A lesion-derived brain network for emotion regulation

Abstract Emotion regulation has been linked to specific brain networks based on functional neuroimaging. We found that damage to these networks was associated with emotion regulation impairment in patients following focal brain injury (n = 167). Next, we used this lesion dataset to derive a de novo brain network for emotion regulation, which was defined by functional connectivity to the left ventrolateral prefrontal cortex (vlPFC). Finally, we used an independent lesion database (n = 629) to test whether damage to this lesion-derived network would increase the risk of neuropsychiatric conditions associated with emotion regulation impairment. We found that lesions causing mania, criminality, and depression intersected this network more than lesions causing other disorders. We conclude that emotion regulation maps to a connected brain network centered on the left vlPFC. Damage to this network impairs emotion regulation and may increase the risk of specific neuropsychiatric disorders.