Structural Differences in Adult Orbital and Ventromedial Prefrontal Cortex Predicted by Infant Temperament at 4 Months of Age
Open accessAbstract
CONTEXT: The term temperament refers to a biologically based predilection for a distinctive pattern of emotions, cognitions, and behaviors first observed in infancy or early childhood. High-reactive infants are characterized at age 4 months by vigorous motor activity and crying in response to unfamiliar visual, auditory, and olfactory stimuli, whereas low-reactive infants show low motor activity and low vocal distress to the same stimuli. High-reactive infants are biased to become behaviorally inhibited in the second year of life, defined by timidity with unfamiliar people, objects, and situations. In contrast, low-reactive infants are biased to develop into uninhibited children who spontaneously approach novel situations. OBJECTIVE: To examine whether differences in the structure of the ventromedial or orbitofrontal cerebral cortex at age 18 years are associated with high or low reactivity at 4 months of age. DESIGN: Structural magnetic resonance imaging in a cohort of 18-year-olds enrolled in a longitudinal study. Temperament was determined at 4 months of age by direct observation in the laboratory. SETTING: Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital. PARTICIPANTS: Seventy-six subjects who were high-reactive or low-reactive infants at 4 months of age. MAIN OUTCOME MEASURE: Cortical thickness. RESULTS: Adults with a low-reactive infant temperament, compared with those categorized as high reactive, showed greater thickness in the left orbitofrontal cortex. Subjects categorized as high reactive in infancy, compared with those previously categorized as low reactive, showed greater thickness in the right ventromedial prefrontal cortex. CONCLUSIONS: To our knowledge, this is the first demonstration that temperamental differences measured at 4 months of age have implications for the architecture of human cerebral cortex lasting into adulthood. Understanding the developmental mechanisms that shape these differences may offer new ways to understand mood and anxiety disorders as well as the formation of adult personality.
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Written from the paper’s full text.
TL;DR
In a longitudinal cohort, adults who had been low-reactive infants at 4 months showed a thicker left orbitofrontal region, while those who had been high-reactive infants showed a thicker right ventromedial prefrontal region. These structural differences persisted after excluding mood and anxiety diagnoses, suggesting early temperament may mark lasting cortical architecture.
Key findings
- Among 76 18-year-olds (34 high reactive, 42 low reactive), the low-reactive group had a thicker left orbitofrontal cortex cluster (225 mm²) than the high-reactive group.
- The high-reactive group had a thicker right ventromedial prefrontal cortex cluster (169 mm²) than the low-reactive group.
- No sex differences or temperament-by-sex interactions appeared in these regions; whole-brain vertex-wise analysis found no additional clusters surviving correction, and the posterior visual cortex comparison region showed no significant group difference.
- The reported thickness differences were about 10%–12% and were not associated with medication use, social anxiety disorder, or major depressive disorder.
Methods
- Longitudinal design: temperament was classified at 4 months by direct laboratory observation using a standard 45-minute battery, and structural MRI was performed at age 18.
- Participants were 76 subjects from an 18-year longitudinal study, categorized as high reactive (n=34) or low reactive (n=42) in infancy.
- Two 3D MPRAGE scans per subject were motion-corrected and averaged, then analyzed with FreeSurfer to model cortical surfaces and compute thickness; vertex-wise general linear models tested temperament, gender, and their interaction, with cluster correction by Monte Carlo simulation (10,000 iterations).
Limitations
- The paper states that because imaging was not done in infancy, it cannot determine whether the structural differences are primary and detectable earlier or develop later through genetic, environmental, or interactive influences.
- The paper states that high-resolution MRI cannot identify which cellular components—neurons, inhibitory interneurons, glial cells, or neuropil—account for the thickness differences.
- Evident from the text: the sample is modest and drawn from temperament extremes in one longitudinal cohort, so causal direction and broader generalizability remain uncertain.
Model-written summary. Check it against the paper before relying on it.
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Cites
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Claims the paper makes
0 of 65 cited sources checked · 0 supported · 0 flagged
- Findingown data
Adults who had a high reactive temperament at 4 months had greater cortical thickness in the right ventromedial prefrontal cortex than adults who had a low reactive temperament.
“Subjects categorized as high reactive in infancy, compared with those previously categorized as low reactive, showed greater thickness in right ventromedial prefrontal cortex.”
- Also stated in: § RESULTS · plain
“whereas high reactives had thicker cortex than low reactives in a region of right ventromedial prefrontal cortex”
- Also stated in: § RESULTS · plain
“Figure 2 illustrates the 169 mm2 region of right ventromedial prefrontal cortex (VmPfc) that was thicker in the 18 year olds who had a high reactive temperament in infancy, compared with those subjects who were low reactive infants.”
Quote in the paperSubstantial claim - Also stated in: § RESULTS · plain
- Findingown data
The posterior visual cortex comparison region showed no significant difference in cortical thickness between the temperament groups.
“the posterior comparison region of visual cortex (cuneus, pericalcarine, and lingual gyrus) did not show significant difference in cortical thickness between groups [Left: Low Reactive (LR) (Mean ± SEM) 1.81 ± .015 vs. High Reactive (HR) 1.81± .017, t(74) = 0.05, p= .96; Right: LR 1.87 ± .017 vs. HR 1.86± .016, t(74) = 0.37, p= .71].”
Quote in the paperSubstantial claim - Findingcitation
The maximum fMRI activation in right medial orbital frontal cortex in a prior face perception study occurred at the same Talairach coordinates as the largest temperament-related thickness difference detected in this study.
“In that study, the maximum fMRI activation in the right medial orbital frontal cortex occurred at precisely the same Talairach coordinates where we detected the largest temperament-related thickness difference.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [76]
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- Findingown data
The structural differences in adult cerebral cortex that correlate with infant temperament remained present when subjects with major depression or social phobia were excluded.
“These structural differences in the cerebral cortex of adults that correlate with infant temperament are present even when we excluded subjects with major depression or social phobia (Table 4).”
Quote in the paperSubstantial claim - Findingown data
Analysis of the residual ventral prefrontal cortex after removing the cluster territories showed no evidence of diffuse thickness differences between the temperament groups.
“Analysis of the residual territory in ventral prefrontal cortex that remained after clipping out the territories of the clusters in Figure 1 & Figure 2 showed no evidence of such diffuse thickness differences between the groups”
Quote in the paperSubstantial claim
- Findingown data
The thickness differences in orbitofrontal and ventromedial cortex in this sample were about 10% to 12%.
“The thickness differences in orbitofrontal and ventromedial cortex in these data are on the order of about 10%–12%.”
Quote in the paperNot a substantial claim - Findingown data
Vertex-wise whole-brain analyses found no additional clusters of cortical thickness differences between the temperament groups that survived correction for multiple comparisons.
“Vertex-wise analyses did not reveal any additional clusters of thickness differences between the two temperament groups that survived correction for multiple comparisons at the whole brain level.”
Quote in the paperSubstantial claim - Findingown data
Adults who had a low reactive temperament at 4 months had greater cortical thickness in the left orbitofrontal cortex than adults who had a high reactive temperament.
“Adults with a low reactive infant temperament, compared with those categorized as high reactive, showed greater thickness in left orbitofrontal cortex.”
- Also stated in: § RESULTS · plain
“Subjects with a low reactive temperament at 4 months had a thicker cortex in a region of left orbitofrontal cortex compared with those with a high reactive temperament”
- Also stated in: § RESULTS · plain
“Figure 1 illustrates the 225 mm2 region of left OFC that was thicker in the 18 year olds who had a low reactive temperament, compared with those who were high reactive infants.”
Quote in the paperSubstantial claim - Also stated in: § RESULTS · plain
- Interpretationreasoning
A thicker left orbitofrontal cortex could facilitate low reactive infants developing into uninhibited children.
