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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Behav. Neurosci.</journal-id>
<journal-title>Frontiers in Behavioral Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Behav. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5153</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnbeh.2017.00224</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Frontal EEG Asymmetry of Mood: A Mini-Review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Palmiero</surname> <given-names>Massimiliano</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/63485/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Piccardi</surname> <given-names>Laura</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/186240/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Neuropsychology Unit, IRCCS Fondazione Santa Lucia</institution>, <addr-line>Rome</addr-line>, <country>Italy</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Biotechnological and Applied Clinical Sciences, University of L&#x00027;Aquila</institution>, <addr-line>L&#x00027;Aquila</addr-line>, <country>Italy</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Life, Health and Environmental Sciences, University of L&#x00027;Aquila</institution>, <addr-line>L&#x00027;Aquila</addr-line>, <country>Italy</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Daniela Iacoviello, Sapienza Universit&#x000E0; di Roma, Italy</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Gennady Knyazev, Institute of Physiology and Basic Medicine, Russia; Carlos Tomaz, Universidade Ceuma, Brazil</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Massimiliano Palmiero <email>massimiliano.palmiero&#x00040;univaq.it</email></p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>11</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>11</volume>
<elocation-id>224</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>07</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>10</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Palmiero and Piccardi.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Palmiero and Piccardi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>The present mini-review was aimed at exploring the frontal EEG asymmetry of mood. With respect to emotion, interpreted as a discrete affective process, mood is more controllable, more nebulous, and more related to mind/cognition; in addition, causes are less well-defined than those eliciting emotion. Therefore, firstly, the rational for the distinction between emotion and mood was provided. Then, the main frontal EEG asymmetry models were presented, such as the motivational approach/withdrawal, valence/arousal, capability, and inhibition asymmetric models. Afterward, the frontal EEG asymmetry of mood was investigated following three research lines, that is considering studies involving different mood induction procedures, dispositional mood (positive and negative affect), and mood alterations in both healthy and clinical populations. In general, results were found to be contradictory, no model is unequivocally supported regardless the research line considered. Different methodological issues were raised, such as: the composition of samples used across studies, in particular, gender and age were found to be critical variables that should be better addressed in future studies; the importance of third variables that might mediate the relationship between frontal EEG asymmetries and mood, for example bodily states and hormonal responses; the role of cognition, namely the interplay between mood and executive functions. In light of these issues, future research directions were proposed. Amongst others, the need to explore the neural connectivity that underpins EEG asymmetries, and the need to include both positive and negative mood conditions in the experimental designs have been highlighted.</p>
</abstract>
<kwd-group>
<kwd>emotion</kwd>
<kwd>disposition</kwd>
<kwd>frontal asymmetry</kwd>
<kwd>mood induction</kwd>
<kwd>individual differences</kwd>
<kwd>depression</kwd>
<kwd>gender</kwd>
<kwd>pre-frontal cortex</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="63"/>
<page-count count="8"/>
<word-count count="5881"/>
</counts>
</article-meta>
</front>
<body>
<p>In these last decades, the cognitive neuroscience of emotion has enormously increased, aiming at improving the understanding of the biological basis of emotional processing in both healthy and clinical populations. A variety of approaches have been used so far, including functional Magnetic Resonance Imaging (fMRI). However, given the high temporal resolution of the electroencephalography (EEG), the change of EEG signals has been extensively used to detect real-time emotional processes that arise following a series of external/internal stimuli or events. One of the most prolific research lines has focused on the investigation of frontal EEG asymmetries of emotion and affect-related phenomena (e.g., mood). In this vein, moving from the rational that emotion and mood are distinct affective processes, the present mini-review was aimed at clarifying the EEG frontal asymmetry of mood. At the aim a selection of those EEG studies focused on mood induction, dispositional mood (e.g., positive and negative affect) and mood alterations in both healthy and clinical populations (e.g., depression and anxiety) were reviewed. Of course, the goal was not to systematically review all studies on the mood frontal asymmetry, but rather provide examples for the most important research lines in order to get insights about the current status of the research, in order to detect possible methodological- or theoretical-related issues and to draw possible future scenarios.</p>
