The Common Traits of the ACC and PFC in Anxiety Disorders in the DSM-5: Meta-Analysis of Voxel-Based Morphometry Studies
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{"title"=>"The common traits of the ACC and PFC in anxiety disorders in the DSM-5: Meta-analysis of voxel-based morphometry studies", "type"=>"journal", "authors"=>[{"first_name"=>"Jing", "last_name"=>"Shang", "scopus_author_id"=>"56149243500"}, {"first_name"=>"Yuchuan", "last_name"=>"Fu", "scopus_author_id"=>"55843286300"}, {"first_name"=>"Zhengjia", "last_name"=>"Ren", "scopus_author_id"=>"56150385600"}, {"first_name"=>"Tao", "last_name"=>"Zhang", "scopus_author_id"=>"57198706086"}, {"first_name"=>"Mingying", "last_name"=>"Du", "scopus_author_id"=>"54788906500"}, {"first_name"=>"Qiyong", "last_name"=>"Gong", "scopus_author_id"=>"55817409800"}, {"first_name"=>"Su", "last_name"=>"Lui", "scopus_author_id"=>"23978614700"}, {"first_name"=>"Wei", "last_name"=>"Zhang", "scopus_author_id"=>"56395726300"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"373030944", "isbn"=>"1932-6203; 1932-6203", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0093432", "scopus"=>"2-s2.0-84899838113", "pmid"=>"24676455", "sgr"=>"84899838113"}, "id"=>"3fa4b7ed-e92d-3729-8cba-601e0b7aee4d", "abstract"=>"BACKGROUND: The core domains of social anxiety disorder (SAD), generalized anxiety disorder (GAD), panic disorder (PD) with and without agoraphobia (GA), and specific phobia (SP) are cognitive and physical symptoms that are related to the experience of fear and anxiety. It remains unclear whether these highly comorbid conditions that constitute the anxiety disorder subgroups of the Diagnostic and Statistical Manual for Mental Disorders--Fifth Edition (DSM-5) represent distinct disorders or alternative presentations of a single underlying pathology.\\n\\nMETHODS: A systematic search of voxel-based morphometry (VBM) studies of SAD, GAD, PD, GA, and SP was performed with an effect-size signed differential mapping (ES-SDM) meta-analysis to estimate the clusters of significant gray matter differences between patients and controls.\\n\\nRESULTS: Twenty-four studies were eligible for inclusion in the meta-analysis. Reductions in the right anterior cingulate gyrus and the left inferior frontal gyrus gray matter volumes (GMVs) were noted in patients with anxiety disorders when potential confounders, such as comorbid major depressive disorder (MDD), age, and antidepressant use were controlled for. We also demonstrated increased GMVs in the right dorsolateral prefrontal cortex (DLPFC) in comorbid depression-anxiety (CDA), drug-naïve and adult patients. Furthermore, we identified a reduced left middle temporal gyrus and right precentral gyrus in anxiety patients without comorbid MDD.\\n\\nCONCLUSION: Our findings indicate that a reduced volume of the right ventral anterior cingulate gyrus and left inferior frontal gyrus is common in anxiety disorders and is independent of comorbid depression, medication use, and age. This generic effect supports the notion that the four types of anxiety disorders have a clear degree of overlap that may reflect shared etiological mechanisms. The results are consistent with neuroanatomical DLPFC models of physiological responses, such as worry and fear, and the importance of the ventral anterior cingulate (ACC)/medial prefrontal cortex (mPFC) in mediating anxiety symptoms.", "link"=>"http://www.mendeley.com/research/common-traits-acc-pfc-anxiety-disorders-dsm5-metaanalysis-voxelbased-morphometry-studies", "reader_count"=>79, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Librarian"=>1, "Researcher"=>8, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>15, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>16, "Student > Bachelor"=>17, "Lecturer"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Librarian"=>1, "Researcher"=>8, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>15, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>16, "Student > Bachelor"=>17, "Lecturer"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Engineering"=>1, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>25, "Agricultural and Biological Sciences"=>6, "Neuroscience"=>9, "Arts and Humanities"=>2, "Psychology"=>19, "Social Sciences"=>2, "Computer Science"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>25}, "Neuroscience"=>{"Neuroscience"=>9}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>19}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>11}, "Arts and Humanities"=>{"Arts and Humanities"=>2}}, "reader_count_by_country"=>{"United Kingdom"=>1, "Germany"=>1, "Spain"=>2}, "group_count"=>4}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1438995"], "description"=>"<div><p>Background</p><p>The core domains of social anxiety disorder (SAD), generalized anxiety disorder (GAD), panic disorder (PD) with and without agoraphobia (GA), and specific phobia (SP) are cognitive and physical symptoms that are related to the experience of fear and anxiety. It remains unclear whether these highly comorbid conditions that constitute the anxiety disorder subgroups of the Diagnostic and Statistical Manual for Mental Disorders – Fifth Edition (DSM-5) represent distinct disorders or alternative presentations of a single underlying pathology.