“A thicker cortex in these regions could facilitate the development of low reactive infants into prototypical uninhibited children who adapt easily to change, demonstrate few fears, and have a generally happy mood in adolescence.”
Quote in the paperSubstantial claim - Study design and conductcitation
The decision to define discrete high and low reactive groups based on motor activity and crying, rather than a continuum, was supported by a taxonomic analysis showing the combination fit a categorical model better than a continuous one.
“The decision to define discrete groups based on the combination of motor activity and crying, rather than a continuum of reactivity was supported by a taxonomic analysis of the four month data that implied that the combination of the two variables fit a categorical model better than a continuous one32, 34.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [32]
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- cites [34]
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- Interpretationown data
The data suggest that regional differences in the thickness of adult orbitofrontal and ventromedial prefrontal cortex are predicted by temperamental differences observed at 4 months of age.
“These data suggest that regional differences in the thickness of adult orbitofrontal and ventromedial prefrontal cerebral cortex are predicted by temperamental differences observed at 4 months of age.”
Quote in the paperSubstantial claim- Rests on an assumption: The observed adult cortical thickness differences are attributable to infant temperament rather than to later developmental, genetic, or environmental factors.
- Interpretationreasoning
Low reactive individuals would be expected to inhibit the amygdalar response to unfamiliarity more effectively than high reactive individuals through the orbitofrontal-amygdala circuit.
“low reactives would therefore be expected to be more effective at inhibiting the amygdalar response to unfamiliarity than high reactives through this circuit.”
Quote in the paperSubstantial claim - Interpretationreasoning
Low reactive individuals may modulate hedonic tone more positively than high reactive individuals because they have more robust pathways in the left orbitofrontal cortex that suppress unpleasant feelings.
“We suggest that low reactives are able to modulate their hedonic tone in a more positive direction more effectively than high reactives because of more robust pathways in this sub-region of the orbitofrontal cortex that suppress unpleasant feelings.”
Quote in the paperSubstantial claim - Interpretationreasoning
A thinner left orbitofrontal cortex might identify infants at increased risk for depression later in life.
“In contrast, a thin cortex in this region might identify infants at increased risk for depression later in life.”
Quote in the paperSubstantial claim - Study design and conductcitation
The accuracy of the thickness measures derived from the Freesurfer technique was validated by direct comparisons with manual measures on post-mortem brains.
“The accuracy of the thickness measures derived from this technique has been validated by direct comparisons with manual measures on post-mortem brains47.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [47]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning
The thicker right ventromedial cortex in high reactive individuals may reflect robust connectivity with structures that mediate prototypical high reactive characteristics.
“We suggest that the thicker sub-region of right ventromedial cortex in high reactives reflects robust connectivity with structures that mediate prototypical characteristics of high reactive infants.”
Quote in the paperSubstantial claim - Premisecitation
About 40% of four-month-old infants show low motor activity and low vocal distress to the same stimuli and are categorized as low reactive.
“In contrast, 40% of 4-month olds show both low motor activity and low vocal distress to the same stimuli, and are categorized as low reactive (LR)1–3.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [1]
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- Study design and conductown data
The curvature index, used as the basis of surface registration, did not differ between the two temperament groups.
“To exclude a difference in the goodness-of-fit to the common atlas space as a potential source of bias in the comparison of the two temperament groups, we compared the curvature index in the two groups, since this index is used as the basis of surface registration; no difference was found.”
Quote in the paperSubstantial claim - Interpretationreasoning
These findings point to an early temperamental marker of vulnerability or resilience to depressive and anxiety disorders.
“These findings therefore point to an early temperamental marker of vulnerability (or conversely resilience) to depressive and anxiety disorders.”
Quote in the paperSubstantial claim - Premisecitation
The two infant temperaments are associated with distinct psychological features in adolescents.
“The two infant temperaments are associated with distinct psychological features in adolescents.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [7]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Study design and conductown data
Because imaging data were not collected in infancy, these findings cannot address whether the structural differences are primary and detectable earlier or develop over time due to genetic, environmental, or interactive factors.
“because imaging data were not collected in infancy, these findings cannot address the question of whether the structural differences we report are primary and could be detected earlier, or whether they develop over time due to genetic factors, environmental influences, or some interaction of the two.”
Quote in the paperNot a substantial claim - Premisecitation
The posterior-lateral limb of the left orbitofrontal cluster may relate to a distinct pattern of heavy projections from the orbitofrontal cortex to the intercalated cell masses of the amygdala.
“The posterior-lateral limb of the cluster may relate to a distinct pattern of heavy projections from the OFC to small inhibitory neurons, the intercalated cell masses of the amygdala57–59.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [57]
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- cites [58]
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- cites [59]
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- Premisecitation
The right ventromedial sub-region preferentially targets the lateral and dorsolateral columns of the periaqueductal gray, which are linked to defensive and somatovisceral responses.
“this sub-region preferentially targets the lateral and dorsolateral columns of the periaqueductal gray (PAG) -- which are linked to defensive and somatovisceral responses67–71.”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [67]
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- cites [68]
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- Premisecitation
Longitudinal studies of inhibited and uninhibited children from age 2 to age 7 found distinctive physiological differences in heart rate, heart rate variability, pupillary dilation during cognitive tasks, and vocal cord tension under moderate stress.
“Longitudinal studies of inhibited and uninhibited children from age 2 to age 7 revealed that these two temperamental types showed distinctive physiological differences in heart rate and heart rate variability, pupillary dilation during cognitive tasks, and vocal cord tension when speaking under moderate stress4, 6.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [4]
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- May combine two claims. 10
- Classified as probably not a substantial claim. 19
May combine two claims.
Findingown dataThere was no difference in cortical thickness between genders and no interaction between temperament and gender in the left orbitofrontal or right ventromedial prefrontal regions.
“There was no difference in cortical thickness between the genders, nor any interaction between temperament and gender in either of these regions.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe thickness differences between the temperament groups were not associated with medication use, social anxiety disorder, or major depressive disorder.
“The results indicated that the thickness differences between the temperament groups were not associated with any of these factors (Table 4).”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationHigh reactive infants are biased to become behaviorally inhibited in the second year of life, defined by timidity with unfamiliar people, objects, and situations.
“High reactive infants are biased to become behaviorally inhibited in the second year of life, defined by timidity with unfamiliar people, objects and situations.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [1]
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InterpretationreasoningThe right ventromedial prefrontal region may play an important role in detecting whether a person, place, or object is novel or familiar.
“and hence may play an important role in detecting whether a person, place or object is novel or familiar.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningThese anatomical features may represent novel endophenotypes for genetic analysis.
“These anatomical features may represent novel endophenotypes for genetic analysis.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataHandedness did not differ between the high reactive and low reactive temperament groups.
“Handedness, measured with the Edinburgh Inventory33, did not differ between the two temperament groups.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33]
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PremisecitationApproximately 20% of Caucasian four-month-old infants demonstrate a high reactive temperament, defined by vigorous limb activity, arching of the back, and crying to unfamiliar visual, olfactory, and auditory stimuli.
“Approximately 20% of Caucasian four-month old infants demonstrate a high reactive (HR) temperament, which is defined by vigorous limb activity, arching of their back and crying to unfamiliar visual, olfactory, and auditory stimuli.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [1]
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InterpretationcitationThe flailing arms and legs characteristic of high reactive infants in response to unexpected stimuli are consistent with projections to the ventral striatum.
“The flailing arms and legs characteristic of high reactive infants in response to unexpected stimuli are consistent with projections to the ventral striatum15, 77, 78, which has a central role in the execution of limb movements.”
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Study design and conductnone givenData analysts were blind to subject identity and temperamental type during image processing.
“Data analysts were blind during image processing to subjects identity and temperamental type in infancy.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenThe frequent distress vocalizations of high reactive infants are mediated by direct projections from the medial prefrontal network to the periaqueductal gray and anterior cingulate.