<sec id="s1">
<title>Differences between emotion and mood</title>
<p>Emotion and mood are two distinct affective processes for different reasons. Beedie et al. (<xref ref-type="bibr" rid="B3">2005</xref>) revealed that eight themes were cited by both non-academics and academics (scientific literature). Excluding duration (emotion was evaluated both shorter and longer than mood) and function (intrinsic property to both processes), at least six reliable criteria were identified: causes, consequences, intentionality, intensity, physiology, and awareness of the cause. On the one hand, emotion involves specific causes, consequences on behavior, direction at something, high intensity, physical chemical response (e.g., adrenaline/fear), identification of the cause. On the other hand, mood is characterized by no specific causes, consequences on cognition, no specific direction at something, low intensity, psychological response and hormonal influences, no identification of the cause. In addition, emotion cannot be controlled (Ekman and Davidson, <xref ref-type="bibr" rid="B16">1994</xref>), whereas mood can be controlled (Parkinson et al., <xref ref-type="bibr" rid="B47">1996</xref>) and experimentally manipulated via different induction procedures, for example using music (e.g., Thompson et al., <xref ref-type="bibr" rid="B54">2001</xref>; Palmiero et al., <xref ref-type="bibr" rid="B44">2015</xref>, <xref ref-type="bibr" rid="B45">2016</xref>). Emotion is mostly showed by facial expressions (Ekman, <xref ref-type="bibr" rid="B15">1994</xref>), is clearly defined (Parkinson et al., <xref ref-type="bibr" rid="B47">1996</xref>), whereas mood is hidden to others or expressed via body postures (Parkinson et al., <xref ref-type="bibr" rid="B47">1996</xref>), and is more nebulous (Vallerand and Blanchard, <xref ref-type="bibr" rid="B60">2000</xref>). Emotion is related to the heart and feeling, mood to the mind and thinking (Beedie et al., <xref ref-type="bibr" rid="B3">2005</xref>). In addition, according to Scherer (<xref ref-type="bibr" rid="B51">2005</xref>) emotion is also characterized by response synchronization, that would play a key role on the preparation of the organism in order to face the emotional situation that has arisen by a specific cause; on the contrary, response synchronization is not important for mood because the organism must not prepare appropriate responses to unidentifiable eliciting causes.</p>
</sec>
<sec id="s2">
<title>EEG frontal asymmetry of emotion: the basic models</title>
<p>The pioneristic frontal EEG asymmetry model (Davidson, <xref ref-type="bibr" rid="B10">1983</xref>, <xref ref-type="bibr" rid="B11">1993</xref>) supports the view that the activity of brain systems both moderates motivational trait tendencies to approach/withdraw novel emotional stimuli and mediate approach/withdrawal motivational tendencies underlying emotion. According to this model, an increase of the left prefrontal activity, either as a trait or as a state, is associated to approach-related emotions (e.g., positive), whereas an increase of the right prefrontal activity is associated to withdrawal-related emotions (e.g., negative).</p>
<p>According to the valence-arousal model (e.g., Heller, <xref ref-type="bibr" rid="B31">1990</xref>, <xref ref-type="bibr" rid="B32">1993</xref>; Berntson et al., <xref ref-type="bibr" rid="B5">2011</xref>) the valence of emotions would be more important than the motivational tendencies: positive emotions are specifically associated with more left than right hemispheric activity, whereas negative emotions are associated with more right than left hemispheric activity.</p>
<p>In general, these two models diverge conceptually but overlap in terms of empirical predictions (Spielberg et al., <xref ref-type="bibr" rid="B52">2008</xref>), that is, positive emotions are linked to approach-related motivation, whereas negative emotions to withdrawal-related motivation. With a few exceptions (e.g., Mller et al., <xref ref-type="bibr" rid="B41">1999</xref>; Elgavish et al., <xref ref-type="bibr" rid="B17">2003</xref>), the most of studies confirmed these asymmetry models (for review see Davidson et al., <xref ref-type="bibr" rid="B13">2000</xref>; Coan and Allen, <xref ref-type="bibr" rid="B7">2004</xref>). However, results collected with anger, which involves a negative valence but also an approach tendency (e.g., Berkowitz, <xref ref-type="bibr" rid="B4">1999</xref>), raised doubt on the assumptions of the asymmetry models. Indeed, different studies demonstrated that anger yielded an increase of left rather than of right frontal EEG activity (e.g., Harmon-Jones, <xref ref-type="bibr" rid="B29">2004a</xref>; Hewig et al., <xref ref-type="bibr" rid="B35">2004</xref>; Gable and Poole, <xref ref-type="bibr" rid="B19">2014</xref>; for a review see Harmon-Jones, <xref ref-type="bibr" rid="B30">2004b</xref>). Collectively, these results show that EEG frontal asymmetry reflects the direction of the motivation rather than the valence of emotion.</p>
<p>More recently, Coan et al. (<xref ref-type="bibr" rid="B8">2006</xref>) proposed the capability model, which basically posits that, besides affective dispositions under resting condition, the situational variable plays a key role on the frontal EEG asymmetry. In other words, frontal EEG activity would rely on specific emotional contexts and individuals&#x00027; capacity to respond emotionally (approaching vs. withdrawal responses) or to inhibit responses to the situation that has contributed to elicit emotions.</p>
<p>Yet, moving from the evidence that inhibitory processes are very important for emotional asymmetries (Jackson et al., <xref ref-type="bibr" rid="B36">2003</xref>; Davidson, <xref ref-type="bibr" rid="B12">2004</xref>; Coan et al., <xref ref-type="bibr" rid="B8">2006</xref>), Grimshaw and Carmel (<xref ref-type="bibr" rid="B25">2014</xref>) proposed the asymmetric inhibition model, by which asymmetries can be interpreted in terms of executive control: mechanisms in left frontal cortex would inhibit negative distractors, whereas mechanisms in right frontal cortex would inhibit positive distractors. Different studies supported these predictions. For example, difficulty in releasing attention from negative stimuli was found to rely on low left frontal activity, as occurs in depression and anxious arousal (e.g., Cisler and Koster, <xref ref-type="bibr" rid="B6">2010</xref>), whereas difficulty in inhibiting positive distractions was found to rely on low right frontal activity, as occurs in poor self-regulation and addiction (e.g., Goldstein and Volkow, <xref ref-type="bibr" rid="B23">2011</xref>).</p>
</sec>
<sec id="s3">
<title>Frontal EEG asymmetry of mood</title>
<p>Three research lines were followed, that is studies exploring the relationships between frontal EEG asymmetries and: (1) mood states induced by different experimental procedures (e.g., film clips, music, faces); (2) dispositional mood (positive and negative affect); (3) mood alterations in both healthy and clinical populations (see Table <xref ref-type="table" rid="T1">1</xref> for details).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>List of studies for each research line.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr style="border-bottom: thin solid #000000;">
<th valign="top" align="center" colspan="4"><bold>MOOD INDUCTION</bold></th>
</tr>
<tr>
<th valign="top" align="left"><bold>Study</bold></th>
<th valign="top" align="left"><bold>Method</bold></th>
<th valign="top" align="left"><bold>Subjects</bold></th>
<th valign="top" align="left"><bold>Main result</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Tucker et al., <xref ref-type="bibr" rid="B59">1981</xref></td>
<td valign="top" align="left">Textbook descriptions of euphoria and depression</td>
<td valign="top" align="left">10 (6 females); Students</td>
<td valign="top" align="left">Depression: &#x02191;RFA</td>
</tr>
<tr>
<td valign="top" align="left">Tomarken et al., <xref ref-type="bibr" rid="B56">1990</xref></td>
<td valign="top" align="left">Positive and negative film clips<break/>Subjective emotional responses to film clips</td>
<td valign="top" align="left">32 females<break/>17&#x02013;41 years</td>
<td valign="top" align="left">NA: &#x02191;RFA</td>
</tr>
<tr>
<td valign="top" align="left">Wheeler et al., <xref ref-type="bibr" rid="B63">1993</xref></td>
<td valign="top" align="left">As in Tomarken et al. (<xref ref-type="bibr" rid="B56">1990</xref>), but baseline EEG recorded twice 3 weeks apart; subjects with stable patterns of asymmetry</td>
<td valign="top" align="left">26 females<break/>17&#x02013;21 years</td>
<td valign="top" align="left">NA: &#x02191;RFA; PA: &#x02191;LFA</td>
</tr>
<tr>
<td valign="top" align="left">Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>: Study 2</td>
<td valign="top" align="left">Sad mood induced using negative music Non-verbal fluency task for control condition</td>
<td valign="top" align="left">59 females divided in: high vulnerable &#x02193;LFA; low vulnerable &#x02191;LFA</td>
<td valign="top" align="left">No relationship between EEG asymmetry, mood, cognitive functioning</td>
</tr>
<tr>
<td valign="top" align="left">Gale et al., <xref ref-type="bibr" rid="B20">2001</xref></td>
<td valign="top" align="left">Pictures of sad and happy faces Eysenck Personality Inventory Subjective emotional response to faces</td>
<td valign="top" align="left">30 females<break/>18&#x02013;36 years</td>
<td valign="top" align="left">Negative mood: &#x02191;LFA<break/>Extraversion: &#x02191;RFA for PA;<break/>Neuroticism: &#x02191;left/right ratios and &#x02193;RFA</td>
</tr>
<tr>
<td valign="top" align="left">Dennis and Solomon, <xref ref-type="bibr" rid="B14">2010</xref></td>
<td valign="top" align="left">Emotion regulation: self-reported change in negative mood induced using fearful, sad, neutral film clips; attention interference in a task with mood congruent emotional distractors</td>
