Document Detail

Increased amygdala and insula activation during emotion processing in anxiety-prone subjects.
MedLine Citation:
PMID:  17267796     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Increased amygdala reactivity during processing of certain types of emotional stimuli (e.g., fear, anger) has been observed in patients with anxiety disorders such as social phobia and posttraumatic stress disorder (PTSD). It is uncertain whether this heightened amygdala reactivity is specific to treatment-seeking patients with anxiety disorders or is a general feature of individuals with increased anxiety-related temperamental traits. METHOD: Thirty-two physically healthy subjects 18-21 years old were recruited from a large pool of college students. Of these, 16 were chosen on the basis of scoring in the upper-15th percentile on a measure of trait anxiety (anxiety-prone group), and 16 were chosen on the basis of scoring in the normative range (40th-60th percentile). Subjects participated in functional magnetic resonance imaging (fMRI) during an emotion face assessment task that has been shown to reliably engage amygdala and associated limbic structures. RESULTS: Anxiety-prone subjects had significantly greater bilateral amygdala and insula activation to emotional faces than did the anxiety-normative comparison subjects. Higher scores on several measures assessing anxiety proneness (e.g., neuroticism, trait anxiety, and anxiety sensitivity) were associated with greater activation of the amygdala (predominantly left-sided) and the anterior insula (bilateral). CONCLUSIONS: Increased amygdala and insula reactivity to certain types of emotional processing is seen in young adults with increased anxiety-related temperamental traits. Therefore, this brain emotion-processing profile may be a functional endophenotype for proneness to (certain kinds of) anxiety disorders.
Murray B Stein; Alan N Simmons; Justin S Feinstein; Martin P Paulus
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The American journal of psychiatry     Volume:  164     ISSN:  0002-953X     ISO Abbreviation:  Am J Psychiatry     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-01     Completed Date:  2007-04-05     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  0370512     Medline TA:  Am J Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-27     Citation Subset:  AIM; IM    
Department of Psychiatry, University of California, San Diego, 8950 Villa La Jolla Dr., Suite B-218, La Jolla, CA 92037, USA.
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MeSH Terms
Amygdala / physiology*
Anger / physiology
Anxiety Disorders / diagnosis*,  psychology
Cerebral Cortex / physiology*
Diagnostic and Statistical Manual of Mental Disorders
Disease Susceptibility
Emotions / physiology*
Facial Expression*
Fear / physiology
Functional Laterality / physiology
Magnetic Resonance Imaging / statistics & numerical data
Oxygen / blood
Phobic Disorders / diagnosis,  psychology
Psychiatric Status Rating Scales / statistics & numerical data
Social Perception
Stress Disorders, Post-Traumatic / diagnosis
Visual Perception / physiology
Grant Support
Reg. No./Substance:

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