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Resting-State Functional Connectivity in Generalized Anxiety Disorder and Social Anxiety Disorder: Evidence for a Dimensional Approach.
Rabany, Liron; Diefenbach, Gretchen J; Bragdon, Laura B; Pittman, Brian P; Zertuche, Luis; Tolin, David F; Goethe, John W; Assaf, Michal.
Afiliación
  • Rabany L; 1 Olin Neuropsychiatry Research Center, Institute of Living , Hartford, Connecticut.
  • Diefenbach GJ; 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut.
  • Bragdon LB; 3 Yale University School of Medicine , New Haven, Connecticut.
  • Pittman BP; 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut.
  • Zertuche L; 3 Yale University School of Medicine , New Haven, Connecticut.
  • Tolin DF; 1 Olin Neuropsychiatry Research Center, Institute of Living , Hartford, Connecticut.
  • Goethe JW; 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut.
  • Assaf M; 3 Yale University School of Medicine , New Haven, Connecticut.
Brain Connect ; 7(5): 289-298, 2017 06.
Article en En | MEDLINE | ID: mdl-28478685
Generalized anxiety disorder (GAD) and social anxiety disorder (SAD) are currently considered distinct diagnostic categories. Accumulating data suggest the study of anxiety disorders may benefit from the use of dimensional conceptualizations. One such dimension of shared dysfunction is emotion regulation (ER). The current study evaluated dimensional (ER) and categorical (diagnosis) neurocorrelates of resting-state functional connectivity (rsFC) in participants with GAD and SAD and healthy controls (HC). Functional magnetic resonance imaging (fMRI) rsFC was estimated between all regions of the default mode network (DMN), salience network (SN), and bilateral amygdala (N = 37: HC-19; GAD-10; SAD-8). Thereafter, rsFC was predicted by both ER, (using the Difficulties in Emotion Regulation Scale [DERS]), and diagnosis (DSM-5) within a single unified analysis of covariance (ANCOVA). For the ER dimension, there was a significant association between impaired ER abilities and anticorrelated rsFC of amygdala and DMN (L.amygdala-ACC: p = 0.011, beta = -0.345), as well as amygdala and SN (L.amygdala-posterior cingulate cortex [PCC]: p = 0.032, beta = -0.409). Diagnostic status was significantly associated with rsFC differences between the SAD and HC groups, both within the DMN (PCC-MPFC: p = 0.009) and between the DMN and SN (R.LP-ACC: p = 0.010). Although preliminary, our results exemplify the potential contribution of the dimensional approach to the study of GAD and SAD and support a combined categorical and dimensional model of rsFC of anxiety disorders.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Encéfalo / Conectoma / Fobia Social / Red Nerviosa Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Brain Connect Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Encéfalo / Conectoma / Fobia Social / Red Nerviosa Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Brain Connect Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos