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Neuroimaging in PTSD and Relationship with Other Stress Disorders: Comparisons with Anxiety Disorders and Depression

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Comprehensive Guide to Post-Traumatic Stress Disorder
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Abstract

To review the neuroimaging in PTSD and its relationship with other stress disorders, in this chapter, the author mainly refers to the neuroimaging studies in other stress disorders such as panic disorder (PD), social anxiety disorder (social phobia: SAD), specific phobia (SP), generalized anxiety disorder (GAD), and major depressive disorder (MDD). This chapter will give the particulars of putative neuroanatomical models of these six stress disorders based on neuroimaging techniques such as mainly magnetic resonance imaging (MRI) and functional MRI (fMRI), respectively.

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Abbreviations

5-HT:

Serotonin

ACC:

Anterior cingulate gyrus

B:

Basal nucleus of amygdala

BDNF:

Brain-derived neurotrophic factor

BNST:

Bed nucleus of stria terminalis

BOLD:

Blood oxygenation level dependent

BP:

Blood pressure

CCK-4:

Cholecystokinin tetrapeptide

CE:

Central nucleus of amygdala

fMRI:

Functional MRI

GABA:

γ-Aminobutyric acid

GAD:

Generalized anxiety disorder

GC:

Glucocorticoid

HR:

Heart rate

ITC:

Intercalated cell masses in amygdala

LA:

Lateral nucleus of amygdala

LN:

Lateral nucleus

MDD:

Major depressive disorder

mPFC:

Medial prefrontal cortex

MRI:

Magnetic resonance imaging

NA:

Noradrenaline

OFC:

Orbitofrontal cortex

PD:

Panic disorder

PET:

Positron emission tomography

PN:

Paraventricular nucleus

PTSD:

Posttraumatic stress disorder

REM:

Rapid eye movement

Social phobia: SAD:

Social anxiety disorder

SP:

Specific phobia

SPECT:

Single-photon emission computed tomography (SPECT)

SSRI:

Selective serotonin reuptake inhibitors

References

  • Ahdidan J, Hviid LB, Chakravarty MM, et al. Longitudinal MR study of brain structure and hippocampus volume in major depressive disorder. Acta Psychiatr Scand. 2011;123:211–9.

    Article  PubMed  Google Scholar 

  • Akirav I, Maroun M. The role of the medial prefrontal cortex-amygdala circuit in stress effects on the extinction of fear. Neural Plast. 2007;2007:30873.

    PubMed Central  PubMed  Google Scholar 

  • American Psychiatric Association. The diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

    Google Scholar 

  • Anand A, Li Y, Wang Y, Wu J, et al. Activity and connectivity of brain mood regulating circuit in depression: a functional magnetic resonance study. Biol Psychiatry. 2005;57:1079–88.

    Article  PubMed  Google Scholar 

  • Andrews G, Charney DS, Sirovatka PJ, et al. Stress-induced and fear circuitry disorders: refining the research agenda for DSM-V. Arlington: American Psychiatric Publishing; 2009.

    Google Scholar 

  • Arrais KC, Machado-de-Sousa JP, Trzesniak C, et al. Social anxiety disorder women easily recognize fearfull, sad and happy faces: the influence of gender. J Psychiatr Res. 2010;44:535–40.

    Article  PubMed  Google Scholar 

  • Asami T, Yamasue H, Hayano F, et al. Sexually dimorphic gray matter volume reduction in patients with panic disorder. Psychiatry Res. 2009;173:128–34.

    Article  PubMed  Google Scholar 

  • Ball TM, Ramsawh HJ, Campbell-Sills L, et al. Prefrontal dysfunction during emotion regulation in generalized anxiety and panic disorders. Psychol Med. 2013;43:1475–86.

    Article  PubMed  Google Scholar 

  • Blair K, Shaywitz J, Smith BW, et al. Response to emotional expressions in generalized social phobia and generalized anxiety disorder: evidence for separate disorders. Am J Psychiatry. 2008;165:1193–202.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bremner JD. Structural changes in the brain in depression and relationship to symptom recurrence. CNS Spectr. 2002;7:129–30.

