青春期前病态焦虑女孩面部肌肉反应性增强

IF 2.4 3区 医学 Q2 PSYCHIATRY
Joshua R. Cruz, Amy Cochran, Daniel R. McFarlin, Lisa E. Williams, Ned H. Kalin
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引用次数: 0

摘要

目标 预见性焦虑和对不确定性的高度反应是焦虑症(AD)的核心特征,会导致临床损害。焦虑症状通常在儿童时期出现,即使是阈值以下的焦虑症状也与痛苦和未来的精神病理学风险有关。本研究比较了青春期前焦虑症女孩、阈下焦虑症症状女孩和对照组女孩对威胁和不确定性的面部情绪反应。 方法 对具有一系列焦虑症状的青春期前女孩(8-11 岁)的面部情绪反应进行特征分析:无焦虑/低焦虑(对照组,n = 41)、阈下焦虑症(n = 73)和 DSM-5 诊断为分离型、社交型和/或广泛焦虑症(n = 45)。威胁预期范式研究了图像价值(负面/中性)和图像预期(不确定/确定时间)如何影响皱眉上肌的活动,皱眉上肌是一种前额肌肉,与 "皱眉 "反应有关,受情绪刺激(负面> 中性)的调节。比较了各组间的皱纹上提肌幅度和皱纹上提肌时程。 结果 研究结果表明,阈下注意力缺失症女孩和注意力缺失症女孩在期待和观看负面刺激时,皱眉肌活动更强,皱眉肌反应性更高。对负面刺激和中性刺激的时程分析表明,与对照组相比,注意力缺失症女孩和阈下注意力缺失症女孩的皱纹肌活动因不确定性而增加的幅度更大。 结论 研究结果扩展了儿童病态焦虑的生理特征,强调了阈下焦虑症状的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Heightened facial muscle reactivity in preadolescent girls with pathological anxiety

Heightened facial muscle reactivity in preadolescent girls with pathological anxiety

Objectives

Anticipatory anxiety and heightened responses to uncertainty are central features of anxiety disorders (ADs) that contribute to clinical impairment. Anxiety symptoms typically emerge during childhood, and even subthreshold-AD symptoms are associated with distress and risk for future psychopathology. This study compared facial emotional response to threat and uncertainty between preadolescent girls with ADs, girls with subthreshold-AD symptoms, and controls.

Methods

Facial emotional responding was characterized in preadolescent girls (age 8–11) with a range of anxiety symptoms: no/low anxiety (controls, n = 41), subthreshold-AD (n = 73), and DSM-5 diagnoses of separation, social, and/or generalized ADs (n = 45). A threat anticipation paradigm examined how image valence (negative/neutral) and image anticipation (uncertain/certain timing) impacted activity of the corrugator supercilii, a forehead muscle implicated in the “frown” response that is modulated by emotional stimuli (negative > neutral). Corrugator magnitude and corrugator timecourse were compared between groups.

Results

Findings demonstrate greater corrugator activity during anticipation and viewing of negative stimuli, as well as increased corrugator reactivity in subthreshold-AD and AD girls. Timecourse analyses of negative versus neutral stimuli revealed that AD and subthreshold-AD girls had greater uncertainty-related increases in corrugator activity compared to controls.

Conclusion

Results extend the physiological characterization of childhood pathological anxiety, highlighting the impact of subthreshold-AD symptoms.

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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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