Evidence map›Paper›PMID 25625285›Full record

ArticlePloS one2015

Preschool anxiety disorders predict different patterns of amygdala-prefrontal connectivity at school-age.

Kimberly L H Carpenter, Adrian Angold, Nan-Kuei Chen, William E Copeland, Pooja Gaur, Kevin Pelphrey, Allen W Song, Helen L Egger

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  13. Discrimination of amygdala response predicts future separation anxiety in youth with early deprivation.Journal of child psychology and psychiatry, and allied disciplines · 2016
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kimberly L H CarpenterDuke University Medical Center, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Durham, North Carolina, United States of America.
Adrian AngoldDuke University Medical Center, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Durham, North Carolina, United States of America.
Nan-Kuei ChenDuke University Medical Center, Brain Imaging and Analysis Center, Durham, North Carolina, United States of America.
William E CopelandDuke University Medical Center, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Durham, North Carolina, United States of America.
Pooja GaurVanderbilt University School of Medicine, Chemical and Physical Biology, Nashville, Tennessee, United States of America.
Kevin PelphreyYale University, Yale Child Study Center, New Haven, Connecticut, United States of America.
Allen W SongDuke University Medical Center, Brain Imaging and Analysis Center, Durham, North Carolina, United States of America.
Helen L EggerDuke University Medical Center, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Durham, North Carolina, United States of America.

Funding

Preschool Anxiety Disorders in Primary CareR01MH075766 · NIMH · DUKE UNIVERSITY · PI ANGOLD, ADRIAN C · 2006 to 2010
$3.8M
Longitudinal Functional Imaging of Early Childhood Anxiety DisordersR01MH081025 · NIMH · DUKE UNIVERSITY · PI EGGER, HELEN L. · 2008 to 2012
$3.1M
Imaging of Intrinsic Connectivity NetworksR01NS074045 · NINDS · DUKE UNIVERSITY · PI CHEN, NAN-KUEI · 2011 to 2015
$1.5M
Institutional Predoctoral Training Program in Biomedical Imaging ScienceT32EB014841 · NIBIB · VANDERBILT UNIVERSITY · PI GORE, JOHN C · 2013 to 2017
$771k
NIBIB NIH HHS T32 EB014841NIMH NIH HHS R01 MH075766NIMH NIH HHS R01-MH-075766NIMH NIH HHS R01 MH081025NIMH NIH HHS R01-MH-081025NINDS NIH HHS R01 NS074045NINDS NIH HHS R01-NS074045
6 · The paper itself

Abstract

objectiveIn this prospective, longitudinal study of young children, we examined whether a history of preschool generalized anxiety, separation anxiety, and/or social phobia is associated with amygdala-prefrontal dysregulation at school-age. As an exploratory analysis, we investigated whether distinct anxiety disorders differ in the patterns of this amygdala-prefrontal dysregulation.

methodsParticipants were children taking part in a 5-year study of early childhood brain development and anxiety disorders. Preschool symptoms of generalized anxiety, separation anxiety, and social phobia were assessed with the Preschool Age Psychiatric Assessment (PAPA) in the first wave of the study when the children were between 2 and 5 years old. The PAPA was repeated at age 6. We conducted functional MRIs when the children were 5.5 to 9.5 year old to assess neural responses to viewing of angry and fearful faces.

resultsA history of preschool social phobia predicted less school-age functional connectivity between the amygdala and the ventral prefrontal cortices to angry faces. Preschool generalized anxiety predicted less functional connectivity between the amygdala and dorsal prefrontal cortices in response to fearful faces. Finally, a history of preschool separation anxiety predicted less school-age functional connectivity between the amygdala and the ventral prefrontal cortices to angry faces and greater school-age functional connectivity between the amygdala and dorsal prefrontal cortices to angry faces.

conclusionsOur results suggest that there are enduring neurobiological effects associated with a history of preschool anxiety, which occur over-and-above the effect of subsequent emotional symptoms. Our results also provide preliminary evidence for the neurobiological differentiation of specific preschool anxiety disorders.

Indexed as

AmygdalaAnxiety, SeparationChild, PreschoolConnectomeFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMalePrefrontal CortexProspective Studies

Identifiers

PMID25625285
PMCPMC4308069

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.