<td valign="top" align="left">66 (40 females)<break/>18&#x02013;59 years</td>
<td valign="top" align="left">&#x02191;FA during mood inductions vs. baseline: more emotion regulation No significant asymmetry</td>
</tr>
<tr>
<td valign="top" align="left">Kop et al., <xref ref-type="bibr" rid="B38">2011</xref></td>
<td valign="top" align="left">Recall of happy and anger incidents</td>
<td valign="top" align="left">20/30 (55% females)<break/>Mean age 25 years</td>
<td valign="top" align="left">Positive mood: RFA</td>
</tr>
<tr>
<td valign="top" align="left">Rodriguez et al., <xref ref-type="bibr" rid="B49">2015</xref></td>
<td valign="top" align="left">Sadness induced while participants virtually navigated through a park by music, Velten self-statements, pictures, movies</td>
<td valign="top" align="left">24 (12 females)<break/>19&#x02013;36 years<break/>9 controls; 9 reappraisal; 9 expressive/suppression</td>
<td valign="top" align="left">Sadness: &#x02191;RFA only in controls</td>
</tr>
<tr>
<td valign="top" align="left">Warden-Smith et al., <xref ref-type="bibr" rid="B62">2017</xref></td>
<td valign="top" align="left">Light-pleasant smell to optimize positive psychophysiological benefit</td>
<td valign="top" align="left">24 for stage 1<break/> 64 for stage 2<break/> NFA (difference between Alpha-wave activity in the right and left frontal hemispheres) and PFA groups.</td>
<td valign="top" align="left">Negative group (NFA): &#x02193;RFA and &#x02191;LFA<break/>No significant effect on the positive group</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="center" colspan="4"><bold>DISPOSITIONAL MOOD</bold></td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left"><bold>Study</bold></td>
<td valign="top" align="left"><bold>Mood Measures</bold></td>
<td valign="top" align="left"><bold>Subjects</bold></td>
<td valign="top" align="left"><bold>Main Results</bold></td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Tomarken et al., <xref ref-type="bibr" rid="B57">1992a</xref></td>
<td valign="top" align="left">Baseline EEG on two occasions 3 weeks apart; PANAS</td>
<td valign="top" align="left">90 females<break/>17&#x02013;21 years</td>
<td valign="top" align="left">LFA: &#x02191;PA, &#x02193;NA compared with RFA</td>
</tr>
<tr>
<td valign="top" align="left">Tomarken et al., <xref ref-type="bibr" rid="B58">1992b</xref></td>
<td valign="top" align="left">As in Tomarken et al. (<xref ref-type="bibr" rid="B57">1992a</xref>)</td>
<td valign="top" align="left">85 females<break/>17&#x02013;21 years</td>
<td valign="top" align="left">As in Tomarken et al. (<xref ref-type="bibr" rid="B57">1992a</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Jacobs and Snyder, <xref ref-type="bibr" rid="B37">1996</xref></td>
<td valign="top" align="left">PANAS; BDI</td>
<td valign="top" align="left">40 males<break/>18&#x02013;53 years</td>
<td valign="top" align="left">&#x02191;LFA: &#x02193;NA and &#x02193;BDI</td>
</tr>
<tr>
<td valign="top" align="left">Sutton and Davidson, <xref ref-type="bibr" rid="B53">1997</xref></td>
<td valign="top" align="left">Baseline EEG on two occasions 6 weeks apart PANAS first session; BIS/BAS scales second session</td>
<td valign="top" align="left">46 (23 females)<break/>18&#x02013;22 years</td>
<td valign="top" align="left">No relationship between Pre-Frontal EEG asymmetry and PA or NA</td>
</tr>
<tr>
<td valign="top" align="left">Hagemann et al., <xref ref-type="bibr" rid="B27">1999</xref></td>
<td valign="top" align="left">Transient Mood assessed on a 0-9 scale; PANAS Eysenck Personality Questionnaire</td>
<td valign="top" align="left">36 (24 females)<break/> Mean age 24.7</td>
<td valign="top" align="left">Subjects with &#x02191;NA: &#x02191;LTA (but not LFA) than in subjects with &#x02193;NA. No relation between asymmetry and PA</td>
</tr>
<tr>
<td valign="top" align="left">Hall and Petruzzello, <xref ref-type="bibr" rid="B28">1999</xref></td>
<td valign="top" align="left">PASE; STAI-Y2; PANAS; GDS; SWLS</td>
<td valign="top" align="left">41 (26 females)<break/> Mean age 68.7</td>
<td valign="top" align="left">LFA predicted PA<break/>High-active group: FA predicted affective valence and SWL Low active group: FA predicted NA</td>
</tr>
<tr>
<td valign="top" align="left">Mikolajczak et al., <xref ref-type="bibr" rid="B40">2010</xref></td>
<td valign="top" align="left">Trait Emotional Intelligence Questionnaire</td>
<td valign="top" align="left">31 (25 females)<break/> Mean age 22.4</td>
<td valign="top" align="left">No relationship between EEG FA and well-being subscale</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="center" colspan="4"><bold>MOOD ALTERATIONS</bold></td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left"><bold>Study</bold></td>
<td valign="top" align="left"><bold>Method</bold></td>
<td valign="top" align="left"><bold>Subjects</bold></td>
<td valign="top" align="left"><bold>Main Results</bold></td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Schaffer et al., <xref ref-type="bibr" rid="B50">1983</xref></td>
<td valign="top" align="left">BDI</td>
<td valign="top" align="left">15 (10 females)</td>
