of emotion regulation, while emotional experience activated the bilateral amygdala. Psychophysiological interaction analyses revealed that the left inferior frontal gyrus (IFG) and amygdala demonstrated greater inverse connectivity during the ‘Reappraise’ condition relative to the ‘Experience’ condition. The only regions exhibiting significant age differences were the left IFG and the left superior temporal gyrus, for which greater regulation-related activation was observed in younger adults. Controlling for age, increased performance on measures of cognition predicted greater regulation-related decreases in amygdala activation. Thus, while older and younger adults use similar brain structures for emotion regulation and experience, the functional efficacy of those structures depends on underlying cognitive ability.  相似文献   

3.
目的 使用独立成分分析(ICA)法分析功能磁共振(fMRI)数据研究线索诱导因素导致海洛因成瘾者复吸的神经网络. 方法 安徽医科大学附属省立医院神经外科自2010年2月至2010年12月对海洛因成瘾组(n=15,来自安徽省戒毒康复中心)和正常对照组(n=15,来自招募的志愿者)在接受吸毒相关场景视频刺激的同时进行fMRI扫描,然后使用ICA方法对数据进行分析和比较2组受试者脑区的激活情况. 结果 与正常对照组相比,海洛因成瘾组患者双侧前额叶、左前扣带回、双侧后扣带回、左侧顶叶、左侧颞下回的激活降低;双侧伏核、右侧海马以及部分枕叶的激活增强,差异有统计学意义(P<0.05). 结论 ICA方法是一种有效的任务相关fMRI数据分析方法,海洛因成瘾者学习记忆和奖赏系统相关脑区功能改变是线索诱发复吸的重要原因,主要涉及左前额叶、左顶叶、前后扣带回、海马、伏核等脑区.  相似文献   

4.
Major depression is associated with an excessive self-focus, a tendency to engage oneself in self-referential processing. The medial frontal gyrus (MFG) is central to self-referential processing. This study aimed to explore the neural bases of this excessive self-focus and to disambiguate the role of the MFG in the pathophysiology of major depression. We presented 15 depressed patients and 15 healthy subjects with personality traits during functional magnetic resonance imaging and asked them to judge whether each trait described them (‘self’ condition) or a generally desirable trait (‘general’ condition). Both patients and healthy subjects activated the MFG in ‘self’ vs ‘general’ condition. However, the activation of the dorsal part of the MFG and of the dorsolateral prefrontal cortex (DLPFC) in ‘self’ vs ‘general’ condition was unique to patients. Additionally, patients displayed an increased functional connectivity between the MFG, the dorsal anterior cingulate cortex and the DLPFC. These results provide evidence for an extended medial prefrontal network during self-referential processing in major depression, suggesting the involvement of a greater cognitive control.  相似文献   

5.
Learning face-name associations is a complex task to be mastered in every day life that approaches the limits of cognitive capacity in most normal humans. We studied brain activation during face-name learning using positron emission tomography (PET) in 11 normal volunteers. The most intense activation was seen in occipital association cortex (BA 18) bilaterally, also involving lingual and fusiform gyrus (BA 37). In the left hemisphere additional activation were located in inferior temporal gyrus, the inferior part of pre- and postcentral gyrus, and orbitofrontal cortex (BA 11), whereas in the right hemisphere only a region in the precuneus (BA 19) was activated additionally. There was considerable interindividual variation of encoding success, which was significantly related to activation of BA 18 bilaterally. Subject ages covered a range of 26-72 years, but - in contrast to the effect of encoding success - there was no significant age effect on activations. Task-independent habituation effects were seen in cerebellum and left middle temporal gyrus. These results indicate that the intensity of information processing in ventral occipital association cortex is most important for success of face-name encoding. Learning is further mediated by a predominantly left-hemispheric network including inferior temporal and orbitofrontal cortex.  相似文献   

