Social Neuroscience ISSN: 1747-0919 (Print) 1747-0927 (Online) Journal homepage: http://www.tandfonline.com/loi/psns20 The mediation effect of menstrual phase on negative emotion processing: Evidence from N2 Haiyan Wu, Chunping Chen, Dazhi Cheng, Suyong Yang, Ruiwang Huang, Stephanie Cacioppo & Yue-Jia Luo To cite this article: Haiyan Wu, Chunping Chen, Dazhi Cheng, Suyong Yang, Ruiwang Huang, Stephanie Cacioppo & Yue-Jia Luo (2014) The mediation effect of menstrual phase on negative emotion processing: Evidence from N2, Social Neuroscience, 9:3, 278-288, DOI: 10.1080/17470919.2014.886617 To link to this article: http://dx.doi.org/10.1080/17470919.2014.886617 Published online: 03 Mar 2014. Submit your article to this journal Article views: 159 View related articles View Crossmark data Citing articles: 3 View citing articles Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=psns20 Download by: [Institute of Psychology ] Date: 30 November 2015, At: 00:28 SOCIAL NEUROSCIENCE, 2014 Vol. 9, No. 3, 278–288, http://dx.doi.org/10.1080/17470919.2014.886617 The mediation effect of menstrual phase on negative emotion processing: Evidence from N2 Haiyan Wu1, Chunping Chen2, Dazhi Cheng3, Suyong Yang4, Ruiwang Huang5, Stephanie Cacioppo6, and Yue-Jia Luo7 Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 1 Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China 2 Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China 3 State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China 4 Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai, China 5 Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, School of Psychology, South China Normal University, Guangzhou, China 6 High Performance Electrical Neuroimaging Laboratory, University of Chicago, Chicago, USA 7 Institute of Affective and Social Neuroscience, Shenzhen University, Shenzhen, Guangdong, China Numerous studies have shown a ‘negativity bias’ in emotion processing and effect of menstrual phase on emotion processing. Most of these results, however, did not match the arousal of different types of stimuli. The present study examined the time course of negative emotion processing across different menstrual phases (e.g., late luteal/premenstrual phase and follicular phase) when the arousal level of negative and neutral stimuli was equal. Following previous studies, an oddball paradigm was utilized in present study. Participants viewed neutral and negative (highly (HN) and moderately negative (MN)) stimuli with matched arousal and were asked to make deviant vs. standard judgments. The behavioral results showed a higher accuracy for HN stimuli than neutral stimuli, and the other comparisons were not significant. The major event-related potential (ERP) finding was that N2 amplitude was larger for MN than neutral in the late luteal phase, whereas such difference was absent during the follicular phase. Moreover, The N2 for HN stimuli was larger in late luteal phase than in follicular phase. Therefore, female may be with higher sensitivity to MN stimuli during late luteal phase than during follicular phase when the arousal of stimuli was well controlled. These results provide additional insight to premenstrual affective syndrome and affective disorder. Keywords: Menstrual phase; Negative emotion; ERP. Correspondence should be addressed to: Yue-Jia Luo, Institute of Affective and Social Neuroscience, Shenzhen University, Nanhai Ave 3688, Nanshan District, Shenzhen, Guangdong, China. E-mail: luoyj@bnu.edu.cn We acknowledge Dr Jiajin Yuan giving valuable suggestions on our revision. And, the author also wants to thank Dr Qingqing Qu for her suggestions on the manuscript. This research was supported by the 973 Program [2014CB744603], the foundation of National Key Lab of Human Factors Engneering [HF2012-K-03], National Basic Research Program of China [2011CB711000], NSFC [91132704], and the Fundamental Research Funds for the Central Universities [2012YBXS01]. Haiyan Wu and Chunping Chen contribute equally to the work. This article was originally published with errors. This version has been corrected. Please see Corrigendum http://dx.doi.org/10.1080/ 17470919.2014.903103 © 2014 Taylor & Francis Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 MENSTRUAL PHASE AND NEGATIVE EMOTION Numerous behavioral studies indicate a ‘negativity bias’ in