Differential alterations of resting‐state functional connectivity in generalized anxiety disorder and panic disorder
Open accessAbstract
Generalized anxiety disorder (GAD) and panic disorder (PD) are most common anxiety disorders with high lifetime prevalence while the pathophysiology and disease‐specific alterations still remain largely unclear. Few studies have taken a whole‐brain perspective in the functional connectivity (FC) analysis of these two disorders in resting state. It limits the ability to identify regionally and psychopathologically specific network abnormalities with their subsequent use as diagnostic marker and novel treatment strategy. The whole brain FC using a novel FC metric was compared, that is, scaled correlation, which they demonstrated to be a reliable FC statistics, but have higher statistical power in two‐sample t ‐test of whole brain FC analysis. About 21 GAD and 18 PD patients were compared with 22 matched control subjects during resting‐state, respectively. It was found that GAD patients demonstrated increased FC between hippocampus/parahippocampus and fusiform gyrus among the most significantly changed FC, while PD was mainly associated with greater FC between somatosensory cortex and thalamus. Besides such regional specificity, it was observed that psychopathological specificity in that the disrupted FC pattern in PD and GAD correlated with their respective symptom severity. The findings suggested that the increased FC between hippocampus/parahippocampus and fusiform gyrus in GAD were mainly associated with a fear generalization related neural circuit, while the greater FC between somatosensory cortex and thalamus in PD were more likely linked to interoceptive processing. Due to the observed regional and psychopathological specificity, their findings bear important clinical implications for the potential treatment strategy. Hum Brain Mapp 37:1459‐1473, 2016 . © 2016 Wiley Periodicals, Inc.
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Hippocampus function, structure, and functional connectivity with other regions is compromised in individuals with PTSD, GAD, and PD.
“The hippocampus is another brain structure within the medial temporal lobe whose function, structure, and functional connectivity with other regions is comprised in individuals with PTSD, GAD, and PD (Cui et al, 2016;Fani et al, 2012b;Woon et al, 2010).”
From Inflammation in Fear- and Anxiety-Based Disorders: PTSD, GAD, and Beyond (2017) · cites this paper as Cui et al, 2016
The FC Alterations in GAD and PD section reports altered hippocampus/parahippocampus connectivity in GAD. The Introduction also reports prior findings of reduced hippocampal volume in GAD and increased hippocampal activation during agoraphobia-specific stimuli in PD. The paper does not establish hippocampal structural or connectivity changes in PD, and it does not address PTSD; page numbers are unavailable in our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measuredRegions of the medial prefrontal cortex (mPFC), including the rostral anterior cingulate cortex, subgenual ACC, and medial frontal gyrus, are heavily connected to the amygdala and hippocampus, and critically involved in emotion regulation, attention bias, and fear extinction in individuals with PTSD and other anxiety disorders.
“Regions of the medial prefrontal cortex (mPFC), including the rostral anterior cingulate cortex, subgenual ACC (sgACC, Brodmann's Area 25) and medial frontal gyrus, are all heavily connected to the amygdala and hippocampus, and critically involved in emotion regulation, attention bias, and fear extinction in individuals with PTSD and other anxiety disorders (Banich et al, 2009;Cui et al, 2016;Et”
From Inflammation in Fear- and Anxiety-Based Disorders: PTSD, GAD, and Beyond (2017) · cites this paper as Cui et al, 2016
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- Authors
- Cui, H., Zhang, J., Liu, Y., Li, Q., Li, H., Zhang, L., Hu, Q., Cheng, W., Luo, Q., Li, J., Li, W., Wang, J., Feng, J., Li, C., & Northoff, G.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Fudan University (CN)
- Tongji University (CN)
- East China Normal University (CN)
- University of Ottawa (CA)
- ORCID
- Venue
- Human Brain Mapping
- Publisher
- Wiley
- Published
- 2016-01-23
- Volume
- 37
- Issue
- 4
- Pages
- 1459-1473
- ISSN
- 1065-9471 (ISSN-L)
- 1097-0193
- PMC
- PMC6867341
- OpenAlex
- W2301327842
- Cited by
- 123
- References
- 113
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 8 · 2023: 17 · 2022: 8 · 2021: 10 · 2020: 21 · 2019: 16 · 2018: 7 · 2017: 7 · 2016: 7
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Human Brain Mapping (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (2011-873, 81071098, 13dz2260500, 61573107, 61104143, OMA-MH, 2011-873)
- Shanghai Municipal Health Bureau
- Canadian Institutes of Health Research
- NIH Clinical Center
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- generalized anxiety disorder, panic disorder, resting-state functional connectivity, hippocampus, parahippocampal gyrus, fusiform gyrus, somatosensory cortex, thalamus, fear generalization, interoceptive processing, symptom severity, anxiety disorders
- MeSH terms
- Adult, Anxiety Disorders, Brain, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Nerve Net, Rest, Panic Disorder
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