</p><p>Methods</p><p>A systematic search of voxel-based morphometry (VBM) studies of SAD, GAD, PD, GA, and SP was performed with an effect-size signed differential mapping (ES-SDM) meta-analysis to estimate the clusters of significant gray matter differences between patients and controls.</p><p>Results</p><p>Twenty-four studies were eligible for inclusion in the meta-analysis. Reductions in the right anterior cingulate gyrus and the left inferior frontal gyrus gray matter volumes (GMVs) were noted in patients with anxiety disorders when potential confounders, such as comorbid major depressive disorder (MDD), age, and antidepressant use were controlled for. We also demonstrated increased GMVs in the right dorsolateral prefrontal cortex (DLPFC) in comorbid depression-anxiety (CDA), drug-naïve and adult patients. Furthermore, we identified a reduced left middle temporal gyrus and right precentral gyrus in anxiety patients without comorbid MDD.</p><p>Conclusion</p><p>Our findings indicate that a reduced volume of the right ventral anterior cingulate gyrus and left inferior frontal gyrus is common in anxiety disorders and is independent of comorbid depression, medication use, and age. This generic effect supports the notion that the four types of anxiety disorders have a clear degree of overlap that may reflect shared etiological mechanisms. The results are consistent with neuroanatomical DLPFC models of physiological responses, such as worry and fear, and the importance of the ventral anterior cingulate (ACC)/medial prefrontal cortex (mPFC) in mediating anxiety symptoms.</p></div>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "acc", "pfc", "disorders", "voxel-based", "morphometry"], "article_id"=>977365, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432", "stats"=>{"downloads"=>0, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_Common_Traits_of_the_ACC_and_PFC_in_Anxiety_Disorders_in_the_DSM_5_Meta_Analysis_of_Voxel_Based_Morphometry_Studies_/977365", "title"=>"The Common Traits of the ACC and PFC in Anxiety Disorders in the DSM-5: Meta-Analysis of Voxel-Based Morphometry Studies", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-27 03:56:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1438994"], "description"=>"<p>*shared GM alterations in patients with anxiety disorders comorbid depression, without comorbid depression, drug-naïve patients and adult patients.</p>Δ<p>shared increased GMV in patients with anxiety disorders comorbid depression, drug-naïve patients and adult patients, decreased GMV in anxiety patients without comorbid depression.</p>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "differences", "volumes", "patients", "disorders", "comorbid"], "article_id"=>977364, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432.t004", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Regions_With_Significant_Differences_In_Gray_Matter_Volumes_Between_Drug_na_239_ve_Patients_With_Anxiety_Disorders_Comorbid_Depression_And_Healthy_Controls_/977364", "title"=>"Regions With Significant Differences In Gray Matter Volumes Between Drug-naïve Patients With Anxiety Disorders Comorbid Depression And Healthy Controls.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-27 03:56:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1438991"], "description"=>"<p>*shared GM alterations in patients with anxiety disorders comorbid depression, without comorbid depression, drug-naïve patients and adult patients.</p>Δ<p>shared increased GMV in patients with anxiety disorders comorbid depression, drug-naïve patients and adult patients, decreased GMV in anxiety patients without comorbid depression.</p>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "differences", "volumes", "patients", "disorders", "comorbid"], "article_id"=>977361, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432.t003", "stats"=>{"downloads"=>8, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Regions_With_Significant_Differences_In_Gray_Matter_Volumes_Between_Patients_With_Anxiety_Disorders_Without_Comorbid_Depression_And_Healthy_Controls_/977361", "title"=>"Regions With Significant Differences In Gray Matter Volumes Between Patients With Anxiety Disorders Without Comorbid Depression And Healthy Controls.