“Finally, the frequent distress vocalizations of high reactive infants are mediated by direct projections from the medial prefrontal network to the PAG and anterior cingulate.”
Quote in the paperNot a substantial claim- Rests on an assumption: The frequent distress vocalizations of high reactive infants are mediated by direct projections from the medial prefrontal network to the periaqueductal gray and anterior cingulate.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationSocial anxiety disorder during adolescence is an important predictor of subsequent depressive disorders and social phobia in young adults.
“Social anxiety disorder during adolescence in turn is an important predictor of subsequent depressive disorders12 and social phobia in young adults13.”
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- cites [13]
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PremisecitationThere is rich bi-directional connectivity between the ventral prefrontal cortex and the amygdala.
“There is rich bi-directional connectivity between the ventral prefrontal cortex and the amygdala15, 16.”
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PremisecitationVentral prefrontal cortex, including the orbitofrontal cortex, plays a pivotal role in emotional regulation, reward processing, and the ability to inhibit behaviors.
“Ventral prefrontal cortex, including the orbitofrontal cortex (OFC) plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors17–31.”
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PremisecitationIndependent prospective studies have shown that an inhibited temperament is a risk factor for anxiety disorder in childhood and adolescence, particularly social anxiety disorder.
“Independent prospective studies from several laboratories have demonstrated that an inhibited temperament is a risk factor for the development of anxiety disorder in childhood8, 9 and adolescence10, particularly social anxiety disorder10, 11.”
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Study design and conductnone givenThe current state of high-resolution MRI cannot address which components-neurons, interneurons, glial cells, or neuropil-contribute to the observed cortical thickness differences.
“The current state of high resolution MRI cannot address which of these components contribute to the cortical thickness differences observed.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationA study of face perception showed greater activation of right medial orbital frontal cortex, bilateral amygdala, and right inferior parietal cortex when subjects viewed images of unfamiliar individuals compared with viewing images of themselves.
“A study of face perception showed greater activation of right medial orbital frontal cortex, bilateral amydgala, and right inferior parietal cortex when subjects viewed images of unfamilar individuals, compared with viewing images of themselves76.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [76]
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PremisecitationA previous fMRI study from the authors' laboratory supported the hypothesis that differences in physiology and behavior between inhibited and uninhibited temperaments reflect differential amygdalar reactivity to novelty.
“A previous fMRI study from our laboratory supported the the hypothesis that the differences in physiology and behavior between inhibited and uninhibited temperaments might indeed reflect differential amygdalar reactivity to novelty14.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [14]
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PremisecitationPatients with major depressive disorder show abnormal reward processing with altered brain activation in a region of left orbitofrontal cortex that overlaps substantially with the temperament-related cluster.
“Patients with MDD show abnormal reward processing61–63 with altered brain activation in a region of left OFC64 that overlaps substantially with the temperament-related cluster.”
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PremisecitationFunctional neuroimaging studies support a central role for the left orbitofrontal cortex sub-region in hedonic processing and in reappraising negative emotion in a more positive direction.
“Functional neuroimaging studies support a central role for this sub-region of the left OFC in hedonic processing54, 55 and the reappraisal of negative emotion in a more positive direction56.”
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PremisecitationThe striatum is activated by aversive, novel, unexpected, or intense stimuli.
“The striatum is activated by aversive, novel, unexpected or intense stimuli79.”
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PremisecitationThe right ventromedial region is reciprocally connected with the posterior parahippocampal gyrus and receives a unilateral projection from the hippocampus, and may therefore play an important role in detecting novelty or familiarity.
“Furthermore, this region is reciprocally connected with the posterior parahippocampal gyrus73, 74 and receives a unilateral projection from the hippocampus15, 73, 75, and hence may play an important role in detecting whether a person, place or object is novel or familiar.”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [73]
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PremisecitationDirect projections to the hypothalamus from the right ventromedial sub-region can activate the medulla and sympathetic chain, resulting in increases in blood pressure and heart rate seen in inhibited children in response to the unfamiliar.
“Direct projections to the hypothalamus from this sub-region of VmPfc can also activate the medulla and sympathetic chain72, resulting in the increases in blood pressure and heart rate seen in inhibited children in response to the unfamiliar.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [72]
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PremisecitationHistopathological studies have identified thinning of 12% to 15% in rostral and central orbitofrontal cortex, and sections of the latter region included the area where the temperament effects were detected.
“Histopathological studies have identified thinning of 12–15% in rostral and central OFC65; sections of the later region included the area where we detected the effects of temperament66.”
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PremisecitationThe intercalated cells gate neuronal traffic and modulate output from the central nucleus of the amygdala that produces bodily sensations interpreted as signs of anxiety.
“These cells, interposed between the input to the basal complex and the output from the central nucleus, gate neuronal traffic and modulate output from the central nucleus of the amygdala that produces bodily sensations that individuals interpret as signs of anxiety60.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [60]
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The paper relies on this without support.
The observed adult cortical thickness differences are attributable to infant temperament rather than to later developmental, genetic, or environmental factors.
“because imaging data were not collected in infancy, these findings cannot address the question of whether the structural differences we report are primary and could be detected earlier, or whether they develop over time due to genetic factors, environmental influences, or some interaction of the two.”
The paper relies on this without support.
This study provides the first demonstration that temperamental differences measured at 4 months of age have implications for the architecture of human cerebral cortex lasting into adulthood.
“This is the first demonstration that temperamental differences measured at 4 months of age have implications for the architecture of human cerebral cortex lasting into adulthood.”
The paper relies on this without support.
The lateral column of the periaqueductal gray generates active avoidance and defensive behaviors, including arching of the back, a response seen almost exclusively in 4-month-old high reactive infants.
“The lateral column of the PAG generates active avoidance and defensive behaviours including a response we called arching of the back, a response seen almost exclusively in 4-month old high reactive infants.”
The paper relies on this without support.
The frequent distress vocalizations of high reactive infants are mediated by direct projections from the medial prefrontal network to the periaqueductal gray and anterior cingulate.
“Finally, the frequent distress vocalizations of high reactive infants are mediated by direct projections from the medial prefrontal network to the PAG and anterior cingulate.”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(74) = 0.05reported p = .96 · recomputed p = .960
“t(74) = 0.05, p = .96”
- Consistentt(74) = 0.37reported p = .71 · recomputed p = .712
“t(74) = 0.37, p = .71”
- Consistentt(74) = 0.83reported p = .41 · recomputed p = .409
“t(74) = 0.83, p = .41”
- Consistentt(74) = 0.45reported p = .66 · recomputed p = .654
“t(74) = 0.45, p = .66”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
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Functional imaging of neural responses to expectancy and experience of monetary gains and losses
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MethodSelf-citationLimbic connections of the orbital and medial prefrontal cortex in macaque monkeys
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“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
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“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
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BackgroundRegional and progressive thinning of the cortical ribbon in Huntington’s disease
Rosas, H. D., Liu, A. K., Hersch, S., Glessner, M., Ferrante, R. J., Salat, D. H., van der Kouwe, A., Jenkins, B. G., Dale, A. M., & Fischl, B. (2002) · Neurology · doi:10.1212/wnl.58.5.695 · Cited by 1,044 · see citing works
Neural correlates of conscious self-regulation of emotion
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“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
BackgroundArchitectonic subdivision of the human orbital and medial prefrontal cortex
Öngür, D., Ferry, A. T., & Price, J. L. (2003) · Journal of Comparative Neurology · doi:10.1002/cne.10609 · Cited by 944 · cited 2× · see citing works
“The 2 major contemporary maps of the human OFC are by Petrides and Mackey50 and Petrides and Pandya51 and by Price52 and Ongür et al.53 In the Petrides and colleagues map, the location of the left orbitofrontal cluster corresponded primarily to area 13, bounded by a transitional zone between 13 and 47/12 laterally, ar…”
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“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
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Kringelbach, M. L. (2003) · Cerebral Cortex · doi:10.1093/cercor/13.10.1064 · Cited by 824 · see citing works
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“The posterior-lateral limb of the cluster may relate to a distinct pattern of heavy projections from the OFC to small inhibitory neurons, the intercalated cell masses of the amygdala.(57-59) These cells, interposed between the input to the basal complex and the output from the central nucleus, gate neuronal traffic an…”
BackgroundRegionally localized thinning of the cerebral cortex in schizophrenia
Kuperberg, G. R., Broome, M. R., McGuire, P. K., David, A. S., Eddy, M., Ozawa, F., GOFF, D. C., West, W. C., Williams, S., van der Kouwe, A. J. W., et al. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(03)81127-1 · Cited by 758 · cited 1× · see citing works
“Using similar techniques, regional thickness differences in the cerebral cortex of about 10% have been found in subjects with autism (including OFC)(79) and 3% to 8% in patients with schizophrenia.(80) The variations in thickness of the cortex we report could be potenTable 4.”