<td valign="top" align="left">&#x02191;RFA: &#x02191;BDI</td>
</tr>
<tr>
<td valign="top" align="left">Henriques and Davidson, <xref ref-type="bibr" rid="B33">1990</xref></td>
<td valign="top" align="left">BDI; Hamilton Rating Scale for Depression</td>
<td valign="top" align="left">14 (6 previously depressed) Mean age previously depressed 37.4 Mean age controls 34.7</td>
<td valign="top" align="left">&#x02193;LFA in previously depressed subjects relative to controls; no difference between groups on self-reported emotional state</td>
</tr>
<tr>
<td valign="top" align="left">Henriques and Davidson, <xref ref-type="bibr" rid="B34">1991</xref></td>
<td valign="top" align="left">BDI; Hamilton Rating Scale for Depression</td>
<td valign="top" align="left">28 (18 females)<break/>15 currently depressed: 33&#x02013;57 years<break/>13 controls: 40&#x02013;61 years</td>
<td valign="top" align="left">&#x02193;LFA in currently depressed subjects relative to controls; no correlation between FA and state ratings of emotion at the time of the baseline recording and depression</td>
</tr>
<tr>
<td valign="top" align="left">Allen et al., <xref ref-type="bibr" rid="B1">1993</xref></td>
<td valign="top" align="left">Pre-post bright light treatment</td>
<td valign="top" align="left">8 females (4 with Seasonal Affective Disorder)</td>
<td valign="top" align="left">&#x02193;LFA in Seasonal Affective Disorder relative to Control</td>
</tr>
<tr>
<td valign="top" align="left">Tomarken and Davidson, <xref ref-type="bibr" rid="B55">1994</xref></td>
<td valign="top" align="left">MC; STAI; BDI</td>
<td valign="top" align="left">90 females</td>
<td valign="top" align="left">Repressors &#x02191;LFA than non-repressors No asymmetry difference between high-anxiety and low-anxiety, high-depression and low-depression groups</td>
</tr>
<tr>
<td valign="top" align="left">Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>: Study 1</td>
<td valign="top" align="left">Inventory to Diagnose Depression (IDD); Lifetime version of the IDD; 2 modules of the DSMIII-R: Major Depressive Disorder and Dysthymic Disorder</td>
<td valign="top" align="left">77 females 30 never depressed; 31 previously depressed; 16 currently depressed</td>
<td valign="top" align="left">&#x02193;LFA in currently depressed and previously depressed subjects compared to never depressed subjects</td>
</tr>
<tr>
<td valign="top" align="left">Reid et al., <xref ref-type="bibr" rid="B48">1998</xref></td>
<td valign="top" align="left">Study 1: BDI Study 2: DSM-III-R</td>
<td valign="top" align="left">Study 1: 36 females (17 depressed) Mean age 18.53<break/> Study 2: 27 females (13 depressed) Mean age 27.54</td>
<td valign="top" align="left">No frontal asymmetry between depressed and non-depressed subjects in both studies</td>
</tr>
<tr>
<td valign="top" align="left">Papousek and Schulter, <xref ref-type="bibr" rid="B46">2002</xref></td>
<td valign="top" align="left">Study 1: Anxious tension anchored 17-point bipolar rating scale; Negative mood assessed by an adjective checklist Study 2: separate scales for state depression and state anxiety</td>
<td valign="top" align="left">Study 1: 56 (30 female): 18&#x02013;36 years<break/>Study 2: 128 (68 female): 18&#x02013;31 years</td>
<td valign="top" align="left">Anxiety, tension, and depression decrease when frontopolar activation asymmetry shifted to the right hemisphere</td>
</tr>
<tr>
<td valign="top" align="left">Mathersul et al., <xref ref-type="bibr" rid="B39">2008</xref></td>
<td valign="top" align="left">Depression Anxiety Stress Scales (DASS-21)</td>
<td valign="top" align="left">428 (214 females)<break/>18&#x02013;60 years</td>
<td valign="top" align="left">&#x02191;RFA associated to anxious arousal<break/>&#x02191;LFA associated to anxious apprehension and to non-depression<break/>Symmetrical frontal activity associated to depression and comorbidity</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>&#x02191;, Increased; &#x02193;, Decreased; LFA, Left Frontal Activation; RFA, Right Frontal Activation; LTA, Left Temporal Activation; NFA, Negative Frontal Asymmetry; PFA, Positive Frontal Asymmetry; PANAS, Positive and Negative Affect Schedule; NA, Negative Affect; PA, Positive Affect; EEG, Electroencephalography; BIS, Behavioral Inhibition System; BAS, Behavioral Activation system; PASE, Physical Activity Scale for Elderly; STAY-Y2, State-Trait Anxiety Inventory (Trait); GDS, Geriatric Depression Scale; MC, Marlowe-Crowne Social Desirability Scale; SWLS, Satisfaction with Life Scale</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s4">
<title>EEG frontal asymmetry and induction of mood state</title>
