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Pushkarskaya, H.

Publications and source records attributed to Pushkarskaya, H..

2 recordsLinked to original sources

The Limbic Overload Hypothesis of Hypomanic Vulnerability: A Dynamic Biosocial Perspective

Hypomanic tendencies are associated with elevated goal-directed behavior, creativity, charisma, sociability, and entrepreneurial drive, but also with mood instability, irritability, impulsive persistence, and elevated risk for bipolar disorder and other psychopathology. Existing models often emphasize unidimensional constructs such as reward sensitivity or behavioral activation, yet these approaches incompletely capture the dynamic and often contradictory nature of the hypomanic temperament. We propose the Limbic Overload Hypothesis of Hypomanic Vulnerability, a dynamic biosocial framework suggesting that hypomanic tendencies reflect a persistent pattern of elevated engagement despite potential loss, coupled with reduced integration of negative emotional experience into subsequent behavioral regulation. Over time, this pattern may contribute to progressive "limbic overload," characterized by increasing emotional dysregulation, hypersensitivity to salient experiences, and vulnerability to psychopathology. Integrating evidence from personality research, affective neuroscience, and preliminary neuroimaging findings, we propose a dynamic cortico-limbic model linking prefrontal-limbic coordination, loss tolerance, emotional updating, and social reinforcement cycles. Preliminary pilot data suggest that individual differences in hypomanic tendencies are reflected not simply in baseline cortico-limbic organization, but in dynamic neural reconfiguration across pre-task resting-state [->] task [->] post-task resting-state transitions during loss-related decision making. Specifically, elevated hypomanic tendencies were associated with persistently elevated tolerance of potential losses and reduced integration of negative emotional information into subsequent behavioral regulation. We further propose that social connectedness and cognitive-emotional integration may mitigate progressive limbic overload and contribute to resilience. Together, this framework generates experimentally testable predictions regarding the neural, behavioral, and social processes underlying hypomanic vulnerability and resilience.

neuroscience↗

Value-Based Evidence Accumulation as a Transdiagnostic Marker of General Distress

General distress cuts across psychiatric symptom domains, yet its computational correlates remain poorly defined. We examined whether drift rate--a core parameter indexing the efficiency of evidence accumulation--is more strongly associated with general distress than with domain-specific symptoms. In a cross-sectional online sample of 441 adults from the general population, participants completed a perceptual and value-based decision-making task, symptom assessments, and cognitive testing. Drift rates were estimated using hierarchical drift-diffusion modeling. Individuals with severe symptom elevations showed robust reductions in drift rate, particularly for value-based decisions. Mixed-effects models demonstrated that general distress, indexed by the Positive Symptom Distress Index, was more strongly associated with value-based than perceptual drift rate, even after accounting for all symptom domains. Value-based drift rate also explained variance in general distress beyond that accounted for by elevated symptoms across domains and selectively attenuated associations with somatization and paranoid symptoms. These findings suggest that value-based evidence accumulation captures a transdiagnostic component of distress-related impairment that is not reducible to symptom burden alone.

pathology↗