MethodAdolescent social anxiety as an outcome of inhibited temperament in childhood
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Further evidence of association between behavioral inhibition and social anxiety in children
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“Independent prospective studies from several laboratories have demonstrated that an inhibited temperament is a risk factor for the development of anxiety disorder in childhood(8,9) and adolescence,(10) particularly social anxiety disorder.(10,11) Social anxiety disorder during adolescence in turn is an important predi…”
BackgroundSelf-citationCentral circuits mediating patterned autonomic activity during active vs. passive emotional coping
Bandler, R., Keay, K. A., Floyd, N., & Price, J. (2000) · Brain Research Bulletin · doi:10.1016/s0361-9230(00)00313-0 · Cited by 582 · cited 1× · see citing works
“For example, this subregion preferentially targets the lateral and dorsolateral columns of the periaqueductal gray, which are linked to defensive and somatovisceral responses.(66-70) The lateral column of the periaqueductal gray generates active avoidance and defensive behaviors including a response we called arching…”
BackgroundThe Human Brain: Surface, Three-Dimensional Sectional Anatomy and MRI
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Stein, M. B., Fuetsch, M., Müller, N., Höfler, M., Lieb, R., & Wittchen, H.-U. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.3.251 · Cited by 573 · see citing works
Anatomical Differences in the Mirror Neuron System and Social Cognition Network in Autism
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Differential prefrontal cortex and amygdala habituation to repeatedly presented emotional stimuli
Wright, C. I., Fischer, H., Whalen, P. J., McInerney, S. C., Shin, L. M., & Rauch, S. L. (2001) · Neuroreport · doi:10.1097/00001756-200102120-00039 · Cited by 533 · see citing works
Inhibited and uninhibited infants “grown up”: adult amygdalar response to novelty
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Stable behavioral inhibition and its association with anxiety disorder
HIRSHFELD, D. R., ROSENBAUM, J. F., BIEDERMAN, J., BOLDUC, E. A., FARAONE, S. V., SNIDMAN, N., REZNICK, J. S., & KAGAN, J. (1992) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199201000-00016 · Cited by 491 · see citing works
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Nitschke, J. B., Sarinopoulos, I., Mackiewicz, K. L., Schaefer, H. S., & Davidson, R. J. (2006) · NeuroImage · doi:10.1016/j.neuroimage.2005.06.068 · Cited by 398 · cited 1× · see citing works
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“There is rich bidirectional connectivity between the ventral prefrontal cortex and the amygdala.(15,16) The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.”
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An Inhibitory Interface Gates Impulse Traffic between the Input and Output Stations of the Amygdala
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Calkins, S. D., Fox, N. A., & Marshall, T. R. (1996) · Child Development · doi:10.1111/j.1467-8624.1996.tb01749.x · Cited by 341 · cited 2× · see citing works
“uninhibited children who spontaneously approach unfamiliar situations.(1-4) This re-”
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Neural correlates of rapid reversal learning in a simple model of human social interaction
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“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
BackgroundReward‐related decision‐making in pediatric major depressive disorder: an fMRI study
Forbes, E. E., Christopher May, J., Siegle, G. J., Ladouceur, C. D., Ryan, N. D., Carter, C. S., Birmaher, B., Axelson, D. A., & Dahl, R. E. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01673.x · Cited by 299 · see citing works
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The Long Shadow of Temperament
Kagan, J., & Snidman, N. C. (2009) · Harvard University Press eBooks · doi:10.2307/j.ctv2jfvczc · Cited by 256 · cited 1× · see citing works
“The decision to define discrete groups based on the combination of motor activity and crying, rather than a continuum of reactivity, was supported by a taxonomic analysis of the 4-month data that implied that the combination of the 2 variables fit a categorical model better than a continuous one.(32,34)”
MethodSelf-citationKondo, H., Saleem, K. S., & Price, J. L. (2005) · Journal of Comparative Neurology · doi:10.1002/cne.20796 · Cited by 236 · see citing works
Childhood Derivatives of High and Low Reactivity in Infancy
Kagan, J., Snidman, N. C., & Arcus, D. M. (1998) · Child Development · doi:10.1111/j.1467-8624.1998.tb06171.x · Cited by 230 · cited 2× · see citing works
“uninhibited children who spontaneously approach unfamiliar situations.(1-4) This re-”
BackgroundSelf-citationBehavioral and Physiological Antecedents of Inhibited and Uninhibited Behavior
Calkins, S. D., Fox, N. A., & Marshall, T. R. (1996) · Child Development · doi:10.2307/1131830 · Cited by 230 · see citing works
Alterations in reward-related decision making in boys with recent and future depression
Forbes, E. E., Shaw, D. S., & Dahl, R. E. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.05.026 · Cited by 173 · see citing works
The preservation of two infant temperaments into adolescence.
Kagan, J., Snidman, N. C., Kahn, V. D., & Towsley, S. (2007) · PubMed · doi:10.1111/j.1540-5834.2007.00436.x · Cited by 172 · see citing works
Self-citationDissociable amygdala and orbitofrontal responses during reversal fear conditioning
Morris, J. S., & Dolan, R. J. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.01.012 · Cited by 156 · cited 1× · see citing works
“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
BackgroundRajkowska, G., Miguel-Hidalgo, J. J., Dubey, P., Stockmeier, C. A., & Krishnan, K. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.04.013 · Cited by 146 · see citing works
Morita, T., Itakura, S., Saito, D. N., Nakashita, S., Harada, T., Kochiyama, T., & Sadato, N. (2007) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2008.20.2.342 · Cited by 129 · see citing works
Specialized Elements of Orbitofrontal Cortex in Primates
Barbas, H. (2007) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1401.015 · Cited by 127 · cited 1× · see citing works
“The posterior-lateral limb of the cluster may relate to a distinct pattern of heavy projections from the OFC to small inhibitory neurons, the intercalated cell masses of the amygdala.(57-59) These cells, interposed between the input to the basal complex and the output from the central nucleus, gate neuronal traffic an…”
BackgroundPrice, J. L. (2006) · doi:10.1093/acprof:oso/9780198565741.003.0003 · Cited by 121 · cited 1× · see citing works
“There is rich bidirectional connectivity between the ventral prefrontal cortex and the amygdala.(15,16) The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.”
