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Meta-analytical Comparison of Voxel-Based Morphometry Studies in Obsessive-Compulsive Disorder vs Other Anxiety Disorders
Abstract
CONTEXT: Whether obsessive-compulsive disorder (OCD) is adequately classified as an anxiety disorder is a matter of considerable debate. OBJECTIVES: To quantitatively compare structural brain changes in OCD and other anxiety disorders using novel voxel-based meta-analytical methods and to generate an online database to facilitate replication and further analyses by other researchers. DATA SOURCES: The PubMed, ScienceDirect, and Scopus databases were searched between 2001 (the date of the first voxel-based morphometry study in any anxiety disorder) and 2009. All voxel-based morphometry studies comparing patients with any anxiety disorder and healthy controls were retrieved. Manual searches were also conducted. Authors were contacted soliciting additional data. STUDY SELECTION: Thirty-seven data sets were identified, of which 26 (including 639 patients with anxiety disorders and 737 healthy controls) met inclusion criteria. DATA EXTRACTION: Coordinates were extracted from clusters of significant gray matter difference between patients and controls. Demographic, clinical, and methodological variables were extracted from each study or obtained from the authors. DATA SYNTHESIS: Patients with anxiety disorders (including OCD) showed decreased bilateral gray matter volumes in the dorsomedial frontal/anterior cingulate gyri. Individuals with OCD had increased bilateral gray matter volumes (vs healthy controls and vs individuals with other anxiety disorders) in the lenticular/caudate nuclei, while patients with other anxiety disorders (mainly panic and posttraumatic stress disorders) had decreased gray matter volumes in the left lenticular nucleus. The findings remained largely unchanged in quartile and jackknife sensitivity analyses. Controlling for potential confounders such as age or antidepressant medication had little impact on the results. CONCLUSIONS: The meta-analysis consistently revealed common as well as distinct neural substrates in OCD and other anxiety disorders. These results have implications for the current debate surrounding the classification of OCD in the DSM-V.
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“Too few studies met our eligibility criteria to perform meta-regressions to explore heterogeneity between disorders, concomitant medication status or therapy type (Radua et al., 2010).”
From Meta-analyses of the neural mechanisms and predictors of response to psychotherapy in depression and anxiety (2018) · cites this paper as Radua et al., 2010
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“There were too few studies that met our eligibility criteria to perform meta-regressions (Radua et al., 2010) to study heterogeneity between disorders, therapies or methodologies (all but one study was task-based).”
From Meta-analyses of the neural mechanisms and predictors of response to psychotherapy in depression and anxiety (2018) · cites this paper as Radua et al., 2010
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“Apart from the integration of fMRI and PET data, ALE (Nickl- Jockschat et al., in press-a,b; Schroeter et al., 2007) and SDM (Radua and Mataix-Cols, 2009; Radua et al., 2010) have also been repeatedly used to summarise findings from voxel-based morphometry (VBM) studies.”
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Metadata
- Authors
- Radua, J., van den Heuvel, O. A., Surguladze, S., & Mataix-Cols, D.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2010-07-01
- Volume
- 67
- Issue
- 7
- Pages
- 701-11
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2111531007
- Cited by
- 400
- References
- 104
- Citations by year
- 2026: 14 · 2025: 18 · 2024: 21 · 2023: 21 · 2022: 31 · 2021: 18 · 2020: 22 · 2019: 21 · 2018: 20 · 2017: 33 · 2016: 25 · 2015: 30 · 2014: 30 · 2013: 34 · 2012: 33
- FWCI
- 33.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, anxiety disorders, gray matter volume, brain structural changes, dorsomedial frontal cortex, anterior cingulate cortex, caudate nucleus, lentiform nucleus, panic disorder, post-traumatic stress disorder, DSM-V, voxel-based morphometry
- MeSH terms
- Adult, Anxiety Disorders, Brain, Brain Mapping, Female, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Functional Laterality, Male, Obsessive-Compulsive Disorder, Online Systems, Psychiatric Status Rating Scales, Psychometrics, Diagnostic and Statistical Manual of Mental Disorders
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