Volume of subcortical brain regions in social anxiety disorder: mega-analytic results from 37 samples in the ENIGMA-Anxiety Working Group

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Nynke A Groenewold - , University of Cape Town (Author)
  • Janna Marie Bas-Hoogendam - , Leiden University (Author)
  • Alyssa R Amod - , University of Cape Town (Author)
  • Max A Laansma - , Amsterdam University Medical Centers (UMC) (Author)
  • Laura S Van Velzen - , University of Melbourne (Author)
  • Moji Aghajani - , Leiden University (Author)
  • Kevin Hilbert - , Humboldt University of Berlin (Author)
  • Hyuntaek Oh - , Baylor College of Medicine (Author)
  • Ramiro Salas - , Baylor College of Medicine (Author)
  • Andrea P Jackowski - , Federal University of São Paulo (Author)
  • Pedro M Pan - , Federal University of São Paulo (Author)
  • Giovanni A Salum - , Hospital de Clínicas de Porto Alegre (Author)
  • James R Blair - , Mental Health Services in the Capital Region of Denmark (Author)
  • Karina S Blair - , Center for Neurobehavioral Research (Author)
  • Joy Hirsch - , Yale University (Author)
  • Spiro P Pantazatos - , Columbia University Irving Medical Center (CUMC) (Author)
  • Franklin R Schneier - , Columbia University Irving Medical Center (CUMC) (Author)
  • Ardesheer Talati - , Columbia University Irving Medical Center (CUMC) (Author)
  • Karin Roelofs - , Radboud University Nijmegen (Author)
  • Inge Volman - , Oxford University Hospitals NHS Foundation Trust (Author)
  • Laura Blanco-Hinojo - , Municipal Institute for Medical Research Hospital del Mar (Author)
  • Narcís Cardoner - , Autonomous University of Barcelona (Author)
  • Jesus Pujol - , Municipal Institute for Medical Research Hospital del Mar (Author)
  • Katja Beesdo-Baum - , Chair of Behavioral Epidemiology (Author)
  • Christopher R K Ching - , University of Southern California (Author)
  • Sophia I Thomopoulos - , University of Southern California (Author)
  • Andreas Jansen - , University of Marburg (Author)
  • Tilo Kircher - , University of Marburg (Author)
  • Axel Krug - , University of Marburg (Author)
  • Igor Nenadić - , University of Marburg (Author)
  • Frederike Stein - , University of Marburg (Author)
  • Udo Dannlowski - , University Hospital Münster (Author)
  • Dominik Grotegerd - , University Hospital Münster (Author)
  • Hannah Lemke - , University Hospital Münster (Author)
  • Susanne Meinert - , University Hospital Münster (Author)
  • Alexandra Winter - , University Hospital Münster (Author)
  • Michael Erb - , University Hospital Tübingen (Author)
  • Benjamin Kreifelts - , University Hospital Tübingen (Author)
  • Qiyong Gong - , West China Hospital of Sichuan University (Author)
  • Su Lui - , West China Hospital of Sichuan University (Author)
  • Fei Zhu - , West China Hospital of Sichuan University (Author)
  • Benson Mwangi - , University of Texas Health Science Center at Houston (Author)
  • Jair C Soares - , University of Texas Health Science Center at Houston (Author)
  • Mon-Ju Wu - , University of Texas Health Science Center at Houston (Author)
  • Ali Bayram - , Altinbas University (Author)
  • Mesut Canli - , Altinbas University (Author)
  • Raşit Tükel - , Altinbas University (Author)
  • P Michiel Westenberg - , Leiden University (Author)
  • Alexandre Heeren - , Max Planck Institute for Human Cognitive and Brain Sciences (Author)
  • Henk R Cremers - , University of Amsterdam (Author)
  • David Hofmann - , University Hospital Münster (Author)
  • Thomas Straube - , University Hospital Münster (Author)
  • Alexander G G Doruyter - , University of Stellenbosch (Author)
  • Christine Lochner - , University of Stellenbosch (Author)
  • Jutta Peterburs - , MSH Medical School Hamburg (Author)
  • Marie-José Van Tol - , University of Groningen (Author)
  • Raquel E Gur - , University of Pennsylvania (Author)
  • Antonia N Kaczkurkin - , Vanderbilt University (Author)
  • Bart Larsen - , University of Pennsylvania (Author)
  • Theodore D Satterthwaite - , University of Pennsylvania (Author)
  • Courtney A Filippi - , National Institutes of Health (NIH) (Author)
  • Andrea L Gold - , Brown University (Author)
  • Anita Harrewijn - , National Institutes of Health (NIH) (Author)
  • André Zugman - , National Institutes of Health (NIH) (Author)
  • Robin Bülow - , University of Greifswald (Author)
  • Hans J Grabe - , University of Greifswald (Author)
  • Henry Völzke - , University of Greifswald (Author)
  • Katharina Wittfeld - , University of Greifswald (Author)
  • Joscha Böhnlein - , University Hospital Münster (Author)
  • Katharina Dohm - , University Hospital Münster (Author)
  • Harald Kugel - , University Hospital Münster (Author)
  • Elisabeth Schrammen - , University Hospital Münster (Author)
  • Peter Zwanzger - , Inn-Salzach-Klinikum (Author)
  • Elisabeth J Leehr - , University Hospital Münster (Author)
  • Lisa Sindermann - , University of Bonn Medical Center (Author)
  • Tali M Ball - , Stanford University (Author)
  • Gregory A Fonzo - , University of Texas at Austin (Author)
  • Martin P Paulus - , Laureate Institute for Brain Research (Author)
  • Alan Simmons - , University of California at Irvine (Author)
  • Murray B Stein - , University of California at Irvine (Author)
  • Heide Klumpp - , University of Illinois at Chicago (Author)
  • K Luan Phan - , Ohio State University (Author)
  • Tomas Furmark - , Uppsala University (Author)
  • Kristoffer N T Månsson - , Karolinska Institutet (Author)
  • Amirhossein Manzouri - , Karolinska Institutet (Author)
  • Suzanne N Avery - , Vanderbilt University (Author)
  • Jennifer Urbano Blackford - , University of Nebraska Medical Center (Author)
  • Jacqueline A Clauss - , Harvard Medical School (HMS) (Author)
  • Brandee Feola - , Vanderbilt University (Author)
  • Jennifer C Harper - , Washington State University Pullman (Author)
  • Chad M Sylvester - , Washington State University Pullman (Author)
  • Ulrike Lueken - , Humboldt University of Berlin (Author)
  • Dick J Veltman - , Department for Psychiatry and Psychotherapy (Author)
  • Anderson M Winkler - , National Institutes of Health (NIH) (Author)
  • Neda Jahanshad - , University of Southern California (Author)
  • Daniel S Pine - , National Institutes of Health (NIH) (Author)
  • Paul M Thompson - , University of Southern California (Author)
  • Dan J Stein - , University of Cape Town (Author)
  • Nic J A Van der Wee - , Leiden University (Author)

