患有焦虑症的年轻成年人在特质焦虑水平较高时,背外侧前额叶皮层的抑制作用会减弱:TMS-EEG研究

IF 4.7 2区 医学 Q1 PSYCHIATRY
Lena Pokorny, Lea Biermann, Eva Breitinger, Tomasz Antoni Jarczok, Daniel Wagner, Jasper Vöckel, Stephan Bender
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引用次数: 0

摘要

背景。焦虑症(包括特异性恐惧症、社交恐惧症和广泛性焦虑症(GAD))的神经病理学根源被认为是背外侧前额叶皮层(DLPFC)对边缘区的抑制作用减弱。特质性焦虑与 DLPFC 的注意控制机制招募不足有关。尽管对焦虑症患者的研究有限,但我们的研究利用经颅磁刺激来评估 DLPFC 皮层的活动和情绪状态,使用 N100 作为 GABA-B 介导的皮质抑制指标。此外,我们还旨在将特质焦虑评分与皮质活动相关联。研究方法我们将 20 名社交恐惧症和 GAD 受试者以及 21 名特殊恐惧症受试者与 24 名对照组受试者的 DLPFC 抑制性 N100 进行了比较。因此,在完成一项包含恐惧、愤怒和中性面孔的情绪任务以及休息状态时,对左右DLPFC施加TMS。结果显示与对照组相比,社交恐惧症、GAD和社交恐惧症患者在刺激DLPFC后的N100振幅较小。此外,还发现特质焦虑评分与较小的 N100 波幅之间存在相关性,这与群体效应无关。结论在焦虑症患者的 DLPFC 中,GABA-B 介导的皮质抑制似乎有所下降。特质焦虑与 N100 波幅之间的相关性表明,皮质抑制作用的调节与特质有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Young Adults with Anxiety Disorders Show Reduced Inhibition in the Dorsolateral Prefrontal Cortex at Higher Trait Anxiety Levels: A TMS-EEG Study

Young Adults with Anxiety Disorders Show Reduced Inhibition in the Dorsolateral Prefrontal Cortex at Higher Trait Anxiety Levels: A TMS-EEG Study

Background. The neuropathology of anxiety disorders, including specific phobias, social phobias, and generalized anxiety disorders (GAD), has been believed to be rooted in a reduced inhibition of limbic areas by the dorsolateral prefrontal cortex (DLPFC). Trait anxiety has been linked to insufficient recruitment of DLPFC mechanisms for attentional control. Despite limited research on individuals with anxiety disorders, our study utilized transcranial magnetic stimulation to assess DLPFC cortical activity and emotional states using the N100 as an indicator of GABA-B-mediated cortical inhibition. Additionally, we aimed to correlate trait anxiety scores with cortical activity. Methods. A total of 20 subjects with social phobia and GAD and 21 subjects with specific phobia were compared to 24 control subjects regarding their inhibitory N100 in the DLPFC. Therefore, TMS was applied on the left and right DLPFC during an emotional task with fearful, angry, and neutral faces and a rest condition. Results. Smaller N100 amplitudes after DLPFC stimulation were found in subjects with social phobia, GAD, and social phobias compared to the control group. Furthermore, a correlation between trait anxiety scores and smaller N100 amplitudes, independent of group effects, was found. Conclusion. There appears to be a decrease in GABA-B-mediated cortical inhibition in the DLPFC in subjects with anxiety disorders. The correlation between trait anxiety and N100 amplitudes suggests a trait-related modulation of cortical inhibition.

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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