6.
A pet study of visual and semantic knowledge about objects   总被引:1,自引:0,他引:1  
The distinctiveness of temporal lobe regions activated during the retrieval of knowledge regarding structural, colour and associative (encyclopaedic) aspects of familiar objects was investigated using PET. These three types of knowledge were contrasted using well matched tasks requiring the detection, in a series of coloured-in line drawings, of occasional anomalous objects (in the three conditions: structurally incorrect chimeras composed of parts of real objects; inappropriately coloured objects; familiar objects that do not exist in the modern world). Relative to a resting baseline condition, all semantic retrieval tasks yielded extensive bilateral activations in occipital and temporal areas, extending anteriorly on the ventral surface of the brain, plus an area in the right superior parietal lobe. In direct semantic-task comparisons focussing on the temporal lobe: (i) structural relative to associative decisions activated the right posterior middle/inferior temporal gyrus; (ii) colour decisions relative to structural judgements were associated with a region in the right superior temporal gyrus; (iii) the associative decision task selectively activated the left anterior middle/superior temporal gyrus and temporal pole relative to both object structure and colour, and also the homologous right temporal pole relative to colour only. These results indicate that each type of stored knowledge involves at least partially distinct cortical areas, and suggest that both anterior/posterior and left/right temporal regions have specialised roles.  相似文献   

7.
Given that a number of recent studies have shown attenuated brain activation in prefrontal regions in children with ADHD, it has been recognized as a disorder in executive function. However, fewer studies have focused exclusively on the compensatory brain activation in ADHD. The present study objective was to investigate the compensatory brain activation patterns during response inhibition (RI) processing in ADHD children. In this study, 15 ADHD children and 15 sex-, age-, and IQ-matched control children were scanned with a 3-T MRI equipment while performing a simplified letter Go/No-go task. The results showed more brain activation in the ADHD group compared with the control group, whereas the accuracy and reaction time of behavioral performance were the same. Children with ADHD did not activate the normal RI brain circuits, which are thought to be predominantly located in the right middle/inferior frontal gyrus (BA46/44), right inferior parietal regions (BA40), and pre-SMA(BA6), but instead, activated brain regions, such as the left inferior frontal cortex, the right inferior temporal cortex, the right precentral gyrus, the left postcentral gyrus, the inferior occipital cortex, the middle occipital cortex, the right calcarine, the right hippocampus, the right midbrain, and the cerebellum. Our conclusion is that children with ADHD tend to compensatorily use more posterior and diffusive brain regions to sustain normal RI function.  相似文献   

8.
Various kinds of normative judgments are an integral part of everyday life. We extended the scrutiny of social cognitive neuroscience into the domain of legal decisions, investigating two groups, lawyers and other academics, during moral and legal decision-making. While we found activation of brain areas comprising the so-called ‘moral brain’ in both conditions, there was stronger activation in the left dorsolateral prefrontal cortex and middle temporal gyrus particularly when subjects made legal decisions, suggesting that these were made in respect to more explicit rules and demanded more complex semantic processing. Comparing both groups, our data show that behaviorally lawyers conceived themselves as emotionally less involved during normative decision-making in general. A group × condition interaction in the dorsal anterior cingulate cortex suggests a modulation of normative decision-making by attention based on subjects’ normative expertise.  相似文献   

9.
This study used functional magnetic resonance imaging to investigate brain activation during preparatory and regulatory control while participants (N = 24) were instructed either to simply view or decrease their emotional response to, pleasant, neutral or unpleasant pictures. A main effect of emotional valence on brain activity was found in the right precentral gyrus, with greater activation during positive than negative emotion regulation. A main effect of regulation phase was evident in the bilateral anterior prefrontal cortex (PFC), precuneus, posterior cingulate cortex, right putamen and temporal and occipital lobes, with greater activity in these regions during preparatory than regulatory control. A valence X regulation interaction was evident in regions of ventromedial PFC and anterior cingulate cortex, reflecting greater activation while regulating negative than positive emotion, but only during active emotion regulation (not preparation). Conjunction analyses revealed common brain regions involved in differing types of emotion regulation including selected areas of left lateral PFC, inferior parietal lobe, temporal lobe, right cerebellum and bilateral dorsomedial PFC. The right lateral PFC was additionally activated during the modulation of both positive and negative valence. Findings demonstrate significant modulation of brain activity during both preparation for, and active regulation of positive and negative emotional states.  相似文献   