<p>In one of the first studies, Tucker et al. (<xref ref-type="bibr" rid="B59">1981</xref>) revealed that the induced euphoria mood state generated symmetry, whereas the induced depression mood state was associated with greater activation of the right frontal lobe. Tomarken et al. (<xref ref-type="bibr" rid="B56">1990</xref>) also found that subjects&#x00027; asymmetry predicted the level of negative affect in response to the negative film clips, which was related to greater activation in the right hemisphere. Using data from those subjects with stable patterns of asymmetry across 3-weeks period, Wheeler et al. (<xref ref-type="bibr" rid="B63">1993</xref>) replicated Tomarken et al. (<xref ref-type="bibr" rid="B56">1990</xref>) results, and also found greater left frontal activation associated with reports of more intense positive affect in response to the positive films. Rodriguez et al. (<xref ref-type="bibr" rid="B49">2015</xref>) also found significant activations in different right frontal regions due to the induction of negative mood in the control group but not in cognitive reappraisal and expressive suppression groups. Collectively, these results suggest that hypoactivation of the left frontal region is an individual predisposition that underlies elevated responsivity to negative stimuli, increasing the risk for mood disorders, especially depression. However, Gale et al. (<xref ref-type="bibr" rid="B20">2001</xref>) revealed greater activation of the left frontal hemisphere with negative mood, whereas participants&#x00027; personality (and gender of the face viewed) mediated the direction of the differentiation between positive and negative mood in the right hemisphere. Indeed, extraverts showed greater right hemisphere activation for positive affect, whereas, neurotics showed increased left/right ratios and less activated right hemisphere. Kop et al. (<xref ref-type="bibr" rid="B38">2011</xref>) also found increased right frontal activation during induced positive mood induction, which was associated with a decrease in low frequency/high frequency ratio of the heart rate variability. Interestingly, Warden-Smith et al. (<xref ref-type="bibr" rid="B62">2017</xref>) showed that a positive mood induction yielded a decrease of right frontal asymmetry and an increase of left frontal asymmetry in negative alpha fontal group, as if a change in alphawave activity in the direction of positive affect occurred in people susceptible to negative affect. Yet, Gotlib et al. (<xref ref-type="bibr" rid="B24">1998</xref>) found in the study 2 that frontal EEG asymmetry was unrelated to mood reactivity and cognitive functioning. Dennis and Solomon (<xref ref-type="bibr" rid="B14">2010</xref>) also found that induced fear and anger were not related to greater right frontal asymmetry, but rather to bilateral activity.</p>
</sec>
<sec id="s5">
<title>EEG frontal asymmetry and dispositional mood</title>
<p>In one large research project (e.g., Tomarken et al., <xref ref-type="bibr" rid="B57">1992a</xref>,<xref ref-type="bibr" rid="B58">b</xref>), females with stable greater right frontal activation across two different sessions reported increased Negative Affect (NA), whereas females with stable left frontal activation reported increased Positive Affect (PA). However, Jacobs and Snyder (<xref ref-type="bibr" rid="B37">1996</xref>) only revealed that left lateral-frontal activation yielded lower score of NA in men, whereas Hall and Petruzzello (<xref ref-type="bibr" rid="B28">1999</xref>) showed that left frontal activation predicted PA in older adults of both sexes. In addition, other studies failed to observe significant relationships between the affective dimensions and frontal asymmetry in a sample of both sexes (e.g., Sutton and Davidson, <xref ref-type="bibr" rid="B53">1997</xref>; Hagemann et al., <xref ref-type="bibr" rid="B27">1999</xref>). More recently, also Mikolajczak et al. (<xref ref-type="bibr" rid="B40">2010</xref>) found that frontal EEG asymmetries were not related to the factor of wellbeing, which is a trait pertaining to dispositional mood. In addition, in the attempt to support more specifically the assumption of an asymmetry/personality relationship, Hagemann et al. (<xref ref-type="bibr" rid="B27">1999</xref>) found that while extraversion correlated with positive affect scores, neither extraversion nor neuroticism correlated with any of the EEG measures.</p>
</sec>
<sec id="s6">
<title>EEG frontal asymmetry and mood alterations</title>
<p>Comparing high vs. low scorers on the Beck Depression Inventory (BDI) on measures of resting EEG activation asymmetry, Schaffer et al. (<xref ref-type="bibr" rid="B50">1983</xref>) revealed that depressed subjects yielded greater right frontal activation than non-depressed subjects. In this direction, less left frontal activation was found in a sample of six euthymic individuals with a past history of depressive episodes relative to healthy subjects (Henriques and Davidson, <xref ref-type="bibr" rid="B33">1990</xref>), in currently depressed (Henriques and Davidson, <xref ref-type="bibr" rid="B34">1991</xref>; Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>) and previously depressed subjects (Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>), as well as in dysphoric patients with bipolar seasonal affective disorder relative to non-depressed controls, both before and after successful phototherapy (Allen et al., <xref ref-type="bibr" rid="B1">1993</xref>). These results support the view that hypoactivation of the left frontal region represents a marker for mood disorders. However, once again contradictory results have been collected across years. For example, subjects classified as repressors showed relative left anterior