Abstract

There is limited convergence in neuroimaging investigations into volumes of subcortical brain regions in social anxiety disorder (SAD). The inconsistent findings may arise from variations in methodological approaches across studies, including sample selection based on age and clinical characteristics. The ENIGMA-Anxiety Working Group initiated a global mega-analysis to determine whether differences in subcortical volumes can be detected in adults and adolescents with SAD relative to healthy controls. Volumetric data from 37 international samples with 1115 SAD patients and 2775 controls were obtained from ENIGMA-standardized protocols for image segmentation and quality assurance. Linear mixed-effects analyses were adjusted for comparisons across seven subcortical regions in each hemisphere using family-wise error (FWE)-correction. Mixed-effects d effect sizes were calculated. In the full sample, SAD patients showed smaller bilateral putamen volume than controls (left: d = -0.077, pFWE = 0.037; right: d = -0.104, pFWE = 0.001), and a significant interaction between SAD and age was found for the left putamen (r = -0.034, pFWE = 0.045). Smaller bilateral putamen volumes (left: d = -0.141, pFWE < 0.001; right: d = -0.158, pFWE < 0.001) and larger bilateral pallidum volumes (left: d = 0.129, pFWE = 0.006; right: d = 0.099, pFWE = 0.046) were detected in adult SAD patients relative to controls, but no volumetric differences were apparent in adolescent SAD patients relative to controls. Comorbid anxiety disorders and age of SAD onset were additional determinants of SAD-related volumetric differences in subcortical regions. To conclude, subtle volumetric alterations in subcortical regions in SAD were detected. Heterogeneity in age and clinical characteristics may partly explain inconsistencies in previous findings. The association between alterations in subcortical volumes and SAD illness progression deserves further investigation, especially from adolescence into adulthood.

Details

Original languageEnglish
Pages (from-to)1079-1089
Number of pages11
JournalMolecular psychiatry
Volume28
Issue number3
Early online date19 Jan 2023
Publication statusPublished - 19 Jan 2023
Peer-reviewedYes

External IDs

Scopus 85146389629
WOS 000928330100001
ORCID /0000-0002-9687-5527/work/142235269

Keywords

Research priority areas of TU Dresden

Sustainable Development Goals

Keywords

  • Adult, Adolescent, Humans, Phobia, Social, Magnetic Resonance Imaging/methods, Brain, Anxiety, Neuroimaging/methods, Size, Risk, Depression, Gray-matter abnormalities, Neuroscience, Life, Amygdala activation, Individuals, Morphometry, Adult patients

Library keywords