10.
Essential tremor (ET) is a neurological disease with both motor and nonmotor manifestations; however, little is known about its underlying brain basis. Furthermore, the overall organization of the brain network in ET remains largely unexplored. We investigated the topological properties of brain functional network, derived from resting‐state functional magnetic resonance imaging (MRI) data, in 23 ET patients versus 23 healthy controls. Graph theory analysis was used to assess the functional network organization. At the global level, the functional network of ET patients was characterized by lower small‐worldness values than healthy controls—less clustered functionality of the brain. At the regional level, compared with the healthy controls, ET patients showed significantly higher values of global efficiency, cost and degree, and a shorter average path length in the left inferior frontal gyrus (pars opercularis), right inferior temporal gyrus (posterior division and temporo‐occipital part), right inferior lateral occipital cortex, left paracingulate, bilateral precuneus bilaterally, left lingual gyrus, right hippocampus, left amygdala, nucleus accumbens bilaterally, and left middle temporal gyrus (posterior part). In addition, ET patients showed significant higher local efficiency and clustering coefficient values in frontal medial cortex bilaterally, subcallosal cortex, posterior cingulate cortex, parahippocampal gyri bilaterally (posterior division), right lingual gyrus, right cerebellar flocculus, right postcentral gyrus, right inferior semilunar lobule of cerebellum and culmen of vermis. Finally, the right intracalcarine cortex and the left orbitofrontal cortex showed a shorter average path length in ET patients, while the left frontal operculum and the right planum polare showed a higher betweenness centrality in ET patients. In conclusion, the efficiency of the overall brain functional network in ET is disrupted. Further, our results support the concept that ET is a disorder that disrupts widespread brain regions, including those outside of the brain regions responsible for tremor.  相似文献   

11.
Positron emission tomography (PET) was used to investigate the functional anatomy of the foveal fixation system in 10 subjects scanned under three different conditions: at rest (REST), during the fixation of a central point (FIX), and while fixating the same foveal target during the presentation of peripheral visual distractors (DIS). Compared with the REST condition, both FIX and DIS tasks activated a common set of cortical areas. First, in addition to the involvement of the occipital visual cortex, both the frontal eye field (FEF) and the intraparietal sulcus (IPS) were bilaterally activated. Right frontal activation was also found in the dorsolateral prefrontal cortex, the inferior part of the precentral gyrus, and the inferior frontal gyrus. These results suggest that both FEF and IPS may constitute the main cortical regions subserving bilaterally the foveal fixation system in humans. The remaining right frontal activations may be considered as part of the anterior attentional network, supporting a role for the right frontal lobe in the allocation of the attentional mechanisms. Compared with the FIX condition, the DIS task also revealed the perceptual and cognitive processes related to the presence of peripheral visual distractors during foveal fixation. In addition to a bilateral activation of the V5/MT motion-sensitive area, a right FEF-IPS network was activated which may correspond to the engagement of the visuospatial attention. Finally, normalized regional cerebral blood flow (NrCBF) decreases were also observed during both DIS and FIX condition performance. Such NrCBF decreases were centered in the superior and middle temporal gyri, the prefrontal cortex, and the precuneus and the posterior retrosplenial part of the cingulate gyrus.  相似文献   

12.
Investigating the functional anatomy of empathy and forgiveness   总被引:7,自引:0,他引:7  
Previous functional brain imaging studies suggest that the ability to infer the intentions and mental states of others (social cognition) is mediated by medial prefrontal cortex. Little is known about the anatomy of empathy and forgiveness. We used functional MRI to detect brain regions engaged by judging others' emotional states and the forgivability of their crimes. Ten volunteers read and made judgements based on social scenarios and a high level baseline task (social reasoning). Both empathic and forgivability judgements activated left superior frontal gyrus, orbitofrontal gyrus and precuneus. Empathic judgements also activated left anterior middle temporal and left inferior frontal gyri, while forgivability judgements activated posterior cingulate gyrus. Empathic and forgivability judgements activate specific regions of the human brain, which we propose contribute to social cohesion.  相似文献   

