Emotion processing involves specialised brain regions allowing for effective evaluation of the social environment and for the acquisition of social skills that emerge over childhood. In humans, an important aspect of normal development is the ability to understand the facial expressions of others that signal the nature and safety of the environment. Existing functional data, however, have not characterised the developmental trajectories associated with the differing neural and cognitive-behavioural development. The current thesis investigates the functional specialisation and development of the spatial and temporal patterns in neural activities during implicit processing of facial emotions from early childhood through adulthood. The first study identified brain regions engaged in implicit processing of emotional expressions using a simple emotion-processing paradigm (target detection task) with fourteen healthy adults using magnetoencephalography (MEG) recordings. Participants responded to a non-face target (a scrambled pattern) while ignoring the emotional face presented in a different hemifield. Results showed ACC and right-lateralised amygdala activations in early latencies in response to the unattended emotional faces related to rapid and implicit attention to the task-irrelevant facial emotions, specifically during the processing of the fearful emotion. Based on the findings in the first study, the second study investigated the developmental patterns and age-related differences in brain activities associated with the rapid and automatic processing of the emotional expressions in MEG with twelve children 7 – 10 years old, twelve adolescents 12 – 15 years old and twelve young adults (mean age 24.4 years) using the same paradigm. The results showed that emotion processing developed early in childhood in the amygdalae, whereas the processing of fear had later maturation engaging the ACC. The results further demonstrated an age-correlated increase in development in ACC activity and an age-related laterality shift in the amygdalae related to fear processing. The present thesis provides new evidence contributing to the understanding of the protracted but differing normal development in the emotional brain over the childhood into adulthood, and offers critical insights into understanding possible dysfunctions of these brain regions during development.

Emotion processing involves specialised brain regions allowing for effective evaluation of the social environment and for the acquisition of social skills that emerge over childhood. In humans, an important aspect of normal development is the ability to understand the facial expressions of others that signal the nature and safety of the environment. Existing functional data, however, have not characterised the developmental trajectories associated with the differing neural and cognitive-behavioural development. The current thesis investigates the functional specialisation and development of the spatial and temporal patterns in neural activities during implicit processing of facial emotions from early childhood through adulthood. The first study identified brain regions engaged in implicit processing of emotional expressions using a simple emotion-processing paradigm (target detection task) with fourteen healthy adults using magnetoencephalography (MEG) recordings. Participants responded to a non-face target (a scrambled pattern) while ignoring the emotional face presented in a different hemifield. Results showed ACC and right-lateralised amygdala activations in early latencies in response to the unattended emotional faces related to rapid and implicit attention to the task-irrelevant facial emotions, specifically during the processing of the fearful emotion. Based on the findings in the first study, the second study investigated the developmental patterns and age-related differences in brain activities associated with the rapid and automatic processing of the emotional expressions in MEG with twelve children 7 – 10 years old, twelve adolescents 12 – 15 years old and twelve young adults (mean age 24.4 years) using the same paradigm. The results showed that emotion processing developed early in childhood in the amygdalae, whereas the processing of fear had later maturation engaging the ACC. The results further demonstrated an age-correlated increase in development in ACC activity and an age-related laterality shift in the amygdalae related to fear processing. The present thesis provides new evidence contributing to the understanding of the protracted but differing normal development in the emotional brain over the childhood into adulthood, and offers critical insights into understanding possible dysfunctions of these brain regions during development.

Bakgrund: Smärta definieras som en subjektiv upplevelse där upplevelsen till viss del formas i hjärnan genom komplexa processer. Långvarig stress har visat sig leda till förändring i smärtkänsligheten vilket kanske förklaras av att akut stress förändrar aktivitet i främre delar av hjärnan. Anterior cingulate cortex (ACC) är ett frontalt hjärnområde med en roll i den emotionella upplevelsen av smärta. Det finns indikationer på förändringar i ACC av den hämmande transmittorsubstansen GABA, och den stimulerande transmittorsubstansen glutamat, vid vissa smärttillstånd.  Motiv: I dagsläget saknas kunskap om hur stress påverkar smärtkänslighet samt hur det påverkar grundnivåerna av transmittorsubstanserna GABA och glutamat.  Syfte: Att studera samband mellan skattad stress och skattad smärta, samt studera samband mellan skattad stress, smärta, GABA och glutamat i två ACC regioner.  Metod: En experimentell pilotstudie med kvantitativ design utfördes med 10 friska deltagare. Percieved Stress Questionnaire användes för skattning av stressnivåer före smärtprovokation och Numeric Rating Scale användes för att skatta smärta vid smärtprovokation. GABA- och glutamatnivåer i två ACC regioner mättes med hjälp av Magnetic Resonans Spectroscopi.  Resultat: Spearmans test visade att det fanns ett signifikant positivt samband mellan skattad stress och skattad smärta (r=.86, p=.001). Det fanns även signifikant positivt samband mellan skattad stress och glutamat (r=.778, p=.008), skattad smärta och glutamat (r=.729, p=.017). Samt ett signifikant negativt samband mellan skattad stress och GABA (r= -.687, p=.028), skattad smärta och GABA (r=-.667, p=.035) i två ACC regioner.  Konklusion: Resultatet indikerar att sambandet mellan stress och smärta kan förklaras av förändringar i transmittorsubstansnivåer i två ACC regioner. Denna kunskap kan bidra till ökad förståelse hos vårdpersonalen för individuella skillnader i smärtkänslighet och hur komplex situationen kring patienter med smärta är, vilket motiverar till omvårdnadsåtgärder som minskar stress och smärta. / Background: Pain is defined as a subjective experience that some extent is formed through complex processes in the brain. Prolonged stress can affect pain sensitivity, which may be explained by changes in frontal parts of the brain. The anterior cingulate cortex (ACC) is a frontal brain area that plays a role in the emotional experience of pain. In certain pain conditions, there are indications of changes in the neurotransmitter level GABA and glutamate in ACC. Motive: At present, there is a lack of knowledge about how stress affects pain sensitivity and how it affects the basic levels of the neurotransmitter GABA and glutamate in ACC.  Aim: To study the correlation between rated stress and pain, and study the correlation between rated stress, pain, GABA, and glutamate in ACC.  Methods: An experimental pilot study was performed with 10 healthy participants. The Perceived Stress Questionnaire was used to rate stress levels before pain provocation and the Numeric Rating Scale was used to rate pain during pain provocation. GABA and glutamate levels were measured in ACC by Magnetic Resonance Spectroscopy.  Result: Spearman´s test showed a significant positive correlation between rated stress and rated pain (r = .86, p = .001). There was a significant positive relationship between rated stress and glutamate (r = .778, p = .008), rated pain and glutamate (r = .729, p = .017) and a significant negative correlation between rated stress and GABA (r = -.687, p = .028), rated pain and GABA (r = -.667, p = .035) in ACC.  Conclusion: The results indicate that the correlation between stress and pain can be explained by changes in transmitter levels in the ACC region. This knowledge can contribute to increased understanding among healthcare professionals for individual differences in pain sensitivity and the complexity of pain conditions.