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Published on: February 22, 2018
Common and distinct amygdala-function perturbations in depressed vs anxious adolescents
Katja Beesdo1, Jennifer Y F Lau, Amanda E Guyer
1Institute of Clinical Psychology and Psychotherapy, Technische Universitaet Dresden, Chemnitzer Strasse 46, Dresden, Germany. Katja.Beesdo@tu-dresden.de
Adolescent major depressive disorder (MDD) and anxiety disorders show distinct amygdala responses to emotional faces. Attention influences these differences, highlighting common and unique neural patterns in these conditions.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Limited research directly compares amygdala function in adolescent depressive and anxiety disorders.
- Longitudinal studies highlight the need for comparative research in adolescent psychopathology.
Purpose of the Study:
- To compare amygdala response to emotional facial expressions under varying attention conditions in adolescents with major depressive disorder (MDD) or anxiety disorders versus healthy controls.
- Investigate how attention modulates amygdala reactivity in these adolescent groups.
Main Methods:
- Case-control study involving 87 adolescents (26 with MDD, 16 with anxiety disorders, 45 healthy controls).
- Functional magnetic resonance imaging (fMRI) measured blood oxygen level-dependent (BOLD) signal in the amygdala.
- Participants viewed facial expressions (neutral, fearful, angry, happy) during constrained (ratings) and unconstrained (passive viewing) attention tasks.
Main Results:
- Significant group x emotion x attention interactions in amygdala activation were observed.
- Adolescents with MDD and anxiety disorders showed different amygdala responses to fearful faces compared to each other and healthy controls during passive viewing.
- Both MDD and anxiety groups exhibited similar amygdala hyperactivation to fearful faces when fear was subjectively rated, suggesting shared neural correlates.
Conclusions:
- Adolescent MDD and anxiety disorders share and exhibit distinct functional neural correlates in amygdala response during face processing.
- Attention plays a crucial role in modulating the manifestation of common or distinct amygdala alterations in these adolescent patient groups compared to healthy peers.
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