The effects of yohimbine and hydrocortisone on selective attention to fearful faces: An fMRI study

Psychoneuroendocrinology. 2024 Jul:165:107031. doi: 10.1016/j.psyneuen.2024.107031. Epub 2024 Mar 21.

Abstract

Introduction: Selective attention to salient emotional information can enable an advantage in the face of danger. The present study aims to investigate the influence of the stress neuromodulators, norepinephrine and cortisol, on selective attention processes to fearful faces and its neuronal activation.

Methods and materials: We used a randomized, double-blind, placebo-controlled design. 167 healthy men between 18 and 35 years (mean [SD] age: 25.23 [4.24] years) participated in the study. Participants received either: (A) yohimbine (n= 41), (B) hydrocortisone (n = 41), (C) yohimbine and hydrocortisone (n = 42) or (D) placebo only (n= 43) and participated in a dot-probe task with fearful and neutral faces in an fMRI scanner.

Results: We found an attentional bias toward fearful faces across all groups and related neuronal activation in the left cuneus. We did not find any differences between experimental treatment groups in selective attention and its neuronal activation.

Discussion: Our results provide evidence that fearful faces lead to an attentional bias with related neuronal activation in the left cuneus. We did not replicate formerly reported activation in the amygdala, intraparietal sulcus, dorsal anterior cingulate cortex, and thalamus. Suitability of the dot-probe task for fMRI studies and insignificant treatment effects are discussed.

Keywords: Attentional bias; Dot-probe task; Fmri; Hydrocortisone; Yohimbine.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Amygdala / diagnostic imaging
  • Amygdala / drug effects
  • Amygdala / physiology
  • Attention* / drug effects
  • Attention* / physiology
  • Attentional Bias / drug effects
  • Attentional Bias / physiology
  • Brain / diagnostic imaging
  • Brain / drug effects
  • Brain / physiology
  • Double-Blind Method
  • Emotions / drug effects
  • Emotions / physiology
  • Facial Expression*
  • Facial Recognition / drug effects
  • Facial Recognition / physiology
  • Fear* / drug effects
  • Fear* / physiology
  • Humans
  • Hydrocortisone* / metabolism
  • Hydrocortisone* / pharmacology
  • Magnetic Resonance Imaging* / methods
  • Male
  • Yohimbine* / pharmacology
  • Young Adult

Substances

  • Hydrocortisone
  • Yohimbine