Disrupted interhemispheric resting-state functional connectivity and structural connectivity in first-episode, treatment-naïve generalized anxiety disorder

2019 ◽  
Vol 251 ◽  
pp. 280-286 ◽  
Author(s):  
Wei Wang ◽  
Zhaohui Peng ◽  
Xiang Wang ◽  
Peng Wang ◽  
Qingchu Li ◽  
...  
SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A418-A418
Author(s):  
EF Pace-Schott ◽  
JP Zimmerman ◽  
RM Bottary ◽  
EG Lee ◽  
MR Milad ◽  
...  

2017 ◽  
Vol 265 ◽  
pp. 26-34 ◽  
Author(s):  
Edward F. Pace-Schott ◽  
Jared P. Zimmerman ◽  
Ryan M. Bottary ◽  
Erik G. Lee ◽  
Mohammed R. Milad ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Mei Wang ◽  
Lingxiao Cao ◽  
Hailong Li ◽  
Hongqi Xiao ◽  
Yao Ma ◽  
...  

Objective: Although previous studies have reported on disrupted amygdala subregional functional connectivity in generalized anxiety disorder (GAD), most of these studies were conducted in GAD patients with comorbidities or with drug treatment. Besides, whether/how the amygdala subregional functional networks were associated with state and trait anxiety is still largely unknown.Methods: Resting-state functional connectivity of amygdala subregions, including basolateral amygdala (BLA) and centromedial amygdala (CMA) as seed, were mapped and compared between 37 drug-naïve, non-comorbidity GAD patients and 31 age- and sex-matched healthy controls (HCs). Relationships between amygdala subregional network dysfunctions and state/trait anxiety were examined using partial correlation analyses.Results: Relative to HCs, GAD patients showed weaker functional connectivity of the left BLA with anterior cingulate/medial prefrontal cortices. Significantly increased functional connectivity of right BLA and CMA with superior temporal gyrus and insula were also identified in GAD patients. Furthermore, these functional connectivities showed correlations with state and trait anxiety scores.Conclusions: These findings revealed abnormal functional coupling of amygdala subregions in GAD patients with regions involved in fear processing and emotion regulation, including anterior cingulate/medial prefrontal cortex and superior temporal gyrus, which provide the unique biological markers for GAD and facilitating the future accurate clinical diagnosis and target treatment.


2020 ◽  
Author(s):  
Congcong Liu ◽  
Jing Dai ◽  
Yuanshu Chen ◽  
Ziyu Qi ◽  
Fei Xin ◽  
...  

AbstractBackgroundMajor Depressive (MDD) and Generalized Anxiety Disorder (GAD) are highly debilitating and often co-morbid disorders. The disorders exhibit partly overlapping dysregulations on the behavioral and neurofunctional level, and the determination of disorder-specific alterations may promote neuro-mechanistic and diagnostic specificity.MethodsIn order to determine disorder-specific alterations in the domain of emotion-cognition interactions the present study examined emotional context-specific inhibitory control in treatment-naïve, first-episode MDD (n = 37) and GAD (n = 35) patients and healthy controls (n = 35) by employing a validated affective go/no-go fMRI paradigm.FindingsOn the behavioral level MDD but not GAD patients exhibited impaired inhibitory control irrespective of emotional context. On the neural level, no alterations were observed during the positive context, yet specifically MDD patients demonstrated attenuated recruitment of a broad bilateral network encompassing inferior/medial parietal, posterior frontal, and mid-cingulate regions during inhibitory control in the negative context. GAD patients exhibited a stronger engagement of the left dorsolateral prefrontal cortex relative to MDD patients and within the GAD group better inhibitory control in negative contexts was associated with higher recruitment of this region.InterpretationFindings from the present study suggest disorder- and emotional context-specific behavioral and neurofunctional deficits in inhibitory control in MDD in negative emotional contexts and may point to a depression-specific neuropathological and diagnostic marker. In contrast, GAD patients may maintain intact inhibitory performance via compensatory recruitment of prefrontal regulatory regions.


2013 ◽  
Vol 148 (2-3) ◽  
pp. 196-201 ◽  
Author(s):  
Yan Zhang ◽  
Lingjiang Li ◽  
Rongjun Yu ◽  
Jun Liu ◽  
Jinsong Tang ◽  
...  

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