The functional neuroanatomy of anxiety: a study of three disorders using positron emission tomography and symptom provocation.

Abstract:

:Previous neuroimaging research has contributed insights regarding the neural substrates of specific psychiatric disorders. The purpose of this study was to determine the shared mediating neuroanatomy of anxiety symptoms across three different anxiety disorders. Data were pooled from 23 right-handed adult outpatients meeting criteria for obsessive-compulsive disorder, simple phobia, or posttraumatic stress disorder. Relative regional cerebral blood flow (rCBF) was measured using positron emission tomography in the context of symptom provocation paradigms. Symptom severity was measured via self-reports. The analysis of pooled imaging data indicated activation in right inferior frontal cortex, right posterior medial orbitofrontal cortex, bilateral insular cortex, bilateral lenticulate nuclei, and bilateral brain stem foci during the symptomatic versus control conditions. A positive correlation was found between rCBF at one brain stem locus and subjective anxiety scores (r = .744, p < .001). These findings suggest that elements of the paralimbic belt together with right inferior frontal cortex and subcortical nuclei mediate symptoms across different anxiety disorders. In addition, activation at one brain stem locus appears to be associated with the subjective severity of anxiety. Further studies are warranted to determine whether these same brain systems mediate normal anxiety states as well.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Rauch SL,Savage CR,Alpert NM,Fischman AJ,Jenike MA

doi

10.1016/S0006-3223(97)00145-5

subject

Has Abstract

pub_date

1997-09-15 00:00:00

pages

446-52

issue

6

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(97)00145-5

journal_volume

42

pub_type

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