emotion processing such that people show faster and more prominent responses to negative than nonnegative stimulus or events (Hansen & Hansen, 1988; Mogg & Bradley, 1998; Mogg et al., 2000; Peeters & Czapinski, 1990; Taylor, 1991; Wentura, Rothermund, & Bak, 2000). A growing body of event-related potential (ERP) studies also supports such negativity bias (Carretié, Iglesias, & Garcı́a, 1997; Carretié, Mercado, Tapia, & Hinojosa, 2001; Huang & Luo, 2006; Ito, Larsen, Smith, & Cacioppo, 1998; Smith, Cacioppo, Larsen, & Chartrand, 2003; Stewart et al., 2010; Yuan et al., 2007), with larger amplitude late positive brain potentials for negative as compared with positive stimuli, even though both were equally arousing (e.g., Ito et al., 1998). All in all these results provide support for ‘the hypothesis that the negativity bias in affective processing occurs as early as the initial categorization into valence classes’ (Ito et al., 1998, p. 887). Interestingly, behavioral and brain research on negative affects and gender differences also shows a greater sensitivity to negative information in women as compared with men (Campanella et al., 2004; Fujita, Diener, & Sandvik, 1991; Hall & Matsumoto, 2004; Hamann, 2005; Ladavas, Umiltà, & Ricci-Bitti, 1980; Rotter & Rotter, 1988). Specifically, women are faster and better in identifying negative emotions than men (Li, Yuan, & Lin, 2008; Montagne, Kessels, Frigerio, de Haan, & Perrett, 2005; Smith et al., 2003). Based on these findings and previous studies on menstrual cycle and emotions and cognition (Dietrich et al., 2001; Hatta & Nagaya, 2009; Maki & Resnick, 2001; Scher, Pionk, & Purcell, 1981; Weis, Hausmann, Stoffers, & Sturm, 2011), one may assume that the gender difference observed in the processing of negative emotions is governed (or at least modulated) by sex hormones. Regarding the association between menstrual cycle and negative emotion, previous behavioral studies have shown that the processing of negative emotions may be affected by the menstrual cycle. For instance, in an emotional expressions recognition study, women were significantly more accurate in fear expression recognition at the preovulatory surge (highest estrogen levels) than during their menstruation period (Pearson & Lewis, 2005). Another emotion recognition study also demonstrated a menstrual phase effect such that follicular group showed higher accuracy in facial emotion recognition than luteal group (Derntl, Kryspin-Exner, Fernbach, Moser, & Habel, 2008). Similarly, in an emotional face identification task, women in early follicular phase showed significantly higher accuracy in identifying anger, sad, and fear 279 emotion than women in luteal phase (Guapo et al., 2009). Nevertheless, study indicated that women with premenstrual dysphoric disorder (PMDD) showed stronger physiologic response to aversive stimulus during the luteal compared to follicular phase (Epperson et al., 2007). Neuroimaging studies have identified similar results during different phases of the menstrual cycle. For instance, in women, the follicular phase has been associated with a greater amygdala activity (Derntl, Windischberger, et al., 2008) in response to both negative and positive stimuli compared to neutral stimulus. As an important neural network underlying social emotion processing, the orbitofrontal cortex (OFC) activation was modulated across the menstrual cycle as well (Protopopescu et al., 2005). Specifically, compared with neutral stimuli, OFC to negative or positive stimuli showed greater responses during premenstrual phase in medial regions, whereas greater response during the postmenstrual phase in lateral regions. However, brain image study also showed that hippocampus and amygdala activity to emotional stimuli was stronger during mid-luteal phase, which may due to the higher levels of progesterone (Andreano & Cahill, 2010). Goldstein et al. (2005) found that amygdala, OFC and anterior cingulate cortex (ACC) activity was stronger in response to negative stimuli processing during the early follicular phase than late follicular phase. Other studies confirmed the mediation effect of menstrual cycle on negative emotion processing and suggested that the hormonal variation during menstrual cycle might modulate the HPA activity, which regulates the emotion arousal responses (Goldstein, Jerram, Abbs, Whitfield-Gabrieli, & Makris, 2010). These results reveal the difference of negative emotion-related behavioral or brain response during different menstrual cycle phases. However, most of these functional magnetic resonance imaging (fMRI) studies did not match the arousal of different types of stimuli (Amin, Epperson, Constable, & Canli, 2006; Andreano & Cahill, 2010; Derntl, Windischberger, et al., 2008; Pearson & Lewis, 2005), which means the result could be attribute to the arousal difference between negative and neutral stimulus but not the valence effect. According to the dimension theory of emotion, arousal is another different emotion dimension, which needs to be controlled in valence-related studies (Lang, 1995; Lawton, Kleban, Rajagopal, & Dean, 1992; Lewis, Critchley, Rotshtein, & Dolan, 2007). Thus, we cannot infer whether the menstrual cycle regulate the response to emotional valence or arousal. ERP result may provide further time course information for the interaction between menstrual cycle and negative emotion processing since previous studies have demonstrated that the valence Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 280 WU ET AL. effect modulated early ERPs (usually before 300 ms), while the arousal effects observed for later components (Codispoti, Ferrari, & Bradley, 2007; Olofsson, Nordin, Sequeira, & Polich, 2008). ERP studies have identified ERP components modulated by the valence of emotion (Carretié et al., 2001; Carretié, Hinojosa, Martín-Loeches, Mercado, & Tapia, 2004; Huang & Luo, 2006) and provided considerable evidence for gender difference in negative emotion processing. For instance, data from ERP study which controlled the arousal level showed the valence effect on N2 and P3 (Li et al., 2008; Yuan et al., 2007, 2009; Yuan, Yang, Chen, Meng, & Li, 2010). Specifically, the N2 was largest under the extremely negative condition compared with moderately negative (MN) and neutral stimuli. The valence effect on N2 was considered as more attentional resource allocation to negative stimuli in the early phase (Yuan et al., 2007). Further valence effect was found in subsequent P3 component, which indicated that negative stimuli were associated with smaller P3 in implicit emotion task. That is, the smaller P3 reflects the inhibition process under negative condition in implicit emotion task (Yuan et al., 2007). Overall, such two ERP components may provide us more information about the modulation effect of menstrual cycle on negative emotion processing. From the evolutionary point of view, women during their follicular phase are with higher reproduction ability and may with higher sensitivity to social– emotion information for mating behavior (Derntl, Windischberger, et al., 2008; Macrae, Alnwick, Milne, & Schloerscheidt, 2002; Pearson & Lewis, 2005). Previous studies on premenstrual syndrome, however, suggest that the sensitivity to negative emotions may exist before the menstrual phase (Miller & Miller, 2001; Rubinow & Schmidt, 2006; Woods, Most, & Dery, 1982). Thus, there is a real need to understand whether women have a higher sensitivity to negative emotions in follicular phase or in late luteal phase/ premenstrual phase. This question is of critical importance as it might help to shed light on clinical premenstrual behaviors. The menstrual cycle phase is correlated with the suicide behavior (Baca-Garcia, Sanchez-Gonzalez, Gonzalez Diaz-Corralero, Garcia, & de Leon, 1998; Saunders & Hawton, 2006). For example, an investigation showed that 65% of the suicide behavior occurs in pre- or during menstrual phase (Baca-Garcia et al., 1998). To test whether women process negative emotions differently as a function of their menstrual phases (when the affective arousal was controlled), we utilized ERP technique and a standard/deviant categorization task following previous studies (Li et al., 2008; Yuan et al., 2007). We expected a larger frontal N2 and smaller P3 component to more negative trials and hypothesized that the menstrual effect on negative emotion link to the N2 or P3 amplitude shift with the menstrual cycle. Furthermore, to address the possibility of difference between highly negative (HN) and MN information processing during different menstrual cycle phases, we utilized HN, MN, and neutral stimulus and examine the effect of menstrual phases on