BackgroundMorita, T., Itakura, S., Saito, D. N., Nakashita, S., Harada, T., Kochiyama, T., & Sadato, N. (2007) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2008.20024 · Cited by 113 · cited 1× · see citing works
“A study of face perception showed greater activation of the right medial OFC, bilateral amygdalae, and right inferior parietal cortex when subjects viewed images of unfamiliar individuals, compared with viewing images of themselves.(75) In that study, the maximum functional MRI activation in the right medial OFC occur…”
ResultBrain mediation of active and passive emotional coping
Bandler, R. J., Price, J. L., & Keay, K. A. (2000) · Progress in brain research · doi:10.1016/s0079-6123(08)62149-4 · Cited by 108 · cited 1× · see citing works
“For example, this subregion preferentially targets the lateral and dorsolateral columns of the periaqueductal gray, which are linked to defensive and somatovisceral responses.(66-70) The lateral column of the periaqueductal gray generates active avoidance and defensive behaviors including a response we called arching…”
BackgroundA hybrid approach to the skull stripping problem in MRI
Ségonne, F. (2004) · NeuroImage · doi:10.1016/s1053-8119(04)00188-0 · Cited by 102 · see citing works
The Orbitofrontal Cortex: Novelty, Deviation from Expectation, and Memory
Petrides, M. (2007) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1401.035 · Cited by 100 · cited 1× · see citing works
“The ventral prefrontal cortex, including the orbitofrontal cortex (OFC), plays a pivotal role in emotional regulation, reward processing, and an ability to inhibit behaviors.(17-31) We therefore wondered if differences in the thickness of the ventral prefrontal cortex in adults would differentiate high-reactive from l…”
BackgroundKringelbach, M. L. (2004) · Progress in Neurobiology · doi:10.1016/s0301-0082(04)00039-5 · Cited by 82 · see citing works
Taxonic Structure of Infant Reactivity: Evidence From a Taxometric Perspective
Woodward, S. A., Lenzenweger, M. F., Kagan, J., Snidman, N. C., & Arcus, D. M. (2000) · Psychological Science · doi:10.1111/1467-9280.00259 · Cited by 67 · cited 1× · see citing works
“The decision to define discrete groups based on the combination of motor activity and crying, rather than a continuum of reactivity, was supported by a taxonomic analysis of the 4-month data that implied that the combination of the 2 variables fit a categorical model better than a continuous one.(32,34)”
MethodSelf-citationHabituation of attentional networks during emotion processing
Feinstein, J. S., Goldin, P. R., Stein, M. B., Brown, G. G., & Paulus, M. P. (2002) · Neuroreport · doi:10.1097/00001756-200207190-00007 · Cited by 67 · see citing works
Comparison of Manual and Automatic Section Positioning of Brain MR Images
Benner, T., Wisco, J. J., van der Kouwe, A. J. W., Fischl, B. R., Vangel, M. G., Hochberg, F. H., & Sorensen, A. G. (2006) · Radiology · doi:10.1148/radiol.2391050221 · Cited by 56 · see citing works
Self-citationSequential and parallel circuits for emotional processing in primate orbitofrontal cortex
Barbas, H., & Zikopoulos, B. (2006) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780198565741.003.0004 · Cited by 46 · cited 1× · see citing works
“The posterior-lateral limb of the cluster may relate to a distinct pattern of heavy projections from the OFC to small inhibitory neurons, the intercalated cell masses of the amygdala.(57-59) These cells, interposed between the input to the basal complex and the output from the central nucleus, gate neuronal traffic an…”
BackgroundTEMPERAMENTAL CONTRIBUTIONS TO THE AFFECT FAMILY OF ANXIETY
Kagan, J., Snidman, N. C., McManis, M. H., & Woodward, S. (2001) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70257-4 · Cited by 36 · cited 2× · see citing works
“The details of the standard 45-minute battery are described elsewhere in detail.(3,5) Initially, the mother looked down at her infant smiling, but not talking, for 1 minute.”
BackgroundSelf-citationArchitectonic structure of the orbital and medial prefrontal cortex
Price, J. L. (2006) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780198565741.003.0001 · Cited by 28 · see citing works
Involvement of primate orbitofrontal neurons in reward, uncertainty, and learning
Schultz, W., & Tremblay, L. (2006) · doi:10.1093/acprof:oso/9780198565741.003.0007 · Cited by 25 · cited 1× · see citing works
“The striatum is activated by aversive, novel, unexpected, or intense stimuli.(78) Finally, the frequent distress vocalizations of high-reactive infants are mediated by direct projections from the medial prefrontal network to the periaqueductal gray and anterior cingulate.”
BackgroundChildhood Derivatives of High and Low Reactivity in Infancy
Kagan, J., Snidman, N. C., & Arcus, D. M. (1998) · Child Development · doi:10.2307/1132126 · Cited by 24 · see citing works
Self-citationThe orbitofrontal cortex: sulcal and gyral morphology and architecture
Petrides, M., & Mackey, S. (2006) · doi:10.1093/acprof:oso/9780198565741.003.0002 · Cited by 17 · see citing works
The Human Brain. Surface, Three-Dimensional Sectional Anatomy and MRI
Bank, W. O. (1993) · Neurosurgery · doi:10.1097/00006123-199311000-00034 · Cited by 12 · see citing works
The Long Shadow of Temperament
Denham, R., & Martin, A. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000179051.23925.a8
High-resolution intersubject averaging and a coordinate system for the cortical surface
Fischl, B., Sereno, M. I., Tootell, R. B. H., & Dale, A. M. (1999) · Human Brain Mapping · doi:10.1002/(sici)1097-0193(1999)8:4 · cited 3×
“Cortical parcellations were drawn on the anatomical atlas(48); parcellations were mapped back onto each individual subject’s surface by applying the subject-atlas registration described earlier.(36,41) For the vertex-by-vertex cluster analysis, the thickness maps for all subjects in both groups were converted to the c…”
MethodAn, X., Bandler, R., �ng�r, D., & Price, J. L. (1998) · The Journal of Comparative Neurology · doi:10.1002/(sici)1096-9861(19981130)401:4 · cited 1×
“For example, this subregion preferentially targets the lateral and dorsolateral columns of the periaqueductal gray, which are linked to defensive and somatovisceral responses.(66-70) The lateral column of the periaqueductal gray generates active avoidance and defensive behaviors including a response we called arching…”
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Behavioral Inhibition and Risk for Developing Social Anxiety Disorder: A Meta-Analytic Study
Clauss, J. A., & Blackford, J. U. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.08.002 · Cited by 573 · see citing works
Future Directions in Emotion Dysregulation and Youth Psychopathology
Beauchaine, T. P. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2015.1038827 · Cited by 394 · see citing works
“Other research indicates that (a) behavioral inhibition in infancy predicts structural abnormalities in the ventromedial PFC in young adulthood (Schwartz et al., 2010); (b) early life stress mediates—via increased cortisol levels—decreased functional connectivity between the amygdala and the vmPFC…”
BackgroundThe Study of Fear Extinction: Implications for Anxiety Disorders
Graham, B. M., & Milad, M. R. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11040557 · Cited by 387 · see citing works
Widespread reductions in gray matter volume in depression
Grieve, S. M., Korgaonkar, M. S., Koslow, S. H., Gordon, E., & Williams, L. M. (2013) · NeuroImage: Clinical · doi:10.1016/j.nicl.2013.08.016 · Cited by 388 · see citing works
“Cerebellar volume differences between the two groups were not significant.”
BackgroundDucharme, S., Albaugh, M. D., Hudziak, J. J., Botteron, K. N., Nguyen, T., Truong, C., Evans, A. C., Karama, S., Ball, W. S., Byars, A. W., et al. (2013) · Cerebral Cortex · doi:10.1093/cercor/bht151 · Cited by 166 · see citing works
“Taking our results and these 2 studies together (Schwartz et al. 2010; Kühn et al. 2011), this suggests that there could be a delay in maturation of the right vmPFC in subjects with elevated anxious/depressed problems, leading to thicker cortex in late teenage/early adulthood, but ultimately…”
BackgroundResultInfluentialKapogiannis, D., Sutin, A., Davatzikos, C., Costa, P., & Resnick, S. (2012) · Human Brain Mapping · doi:10.1002/hbm.22108 · Cited by 177 · see citing works
“Second, early individual differences in brain development may lead to predispositions toward certain personality traits in adulthood [Schwartz et al., 2010] and complex abilities, such as creativity or musical skills [Gaser and Schlaug, 2003; Takeuchi et al., 2010].”