    PubMed  Google Scholar 

  • Brühl AB, Delsignore A, Komossa K, et al. Neuroimaging in social anxiety disorder-A meta-analytic review resulting in a new neurofunctional model. Neurosci Biobehav Rev. 2014. doi:10.1016/j.neubiorev.2014.08.003

    PubMed  Google Scholar 

  • Büchel C, Dolan RJ. Classical fear conditioning in functional neuroimaging. Curr Opin Neurobiol. 2000;10:219–23.

    Article  PubMed  Google Scholar 

  • Campbell S, Macqueen G. The role of the hippocampus in the pathophysiology of major depression. J Psychiatry Neurosci. 2004;29:417–26.

    PubMed Central  PubMed  Google Scholar 

  • Chen CH, Suckling J, Ooi C, et al. Functional coupling of the amygdala in depressed patients treated with antidepressant medication. Neuropsychopharmacology. 2008;33:1909–18.

    Article  PubMed  Google Scholar 

  • Corcoran KA, Maren S. Factors regulating the effects of hippocampal inactivation on renewal of conditional fear after extinction. Learn Mem. 2004;11:598–603.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dang-Vu TT, Schabus M, Desseilles M, et al. Functional neuroimaging insights into the physiology of human sleep. Sleep. 2010;33:1589–603.

    PubMed Central  PubMed  Google Scholar 

  • Davis M, Whalen PJ. The amygdala: vigilance and emotion. Mol Psychiatry. 2001;6:13–34.

    Article  PubMed  Google Scholar 

  • Davis M, Walker DL, Miles L, et al. Phasic vs sustained fear in rats and humans: role of the extended amygdala in fear vs anxiety. Neuropsychopharmacology. 2010;35:105–35.

    Article  PubMed Central  PubMed  Google Scholar 

  • de Carvalho MR, Dias GP, Cosci F, et al. Current findings of fMRI in panic disorder: contributions for the fear neurocircuitry and CBT effects. Expert Rev Neurother. 2010;10:291–303.

    Article  PubMed  Google Scholar 

  • Deco G, Corbetta M. The dynamical balance of the brain at rest. Neuroscientist. 2011;17:107–23.

    Article  PubMed Central  PubMed  Google Scholar 

  • Del Casale A, Ferracuti S, Rapinesi C, et al. Functional neuroimaging in specific phobia. Psychiatry Res. 2012;202:181–97.

    Article  PubMed  Google Scholar 

  • Delgado MR, Jou RL, Ledoux JE, et al. Avoiding negative outcomes: tracking the mechanisms of avoidance learning in humans during fear conditioning. Front Behav Neurosci. 2009;3:33.

    Article  PubMed Central  PubMed  Google Scholar 

  • Demasio AR. Descartes’ error: emotion, reason, and the human brain. New York: Penguin Putnam; 1994.

    Google Scholar 

  • Dilger S, Straube T, Mentzel HJ, et al. Brain activation to phobia-related pictures in spider phobic humans: an event-related functional magnetic resonance imaging study. Neurosci Lett. 2003;348:29–32.

    Article  PubMed  Google Scholar 

  • Dresler T, Guhn A, Tupak SV, et al. Revise the revised? New dimensions of the neuroanatomical hypothesis of panic disorder. J Neural Transm. 2013;120:3–29.

    Article  PubMed  Google Scholar 

  • Eser D, Leicht G, Lutz J, et al. Functional neuroanatomy of CCK-4-induced panic attacks in healthy volunteers. Hum Brain Mapp. 2009;30:511–22.

    Article  PubMed  Google Scholar 

  • Etkin A, Wager TD. Functional neuroimaging of anxiety: a meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. Am J Psychiatry. 2007;164:1476–88.

    Article  PubMed Central  PubMed  Google Scholar 

  • Etkin A, Egner T, Peraza DM, et al. Resolving emotional conflict: a role for the rostral anterior cingulate cortex in modulating activity in the amygdala. Neuron. 2006;51:871–82.