brain potential response. METHODS Participants Sixteen right-handed healthy female students (mean age = 22.4, SD = 4.8) participated in present study and finished the ERP recordings in both the phases. No participant was using oral contraceptives or psychoactive medication. To control the cycle individual difference, participants finished an inquiry to make sure all of them were with normal menstrual cycle (i.e., the mean cycle days was 28 ± 2 days) in the last two years before formal recruited. Each woman was tested once during the late luteal phase/premenstrual phase (days 2–3 before the onset of menses: M = 2.54 days, SD = 0.78) and once during the follicular phase (days 6–10 after the onset of menses: M = 8.62 days, SD = 1.85). To avoid the test–retest effect, half of the participants performed the first ERP test in their luteal phase and the other half in the follicular phase. All participants were recruited through public advertisement and with no history of neurological, psychiatric illness and denied hormone using. All procedures were approved by the institutional review boards (IRBs) of Institute of Psychology, Chinese Academy of Sciences. Participants signed the informed consent before the experiment and were paid after the study. Stimuli and the control of stimuli arousal One neutral natural scene of cup was selected as the frequent standard stimuli, which with 70% presentation possibility. The deviants in the modified oddball task totally consist of 60 black-and-white photographs, which were selected from the Chinese Affective Picture System (CAPS). In CAPS, each material was evaluated by more than 500 hundred Chinese subjects and provide the rating sores including valence, arousal and dominance etc., on a nine-point scale.10 HN, 10 MENSTRUAL PHASE AND NEGATIVE EMOTION TABLE 1 The emotional valence and arousal of experiment materials (Mean ± SD) Phase Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 Valence Late luteal phase Follicular phase Arousal Late luteal phase Follicular phase HN 2.11 ± 0.41 2.23 ± 0.47 5.23 ± 0.42 5.45 ± 0.42 MN 3.57 3.60 5.29 5.47 ± ± ± ± 0.52 0.57 0.39 0.39 Neutral 5.34 5.39 5.59 5.39 ± ± ± ± 0.73 0.80 0.35 0.36 MN, and 10 neutral pictures were used as deviant stimuli in the task of late luteal phase/premenstrual phase and 30 pictures (10 HN, 10 MH, and 10 Neutral) were used in the follicular phase. To confirm the controlling of arousal dimension, we conducted one-way ANOVA to the arousal rating of pictures in three conditions (HN, MN, and Neutral) during late luteal and follicular phases, respectively. The main effect of arousal was not significant in the late luteal phase (p = .19) and follicular phase (p = .70). In the other hand, the ANOVA on valence rating confirmed the valence manipulation such that a significant emotion valence main effect was found in the late luteal phase (p < .001) and follicular phase as well (p < .001). Specifically, HN pictures were more negative than MN pictures, and MN pictures were more negative than neutral pictures (see Table 1). To test the material matching in two menstrual cycles, the ANOVA on emotion valence of pictures showed the phase effect was not significant, F (1, 29) = 0.57, p = .45. Also, the emotional arousal of pictures between two phases was not significant either, F (1, 29) = 1.28, p = .26. Overall, the valence factor was quantified by higher negative valence in HN than MN, and also significant higher negative for MN than neutral pictures. Importantly, the controlling of valence was quantified by no significant difference among HN, MN, and neutral pictures (See Table 1). Affective assessment To exclude the impact of mood disorder such as premenstrual mood disorders, each participant was required to fill out questionnaires in both first and second experiment. Questionnaires included Profile of Mood States (POMS), the Positive and Negative Affect Schedule (PANAS; Watson, Clark, & Tellegen, 1988), Beck Depression Inventory (BDI), and State Anxiety Inventory (SAI). All subjects entering the final data analysis showed no significant difference in all these scores between first and second experiments. For all the 16 subjects, the t-test showed there 281 was no significant difference between the two cycle phases in POMS (t (15) = 0.91, p = .37), the PANAS (t (15) = 0.58, p = .57), BDI (t (15) = 0.73, P = .48), and SAI (t (15) = 0.19, p = .85). Procedure Subjects were asked to perform the experiment twice, and the first time ERP experiment between subjects was counterbalanced based on their menstrual cycle. That is, half subjects were first participated before the onset of menses and half subjects were after the onset of menses. The experimental procedure was identical between first and second experiment, and using different materials. The experimental program was performed on the computer and presented by E-prime. In each trial, a 300 ms fixation first presented, and then a blank screen was displayed as interval, lasting randomly between 500 and 1000 ms. The stimuli were then presented 1000 ms as standard or deviant stimuli. Participants should make a key press that presses the ‘F’ to the standard stimulus and press ‘J’ to deviant stimuli in this duration. The intertrial interval is 1000 ms. Before the formal experiment, a 10 min practice was performed to make subjects familiar with the task. There were six blocks with 100 trials in each and entire experiment takes about 30 min. Thus, there were 420 standard trials and 180 deviant trials (i.e., 60 HN, 60 MN, and 60 neutral stimulus). EEG recording and data analysis Participants sat on a chair in a dark room with their head restrained in a chin rest. Raw electroencephalographic (EEG) data were collected at 500 Hz sample rate, referenced to left mastoid, using 64channel Neuroscan Synamps (Neuroscan Inc., Herndon, VA). The continuous data were digitized with a bandpass of 0.05–100 Hz, and the electrode impedances were keep lower than 5 kΩ. Vertical electrooculograms (EOGs) were recorded supraand infra-orbitally at the left eye. Horizontal EOG was recorded as the left versus right orbital rim. EEGs were re-referenced to the average of the left and right mastoids and filtered with a low pass of 30 Hz off-line. Epochs were made beginning 200 ms prior to stimulus onset and continuing for 1000 ms. Trials exceeding ±80 μV epoch data should pass through a computerized artifact Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 282 WU ET AL. detection algorithm and trials with out of range data (were excluded from further analysis. Three subjects were excluded due to serious eyeblinks, eye movements, or other artifacts. Trials of four conditions (HN, MN, neutral stimulus, and standard stimuli) were averaged, respectively, and then using—200 ms to 0 ms baseline to perform a baseline correction. Studies of ERP response to negative emotion were well documented (Campanella et al., 2002; Li et al., 2008; Yuan et al., 2007), and we thus will mainly focus on N2 and P3 components based on existing study (see Figures 1 and 2). The latency and amplitude of N2 (150–300 ms) were analyzed on peak value in electrodes of F3, FZ, F4, FC3, FCz, FC4, C3, Cz, and C4. And the amplitude of P3 (300–500 ms) were analyzed on mean amplitude values in electrodes of C3, Cz, C4, CP3, CPz, CP4, P3, Pz, and P4. In the statistical analysis, a repeated measure ANOVA was conducted with valence (three levels: HN vs. MN vs. neutral), Electrode and cycle phase (luteal vs. follicular) as within-subject factors. The degrees of freedom of the F-ratio were corrected by using Greenhouse–Geisser method when the sphericity was violated. RESULTS Behavioral performance Overview, the accuracy was extremely high for both late luteal and follicular phase (98.2% for late luteal phase and 99% for follicular phase, respectively). The ANOVA with valence (HN vs. MN vs. neutral) and phase (luteal vs. follicular) as within-subject factor on response accuracy showed a significant main effect of valence, F (2, 17) = 4.498, p < .05 and ηp2 = .273. The pairwise comparison showed that the accuracy of HN (M = .994, SE = .003) was significantly higher than neutral stimulus (M = .974, SE = .004), p < .05. Neither the comparison between HN and MN nor between MN and neutral was significant. After excluded incorrect trials, the ANOVA in RTs revealed no significant main effect or interaction (see Table 2). ERP results The grand average ERPs for four conditions (HN vs. MN vs. neutral vs. standard) are shown in Figure 1 (during late luteal/premenstrual phase) and Figure 2 Figure 1. The grand average ERPs at Fz, FCz, Cz, CPz, and Pz for females during luteal phase. Note: During late luteal phase, the N2 amplitude increased with the intense of valence, such that HN stimuli evoked largest N2 and neutral stimuli evoked smallest N2. Moreover, the difference between MN and neutral stimuli was significant, i.e. p < .05. Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 MENSTRUAL PHASE AND NEGATIVE EMOTION 283 Figure 2. The grand average ERPs at Fz, FCz, Cz, CPz, and Pz for females during follicular phase. Note: During follicular phase, HN stimuli evoked largest N2. However, the difference between MN and neutral stimuli was not significant. TABLE 2 The response accuracy and response time results in two phases (Mean ± SD) Phase Accuracy RT (ms) Late Luteal Follicular Late Luteal Follicular HN 0.99 0.99 488.16 478.52 ± ± ± ± (during follicular phase). Notably, the accepted trial numbers for each condition indicated nonsignificant (ps > .29) difference across conditions and phases. We will mainly report the oddball effect and the amplitude differences among three types of deviant pictures in two phases. Standard vs. deviant To examine the oddball effect, we compared the ERPs of deviant stimulus (1/3 HN + 1/3 MN +1/3 Neutral) with standard stimuli. The repeat measure ANOVA with frequency (deviant vs. standard) and phase as within-subject factors on N2 amplitude revealed a significant main effect of Frequency, MN 0.01 0.00 17.16 43.76 0.98 ± 0.01 0.99 ± 0.00 482.16 ± 16.38 473.95 ± 47.78 Neutral 0.97 0.98 492.88 484.26 ± ± ± ± 0.01 0.01 15.68 43.47 F (1,12) = 76.87, p < .001, ηp2 = .865, showing that deviant stimulus (M = –10.10 μV, SE = 1.24) elicited larger N2 amplitude than standard stimuli s (M = –3.55 μV, SE = .74). Regarding the P3 component, the ANOVA result showed a main effect of frequency, F (1,12) = 8.12, p < .05, and ηp2 = .40, indicating the P3 for deviant stimulus (M = 11.73 μV, SE = .74) was larger than standard stimuli (M = 9.70 μV, SE = .77). N2 The three-way (valence × electrode × phase) ANOVA on N2 amplitude showed a significant main effect of electrode, F (3,33) = 59.46, P < .001, Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 284 WU ET AL. ηp2 = .83, and significant interaction of valence × electrode, F (5, 65) = 6.71, p < .001, ηp2 = .32. Moreover, the three-way interaction (valence × electrode × phase) was also significant, F (5,62) = 4.86, p = .001, ηp2 = 0.29. The pairwise comparison for the electrode main effect showed that FCz was with largest N2 (M = −13.30 μV, SE = 1.52) than the other electrodes (ps < .05), indicating the dominant fronto–central distribution of N2 in the middle site. The further analyses on the valence × electrode × phase interaction revealed that MN pictures elicited larger N2 in the frontal electrodes (Fz, F3, and F4) than neutral pictures, ps < .05. The post hoc analysis also revealed phase cycle difference in left fronto–central electrodes (C3, FC3) in HN pictures that the HN picture elicited larger N2 in the late luteal phase than follicular phase, ps < 0.05. No other significant main effects or interactions were found for N2 amplitudes and nor were the main effects or interactions for N2 latency. P3 The three-way (valence × electrode × phase) ANOVA on P3 amplitude revealed a significant main effect of Electrode, F (3,37) = 11.58,p < .01, ηp2 = .49), indicating that the P3 was larger at centro-parietal sites (Pz, P4, CP4, P3, CP3, CPz) than central electrodes(C3, C4), ps< .05. Concerning P3 amplitude was suggested to be modulated by depression (Campanella et al., 2012), we also conducted the three-way (valence × electrode × phase) ANOVA with BDI score as covariance. The result revealed a main effect of electrode, F (3,37) = 6.35, p < .01, ηp2 = .37, indicating nonsignificant BDI modulation effect on P3 amplitude. Furthermore, we also did a multivariate linear regression analysis as suggested by Campanella et al. (2012). Specifically, we did the regression analysis on P3 amplitude and P3 latency, respectively, with PHASE and BDI score as independent variables. However, no predictor was found for P3 latency (ps > 0.79) or P3 amplitude (ps > 0.211). DISCUSSION As stated above, ERP studies have identified ERP components modulated by emotion valence (Carretié et al., 2001, 2004; Huang & Luo, 2006). For instance, studies with implicit task (Carretié et al., 2001) or explicit affective judgment task (Huang & Luo, 2006) indicated that the P200 was larger for