cortical activation than non-repressors (Tomarken and Davidson, <xref ref-type="bibr" rid="B55">1994</xref>), no asymmetry differences were not found between high-depression and low-depression groups using both Beck Depression Inventory scores (Tomarken and Davidson, <xref ref-type="bibr" rid="B55">1994</xref>; Reid et al., <xref ref-type="bibr" rid="B48">1998</xref>) and subjects diagnosed with DSM-III-R depression relative to controls (Reid et al., <xref ref-type="bibr" rid="B48">1998</xref>). In addition, no difference was found between high-anxiety and low-anxiety groups (Tomarken and Davidson, <xref ref-type="bibr" rid="B55">1994</xref>). Interestingly, negative spontaneous mood (e.g., anxiety, tension, depression) was found to decrease across two different sessions when frontopolar activation asymmetry spontaneously shifted to the right hemisphere (Papousek and Schulter, <xref ref-type="bibr" rid="B46">2002</xref>). More recently, Mathersul et al. (<xref ref-type="bibr" rid="B39">2008</xref>) found that anxious arousal subjects showed higher right frontal asymmetry, anxious apprehension and non-depression subjects showed higher left frontal asymmetry, whereas symmetry was found for depression and comorbid subjects.</p>
</sec>
<sec sec-type="conclusions" id="s7">
<title>Conclusions</title>
<p>From the studies reviewed on the EEG correlates of mood it appears that, regardless the research line considered, there are contrasting results that cannot be unequivocally interpreted according to one frontal asymmetry model rather than to another. The motivational approach/withdrawal and valence/arousal models appear to be the most supported ones (Tucker et al., <xref ref-type="bibr" rid="B59">1981</xref>; Schaffer et al., <xref ref-type="bibr" rid="B50">1983</xref>; Henriques and Davidson, <xref ref-type="bibr" rid="B33">1990</xref>, <xref ref-type="bibr" rid="B34">1991</xref>; Tomarken et al., <xref ref-type="bibr" rid="B56">1990</xref>, <xref ref-type="bibr" rid="B57">1992a</xref>,<xref ref-type="bibr" rid="B58">b</xref>; Allen et al., <xref ref-type="bibr" rid="B1">1993</xref>; Wheeler et al., <xref ref-type="bibr" rid="B63">1993</xref>; Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>&#x02014;Study 1; Mathersul et al., <xref ref-type="bibr" rid="B39">2008</xref>; Rodriguez et al., <xref ref-type="bibr" rid="B49">2015</xref>; Warden-Smith et al., <xref ref-type="bibr" rid="B62">2017</xref>). However, it is difficult to disentangle the contributions of specific studies to the two models given that the models overlap in terms of empirical predictions (Spielberg et al., <xref ref-type="bibr" rid="B52">2008</xref>). The most of these studies might be also explained in light of the inhibition model of asymmetric differences, given that they revealed right frontal asymmetry or hypoactivation of the left hemisphere for negative mood, as if positive or approach-related distractors would be inhibited when there is a predisposition that supports elevated responsivity to negative stimuli. In addition, the capability model might also explain the most of results (e.g., Dennis and Solomon, <xref ref-type="bibr" rid="B14">2010</xref>), as individual dynamic differences that are challenged by arousing situations, such as those relying on mood induction procedures. Nevertheless, the extent to which this model is appropriate to explain results when the situational variable is absent (e.g., dispositional mood) is unclear. Finally, some studies found results that do not fit with the models discussed (e.g., Papousek and Schulter, <xref ref-type="bibr" rid="B46">2002</xref>; Kop et al., <xref ref-type="bibr" rid="B38">2011</xref>), whereas other studies found frontal EEG asymmetry unrelated to mood (Tomarken and Davidson, <xref ref-type="bibr" rid="B55">1994</xref>; Sutton and Davidson, <xref ref-type="bibr" rid="B53">1997</xref>; Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>&#x02014;Study 2; Reid et al., <xref ref-type="bibr" rid="B48">1998</xref>; Hagemann et al., <xref ref-type="bibr" rid="B27">1999</xref>; Mikolajczak et al., <xref ref-type="bibr" rid="B40">2010</xref>).</p>
<p>These contradictory results depend on different reasons. Following Hagemann et al. (<xref ref-type="bibr" rid="B26">1998</xref>), firstly results vary according to methodological variables, such as different measurement procedures of asymmetry and affective variables. Secondly, it also appears that sample should be better composed. Indeed, different studies reviewed used only females (e.g., Tomarken et al., <xref ref-type="bibr" rid="B56">1990</xref>; Wheeler et al., <xref ref-type="bibr" rid="B63">1993</xref>; Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>; Reid et al., <xref ref-type="bibr" rid="B48">1998</xref>; Gale et al., <xref ref-type="bibr" rid="B20">2001</xref>), or much more females than males (e.g., Dennis and Solomon, <xref ref-type="bibr" rid="B14">2010</xref>; Mikolajczak et al., <xref ref-type="bibr" rid="B40">2010</xref>); one study enrolled only males (Jacobs and Snyder, <xref ref-type="bibr" rid="B37">1996</xref>), and one study reported no information about gender (Warden-Smith et al., <xref ref-type="bibr" rid="B62">2017</xref>). Only