TABLE 2.
Heightened Anticipatory Activation in Generalized Anxiety Disorder and Prediction of Treatment Responsea
Talairach Coordinates | |||||
---|---|---|---|---|---|
Predictive Effect | x | y | z | Size (mm3) | Statistic |
ANOVA group main effectb | |||||
Right dorsal amygdala | 26 | −4 | −8 | 213 | F=11.46 |
Left dorsal amygdala | −28 | −6 | −12 | 118 | F=11.25 |
ANOVA group by period effectc | |||||
Right dorsal amygdala | 22 | −5 | −11 | 659 | F=12.73 |
Left dorsal amygdala | −17 | −8 | −11 | 210 | F=11.16 |
ANOVA valence main effectd | |||||
Right dorsal amygdala | 14 | −6 | −10 | 558 | F=12.34 |
Left dorsal amygdala | −14 | −2 | −14 | 328 | F=11.75 |
Left dorsal amygdala | −22 | −9 | −14 | 166 | F=19.23 |
Response per posttreatment measuree | |||||
HAM-A | −1 | 32 | 19 | 367 | r=−0.82 |
Penn State Worry Questionaire | −3 | 32 | 20 | 207 | r=−0.84 |
All listed clusters significant at p<0.05 (corrected). F and r values are for entire cluster.
Amygdala regions circled in Figure 1 that showed a group main effect for a voxelwise group (generalized anxiety disorder, comparison subjects) by valence (aversive, neutral) ANOVA on the anticipation period only (N=26). Patients with generalized anxiety disorder showed greater bilateral amygdala activation than healthy comparison subjects in anticipation of both aversive and neutral pictures.
Amygdala regions depicted in blue in Figure 1 that showed a group by period interaction effect for a voxelwise group (generalized anxiety disorder, comparison subjects) by valence (aversive, neutral) by period (anticipation, picture) ANOVA (N=26).
Amygdala regions depicted in green in Figure 1 (see also data supplement Figure S3) that showed a valence main effect for a voxelwise group (generalized anxiety disorder, comparison subjects) by valence (aversive, neutral) by period (anticipation, picture) ANOVA (N=26). These dorsal amygdala regions showed greater activation for aversive than neutral trials across anticipation and picture periods.
Anterior cingulate cortex regions depicted in Figure 2 where greater anticipatory activation preceding aversive and neutral pictures predicted treatment response after statistically controlling for the HAM-D (N=13).