negative stimuli than positive stimuli (i.e., negative bias). Furthermore, P300 also showed affective valence effect in a study with controlled middle level arousal pictures. More specifically, the P300 differed among valence categories (negative, neutral, and positive) at frontal sites but not parietal area (Conroy & Polich, 2007). In addition, ERP studies on negative stimuli processing with affective arousal controlled also confirmed the valence effect on N2 and P3 (Li et al., 2008; Yuan et al., 2007, 2009, 2010). More specifically, in the oddball paradigm, N2 was largest in the extremely negative facial expression and smallest in the neutral condition, which may indicate the attention to significant stimuli for living (Yuan et al., 2007). The further study on gender difference in negative emotion also observed significant difference between HN and neutral stimuli across N2 and P3 such that indicated both male and female are sensitive to HN stimuli. More importantly, only female showed susceptibility to lesser salience negative stimuli because only female showed MN vs. neutral difference across N2 and P3 (Li et al., 2008; Yuan et al., 2009). However, whether such sensitivity on MN stimuli was modulated by menstrual cycle was still unclear. The present study investigated the menstrual cycle effect on negative emotion processing, especially for stimulus that matched arousal. Following previous studies (Li et al., 2008; Yuan et al., 2007), an oddball paradigm was utilized. In consistent with previous study that showed no gender effect or valence effect on RTs (Li et al., 2008), the analyses of RTs revealed no valence or phase effect. However, the behavioral results of present study indicated a higher accuracy for HN stimulus than neutral stimulus. This may due to the negative bias that the automatic attention to HN, and thus the response accuracy was higher. Our result was also in line with previous reports showed relatively better performance for negative stimuli than neutral stimuli (Kensinger & Corkin, 2003; Murty et al., 2009). Regarding the ERP results, basically, the N2 and P3 showed an oddball effect that larger N2 and P3 was found in deviant stimuli than standard stimuli. Moreover, the analysis showed no phase related effect in deviant vs. standard comparison demonstrated that the oddball effect was not affected by the cycle phase. The larger N2 and P3 amplitude to deviant stimuli was congruent with previous studies showed such enhanced N2 or P3 to novel stimuli (Campanella et al., 2004; Langeslag, Franken, & Van Strien, 2008; Nagy, Potts, & Loveland, 2003), which was interpreted as an increased orienting of attention or significance to novel stimuli. Since the valence difference between deviant vs. standard stimuli, our result could not simply attribute to the oddball effect. However, compared with a prior study showed gender Downloaded by [Institute of Psychology ] at 00:28 30 November 2015 MENSTRUAL PHASE AND NEGATIVE EMOTION different that females showed larger P3 to rare stimuli than males (Yuan et al., 2010), our result showed a stable enhanced N2 and P3 to deviant stimuli for females in both late luteal and follicular phase. On the other hand, the brain potential responses to negative emotion were modulated by the menstrual cycle. The major finding of our study is that MN stimuli demonstrated larger N2 amplitudes compared to neutral stimuli in the late luteal phase (Figure 1). Such difference indicated that females could differentiate MN and neutral information in the time interval of 150–300 ms in the premenstrual phase. In this phase, the N2 amplitude was largest for HN stimuli and smallest for neutral stimuli, which was consistent with previous evidence have suggested that N2 is sensitive to negative facial expressions and may reflect the early attention processing to emotional or significant stimuli (Campanella et al., 2002; Herrmann et al., 2002). Considering numerous prior studies utilized oddball paradigm interpreted the N2 as orienting attention to salient stimuli (Campanella et al., 2004; Muller-Gass, Stelmack, & Campbell, 2006; Nagy et al., 2003), such larger N2 to MN stimuli suggested more attention to MN stimuli than neutral stimuli in the late luteal phase. However, such MN vs. neutral N2 difference was absent in the follicular phase (Figure 2). For previous study