Resting-State Amygdala Subregion and Precuneus Connectivity Provide Evidence for a Dimensional Approach to Studying Social Anxiety Disorder

Date
2024-03-14
Authors
Mizzi, Simone
Pedersen, Mangor
Rossell, Susan L
Rendell, Peter
Terrett, Gill
Heinrichs, Markus
Labuschagne, Izelle
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Springer Science and Business Media LLC
Abstract

Social anxiety disorder (SAD) is a prevalent and disabling mental health condition, characterized by excessive fear and anxiety in social situations. Resting-state functional magnetic resonance imaging (fMRI) paradigms have been increasingly used to understand the neurobiological underpinnings of SAD in the absence of threat-related stimuli. Previous studies have primarily focused on the role of the amygdala in SAD. However, the amygdala consists of functionally and structurally distinct subregions, and recent studies have highlighted the importance of investigating the role of these subregions independently. Using multiband fMRI, we analyzed resting-state data from 135 participants (42 SAD, 93 healthy controls). By employing voxel-wise permutation testing, we examined group differences of fMRI connectivity and associations between fMRI connectivity and social anxiety symptoms to further investigate the classification of SAD as a categorical or dimensional construct. Seed-to-whole brain functional connectivity analysis using multiple 'seeds' including the amygdala and its subregions and the precuneus, revealed no statistically significant group differences. However, social anxiety severity was significantly negatively correlated with functional connectivity of the precuneus - perigenual anterior cingulate cortex and positively correlated with functional connectivity of the amygdala (specifically the superficial subregion) - parietal/cerebellar areas. Our findings demonstrate clear links between symptomatology and brain connectivity in the absence of diagnostic differences, with evidence of amygdala subregion-specific alterations. The observed brain-symptom associations did not include disturbances in the brain's fear circuitry (i.e., disturbances in connectivity between amygdala - prefrontal regions) likely due to the absence of threat-related stimuli.

Description
Keywords
5202 Biological Psychology , 52 Psychology , Behavioral and Social Science , Mental Health , Brain Disorders , Basic Behavioral and Social Science , Anxiety Disorders , Neurosciences , Clinical Research , Neurological , Mental health , 3 Good Health and Well Being , 1103 Clinical Sciences , 1117 Public Health and Health Services , 1701 Psychology , 3202 Clinical sciences , 3209 Neurosciences , 5202 Biological psychology
Source
Transl Psychiatry, ISSN: 2158-3188 (Print); 2158-3188 (Online), Springer Science and Business Media LLC, 14(1), 147-. doi: 10.1038/s41398-024-02844-9
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