recently studies have increased the interest in gender-related brain mechanisms and cerebral lateralization subserving emotional processing (e.g., Gasbarri et al., <xref ref-type="bibr" rid="B21">2006</xref>, <xref ref-type="bibr" rid="B22">2007</xref>; Arnone et al., <xref ref-type="bibr" rid="B2">2011</xref>). In particular, unpleasant stimuli (negatively valenced IAPS pictures) were found to elicit higher P300 amplitude and shorter P300 latency at left frontal site than pleasant and neutral stimuli in women than in men, while a stronger P300 component was elicited in the right hemisphere in men compared to women (e.g., Gasbarri et al., <xref ref-type="bibr" rid="B22">2007</xref>; Arnone et al., <xref ref-type="bibr" rid="B2">2011</xref>). In addition, participants&#x00027; age might also be another confounding factor because different wide age ranges are reported across studies, even including over 50 (e.g., Jacobs and Snyder, <xref ref-type="bibr" rid="B37">1996</xref>; Dennis and Solomon, <xref ref-type="bibr" rid="B14">2010</xref>) or 60-year people (e.g., Hall and Petruzzello, <xref ref-type="bibr" rid="B28">1999</xref>; Mathersul et al., <xref ref-type="bibr" rid="B39">2008</xref>).</p>
<p>Thirdly, the relationships between frontal asymmetries and mood are also mediated by third variables that have been rarely considered beyond personality (e.g., Gotlib et al., <xref ref-type="bibr" rid="B24">1998</xref>), emotion regulation-capabilities (e.g., Dennis and Solomon, <xref ref-type="bibr" rid="B14">2010</xref>). For example, Hall and Petruzzello (<xref ref-type="bibr" rid="B28">1999</xref>) found that in older adults the relationships between frontal brain activity and dispositional affect is influenced by physical activity. This leads to suppose that although mood is generally associated to mind and thoughts, bodily states might also play a key role. Indeed, mood (and of course emotion&#x02014;e.g., Neal and Chartrand, <xref ref-type="bibr" rid="B42">2011</xref>; Palmiero and Borsellino, <xref ref-type="bibr" rid="B43">2014</xref>) has been described as an embodied experience (e.g., Veenstra et al., <xref ref-type="bibr" rid="B61">2016</xref>). At our knowledge, only Kop et al. (<xref ref-type="bibr" rid="B38">2011</xref>) included the measure of the heart rate variability in the study of EEG correlates of mood.</p>
<p>Therefore, the interplay between cognition and emotion should also be considered when studying the EEG asymmetries of mood. Cognition and emotion interact in prefrontal cortex. In particular, according to Grimshaw and Carmel (<xref ref-type="bibr" rid="B25">2014</xref>), the left dorsolateral prefrontal cortex (dlPFC) should inhibit negative distractors, whereas the right dlPFC should inhibit positive distractors. Consistent with this prediction, Compton et al. (<xref ref-type="bibr" rid="B9">2003</xref>) revealed the presentation of negative words in an emotional Stroop task yielded increased activation in the left dlPFC. Yet, different studies revealed that failures to recruit the left dlPFC during negative distractions are due to mood alterations, which yield higher activation of the right dlPFC (e.g., Engels et al., <xref ref-type="bibr" rid="B18">2010</xref>). In this vein, it appears that frontal EEG asymmetries of mood must be also considering the underlying neural network organization.</p>
<p>In light of these issues, inferences drawn from data previously discussed are potentially limited by the scarce research examining EEG correlates of mood using standard procedures and samples, as well as the interplay with third variables and cognition. Then, frontal EEG asymmetries of mood might be better understood considering the extent to which parietal, temporal, and occipital asymmetries are also investigated. Indeed, Hagemann et al. (<xref ref-type="bibr" rid="B27">1999</xref>) showed significant greater relative left activation in the temporal lobe (but not in frontal lobe) in participants of both sexes with high negative affect than in participants with low negative affect. This means that also the neural connectivity between different brain areas should be investigated using more sophisticated neuroimaging approaches. Yet, given that the majority of studies used only negative stimuli, it is important that future research includes in the paradigm both positive and negative mood conditions, unless it is impossible to determine the extent to which hemispheric differences are related to valence.</p>
<p>In conclusion, pursuing more systematically the investigation of EEG asymmetries of mood adopting a wider perspective seems to be mandatory in order to achieve more consistent and reliable outcomes.</p>
</sec>
<sec id="s8">
<title>Author contributions</title>
<p>MP collected studies and write up the minireview. LP contributed to write up the mini-review.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
<back>
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<fn-group>
<fn fn-type="financial-disclosure"><p><bold>Funding.</bold> This research was supported by Neuropsychology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy.</p>
</fn>
</fn-group>
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</article>