13.
汉语单字词音、义加工的脑激活模式   总被引:27,自引:0,他引:27  
目的:研究汉字音、义加工的脑机制。方法:采用汉字单字词为实验材料,通过功能磁共振成像扫描执行语音和语义两种认知任务的脑区。结果:语音任务激活的脑区有,左侧顶叶下部和颞上回(BA 40/39/22,BA:Brodmann Area,即布鲁德曼分区,下同),左侧枕中回(BA18/19),右侧枕下回(BA18/19),以及左中央前回(BA6)。语义任务激活的脑区有,左侧顶叶下部(BA40/39)和左侧颞上回(BA22),左侧额下回(BA10/47),右侧额中回和额上回(BA10/11),以及左侧额中回(BA11)。语义任务减去语音任务激活的脑区有,左侧额下回(BA47),左侧海马(BA36)和右侧海马旁回(BA36)。语音任务减去语义任务没有发现任何脑区的显著激活。结论:在语义任务中与语音有关的脑区得到激活;而在语音任务中与语义有关的脑区没有激活。  相似文献   

14.
In this study, a functional magnetic resonance imaging paradigm originally employed by Takahashi et al. was adapted to look for emotion-specific differences in functional brain activity within a healthy German sample (N = 14), using shame- and guilt-related stimuli and neutral stimuli. Activations were found for both of these emotions in the temporal lobe (shame condition: anterior cingulate cortex, parahippocampal gyrus; guilt condition: fusiform gyrus, middle temporal gyrus). Specific activations were found for shame in the frontal lobe (medial and inferior frontal gyrus), and for guilt in the amygdala and insula. This is consistent with Takahashi et al.’s results obtained for a Japanese sample (using Japanese stimuli), which showed activations in the fusiform gyrus, hippocampus, middle occipital gyrus and parahippocampal gyrus. During the imagination of shame, frontal and temporal areas (e.g. middle frontal gyrus and parahippocampal gyrus) were responsive regardless of gender. In the guilt condition, women only activate temporal regions, whereas men showed additional frontal and occipital activation as well as a responsive amygdala. The results suggest that shame and guilt share some neural networks, as well as having individual areas of activation. It can be concluded that frontal, temporal and limbic areas play a prominent role in the generation of moral feelings.  相似文献   

15.
Word and picture matching: a PET study of semantic category effects   总被引:7,自引:0,他引:7  
We report two positron emission tomography (PET) studies of cerebral activation during picture and word matching tasks, in which we compared directly the processing of stimuli belonging to different semantic categories (animate and inanimate) in the visual (pictures) and verbal (words) modality. In the first experiment, brain activation was measured in eleven healthy adults during a same/different matching task for textures, meaningless shapes and pictures of animals and artefacts (tools). Activations for meaningless shapes when compared to visual texture discrimination were localized in the left occipital and inferior temporal cortex. Animal picture identification, either in the comparison with meaningless shapes and in the direct comparison with non-living pictures, involved primarily activation of occipital regions, namely the lingual gyrus bilaterally and the left fusiform gyrus. For artefact picture identification, in the same comparison with meaningless shape-baseline and in the direct comparison with living pictures, all activations were left hemispheric, through the dorsolateral frontal (Ba 44/6 and 45) and temporal (Ba 21, 20) cortex. In the second experiment, brain activation was measured in eight healthy adults during a same/different matching task for visually presented words referring to animals and manipulable objects (tools); the baseline was a pseudoword discrimination task. When compared with the tool condition, the animal condition activated posterior left hemispheric areas, namely the fusiform (Ba 37) and the inferior occipital gyrus (Ba 18). The right superior parietal lobule (Ba 7) and the left thalamus were also activated. The reverse comparison (tools vs animals) showed left hemispheric activations in the middle temporal gyrus (Ba 21) and precuneus (Ba 7), as well as bilateral activation in the occipital regions. These results are compatible with different brain networks subserving the identification of living and non-living entities; in particular, they indicate a crucial role of the left fusiform gyrus in the processing of animate entities and of the left middle temporal gyrus for tools, both from words and pictures. The activation of other areas, such as the dorsolateral frontal cortex, appears to be specific for the semantic access of tools only from pictures.  相似文献   

