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Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
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Related Experiment Video

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Meta-analysis of Voxel-Based Neuroimaging Studies using Seed-based d Mapping with Permutation of Subject Images (SDM-PSI)
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Anterior cingulate cortex volume reduction in patients with panic disorder.

Takeshi Asami1, Fumi Hayano, Motoaki Nakamura

  • 1Department of Psychiatry, Yokohama City University School of Medicine, Yokohama, Japan.

Psychiatry and Clinical Neurosciences
|July 1, 2008
PubMed
Summary

Structural abnormalities in the anterior cingulate cortex (ACC) are linked to panic disorder. This study found reduced volume in the right dorsal ACC, suggesting a role in panic disorder pathophysiology.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Neuroimaging

Background:

  • Functional neuroimaging studies indicate the anterior cingulate cortex (ACC) is implicated in panic disorder.
  • Previous research highlights the ACC's role in panic disorder symptoms and emotional task responses.
  • No prior studies have investigated volumetric changes in the ACC or its subregions in panic disorder.

Purpose of the Study:

  • To investigate structural abnormalities in the ACC and its subregions in individuals with panic disorder.
  • To determine if volumetric differences exist in specific ACC subregions between patients with panic disorder and healthy controls.

Main Methods:

  • Employed a combination of region of interest (ROI) and optimized voxel-based morphometry (VBM) techniques.
  • Analyzed brain scans from 26 patients with panic disorder and 26 age- and sex-matched healthy subjects.
  • Divided the ACC into four subregions for detailed volumetric analysis: dorsal, rostral, subcallosal, and subgenual.

Main Results:

  • Manual ROI analysis revealed a significant reduction in the volume of the right dorsal ACC.
  • Optimized VBM analysis also indicated volume reduction in the right dorsal ACC.
  • VBM further identified volume reduction in a portion of the rostral ACC, appearing as a combined area.

Conclusions:

  • Both manual ROI tracing and VBM methods consistently suggest a subregion-specific pattern of ACC volume deficit in panic disorder.
  • These findings indicate that structural abnormalities of the ACC, alongside functional changes, contribute to the pathophysiology of panic disorder.