    Article  PubMed  Google Scholar 

  • Etkin A, Prater KE, Hoeft F, et al. Failure of anterior cingulate activation and connectivity with the amygdala during implicit regulation of emotional processing in generalized anxiety disorder. Am J Psychiatry. 2010;167:545–54.

    Article  PubMed Central  PubMed  Google Scholar 

  • Freitas-Ferrari MC, Hallak JE, Trzesniak C, et al. Neuroimaging in social anxiety disorder: a systematic review of the literature. Prog Neuropsychopharmacol Biol Psychiatry. 2010;34:565–80.

    Article  PubMed  Google Scholar 

  • Frodl T. MR neuroimaging of depression. In: Mulert C, Shenton ME, editors. MRI in psychiatry. Heidelberg/Berlin: Springer; 2014. p. 275–87.

    Google Scholar 

  • Frodl T, Jäger M, Smajstrlova I, et al. Effect of hippocampal and amygdala volumes on clinical outcomes in major depression: a 3-year prospective magnetic resonance imaging study. J Psychiatry Neurosci. 2008a;33:423–30.

    PubMed Central  PubMed  Google Scholar 

  • Frodl TS, Koutsouleris N, Bottlender R, et al. Depression-related variation in brain morphology over 3 years: effects of stress? Arch Gen Psychiatry. 2008b;65:1156–65.

    Article  PubMed  Google Scholar 

  • Furmark T, Tillfors M, Marteinsdottir I, et al. Common changes in cerebral blood flow in patients with social phobia treated with citalopram or cognitive-behavioral therapy. Arch Gen Psychiatry. 2002;59:425–33.

    Article  PubMed  Google Scholar 

  • Goldin PR, Manber-Ball T, Werner K, et al. Neural mechanisms of cognitive reappraisal of negative self-beliefs in social anxiety disorder. Biol Psychiatry. 2009;66:1091–9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gorman JM, Kent JM, Sullivan GM, et al. Neuroanatomical hypothesis of panic disorder, revised. Am J Psychiatry. 2000;157:493–505.

    Article  PubMed  Google Scholar 

  • Hartley CA, Phelps EA. Changing fear: the neurocircuitry of emotion regulation. Neuropsychopharmacology. 2010;35:136–46.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hayano F, Nakamura M, Asami T, et al. Smaller amygdala is associated with anxiety in patients with panic disorder. Psychiatry Clin Neurosci. 2009;63:266–76.

    Article  PubMed  Google Scholar 

  • Hayes JP, Hayes SM, Mikedis AM. Quantitative meta-analysis of neural activity in posttraumatic stress disorder. Biol Mood Anxiety Disord. 2012;2:9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Heatherton TF, Wyland CL, Macrae CN, et al. Medial prefrontal activity differentiates self from close others. Soc Cogn Affect Neurosci. 2006;1:18–25.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hikosaka O, Isoda M. Switching from automatic to controlled behavior: cortico-basal ganglia mechanisms. Trends Cogn Sci. 2010;14:154–61.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ipser JC, Singh L, Stein DJ. Meta-analysis of functional brain imaging in specific phobia. Psychiatry Clin Neurosci. 2013;67:311–22.

    Article  PubMed  Google Scholar 

  • Kaufman J, Aikins D, Krystal J. Neuroimaging studies in PTSD. In: Wilson DJP, Keane TM, editors. Psychological trauma and PTSD. 2nd ed. New York: Guilford; 2004. p. 389–418.

    Google Scholar 

  • Kempton MJ, Salvador Z, Munafò MR, et al. Structural neuroimaging studies in major depressive disorder: Meta-analysis and comparison with bipolar disorder. Arch Gen Psychiatry. 2011;68:675–90.

    Article  PubMed  Google Scholar 

  • Lai CH, Hsu YY. A subtle grey-matter increase in first-episode, drug-naive major depressive disorder with panic disorder after 6 weeks’ duloxetine therapy. Int J Neuropsychopharmacol. 2011;14:225–35.

