Evidence map›Paper›PMID 27395327›Full record

ArticleBiological psychiatry2016

Elevated Amygdala Perfusion Mediates Developmental Sex Differences in Trait Anxiety.

Antonia N Kaczkurkin, Tyler M Moore, Kosha Ruparel, Rastko Ciric, Monica E Calkins, Russell T Shinohara, Mark A Elliott, Ryan Hopson, David R Roalf, Simon N Vandekar and 10 more

Abstract read
In one paragraph

Article in Biological psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Reproducible sex differences in personalised functional network topography in youth.The British journal of psychiatry : the journal of mental science · 2025
    Article
  4. Article
  5. Article
  6. Sex Differences in the Neurobiology of Fear and Anxiety.Current topics in behavioral neurosciences · 2025
    Review
  7. Review
  8. An Honest Reckoning With the Amygdala and Mental Illness.The American journal of psychiatry · 2024
    Review
  9. Article
  10. Article
  11. A Gender-Based Point of View in Pediatric Neurology.Journal of personalized medicine · 2023
    Review
  12. Review
  13. The Amygdala and Depression: A Sober Reconsideration.The American journal of psychiatry · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Sex Differences in Variability of Brain Structure Across the Lifespan.Cerebral cortex (New York, N.Y. : 1991) · 2020
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 1 country.

Antonia N KaczkurkinDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Tyler M MooreDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Kosha RuparelDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Rastko CiricDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Monica E CalkinsDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Russell T ShinoharaBiostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Mark A ElliottRadiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Ryan HopsonDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
David R RoalfDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Simon N VandekarBiostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Efstathios D GennatasDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Daniel H WolfDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
J Cobb ScottDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Philadelphia Veterans Administration Medical Center, Philadelphia, Pennsylvania.
Daniel S PineEmotion and Development Branch, Intramural Research Program, National Institute of Mental Health, Bethesda, Maryland.
Ellen LeibenluftEmotion and Development Branch, Intramural Research Program, National Institute of Mental Health, Bethesda, Maryland.
John A DetreRadiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Neurology,University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Edna B FoaDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Raquel E GurDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Ruben C GurDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Emotion and Development Branch, Intramural Research Program, National Institute of Mental Health, Bethesda, Maryland.
Theodore D SatterthwaiteDepartments of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: sattertt@upenn.edu.
University of Pennsylvania · USNational Institute of Mental Health · USPhiladelphia VA Medical Center · US

Funding

fMRI Studies Of Pediatric Mood And Anxiety DisordersZIAMH002781 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$41.5M
Fmri Studies Of Risk For Mood And Anxiety Disorders In ChildrenZIAMH002782 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$28.3M
Neurodevelopmental Genomics: Trajectories of Complex PhenotypesRC2MH089983 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 2009 to 2011
$14.3M
Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
2/2 Neurodevelopmental Genomics: Trajectories of Complex PhenotypesRC2MH089924 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI HAKONARSON, HAKON · 2009 to 2011
$10.7M
NMDA Receptor Hypofunction in the Amygdala of Schizophrenia PatientsP50MH096891 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BILKER, WARREN B. · 2012 to 2016
$10.6M
Longitudinal multi-modal neuroimaging of irritability in youthR01MH107703 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI SATTERTHWAITE, THEODORE · 2015 to 2018
$2.6M
Statistical methods for large and complex databases of ultra-high-dimensionalR01NS085211 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SHINOHARA, RUSSELL TAKESHI · 2013 to 2017
$1.8M
Quantitative Behavioral and Imaging Phenotypes of Amotivation in SchizophreniaR01MH101111 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI WOLF, DANIEL H · 2013 to 2016
$1.6M
Multimodal brain maturation indices modulating psychopathology and neurocognitionR01MH107235 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RUBEN C. · 2015 to 2017
$1.5M
Mental Health Biostatistics Training ProgramT32MH065218 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BILKER, WARREN B. · 2003 to 2018
$1.3M
A Prospective Study of Endophenotypes in At-Risk Youths and Their SiblingsK08MH079364 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI CALKINS, MONICA E · 2007 to 2011
$750k
Intramural NIH HHS ZIA MH002781Intramural NIH HHS ZIA MH002782NIBIB NIH HHS P41 EB015893NIMH NIH HHS K01 MH102609NIMH NIH HHS K08 MH079364NIMH NIH HHS K23 MH098130NIMH NIH HHS P50 MH096891NIMH NIH HHS R01 MH101111NIMH NIH HHS R01 MH107235NIMH NIH HHS R01 MH107703NIMH NIH HHS RC2 MH089924NIMH NIH HHS RC2 MH089983NIMH NIH HHS T32 MH065218NINDS NIH HHS R01 NS085211
6 · The paper itself

Abstract

backgroundAdolescence is a critical period for emotional maturation and is a time when clinically significant symptoms of anxiety and depression increase, particularly in females. However, few studies relate developmental differences in symptoms of anxiety and depression to brain development. Cerebral blood flow is one brain phenotype that is known to have marked developmental sex differences.

methodsWe investigated whether developmental sex differences in cerebral blood flow mediated sex differences in anxiety and depression symptoms by capitalizing on a large sample of 875 youths who completed cross-sectional imaging as part of the Philadelphia Neurodevelopmental Cohort. Perfusion was quantified on a voxelwise basis using arterial spin-labeled magnetic resonance imaging at 3T. Perfusion images were related to trait and state anxiety using general additive models with penalized splines, while controlling for gray matter density on a voxelwise basis. Clusters found to be related to anxiety were evaluated for interactions with age, sex, and puberty.

resultsTrait anxiety was associated with elevated perfusion in a network of regions including the amygdala, anterior insula, and fusiform cortex, even after accounting for prescan state anxiety. Notably, these relationships strengthened with age and the transition through puberty. Moreover, higher trait anxiety in postpubertal females was mediated by elevated perfusion of the left amygdala.

conclusionsTaken together, these results demonstrate that differences in the evolution of cerebral perfusion during adolescence may be a critical element of the affective neurobiological characteristics underlying sex differences in anxiety and mood symptoms.

Indexed as

AnxietySex CharacteristicsAdolescentAdolescent DevelopmentAdultAmygdalaCerebral CortexCerebrovascular CirculationChildCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMalePersonalitySpin LabelsSpin LabelsAdolescenceAmygdalaAnxietyCerebral blood flowDepressionInsulaPerfusion

Identifiers

PMID27395327
PMCPMC5074881
OpenAlexW2346055880

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.