Evidence map›Paper›PMID 31955915›Full record

ArticleBiological psychiatry2020

Anticipatory Threat Responding: Associations With Anxiety, Development, and Brain Structure.

Rany Abend, Andrea L Gold, Jennifer C Britton, Kalina J Michalska, Tomer Shechner, Jessica F Sachs, Anderson M Winkler, Ellen Leibenluft, Bruno B Averbeck, Daniel S Pine

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
9.1field-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

41 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
  2. Article
  3. Structural Brain Correlates of Childhood Inhibited Temperament: An ENIGMA-Anxiety Mega-Analysis.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
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  6. A Multi-Component Model of Emotion Response Convergence: Implications for the Development of Psychopathology.Emotion review : journal of the International Society for Research on Emotion · 2025
    Article
  7. Fear extinction retention in children, adolescents, and adults.Developmental cognitive neuroscience · 2025
    Article
  8. The Organization of Anxiety Symptoms Along the Threat Imminence Continuum.Current topics in behavioral neurosciences · 2025
    Review
  9. Article
  10. Article
  11. 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
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Emotions as computations.Neuroscience and biobehavioral reviews · 2023
    Review
  18. Fear-potentiated startle reveals diminished threat extinction in pathological anxiety.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2023
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Rany AbendEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland. Electronic address: rany.abend@nih.gov.
Andrea L GoldDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island; Pediatric Anxiety Research Center, Bradley Hospital, Riverside, Rhode Island.
Jennifer C BrittonDepartment of Psychology, University of Miami, Coral Gables, Florida.
Kalina J MichalskaDepartment of Psychology, University of California Riverside, Riverside, California.
Tomer ShechnerPsychology Department, University of Haifa, Haifa, Israel.
Jessica F SachsMedical College of Wisconsin, Wauwatosa, Wisconsin.
Anderson M WinklerEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
Ellen LeibenluftEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
Bruno B AverbeckLaboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
Daniel S PineEmotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
National Institutes of Health · USBrown University · USMedical College of Wisconsin · USUniversity of California, Riverside · USUniversity of Haifa · ILUniversity of Miami · US

Funding

fMRI Studies Of Pediatric Mood And Anxiety DisordersZIAMH002781 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$41.5M
Frontal Striatal Systems and Dopamine in Normal and Pathological BehaviorZIAMH002928 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI AVERBECK, BRUNO · 2010 to 2025
$29.0M
Neuroimaging of Extinction Recall in Development and Adolescent Social AnxietyR00MH091183 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI BRITTON, JENNIFER CHRISTINA · 2012 to 2014
$708k
Intramural NIH HHS Z99 MH999999Intramural NIH HHS ZIA MH002781NIMH NIH HHS R00 MH091183
6 · The paper itself

Abstract

backgroundWhile translational theories link neurodevelopmental changes in threat learning to pathological anxiety, findings from studies in patients inconsistently support these theories. This inconsistency may reflect difficulties in studying large patient samples with wide age ranges using consistent methods. A dearth of imaging data in patients further limits translational advances. We address these gaps through a psychophysiology and structural brain imaging study in a large sample of patients across the lifespan.

methodsA total of 351 participants (8-50 years of age; 209 female subjects; 195 healthy participants and 156 medication-free, treatment-seeking patients with anxiety) completed a differential threat conditioning and extinction paradigm that has been validated in pediatric and adult populations. Skin conductance response indexed psychophysiological response to conditioned (CS+, CS-) and unconditioned threat stimuli. Structural magnetic resonance imaging data were available for 250 participants. Analyses tested anxiety and age associations with psychophysiological response in addition to associations between psychophysiology and brain structure.

resultsRegardless of age, patients and healthy comparison subjects demonstrated comparable differential threat conditioning and extinction. The magnitude of skin conductance response to both conditioned stimulus types differentiated patients from comparison subjects and covaried with dorsal prefrontal cortical thickness; structure-response associations were moderated by anxiety and age in several regions. Unconditioned responding was unrelated to anxiety and brain structure.

conclusionsRather than impaired threat learning, pathological anxiety involves heightened skin conductance response to potential but not immediately present threats; this anxiety-related potentiation of anticipatory responding also relates to variation in brain structure. These findings inform theoretical considerations by highlighting anticipatory response to potential threat in anxiety.

Indexed as

Anxiety DisordersFearAdolescentAdultAnxietyBrainChildConditioning, ClassicalExtinction, PsychologicalFemaleGalvanic Skin ResponseHumansMagnetic Resonance ImagingMiddle AgedYoung AdultAnticipationAnxietyConditioningDevelopmentExtinctionThreat

Identifiers

PMID31955915
PMCPMC7211142
OpenAlexW2988444317

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.