Evidence map›Paper›PMID 28981839›Full record

ArticleSocial cognitive and affective neuroscience2017

Activity alterations in the bed nucleus of the stria terminalis and amygdala during threat anticipation in generalized anxiety disorder.

Christine Buff, Leonie Brinkmann, Maximilian Bruchmann, Michael P I Becker, Sara Tupak, Martin J Herrmann, Thomas Straube

Open access · goldAbstract read
In one paragraph

Article in Social cognitive and affective neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
8.6field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A review of neuroimaging studies in generalized anxiety disorder: "So where do we stand?"Journal of neural transmission (Vienna, Austria : 1996) · 2019
    Pooled it
  4. Pooled it
  5. Article
  6. Noninvasive Suppression of Responses to Threat Using Focused Ultrasonic Waves.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  7. Article
  8. Article
  9. Neural circuit basis of pathological anxiety.Nature reviews. Neuroscience · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Are Fear and Anxiety Truly Distinct?Biological psychiatry global open science · 2022
    Review
  18. Review
  19. Article
  20. Article
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 1 institution in 1 country.

Christine BuffInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, 48149 Muenster, Germany.
Leonie BrinkmannInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, 48149 Muenster, Germany.
Maximilian BruchmannInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, 48149 Muenster, Germany.
Michael P I BeckerInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, 48149 Muenster, Germany.
Sara TupakInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, 48149 Muenster, Germany.
Martin J HerrmannDepartment of Psychiatry, Psychosomatics and Psychotherapy, University Clinic Wuerzburg, 97080 Wuerzburg, Germany.
Thomas StraubeInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, 48149 Muenster, Germany.
Social Neuroscience Lab · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sustained anticipatory anxiety is central to Generalized Anxiety Disorder (GAD). During anticipatory anxiety, phasic threat responding appears to be mediated by the amygdala, while sustained threat responding seems related to the bed nucleus of the stria terminalis (BNST). Although sustained anticipatory anxiety in GAD patients was proposed to be associated with BNST activity alterations, firm evidence is lacking. We aimed to explore temporal characteristics of BNST and amygdala activity during threat anticipation in GAD patients. Nineteen GAD patients and nineteen healthy controls (HC) underwent functional magnetic resonance imaging (fMRI) during a temporally unpredictable threat anticipation paradigm. We defined phasic and a systematic variation of sustained response models for blood oxygen level-dependent responses during threat anticipation, to disentangle temporally dissociable involvement of the BNST and the amygdala. GAD patients relative to HC responded with increased phasic amygdala activity to onset of threat anticipation and with elevated sustained BNST activity that was delayed relative to the onset of threat anticipation. Both the amygdala and the BNST displayed altered responses during threat anticipation in GAD patients, albeit with different time courses. The results for the BNST activation hint towards its role in sustained threat responding, and contribute to a deeper understanding of pathological sustained anticipatory anxiety in GAD.

Indexed as

AdultAmygdalaAnticipation, PsychologicalAnxietyAnxiety DisordersFemaleHumansMagnetic Resonance ImagingMaleSeptal NucleiYoung Adultanticipatory anxietyanxietyfMRIphasic threat respondingsustained threat responding

Identifiers

PMID28981839
PMCPMC5714227
OpenAlexW2747382464

What OpenQuestion holds

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LicenceCC BY-NC
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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.