16.
目的通过研究网络游戏成瘾(IGA)者在线索诱发条件下大脑神经活动的PET影像,探索与IGA相关的机制。方法 10例IGA组和10例健康志愿者(对照组)参与本研究,以两因素重复测量方差分析进行数据处理。结果线索因素同被试因素之间存在显著交互作用,激活的主要脑区有枕叶、顶叶、颞叶、楔前叶、扣带回和前额叶皮质。IGA组观看游戏线索与风景线索相比奖赏系统显著激活,且IGA组减少了视觉空间网络(枕叶、中央后回等)的神经激活。在观看游戏线索的条件下,IGA组相比于对照组,枕叶、楔前叶和缘上回代谢增加,而中央后回代谢降低。结论研究认为枕叶和中央后回等视空网络代谢活动的降低可能代表着IGA者视空处理功能的损害。视空网络代谢的降低和奖赏系统活动的增加可能正是IGA者沉迷于游戏的原因。  相似文献   

17.
目的探讨精神分裂症首次发病未治疗患者静息态下局部脑区自发活动的情况:方法:利用低频振幅(ALFF)方法,对27例首次发病未治疗的精神分裂症患者(患者组)进行静息状态下功能磁共振(fMRI)扫描,对影像学数据进行ALFF方法处理,结果与22名年龄、性别及受教育程度相匹配的健康对照者(正常对照组)比较。结果:与正常对照组相比,患者组ALFF显著增高的脑区是运动前区、辅助运动区和眶额回;ALFF显著降低的脑区是楔前叶、后扣带回、内侧前额叶和角回(P0.05,Alphaism矫正)。结论:精神分裂症首次发病未治疗患者在静息态下运动前区、辅助运动区、眶额回、楔前叶、后扣带回、内侧前额叶和角回的局部脑区自发活动异常,这些异常脑区可能有助于解释精神分裂症的病理机制。  相似文献   

18.
The interhemispheric connections of the cortical areas of the temporal lobe and some neighboring regions were investigated in monkeys (Macaca mulatta and Macaca fascicularis) by anterograde autoradiographic tracing, following injection of radioactively labeled amino acids. The results revealed that the interhemispheric projections of the temporal lobe course through three interhemispheric commissures on their way to the opposite hemisphere. The anterior commissure receives fibers from virtually the entire temporal lobe, including the temporal pole, superior and inferior temporal gyri, and parahippocampal gyrus. Moreover, area 13 of the orbitofrontal cortex, the frontal and temporal subdivisions of the prepiriform cortex, and the cortical and deep nuclei of the amygdala also contribute fibers to the anterior commissure. The heaviest projections arise in the rostral third of the temporal isocortex. These projections become progressively lighter from more caudal regions. By contrast, the corpus callosum receives fibers from the caudal two-thirds of the temporal lobe, including the temporal pole, superior and inferior temporal gyri, and parahippocampal gyrus. The heaviest projections arise in the caudal third of the temporal lobe and cross primarily in the caudal third of the corpus callosum, including the splenium. Progressively lighter projections arise more rostrally. Fibers from proisocortical and isocortical areas of the posterior parahippocampal gyrus cross in the ventralmost part of the splenium (inferior forceps), whereas cortical areas lateral to the occipitotemporal sulcus give rise to fibers that cross in the caudal part of the body of the corpus callosum and dorsal splenium. The dorsal hippocampal commissure receives fibers exclusively from the parahippocampal gyrus. The fibers of the corpus callosum, hippocampal commissure, and, to a lesser extent, the anterior commissure are intimately associated with the ventricular system as they course through the white matter of the temporal lobe. The fields of origin of the anterior commissure and corpus callosum overlap extensively over the caudal two-thirds of the temporal lobe. The posterior parahippocampal gyrus is unique in that it gives rise to fibers that cross in all three commissures.  相似文献   