    Article  PubMed  Google Scholar 

  • Linares IM, Trzesniak C, Chagas MH, et al. Neuroimaging in specific phobia disorder: a systematic review of the literature. Rev Bras Psiquiatr. 2012;34:101–11.

    Article  PubMed  Google Scholar 

  • Lindauer RJ, Booij J, Habraken JB, et al. Cerebral blood flow changes during script-driven imagery in police officers with posttraumatic stress disorder. Biol Psychiatry. 2004;56:853–61.

    Article  PubMed  Google Scholar 

  • Lowe MJ. A historical perspective on the evolution of resting-state functional connectivity with MRI. MAGMA. 2010;23(5–6):279–88.

    Article  PubMed  Google Scholar 

  • Lueken U, Straube B, Reinhardt I, et al. Altered top-down and bottom-up processing of fear conditioning in panic disorder with agoraphobia. Psychol Med. 2014;44:381–94.

    Article  PubMed  Google Scholar 

  • MacQueen G, Frodl T. The hippocampus in major depression: evidence for the convergence of the bench and bedside in psychiatric research? Mol Psychiatry. 2011;16:252–64.

    Article  PubMed  Google Scholar 

  • Massana G, Serra-Grabulosa JM, Salgado-Pineda P, et al. Amygdalar atrophy in panic disorder patients detected by volumetric magnetic resonance imaging. Neuroimage. 2003;19:80–90.

    Article  PubMed  Google Scholar 

  • Maquet P, Laureys S, Peigneux P, et al. Experience-dependent changes in cerebral activation during human REM sleep. Nat Neurosci. 2000; 3:831–836.

    Article  PubMed  Google Scholar 

  • McKinnon MC, Yucel K, Nazarov A, et al. A meta-analysis examining clinical predictors of hippocampal volume in patients with major depressive disorder. J Psychiatry Neurosci. 2009;34:41–54.

    PubMed Central  PubMed  Google Scholar 

  • Monk CS, Telzer EH, Mogg K, et al. Amygdala and ventrolateral prefrontal cortex activation to masked angry faces in children and adolescents with generalized anxiety disorder. Arch Gen Psychiatry. 2008;65:568–76.

    Article  PubMed Central  PubMed  Google Scholar 

  • Nitschke JB, Sarinopoulos I, Oathes DJ, et al. Anticipatory activation in the amygdala and anterior cingulate in generalized anxiety disorder and prediction of treatment response. Am J Psychiatry. 2009;166:302–10.

    Article  PubMed Central  PubMed  Google Scholar 

  • Phan KL, Taylor SF, Welsh RC, et al. Neural correlates of individual ratings of emotional salience: a trial-related fMRI study. Neuroimage. 2004;21:768–80.

    Article  PubMed  Google Scholar 

  • Pillay SS, Rogowska J, Gruber SA, et al. Recognition of happy facial affect in panic disorder: an fMRI study. J Anxiety Disord. 2007;21:381–93.

    Article  PubMed  Google Scholar 

  • Raichle ME, MacLeod AM, Snyder AZ, et al. A default mode of brain function. Proc Natl Acad Sci USA. 2001;98:676–682.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rauch SL, Shin LM, Phelps EA. Neurocircuitry models of posttraumatic stress disorder and extinction: human neuroimaging research–past, present, and future. Biol Psychiatry. 2006;60:376–82.

    Article  PubMed  Google Scholar 

  • Sakai Y, Kumano H, Nishikawa M, et al. Cerebral glucose metabolism associated with a fear network in panic disorder. Neuroreport. 2005;16:927–31.

    Article  PubMed  Google Scholar 

  • Sakai Y, Kumano H, Nishikawa M, et al. Changes in cerebral glucose utilization in patients with panic disorder treated with cognitive-behavioral therapy. Neuroimage. 2006;33:218–26.

    Article  PubMed  Google Scholar 

  • Savitz JB, Drevets WC. Neuroreceptor imaging in depression. Neurobiol Dis. 2013;52:49–65.

    Article  PubMed  Google Scholar 

  • Shulman GL, Fiez JA, Corbetta M, et al. Common blood flow changes across visual tasks: II. Decreases in cerebral cortex. J Cogn Neurosci. 1997;9:648–63.

