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Brain circuitry underlying the ABC model of anxiety.
Bystritsky, Alexander; Spivak, Norman M; Dang, Bianca H; Becerra, Sergio A; Distler, Margaret G; Jordan, Sheldon E; Kuhn, Taylor P.
Afiliação
  • Bystritsky A; Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA; BrainSonix Corporation, Sherman Oaks, CA, USA. Electronic address: abystritsky@mednet.ucla.edu.
  • Spivak NM; Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA; Department of Neurosurgery, UCLA, Los Angeles, CA, USA; David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
  • Dang BH; Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA.
  • Becerra SA; Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA.
  • Distler MG; Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA.
  • Jordan SE; Neurology Management Associates - Los Angeles, Santa Monica, CA, USA.
  • Kuhn TP; Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA; David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
J Psychiatr Res ; 138: 3-14, 2021 06.
Article em En | MEDLINE | ID: mdl-33798786
ABSTRACT
Anxiety Disorders are prevalent and often chronic, recurrent conditions that reduce quality of life. The first-line treatments, such as serotonin reuptake inhibitors and cognitive behavioral therapy, leave a significant proportion of patients symptomatic. As psychiatry moves toward targeted circuit-based treatments, there is a need for a theory that unites the phenomenology of anxiety with its underlying neural circuits. The Alarm, Belief, Coping (ABC) theory of anxiety describes how the neural circuits associated with anxiety interact with each other and domains of the anxiety symptoms, both temporally and spatially. The latest advancements in neuroimaging techniques offer the ability to assess these circuits in vivo. Using Neurosynth, a large open-access meta-analytic imaging database, the association between terms related to specific neural circuits was explored within the ABC theory framework. Alarm-related terms were associated with the amygdala, anterior cingulum, insula, and bed nucleus of stria terminalis. Belief-related terms were associated with medial prefrontal cortex, precuneus, bilateral temporal poles, and hippocampus. Coping-related terms were associated with the ventrolateral and dorsolateral prefrontal cortices, basal ganglia, and anterior cingulate. Neural connections underlying the functional neuroanatomy of the ABC model were observed. Additionally, there was considerable interaction and overlap between circuits associated with the symptom domains. Further neuroimaging research is needed to explore the dynamic interaction between the functional domains of the ABC theory. This will pave the way for probing the neuroanatomical underpinnings of anxiety disorders and provide an evidence-based foundation for the development of targeted treatments, such as neuromodulation.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Qualidade de Vida Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Qualidade de Vida Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article