Speaker
Description
Background: Despite the strong interaction between insulin resistance and depression, the relevance of central insulin signalling on emotional processing is unknown.
Methods: In a double-blind crossover design, we applied intranasal insulin (INI, 160 UI) or placebo and assessed Emotional processing using visual analogue scales (VAS), a facial emotion recognition task (FERT), and fMRI during the Hariri task in 50 controls and 80 depressed patients (MDD).
Results: Across all participants, INI improved subjective happiness ratings (p = 0.026) and recognition of positive facial expressions (p = 0.048). fMRI ROI-analysis of the amygdala showed a condition × diagnosis interaction (p = 0.008), with recovery of the amygdala signal in MDD.
Conclusion: INI modulates the processing of emotional stimuli. This is the first study showing that central insulin signalling is relevant for emotional processing.