    Article  PubMed  Google Scholar 

  • Simmons AN, Matthews SC. Neural circuitry of PTSD with or without mild traumatic brain injury: a meta-analysis. Neuropharmacology. 2012;62:598–606.

    Article  PubMed  Google Scholar 

  • Singer T, Seymour B, O’Doherty J, et al. Empathy for pain involves the affective but not sensory components of pain. Science. 2004;303:1157–62.

    Article  PubMed  Google Scholar 

  • Spoormaker VI, Vermetten E, Czisch M, et al. Functional neuroimaging of anxiety disorders. In: Mulert C, Shenton ME, editors. MRI in psychiatry. Heidelberg/Berlin: Springer; 2014. p. p289–301.

    Google Scholar 

  • Straube T, Kolassa IT, Glauer M, et al. Effect of task conditions on brain responses to threatening faces in social phobics: an event-related functional magnetic resonance imaging study. Biol Psychiatry. 2004;56:921–30.

    Article  PubMed  Google Scholar 

  • Tillfors M, Furmark T, Marteinsdottir I, et al. Cerebral blood flow during anticipation of public speaking in social phobia: a PET study. Biol Psychiatry. 2002;52:1113–9.

    Article  PubMed  Google Scholar 

  • Tomasi D, Volkow ND. Association between functional connectivity hubs and brain networks. Cereb Cortex. 2011;21:2003–13.

    Article  PubMed Central  PubMed  Google Scholar 

  • Tuescher O, Protopopescu X, Pan H, et al. Differential activity of subgenual cingulate and brainstem in panic disorder and PTSD. J Anxiety Disord. 2011;25:251–7.

    Article  PubMed Central  PubMed  Google Scholar 

  • van den Heuvel OA, Veltman DJ, Groenewegen HJ, et al. Disorder-specific neuroanatomical correlates of attentional bias in obsessive-compulsive disorder, panic disorder, and hypochondriasis. Arch Gen Psychiatry. 2005;62:922–33.

    Article  PubMed  Google Scholar 

  • Vasic N, Walter H, Sambataro F, et al. Aberrant functional connectivity of dorsolateral prefrontal and cingulate networks in patients with major depression during working memory processing. Psychol Med. 2009;39:977–87.

    Article  PubMed  Google Scholar 

  • Videbech P, Ravnkilde B. Hippocampal volume and depression: a meta-analysis of MRI studies. Am J Psychiatry. 2004;161:1957–66.

    Article  PubMed  Google Scholar 

  • Warwick JM, Carey P, van der Linden G, et al. A comparison of the effects of citalopram and moclobemide on resting brain perfusion in social anxiety disorder. Metab Brain Dis. 2006;21(2–3):241–52.

    PubMed  Google Scholar 

  • Whalen PJ, Johnstone T, Somerville LH, et al. A functional magnetic resonance imaging predictor of treatment response to venlafaxine in generalized anxiety disorder. Biol Psychiatry. 2008;63:858–63.

    Article  PubMed Central  PubMed  Google Scholar 

  • Yassa MA, Hazlett RL, Stark CE, et al. Functional MRI of the amygdala and bed nucleus of the stria terminalis during conditions of uncertainty in generalized anxiety disorder. J Psychiatr Res. 2012;46:1045–52.

    Article  PubMed Central  PubMed  Google Scholar 

  • Yeo BT, Krienen FM, Sepulcre J, et al. The organization of the human cerebral cortex estimated by intrinsic functional connectivity. J Neurophysiol. 2011;106:1125–65.

    Article  PubMed  Google Scholar 

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Shioiri, T. (2015). Neuroimaging in PTSD and Relationship with Other Stress Disorders: Comparisons with Anxiety Disorders and Depression. In: Martin, C., Preedy, V., Patel, V. (eds) Comprehensive Guide to Post-Traumatic Stress Disorder. Springer, Cham. https://doi.org/10.1007/978-3-319-08613-2_85-1

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