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Regional structural-functional coupling in generalized anxiety disorder and association with neurotransmitter and
Mengyu Song1, Zhipeng Zhu2, Yue Yu1
1Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Brain Research Bulletin
|July 7, 2026
Summary
Generalized anxiety disorder (GAD) involves abnormal structural-functional coupling (SC-FC coupling) in brain networks. These alterations are linked to neurotransmitter systems and gene expression, offering new insights for GAD diagnosis and treatment.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- Generalized anxiety disorder (GAD) often presents with somatic symptoms.
- Previous research focused on isolated brain connections, not their interplay.
- This study investigates abnormal structural-functional coupling (SC-FC coupling) in GAD.
Purpose of the Study:
- To identify abnormal SC-FC coupling in GAD patients.
- To explore the genetic and molecular mechanisms underlying GAD.
- To assess the diagnostic and predictive value of SC-FC coupling.
Main Methods:
- Recruited 36 GAD patients and 36 healthy controls (HCs).
- Analyzed SC-FC coupling across brain networks.
- Developed a support vector machine (SVM) model for diagnostic prediction.
- Investigated associations with neurotransmitter distribution and gene expression.
Main Results:
- GAD patients exhibited significant SC-FC coupling abnormalities in multiple brain networks (DMN, attention, frontoparietal, subcortical, sensorimotor).
- The SVM model showed strong diagnostic performance (AUC = 0.857, ACC = 0.792).
- SC-FC coupling alterations correlated with five neurotransmitter systems and specific gene expression patterns.
Conclusions:
- Abnormal SC-FC coupling is diagnostically significant in GAD.
- These coupling changes are associated with neurotransmitters and gene expression.
- Findings provide novel insights into GAD mechanisms and potential targeted interventions.
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