BackgroundNeural Substrates of Childhood Anxiety Disorders
Blackford, J. U., & Pine, D. S. (2012) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2012.05.002 · Cited by 138 · see citing works
Human Infancy...and the Rest of the Lifespan
Bornstein, M. H. (2011) · Annual Review of Psychology · doi:10.1146/annurev-psych-120710-100359 · Cited by 133 · see citing works
“…and risk taking at 5 years (Lahat et al. 2012), hyperreactivity in the first months of life predicts periodic syndromes at 10–11 years (Guidetti et al. 1984), and reactivity at 4 months correlates with ventromedial prefrontal structural brain differences at 18 years (Schwartz et al. 2010).”
BackgroundGray Matter Abnormalities in Social Anxiety Disorder: Primary, Replication, and Specificity Studies
Talati, A., Pantazatos, S. P., Schneier, F. R., Weissman, M. M., & Joy Hirsch, C. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.05.022 · Cited by 108 · see citing works
Overactive bladder in children
Franco, I. (2016) · Nature Reviews Urology · doi:10.1038/nrurol.2016.152 · Cited by 102 · see citing works
Clauss, J. A., Avery, S. N., & Blackford, J. U. (2015) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2015.03.001 · Cited by 90 · see citing works
Montirosso, R., Provenzi, L., Fumagalli, M., Sirgiovanni, I., Giorda, R., Pozzoli, U., Beri, S., Menozzi, G., Tronick, E., Morandi, F., et al. (2016) · Child Development · doi:10.1111/cdev.12492 · Cited by 83 · see citing works
Gunning, M., Halligan, S. L., & Murray, L. (2013) · Infant Behavior and Development · doi:10.1016/j.infbeh.2013.02.003 · Cited by 79 · see citing works
“Although the current observations are cross-sectional, longer term implications are likely, and may begin to describe a route for recent reports suggesting the effects of early infant reactivity on adult brain structure (Schwartz et al., 2010).”
Regulation of Retinoic Acid Inducible Gene-I (RIG-I) Activation by the Histone Deacetylase 6
Liu, H. M., Jiang, F., Loo, Y., Hsu, S., Hsiang, T.-Y., Marcotrigiano, J., & Gale, M. (2016) · EBioMedicine · doi:10.1016/j.ebiom.2016.06.015 · Cited by 71 · see citing works
“Lysine acetylation, which neutralizes the positive charge of the amino acid, has been shown to be involved in regulation of protein interactions, DNA binding, RNA bindings, and many other various protein functions (Choudhary et al., 2009; Shakespear et al., 2011; Schwartz et al., 2010).”
Background3-D Cytoarchitectonic parcellation of human orbitofrontal cortex
Uylings, H. B. M., Sanz‐Arigita, E., de Vos, K., Pool, C. W., Evers, P., & Rajkowska, G. (2010) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2010.04.012 · Cited by 67 · see citing works
Bas‐Hoogendam, J. M., van Steenbergen, H., Tissier, R., Houwing‐Duistermaat, J. J., Westenberg, P. M., & van der Wee, N. J. A. (2018) · EBioMedicine · doi:10.1016/j.ebiom.2018.08.048 · Cited by 50 · see citing works
NEUROCIRCUITRY UNDERLYING RISK AND RESILIENCE TO SOCIAL ANXIETY DISORDER
Clauss, J. A., Avery, S. N., VanDerKlok, R. M., Rogers, B. P., Cowan, R. L., Benningfield, M. M., & Blackford, J. U. (2014) · Depression and Anxiety · doi:10.1002/da.22265 · Cited by 50 · see citing works
Halpern, R., & Coelho, R. (2016) · Jornal de Pediatria · doi:10.1016/j.jped.2016.01.004 · Cited by 53 · see citing works
Structural and functional bases of inhibited temperament
Clauss, J. A., Seay, A. L., VanDerKlok, R. M., Avery, S. N., Cao, A., Cowan, R. L., Benningfield, M. M., & Blackford, J. U. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu019 · Cited by 46 · see citing works
Large-scale neural networks and the lateralization of motivation and emotion.
Tops, M., Quirin, M., Boksem, M., & Koole, S. (2017) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2017.02.004 · Cited by 47 · see citing works
Trait And Neurobiological Correlates Of Individual Differences In Dream Recall And Dream Content
Blagrove, M., & Pace-Schott, E. F. (2010) · International review of neurobiology · doi:10.1016/s0074-7742(10)92008-4 · Cited by 44 · see citing works
Overman, W., & Pierce, A. M. (2013) · Frontiers in Psychology · doi:10.3389/fpsyg.2013.00935 · Cited by 41 · see citing works
Petrovic, P., Ekman, C. J., Klahr, J., Tigerström, L., Rydén, G., Johansson, A. G. M., Sellgren, C., Golkar, A., Olsson, A., Öhman, A., et al. (2016) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsv072 · Cited by 38 · see citing works
“Reduced lObfc volume has also been observed in adult subjects previously classified as highreactive infants (Schwartz et al., 2010) and for cumulative adverse life events in chronically stressed subjects (Ansell et al., 2012)—groups that often display emotional dysregulation.”
BackgroundNonhuman Primate Models to Explore Mechanisms Underlying Early-Life Temperamental Anxiety
Kenwood, M. M., & Kalin, N. H. (2020) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.08.028 · Cited by 35 · see citing works
“Although these studies suggest that BI-related amygdala hyperactivity can be detected into adulthood (15,50,52,53), it is difficult to disambiguate whether this dysfunction is a cause or consequence of long-term, stable inhibited temperament.”
BackgroundLooking at the self in front of others: Neural correlates of attentional bias in social anxiety
Choi, S., Shin, J.-E., Ku, J. H., & Kim, J. (2016) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2016.01.001 · Cited by 33 · see citing works
“Given that structural abnormalities of the lateral OFC in patients with SAD and adults with behaviorally inhibited temperament probably originate early in life (Schwartz et al., 2010; Talati et al., 2013), altered responsiveness in this region might begin early before repetitive exposures to social threats.”
BackgroundThe Role of Temperament in the Etiopathogenesis of Bipolar Spectrum Illness.
Fountoulakis, K., Gonda, X., Koufaki, I., Hyphantis, T., & Cloninger, C. R. (2016) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000077 · Cited by 34 · see citing works
Early Childhood Behavioral Inhibition Predicts Cortical Thickness in Adulthood
Sylvester, C. M., Barch, D. M., Harms, M. P., Belden, A. C., Oakberg, T. J., Gold, A. L., White, L. K., Benson, B. E., Troller‐Renfree, S. V., Degnan, K. A., et al. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.11.007 · Cited by 32 · see citing works
“Schwartz et al.(28) used a longitudinal design and compared cortical thickness in young adults with or without histories of high reactivity at 4 months of age, an early marker of BI.”
BackgroundMethodResultInfluentialDenollet, J., & Duijndam, S. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.11.035 · Cited by 32 · see citing works
Anxiety disorders in children and adolescents: aetiology, diagnosis and treatment
Vallance, A. K., & Fernandez, V. (2016) · BJPsych Advances · doi:10.1192/apt.bp.114.014183 · Cited by 24 · see citing works
“Schwartz et al (2010) subsequently used structural MRI to show that adults who had had a lowreactive temperament in infancy showed greater left orbitofrontal cortex thickness, whereas those who had had high reactivity showed greater right ventromedial prefrontal cortex thickness.”
MethodKim, M. J., Farber, M. J., Knodt, A. R., & Hariri, A. R. (2019) · NeuroImage Clinical · doi:10.1016/j.nicl.2019.102050 · Cited by 23 · see citing works
“The potential for OFC thickness is further supported by the observation that temperamental characteristics related to behavioral inhibition measured as early as 4 months of age are associated with thinner OFC in young adulthood (Schwartz et al., 2010).”