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-27 03:56:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1438989"], "description"=>"<p>All coordinates are in the Talairach space and clusters are displayed using the standard ES-SDM thresholds (uncorrected P<0.005, extent threshold of clusters>10 voxels). Areas with increased gray matter relative to controls are displayed in red, and areas with decreased gray matter are displayed in blue. L, left; R, right.</p>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "investigating", "gmv", "patients", "comorbid", "axial"], "article_id"=>977359, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432.g001", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_SDM_map_investigating_changes_of_GMV_in_anxiety_patients_comorbid_depression_A_anxiety_patients_without_comorbid_depression_B_drug_na_239_ve_patients_C_and_adult_patients_D_with_axial_sections_/977359", "title"=>"SDM map investigating changes of GMV in anxiety patients comorbid depression (A), anxiety patients without comorbid depression(B), drug-naïve patients(C) and adult patients(D) with axial sections.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-27 03:56:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1438990"], "description"=>"<p>TTM, trichotillomania; BDD, body dysmorphic disorder; AUD, alcohol use disorder (abuse or dependence); CON, control subjects; DUD, drug use disorder (abuse or dependence); GAD, generalized anxiety disorder; MDD, major depressive disorder; OCD, obsessive compulsive disorder; PD, panic disorder; SAD, social anxiety disorder; SP, specific phobia; AG, agoraphobia;SSRI, selective serotonin reuptake inhibitor; SNRI, serotonin and noradrenaline reuptake inhibitors; BEN, benzodiazepine; TCA, tetracyclic antidepressant.</p><p>*subgroup analysis within the same study as it showed with the same serial-number</p>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "included"], "article_id"=>977360, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432.t001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_studies_/977360", "title"=>"Characteristics of included studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-27 03:56:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1438993"], "description"=>"<p>*shared GM alterations in patients with anxiety disorders comorbid depression, without comorbid depression, drug-naïve patients and adult patients.</p>Δ<p>shared increased GMV in patients with anxiety disorders comorbid depression, drug-naïve patients and adult patients, decreased GMV in anxiety patients without comorbid depression.</p>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "differences", "volumes", "patients", "disorders", "comorbid"], "article_id"=>977363, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432.t005", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Regions_With_Significant_Differences_In_Gray_Matter_Volumes_Between_Adult_Patients_With_Anxiety_Disorders_Comorbid_Depression_And_Healthy_Controls_/977363", "title"=>"Regions With Significant Differences In Gray Matter Volumes Between Adult Patients With Anxiety Disorders Comorbid Depression And Healthy Controls.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-27 03:56:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1438992"], "description"=>"<p>*shared GM alterations in patients with anxiety disorders comorbid depression, without comorbid depression, drug-naïve patients and adult patients.</p>Δ<p>shared increased GMV in patients with anxiety disorders comorbid depression, drug-naïve patients and adult patients, decreased GMV in anxiety patients without comorbid depression.</p>", "links"=>[], "tags"=>["neuroscience", "neuroimaging", "neuropsychology", "psychology", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Anxiety disorders", "Mood disorders", "Neuropsychiatric disorders", "neurology", "Radiology and imaging", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "differences", "volumes", "patients", "disorders", "comorbid"], "article_id"=>977362, "categories"=>["Biological Sciences"], "users"=>["Jing Shang", "Yuchuan Fu", "Zhengjia Ren", "Tao Zhang", "Mingying Du", "Qiyong Gong", "Su Lui", "Wei Zhang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093432.t002", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Regions_With_Significant_Differences_In_Gray_Matter_Volumes_Between_Patients_With_Anxiety_Disorders_Comorbid_Depression_And_Healthy_Controls_/977362", "title"=>"Regions With Significant Differences In Gray Matter Volumes Between Patients With Anxiety Disorders Comorbid Depression And Healthy Controls.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-27 03:56:06"}

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Relative Metric

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