19.
BACKGROUND: Go, a traditional Chinese chess-like game, requires many unknown functions of the brain including attention, imaging, problem solving and processing of spatial working memory. To date, it remains uncertain whether the intellectual activities required to play Go are related to the frontal lobe. OBJECTIVE: To investigate various patterns of brain region activity while schizophrenic patients and normal subjects engaged in memorizing piece placement in the Chinese game of Go. Spatial working memory was measured in order to validate whether the prefrontal lobe participates in this memory process.
DESIGN, TIME AND SETTING: Non-randomized, concurrent control trial was performed at Second Xiangya Hospital of Central South University, between May and December 2004.
PARTICIPANTS: A total of nine Chinese schizophrenic patients with no brain or bodily diseases and not undergoing electroshock treatment, who were in accordance with the DSM-Ⅳ criteria for schizophrenia, as well as thirteen healthy staffs and students with matched age, sex, and education were included. Patients and control subjects had no neurological disorders or mental retardation. In addition, all participants were right-handed. METHODS: The cognitive task for functional magnetic resonance imaging was a block design experiment. Both groups were asked to remember the placement of pieces in the Chinese game of Go on a computer screen. A brain activation map was analyzed in SPM99.
MAIN OUTCOME MEASURES: Brain responses were compared with regard to activation region size, volume, and asymmetry indices. RESULTS: Compared with the control group, the reaction time was significantly delayed in schizophrenics performing the working memory task (P 〈 0.05). When performing the tasks, normal subjects showed significant activation of the bilateral dorsolateral prefrontal lobe with left dominance; the asymmetry indices were: frontal lobe, +0.32; temporal lobe, 0.58; parietal lobe, 0.41 ; and occipital lobe, 0.34. On the other hand, schizophrenics showed right dominance and had a broader activation region of the prefrontal lobe (asymmetry indices: frontal lobe, 0.10; temporal lobe, +0.38; parietal lobe, +0.24; and occipital lobe, 0.00). When comparing the normal group subtracted with the schizophrenic group, no significant lateralization was found in the frontal lobes but significant activation was found in the left anterior central gyrus, left middle frontal gyrus and in both sides of the cingulate gyrus. Comparing the schizophrenic group subtracted with the normal group, there was significant right lateralization of the frontal lobe and abnormally activated regions on both sides of the anterior central gyrus, middle frontal gyrus, left inferior frontal gyrus, right medial frontal gyrus and the right insular lobe. CONCLUSION: Different brain activation regions are involved in memorizing the placement of pieces in Chinese Go between schizophrenia and healthy subjects. Schizophrenics showed right dominance and border activation range, indicating that the prefrontal cortex plays an important role in memory information processing and resource allocation when remembering piece placement in the game of Go.  相似文献   

20.
An fMRI study of simple ethical decision-making   总被引:3,自引:0,他引:3  
Recent functional neuroimaging studies suggest that ventromedial prefrontal cortex (vmPFC), left posterior superior temporal sulcus (pSTS) and posterior cingulate cortex are engaged during moral decision-making on complex dilemmatic or salient emotional stimuli. In this fMRI study we investigated which of these brain regions are activated during simple ethical decision-making about unambiguous scenarios not containing direct bodily harm or violence. Simple moral decisions compared to semantic decisions resulted in activation of left pSTS and middle temporal gyrus, bilateral temporal poles, left lateral PFC and bilateral vmPFC. These results suggest that pSTS and vmPFC are a common neuronal substrate of decision-making about complex ethical dilemmas, processing material evocative of moral emotions and simple ethical decision-making about scenarios devoid of violence and direct bodily harm.  相似文献   

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