BackgroundShyness and Trajectories of Functional Network Connectivity Over Early Adolescence
Sylvester, C. M., Whalen, D. J., Belden, A. C., Sanchez, S. L., Luby, J. L., & Barch, D. M. (2017) · Child Development · doi:10.1111/cdev.13005 · Cited by 22 · see citing works
“…results, other studies have reported shyness-related variation in functional connectivity (Roy et al., 2014; Taber-Thomas et al., 2016), taskrelated activity (Clauss et al., 2016; Guyer et al., 2006, 2014), and structure (Schwartz et al., 2010; Sylvester et al., 2016) in networks beyond the DMN.”
ResultOstlund, B. D., Myruski, S., Buss, K. A., & Pérez‐Edgar, K. E. (2021) · Development and Psychopathology · doi:10.1017/s0954579421000511 · Cited by 21 · see citing works
“…(Clauss et al., 2014; Hill, Tessner, Wang, Carter, & McDermott, 2010), increased thickness in the ventromedial prefrontal cortex (Schwartz et al., 2010), and decreased thickness in the dorsal anterior cingulate and lateral orbitofrontal cortices (Schwartz et al., 2010; Sylvester et al., 2016).”
BackgroundNeuroanatomical correlates of time perspective: A voxel‐based morphometry study
Chen, Z.-Y., Guo, Y.-Q., & Feng, T.-Y. (2018) · Behavioural Brain Research · doi:10.1016/j.bbr.2017.11.004 · Cited by 17 · see citing works
“The stable relation between Past-Positive TP and GMV of the OFC are consistent with the theory that Past-Positive orientation has been implicated in behavior of reinforcement to past tension experience and “low-reactive” of aversive emotional memory, which is considered to be involved in cortical thickness of prefront…”
Preschool Externalizing Behavior Predicts Gender-Specific Variation in Adolescent Neural Structure
Caldwell, J., Armstrong, J. M., Hanson, J. L., Sutterer, M. J., Stodola, D. E., Koenigs, M. R., Kalin, N. H., Essex, M. J., & Davidson, R. J. (2015) · PLoS ONE · doi:10.1371/journal.pone.0117453 · Cited by 16 · see citing works
“However, few neuroimaging studies have utilized cohorts followed from early childhood, and most of these have emphasized internalizing behaviors [11–16].”
BackgroundForss, S., Ciria, A., Clark, F. E., Galusca, C., Harrison, D., & Lee, S. (2024) · Biological reviews/Biological reviews of the Cambridge Philosophical Society · doi:10.1111/brv.13054 · Cited by 16 · see citing works
“Moreover, 4-month-old babies with strong reactions to novel and unfamiliar stimuli showed an increase in the thickness of their cortex, speci fi - cally in the region of the right ventromedial prefrontal cortex (Schwartz et al ., 2010).”
BackgroundBeyond Business Ethics: An Agenda for the Trustworthy Teachers and Practitioners of Business
Congleton, A. (2013) · Journal of Business Ethics · doi:10.1007/s10551-012-1591-0 · Cited by 16 · see citing works
“(Schwartz et al. 2010). to be done in a way that affirms the child and works to draw the child into empathic relationships.”
BackgroundExcessive Crying, Behavior Problems, and Amygdala Volume: A Study From Infancy to Adolescence
Sammallahti, S., Serdarević, F., & Tiemeier, H. W. (2023) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.01.014 · Cited by 15 · see citing works
Delineating Childhood Autism Spectrum Symptoms from a Maladaptive Trait Perspective
Clercq, B. J. D., Aelterman, N., Pauw, S. S. W. D., Bolle, M. D., Decuyper, M., & Tackett, J. L. (2010) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-010-9191-8 · Cited by 15 · see citing works
The Neurobiology of Behavioral Inhibition as a Developmental Mechanism
Blackford, J. U., Clauss, J. A., & Benningfield, M. M. (2018) · Springer eBooks · doi:10.1007/978-3-319-98077-5_6 · Cited by 18 · see citing works
Brain Maturation, Early Sensory Processing, and Infant Colic
Leuchter, R. H., Darqué, A., & Hüppi, P. S. (2013) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/01.mpg.0000441929.05684.78 · Cited by 13 · see citing works
“Schwartz et al (58) have explored the relation between infant temperament at 4 months of age and its effect on 10 40 20 30 6 mths 1st yr Before birth Premature Term birth After birth Olfaction”
BackgroundLimbic and prefrontal neural volume modulate social anxiety in children at temperamental risk
Auday, E. S., & Pérez‐Edgar, K. E. (2019) · Depression and Anxiety · doi:10.1002/da.22941 · Cited by 12 · see citing works
“This gap is particularly important as structural variations may be evident early in development and color subsequent variation in function (Schwartz et al., 2010; Sylvester et al., 2016).”
BackgroundInfluentialDuijndam, S., & Denollet, J. (2019) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2019.02.004 · Cited by 11 · see citing works
The Neural Mechanisms of Behavioral Inhibition
Jarcho, J. M., & Guyer, A. E. (2018) · Springer eBooks · doi:10.1007/978-3-319-98077-5_4 · Cited by 14 · see citing works
“• The limbic network, which includes the amygdala, striatum (nucleus accumbens, caudate, putamen), orbitofrontal cortex (OFC), medial temporal lobe, and rostral anterior cingulate cortex (rACC) and is implicated in threat detection, attention processes, goal maintenance, affect evaluation, and affect regulation.”
BackgroundInfluentialThe History and Theory of Behavioral Inhibition
Kagan, J. (2018) · Springer eBooks · doi:10.1007/978-3-319-98077-5_1 · Cited by 11 · see citing works
Self-citationKirlić, N., Aupperle, R. L., Misaki, M., Kuplicki, R., & Alvarez, R. P. (2017) · Brain and Behavior · doi:10.1002/brb3.757 · Cited by 11 · see citing works
“…right frontal activation as measured by EEG in adolescence (McManis, Kagan, Snidman, & Woodward, 2002) and greater right mOFC volume in adulthood (Schwartz et al., 2010), as well as that high risk for alcohol dependence predicts greater right mOFC among adolescents (Hill, Tessner, Wang, Carter,…”
Nazzari, S., Grumi, S., Villa, M., Mambretti, F., Biasucci, G., Decembrino, L., Giacchero, R., Magnani, M. L., Nacinovich, R., Prefumo, F., et al. (2022) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2022.105920 · Cited by 10 · see citing works
A Neuroscience Perspective on Emotional Development
Morales, S., & Fox, N. A. (2019) · Springer eBooks · doi:10.1007/978-3-030-17332-6_4 · Cited by 13 · see citing works
Perspectives on two temperamental biases
Kagan, J. (2018) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2017.0158 · Cited by 11 · see citing works
Self-citationThe Biological Bridge Between Behavioral Inhibition and Psychopathology
Sylvester, C. M., & Pine, D. S. (2018) · Springer eBooks · doi:10.1007/978-3-319-98077-5_14 · Cited by 12 · see citing works
Schumann, L., Boivin, M., Paquin, S., Lacourse, É., Brendgen, M. R., Vitaro, F., Dionne, G., Tremblay, R. E., & Booij, L. (2017) · PLoS ONE · doi:10.1371/journal.pone.0176601 · Cited by 11 · see citing works
An, D., & Kochanska, G. (2021) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-021-00831-y · Cited by 10 · see citing works
Temperament and Individual Differences
Kagan, J. (2012) · Elsevier eBooks · doi:10.1016/b978-0-12-375000-6.00360-8 · Cited by 10 · see citing works
Self-citationAsh, H., Chang, A., Ortiz, R. J., Kulkarni, P., Rauch, B. J., Colman, R. J., Ferris, C. F., & Ziegler, T. E. (2022) · Behavioural Brain Research · doi:10.1016/j.bbr.2022.113920 · Cited by 9 · see citing works
Structural differences in the hippocampus and amygdala of behaviorally inhibited macaque monkeys
Villard, J., Bennett, J. L., Bliss‐Moreau, E., Capitanio, J. P., Fox, N. A., Amaral, D. G., & Lavenex, P. (2021) · Hippocampus · doi:10.1002/hipo.23329 · Cited by 8 · see citing works
“…of children characterized as behaviorally inhibited have shown functional abnormalities in different brain regions, such as the prefrontal cortex (Schwartz et al., 2010; Sylvester et al., 2016), the cingulate cortex (Sylvester et al., 2016), the hippocampus (Blackford et al., 2013), and the…”
BackgroundHalpern, R., & Coelho, R. (2016) · Jornal de Pediatria (Versão em Português) · doi:10.1016/j.jpedp.2016.03.014 · Cited by 9 · see citing works
Kagan, J. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691611400205 · Cited by 9 · see citing works
“The latter site mediates arching of the back, which was so frequent among high reactive infants at 4 months of age (Schwartz et al., 2010).”
