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Neural Correlates of Psychotherapy in Anxiety and Depression: A Meta-Analysis
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Several studies have used neuroimaging methods to identify neural change in brain networks associated to emotion regulation after psychotherapy of depression and anxiety. In the present work we adopted a meta-analytic technique specific to neuroimaging data to evaluate the consistence of empirical findings and assess models of therapy that have been proposed in the literature. Meta-analyses were conducted with the Activation Likelihood Estimation technique, which evaluates the overlap between foci of activation across studies. The analysis included 16 studies found in Pubmed (200 foci of activation and 193 patients). Separate meta-analyses were conducted on studies of 1) depression, post-traumatic stress disorder and panic disorder investigated with rest state metabolism (6 studies, 70 patients); 2) depression, post-traumatic stress disorder and panic disorder investigated with task-related activation studies (5 studies, 65 patients); 3) the previous studies considered jointly; and 4) phobias investigated with studies on exposure-related activation (5 studies, 57 patients). Studies on anxiety and depression gave partially consistent results for changes in the dorsomedial prefrontal cortex and in the posterior cingulated gyrus/precuneus. Several areas of change in the temporal lobes were also observed. Studies on the therapy of phobia were consistent with a reduction of activity in medial temporal areas. The cluster of change in the prefrontal cortex may refer to increased recruitment of control processes, as hypothesized by influential models of emotion regulation changes due to psychotherapy. However, not all areas associated with controlled emotion regulation were detected in the meta-analysis, while involvement of midline structures suggested changes in self-related information processing. Changes in phobia were consistent with reduced reactivity to phobic stimuli.
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“Both disorders were included due to high levels of comorbidity between the conditions (Brown et al., 2001; Kaufman and Charney, 2000), overlapping symptoms, both responding to similar therapies (Ressler and Mayberg, 2007), and the same theory being used to model therapeutic response across disorders (Messina et al., 2013).”
From Meta-analyses of the neural mechanisms and predictors of response to psychotherapy in depression and anxiety (2018) · cites this paper as Messina et al., 2013
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“due to evidence that paradigm type can effect results (Fu et al., 2007; Messina et al., 2013; Palmer et al., 2015; Whitfield-Gabrieli et al., 2011).”
From Meta-analyses of the neural mechanisms and predictors of response to psychotherapy in depression and anxiety (2018) · cites this paper as Messina et al., 2013
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Metadata
- Authors
- Messina, I., Sambin, M., Palmieri, A., & Viviani, R.
- Affiliations
- University of Padua (IT)
- Universität Innsbruck (AT)
- Corresponding author
- Messina, Irene
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-09-11
- Volume
- 8
- Issue
- 9
- Pages
- e74657
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3770681
- OpenAlex
- W2147566726
- Cited by
- 176
- References
- 108
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 77 · 2023: 6 · 2022: 9 · 2021: 7 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 10 · 2016: 10 · 2015: 12 · 2014: 7 · 2013: 2
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- psychotherapy, neural correlates, anxiety, depression, emotion regulation, post-traumatic stress disorder, panic disorder, phobia, exposure therapy, dorsomedial prefrontal cortex, posterior cingulate cortex, precuneus, medial temporal lobe, self-referential processing
- MeSH terms
- Anxiety, Brain, Brain Mapping, Depression, Emotions, Humans, Implosive Therapy, Phobic Disorders, Psychotherapy, Stress Disorders, Post-Traumatic, Likelihood Functions, Panic Disorder, Neuroimaging
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