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Structural connectomics of anxious arousal in early adolescence: Translating clinical and ethological findings

机译:青春期早期焦虑觉醒的结构连接学:翻译临床和伦理学发现

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摘要

Etiological explanations of clinical anxiety can be advanced through understanding the neural mechanisms associated with anxiety in youth prior to the emergence of psychopathology. In this vein, the present study sought to investigate how trait anxiety is related to features of the structural connectome in early adolescence. 40 adolescents (21 female, mean age = 13.49 years) underwent a diffusion-weighted imaging scan. We hypothesized that the strength of several a priori defined structural connections would vary with anxious arousal based on previous work in human clinical neuroscience and adult rodent optogenetics. First, connection strength of caudate to rostral middle frontal gyrus was predicted to be anticorrelated with anxious arousal, predicated on extant work in clinically-diagnosed adolescents. Second, connection strength of amygdala to rostral anterior cingulate and to medial orbital frontal cortex would be positively and negatively correlated with anxious arousal, respectively, predicated on rodent optogenetics showing the former pathway is anxiogenic and the latter is anxiolytic. We also predicted that levels of anxiety would not vary with measures of global network topology, based on reported null findings. Results support that anxiety in early adolescence is associated with (1) the clinical biomarker connecting caudate to frontal cortex, and (2) the anxiogenic pathway connecting amygdala to rostral anterior cingulate, both in left but not right hemisphere. Findings support that in early adolescence, anxious arousal may be related to mechanisms that increase anxiogenesis, and not in a deficit in regulatory mechanisms that support anxiolysis.
机译:可以通过在心理病理学出现之前了解与青年焦虑症相关的神经机制来提高临床焦虑症的病因学解释。在这种情况下,本研究试图调查性状焦虑与青春期早期结构连接体特征的关系。 40名青少年(21名女性,平均年龄= 13.49岁)进行了扩散加权成像扫描。我们假设基于人类临床神经科学和成年啮齿动物光遗传学的先前工作,一些先验定义的结构连接的强度会随着焦虑唤醒而变化。首先,预测尾状核与额中前额回的连接强度与焦虑唤醒呈反相关,这是根据临床确诊的青少年的现成工作确定的。第二,杏仁核与前额扣带回和眶额额叶内侧的连接强度分别与焦虑唤醒呈正相关和负相关,这取决于啮齿动物的光遗传学,表明前者途径是焦虑发生的而后者是抗焦虑的。我们还预测,根据报告的无效发现,焦虑水平不会随全球网络拓扑的变化而变化。结果支持青春期早期的焦虑与(1)将尾状体连接到额叶皮质的临床生物标记物,以及(2)将杏仁核连接至左侧半带状扣带的焦虑发生途径相关,二者均在左半球而不是在右半球。研究结果表明,在青春期早期,焦虑唤醒可能与增加焦虑发生的机制有关,而不与支持抗焦虑作用的调节机制不足有关。

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