Resting-state functional connectivity in anxiety disorders: a multicenter fMRI study

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Till Langhammer - , Humboldt University of Berlin (Author)
  • Kevin Hilbert - , Humboldt University of Berlin, HMU Health and Medical University (Author)
  • Dirk Adolph - , Ruhr University Bochum (Author)
  • Volker Arolt - , University of Münster (Author)
  • Sophie Bischoff - , Charité – Universitätsmedizin Berlin (Author)
  • Joscha Böhnlein - , University of Münster (Author)
  • Jan C. Cwik - , University of Cologne, Witten/Herdecke University (Author)
  • Udo Dannlowski - , University of Münster (Author)
  • Jürgen Deckert - , University of Würzburg (Author)
  • Katharina Domschke - , University Medical Center Freiburg (Author)
  • Ricarda Evens - , Humboldt University of Berlin (Author)
  • Thomas Fydrich - , Humboldt University of Berlin (Author)
  • Bettina Gathmann - , University of Münster (Author)
  • Alfons O. Hamm - , University of Greifswald (Author)
  • Ingmar Heinig - , Chair of Clinical Psychology and Behavioral Neuroscience (Author)
  • Martin J. Herrmann - , University of Würzburg (Author)
  • Maike Hollandt - , University of Greifswald (Author)
  • Markus Junghoefer - , University of Münster (Author)
  • Tilo Kircher - , University of Marburg (Author)
  • Katja Koelkebeck - , University of Duisburg-Essen (Author)
  • Elisabeth J. Leehr - , University of Münster (Author)
  • Martin Lotze - , University of Greifswald (Author)
  • Jürgen Margraf - , University of Münster (Author)
  • Jennifer L.M. Mumm - , Charité – Universitätsmedizin Berlin (Author)
  • Andre Pittig - , University of Göttingen (Author)
  • Jens Plag - , HMU Health and Medical University (Author)
  • Jan Richter - , University of Hildesheim (Author)
  • Kati Roesmann - , University of Münster, University Osnabruck (Author)
  • Isabelle C. Ridderbusch - , University of Marburg (Author)
  • Silvia Schneider - , Ruhr University Bochum (Author)
  • Hanna Schwarzmeier - , University of Münster (Author)
  • Fabian Seeger - , University of Münster (Author)
  • Niklas Siminski - , University Hospital of Würzburg (Author)
  • Thomas Straube - , University of Münster (Author)
  • Andreas Ströhle - , Charité – Universitätsmedizin Berlin (Author)
  • Christoph Szeska - , University of Greifswald, University of Potsdam (Author)
  • Hans-Ulrich Wittchen - , Chair of Clinical Psychology and Psychotherapy, Ludwig Maximilian University of Munich (Author)
  • Adrian Wroblewski - , University of Marburg (Author)
  • Yunbo Yang - , University of Marburg, University of Hildesheim (Author)
  • Benjamin Straube - , University of Marburg (Author)
  • Ulrike Lueken - , Humboldt University of Berlin, German Center for Mental Health (DZPG) (Author)

Abstract

Anxiety disorders (AD) are associated with altered connectivity in large-scale intrinsic brain networks. It remains uncertain how much these signatures overlap across different phenotypes due to a lack of well-powered cross-disorder comparisons. We used resting-state functional magnetic resonance imaging (rsfMRI) to investigate differences in functional connectivity (FC) in a cross-disorder sample of AD patients and healthy controls (HC). Before treatment, 439 patients from two German multicenter clinical trials at eight different sites fulfilling a primary diagnosis of panic disorder and/or agoraphobia (PD/AG, N = 154), social anxiety disorder (SAD, N = 95), or specific phobia (SP, N = 190) and 105 HC underwent an 8 min rsfMRI assessment. We performed categorical and dimensional regions of interest (ROI)-to-ROI analyses focusing on connectivity between regions of the defensive system and prefrontal regulation areas. AD patients showed increased connectivity between the insula and the thalamus compared to controls. This was mainly driven by PD/AG patients who showed increased (insula/hippocampus/amygdala—thalamus) and decreased (dorsomedial prefrontal cortex/periaqueductal gray—anterior cingulate cortex) positive connectivity between subcortical and cortical areas. In contrast, SAD patients showed decreased negative connectivity exclusively in cortical areas (insula—orbitofrontal cortex), whereas no differences were found in SP patients. State anxiety associated with the scanner environment did not explain the FC between these regions. Only PD/AG patients showed pronounced connectivity changes along a widespread subcortical-cortical network, including the midbrain. Dimensional analyses yielded no significant results. The results highlighting categorical differences between ADs at a systems neuroscience level are discussed within the context of personalized neuroscience-informed treatments. PROTECT-AD’s registration at NIMH Protocol Registration System: 01EE1402A and German Register of Clinical Studies: DRKS00008743. SpiderVR’s registration at ClinicalTrials.gov: NCT03208400.

Details

Original languageEnglish
Number of pages10
JournalMolecular psychiatry
Early online date4 Oct 2024
Publication statusE-pub ahead of print - 4 Oct 2024
Peer-reviewedYes

External IDs

PubMed 39367057
ORCID /0000-0002-7762-4327/work/173988296