Evidence map›Paper›PMID 31128266›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2020

The Heterogeneity of Anxious Phenotypes: Neural Responses to Errors in Treatment-Seeking Anxious and Behaviorally Inhibited Youths.

Ashley R Smith, Lauren K White, Ellen Leibenluft, Anastasia L McGlade, Adina C Heckelman, Simone P Haller, George A Buzzell, Nathan A Fox, Daniel S Pine

Abstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Structural Brain Correlates of Childhood Inhibited Temperament: An ENIGMA-Anxiety Mega-Analysis.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  3. Infant sensory gating and a developmental cascade to autistic traits and anxiety.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  4. Article
  5. Article
  6. Threat Appraisal and Pediatric Anxiety: Proof of Concept of a Latent Variable Approach.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Amygdala Functional Connectivity and Negative Reactive Temperament at Age 4 Months.Journal of the American Academy of Child and Adolescent Psychiatry · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Ashley R SmithNational Institute of Mental Health, Bethesda, Maryland. Electronic address: ashley.smith2@nih.gov.
Lauren K WhiteLifespan Brain Institute, Children's Hospital of Philadelphia, Pennsylvania.
Ellen LeibenluftNational Institute of Mental Health, Bethesda, Maryland.
Anastasia L McGladeUniversity of California, Los Angeles, CA.
Adina C HeckelmanMailman School of Public Health, Columbia University, New York, NY.
Simone P HallerNational Institute of Mental Health, Bethesda, Maryland.
George A BuzzellUniversity of Maryland, College Park, MD.
Nathan A FoxUniversity of Maryland, College Park, MD.
Daniel S PineNational Institute of Mental Health, Bethesda, Maryland.

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
Project IV: Investigating the Mirror Neuron System in austism spectrum disorderP01HD064653 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI FOX, NATHAN A · 2010 to 2020
$11.9M
Trajectories of Behavioral Inibition and Risk for AnxietyU01MH093349 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI FOX, NATHAN A · 2011 to 2020
$6.6M
Intramural NIH HHS ZIA MH002782NICHD NIH HHS P01 HD064653NIMH NIH HHS U01 MH093349
6 · The paper itself

Abstract

objectiveAlthough behaviorally inhibited (BI) temperament predicts risk for anxiety, anxiety in BI may involve distinct neural responses to errors. The current study examines the relations between anxiety and neural correlates of error processing both in youths identified as BI in early childhood and in youths seeking treatment for an anxiety disorder.

methodAll participants underwent functional magnetic resonance imaging using a flanker task to assess responses to errors. A study in healthy subjects assessed test-retest reliability to inform analyses in two other samples. For one sample, a cohort of BI youths (Low BI, n = 28; High BI, n = 27) was followed into adolescence. For the other, participants were recruited based on the presence or absence of an anxiety disorder. Using identical methods in medication-free subjects, analyses compared relations between anxiety and error processing across the two samples.

resultsError-processing exhibited acceptable reliability. Within a ventromedial-prefrontal-cortex (vmPFC) cluster, anxiety related to error processing only in youths whose early-life BI status was known. In the high BI group, anxiety related to reduced neural response to errors. No such associations manifested in treatment-seeking youths. Other analyses mapped relations between error-processing and anxiety in each sample on its own. However, only the vmPFC cluster statistically differentiated the neural correlates of anxiety in BI.

conclusionBI temperament may define a unique pathway into anxiety involving perturbed neural responding to errors. Although BI is a risk factor for later anxiety, the neural and associated features of anxiety in BI youths may differ from those in treatment-seeking youths.

Indexed as

AnxietyAnxiety DisordersAdolescentChildChild, PreschoolHumansMagnetic Resonance ImagingPhenotypeReproducibility of ResultsTemperamentbehavioral inhibitionerror processingneuroimagingpediatric anxiety

Identifiers

PMID31128266
PMCPMC7690456

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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.