focus on gender difference indicated that only female showed MN vs. neutral N2 difference and confirmed the females’ susceptibility to MN emotion but not HN stimuli(Li et al., 2008; Yuan et al., 2009), our result may provide further evidence for female’s ability to differentiate less salient negative stimuli and indicated such female advantage in MN emotion may also vary across the menstrual cycle. Importantly, our finding showed that the N2 for HN condition varied across menstrual cycle. More specifically, HN stimuli elicited larger N2 in left fronto–central electrodes during the late luteal phase than follicular phase. This may indicate that women in premenstrual phase showed enhanced sensitivity to HN stimuli than during follicular phase. Similarly, there is some evidence to suggest that the perception processing (Smith et al., 2003) or social-cognitive function varies across the menstrual cycle (Macrae et al., 2002). Previous studies have suggested enhanced negative emotional processing in PMDD (Protopopescu et al., 2008) and higher stress vulnerability during the premenstrual phase (Ossewaarde et al., 2010). Extending these findings, the present results revealed the cycle-dependent effect on negative emotion processing in normal subjects. Our findings show women during late luteal/premenstrual phase may with higher sensitivity to negative stimuli 285 (both moderately and HN stimuli), such sensitivity may provide new insight to the research on PMDD and menstrual cycle-depended stress vulnerability. Furthermore, our result showed that females are more sensitive to negative emotion in luteal phase was inconsistent the evolutionary view and evidence showed that females were with better performance in emotion recognition or increase amygdala activity to negative stimulus during follicular phase (Derntl, Kryspin-Exner, et al., 2008; Derntl, Windischberger, et al., 2008). One possible reason, as we stated, is that we controlled arousal dimension of the negative emotion in the present study. That is, the previous results may attribute the higher arousal of negative emotion and the N2 in our finding seems sensitive to valence effect. Although the N2 results showed interactions between the different types of picture and the phase of menstrual cycle, we failed to find the effect of valence or phase in P3. Alternatively, we just find a consistent topography distribution of P3 that larger P3 occurred at posterior sites. Considering previous study indicated that the valence affect frontal P3 but not parietal P3 when arousal was controlled (Conroy & Polich, 2007), the no valence effect may because we analyzed posterior P3. It is also possible that the individual difference and relative small subject sample make the P3 result did not reach significant. However, we must acknowledge certain limitations of the present study. The major limitation was the sample size (N = 16) is relatively small. Such small sample size may help us to explain the absence of P3 effect. For instance, the P3 amplitude and latency cannot be predicted by the BDI score in present study, which failed to repeat the pilot study (Campanella et al., 2012). And, another limitation is that the hormone levels were not measured in present study, which makes our inference about hormone levels and negative emotion processing difficult. Furthermore, although we tried to control the affective state of the subjects by BDI, SAI, and PANAS scales, the absence of the trait anxiety measurement may affect the conclusion given that the influence of Toronto Alexithymia Scale (TAS) on N2 in a previous study (Campanella et al., 2012). Overall, our result further confirmed the negative bias across menstrual cycle that females were with higher accuracy to HN stimuli than neutral stimuli. Moreover, N2, a ERP component reflects early attention processing, indicated a valence effect that the N2 amplitude enlarge along with the intense of negative emotion in the late luteal phase. However, the N2 difference between MN and neutral stimuli was not significant and the larger N2 for HN in follicular 286 WU ET AL. phase than late luteal phase may together indicated that females were with higher sensitivity to negative emotion during luteal phase than during follicular phase when arousal was well controlled. 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