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Depress Anxiety. 2013 Sep;30(9):842-8. doi: 10.1002/da.22089. Epub 2013 Mar 11.

Neuroanatomic abnormalities in adolescents with generalized anxiety disorder: a voxel-based morphometry study.

Author information

1
Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, College of Medicine, Cincinnati, OH 45267, USA. strawnjr@uc.edu

Abstract

BACKGROUND:

Despite recent data implicating functional abnormalities in the neurocircuitry underlying emotional processing in pediatric anxiety disorders, little is known regarding neurostructural abnormalities within these systems.

METHODS:

Using voxel-based morphometry, gray and white matter volumes were compared in 15 medication-free adolescents with generalized anxiety disorder (GAD; and no comorbid major depressive disorder) and 28 age- and sex-matched healthy comparison subjects.

RESULTS:

Compared to healthy adolescents, youth with GAD had larger gray matter volumes in the right precuneus and right precentral gyrus and decreased gray matter volumes in the left orbital gyrus and posterior cingulate. White matter volumes were decreased in the left medial and superior frontal gyrus and were increased in the left inferior temporal gyrus in youth with GAD relative to healthy subjects.

CONCLUSIONS:

Adolescents with GAD, who are early in the course of their illness, exhibit abnormalities in neural structures that subserve threat appraisal, modulation of fear responses, attachment, and mentalization.

KEYWORDS:

adolescence; generalized anxiety disorder; voxel-based morphometry

PMID:
23495075
DOI:
10.1002/da.22089
[Indexed for MEDLINE]
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