BackgroundSelf-citationAndre, K., Kampman, O., Viikki, M., Setälä-Soikkeli, E., Illi, A., Mononen, N., Lehtimäki, T. J., & Leinonen, E. V. J. (2018) · Acta Neuropsychiatrica · doi:10.1017/neu.2017.37 · Cited by 7 · see citing works
The Architecture of Cortex—in Illness and in Health
Cho, Y., Fudge, J. L., & Ross, D. A. (2016) · Biological Psychiatry · doi:10.1016/j.biopsych.2016.10.010 · Cited by 6 · see citing works
“At 18 years old, individuals displayed thicker ventromedial PFC and thinner orbitofrontal cortex on magnetic resonance imaging (8).”
BackgroundTemperamental Contributions to the Development of Psychological Profiles: II. Two Candidates
Kagan, J. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-394427-6.00014-5 · Cited by 6 · see citing works
Self-citationGartstein, M. A., & Gonzalez, M. A. R. (2025) · Infant Behavior and Development · doi:10.1016/j.infbeh.2025.102101 · Cited by 5 · see citing works
Behavioral Inhibition: A Discrete Precursor to Social Anxiety Disorder?
Hirshfeld‐Becker, D. R., Micco, J. A., Wang, C. H., & Henin, A. (2014) · Wiley eBooks · doi:10.1002/9781118653920.ch7 · Cited by 7 · see citing works
Harnessing temperament to elucidate the complexities of serotonin function
Kanen, J. W., Robbins, T. W., & Trofimova, I. N. (2022) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2022.101108 · Cited by 7 · see citing works
Kim, M. J., Farber, M. J., Knodt, A. R., et al. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/581926 · Cited by 4 · see citing works
High‐Reactive Temperament, Behavioral Inhibition, and Vulnerability to Psychopathology
Kagan, J. (2017) · doi:10.1002/9781394258932.ch7 · Cited by 4 · see citing works
Self-citationTemperamental Contributions to the Development of Psychological Profiles
Kagan, J. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-375096-9.00012-2 · Cited by 3 · see citing works
Self-citationTreviranus, G. R. S. (2017) · Universal Journal of Psychology · doi:10.13189/ujp.2017.050202 · Cited by 2 · see citing works
“The AWs inscribed in in dyn4-TAM-cube are full triadic signatures of affective traits and seemingly hardwired [52] within the three “temperamental” CSTCs [53].”
BackgroundBartoli, A. J. (2013) · Educational Neuroscience · doi:10.1002/9781394259588.ch11 · Cited by 4 · see citing works
Sunderji, A., Gallant, H., Hall, A., Davis, A., Pokhvisneva, I., Meaney, M., Silveira, P., Sassi, R., & Hall, G. (2023) · PLoS ONE · doi:10.1371/journal.pone.0287289 · Cited by 1 · see citing works
“Similar results were found by Schwartz et al (2010) who observed that temperamental differences at 4 months predicted differences in left orbital and right ventromedial PFC thickness at 18 years old [114].”
ResultMartínez-García, C., Parra‐Martínez, C., Parra, Á. T., Martínez-García, T. E., & Bailén, J. R. A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.02223 · Cited by 1 · see citing works
Developmental Laterality Research: Infancy
Young, G. C. (2019) · Springer eBooks · doi:10.1007/978-3-030-02493-2_3 · Cited by 1 · see citing works
Comorbidity in ADHD: A Neuropsychological Perspective
Lázaro, J. C. F., & Soruco, M. A. S. (2012) · InTech eBooks · doi:10.5772/30697 · Cited by 1 · see citing works
Structural Brain Correlates of Childhood Inhibited Temperament: An ENIGMA-Anxiety Mega-Analysis
Bas‐Hoogendam, J. M., Bernstein, R. A., Benson, B. E., Frank, S. E. C., Buss, K. A., Gunther, K. E., Pérez‐Edgar, K. E., Salum, G. A., Jackowski, A. P., Bressan, R. A., et al. (2025) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2025.06.026
Self-citationAn Integrative Approach to Moral DevelopmentDuring Adolescence
Baird, A. A., & Matthews, M. M. (2025) · Cambridge University Press eBooks · doi:10.1017/9781108894357.024
Origins, Development, and Variation
Malle, B., & Robbins, P. (2025) · Cambridge University Press eBooks · doi:10.1017/9781108894357.021
Temperament, Personality, and Character
Fountoulakis, K. N. (2022) · Springer eBooks · doi:10.1007/978-3-031-10351-3_16
Structural Vestiges of Early Fearful Temperament in the Adult Brain
Albaugh, M. D. (2016) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.11.009
“Because Schwartz et al. used a sample of 76 participants, differences in statistical power could have contributed to the lack of replication.”
BackgroundInfluential(2013) · Human behavior · doi:10.1002/9781394260546.refs
Vaughn, M. G., DeLisi, M., & Matto, H. (2013) · Human behavior · doi:10.1002/9781394260546.ch6
Identification of Early Behavioral Markers of Anxiety and Social Withdrawal in Preschool Children
Ale, C. M. (2012) · doi:10.33915/etd.447
“…at 4-months-old has been shown to significantly predict behavioral inhibition (i.e., avoidance of novel stimuli) at 14-months-old (Moehler et al., 2008) and has been related to structural difference in the brain by age 18 compared to those who were uninhibited infants (Schwartz et al., 2010).”
BackgroundResultInfluential(1899) · New England Journal of Medicine · doi:10.1056/nejm189908311410914
- Authors
- Schwartz, C. E., Kunwar, P. S., Greve, D. N., Moran, L. R., Viner, J. C., Covino, J. M., Kagan, J., Stewart, S. E., Snidman, N. C., Vangel, M. G., & Wallace, S. R.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Boston Children's Hospital (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2010-01-01
- Volume
- 67
- Issue
- 1
- Pages
- 78
- ISSN
- 0003-990X (ISSN-L)
- PMC
- PMC2811077
- OpenAlex
- W2131766148
- Cited by
- 82
- References
- 89
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 8 · 2017: 7 · 2016: 10 · 2015: 5 · 2014: 5 · 2013: 10 · 2012: 7
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH071467)
- National Center for Research Resources (UL1RR025758, M01RR001066, P41RR014075, 5P41 RR14075-07)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- infant temperament, orbitofrontal cortex, ventromedial prefrontal cortex, cortical thickness, brain structure, behavioral inhibition, adult personality, mood and anxiety disorders, brain development
- MeSH terms
- Adolescent, Adult, Age Factors, Cerebral Cortex, Child Development, Humans, Infant, Functional Laterality, Longitudinal Studies, Magnetic Resonance Imaging, Temperament, Biomarkers, Prefrontal Cortex, Infant Behavior, Imaging, Three-Dimensional
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