Evidence map›Paper›PMID 27445719›Full record

ArticleFrontiers in integrative neuroscience2016

Generalized Anxiety Disorder and Social Anxiety Disorder, but Not Panic Anxiety Disorder, Are Associated with Higher Sensitivity to Learning from Negative Feedback: Behavioral and Computational Investigation.

Hussain Y Khdour, Oday M Abushalbaq, Ibrahim T Mughrabi, Aya F Imam, Mark A Gluck, Mohammad M Herzallah, Ahmed A Moustafa

Open access · goldAbstract read
In one paragraph

Article in Frontiers in integrative neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

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

  1. Pooled it
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  7. Videonystamography Findings in Dizziness Patients with Background Anxiety Disorder.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  8. Article
  9. Altered learning from positive feedback in adolescents with anorexia nervosa.Journal of the International Neuropsychological Society : JINS · 2024
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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

7 authors at 3 institutions in 3 countries.

Hussain Y KhdourPalestinian Neuroscience Initiative, Faculty of Medicine, Al-Quds UniversityJerusalem, State of Palestine; Center for Molecular and Behavioral Neuroscience, Rutgers UniversityNewark, NJ, USA.
Oday M AbushalbaqPalestinian Neuroscience Initiative, Faculty of Medicine, Al-Quds University Jerusalem, State of Palestine.
Ibrahim T MughrabiPalestinian Neuroscience Initiative, Faculty of Medicine, Al-Quds University Jerusalem, State of Palestine.
Aya F ImamPalestinian Neuroscience Initiative, Faculty of Medicine, Al-Quds University Jerusalem, State of Palestine.
Mark A GluckCenter for Molecular and Behavioral Neuroscience, Rutgers University Newark, NJ, USA.
Mohammad M HerzallahPalestinian Neuroscience Initiative, Faculty of Medicine, Al-Quds UniversityJerusalem, State of Palestine; Center for Molecular and Behavioral Neuroscience, Rutgers UniversityNewark, NJ, USA.
Ahmed A MoustafaMarcs Institute for Brain and Behavior and School of Social Sciences and Psychology, Western Sydney University Sydney, NSW, Australia.
Al-Quds University · PSRutgers, The State University of New Jersey · USWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anxiety disorders, including generalized anxiety disorder (GAD), social anxiety disorder (SAD), and panic anxiety disorder (PAD), are a group of common psychiatric conditions. They are characterized by excessive worrying, uneasiness, and fear of future events, such that they affect social and occupational functioning. Anxiety disorders can alter behavior and cognition as well, yet little is known about the particular domains they affect. In this study, we tested the cognitive correlates of medication-free patients with GAD, SAD, and PAD, along with matched healthy participants using a probabilistic category-learning task that allows the dissociation between positive and negative feedback learning. We also fitted all participants' data to a Q-learning model and various actor-critic models that examine learning rate parameters from positive and negative feedback to investigate effects of valence vs. action on performance. SAD and GAD patients were more sensitive to negative feedback than either PAD patients or healthy participants. PAD, SAD, and GAD patients did not differ in positive-feedback learning compared to healthy participants. We found that Q-learning models provide the simplest fit of the data in comparison to other models. However, computational analysis revealed that groups did not differ in terms of learning rate or exploration values. These findings argue that (a) not all anxiety spectrum disorders share similar cognitive correlates, but are rather different in ways that do not link them to the hallmark of anxiety (higher sensitivity to negative feedback); and (b) perception of negative consequences is the core feature of GAD and SAD, but not PAD. Further research is needed to examine the similarities and differences between anxiety spectrum disorders in other cognitive domains and potential implementation of behavioral therapy to remediate cognitive deficits.

Indexed as

dopaminegeneralized anxiety disorderlearningnegative feedbackpanic anxiety disorderpositive feedbacksocial anxiety disorderstriatum

Identifiers

PMID27445719
PMCPMC4925696
OpenAlexW2462245973

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.