Altered executive control network resting-state connectivity in social anxiety disorder.

Journal: The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry

Volume: 17

Issue: 1

Year of Publication: 2016

Affiliated Institutions:  a Department of Psychiatry , University of Wuerzburg , Wuerzburg , Germany. b Department of Psychiatry and Mental Health , University of Cape Town , Cape Town , South Africa. d MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry , University of Stellenbosch , Stellenbosch , South Africa.

Abstract summary 

Research into the neural basis of social anxiety disorder (SAD) suggests alterations in prefrontal networks, which may in turn disrupt regulation of the limbic system. Better understanding of the disturbed interface between these networks may improve current pathogenic models of this disorder.Applying group independent component analysis (ICA) to recordings of fMRI resting-state, connectivity in the executive control network was studied in 18 patients with SAD and 15 age- and sex-matched healthy controls.Results revealed a dissociation within the left executive control network, with SAD patients showing decreased connectivity of the orbitofrontal gyrus and increased connectivity of the middle frontal gyrus compared to healthy controls. In a subsequent seed-based functional connectivity analysis, patients with SAD displayed increased connectivity between the left orbitofrontal gyrus and the left amygdala.Findings suggest that hypo-connectivity in the executive control network and hyper-connectivity between the orbitofrontal cortex and the amygdala may reflect a disturbance in the balance between top-down and bottom-up control processes, potentially contributing to the development of SAD.

Authors & Co-authors:  Geiger Maximilian J MJ Domschke Katharina K Ipser Jonathan J Hattingh Coenie C Baldwin David S DS Lochner Christine C Stein Dan J DJ

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.3109/15622975.2015.1083613
SSN : 1814-1412
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
amygdala;attention;fMRI;prefrontal cortex;social phobia
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England