Evidence map›Paper›PMID 35536093›Full record

ArticleDepression and anxiety2022

Neural correlates of anxious distress in depression: A neuroimaging study of reactivity to emotional faces and resting-state functional connectivity.

Laura Nawijn, Richard Dinga, Moji Aghajani, Marie-José van Tol, Nic J A van der Wee, Andreas Wunder, Dick J Veltman, Brenda W H J Penninx

Abstract read
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Article in Depression and anxiety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Pathophysiology and Treatment Strategies for Different Types of Depression.Advances in experimental medicine and biology · 2026
    Review
  4. TRPC4/5 inhibitors: Phase I results and proof of concept studies.European archives of psychiatry and clinical neuroscience · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Laura NawijnDepartment of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Location VUmc, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-7183-8933
Richard DingaDepartment of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Location VUmc, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Moji AghajaniDepartment of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Location VUmc, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Marie-José van TolDepartment of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Cognitive Neuroscience Center, Groningen, The Netherlands.
Nic J A van der WeeDepartment of Psychiatry, Leiden University Medical Center , Leiden, The Netherlands.
Andreas WunderBoehringer Ingelheim Pharma GmbH & Co. KG, Translational Medicine and Clinical Pharmacology, Biberach an der Riss, Germany.
Dick J VeltmanDepartment of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Location VUmc, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Brenda W H J PenninxDepartment of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Location VUmc, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComorbid anxiety disorders and anxious distress are highly prevalent in major depressive disorder (MDD). The presence of the DSM-5 anxious distress specifier (ADS) has been associated with worse treatment outcomes and chronic disease course. However, little is known about the neurobiological correlates of anxious distress in MDD.

methodsWe probed the relation between the DSM-5 ADS and task-related reactivity to emotional faces, as well as resting-state functional connectivity patterns of intrinsic salience and basal ganglia networks in unmedicated MDD patients with (MDD/ADS+, N = 24) and without ADS (MDD/ADS-, N = 48) and healthy controls (HC, N = 59). Both categorical and dimensional measures of ADS were investigated.

resultsMDD/ADS+ patients had higher left amygdala responses to emotional faces compared to MDD/ADS- patients (p = .015)-part of a larger striato-limbic cluster. MDD/ADS+ did not differ from MDD/ADS- or controls in resting-state functional connectivity of the salience or basal ganglia networks.

conclusionsCurrent findings suggest that amygdala and striato-limbic hyperactivity to emotional faces may be a neurobiological hallmark specific to MDD with anxious distress, relative to MDD without anxious distress. This may provide preliminary indications of the underlying mechanisms of anxious distress in depression, and underline the importance to account for heterogeneity in depression research.

Indexed as

Major Depressive DisorderAnxietyAnxiety DisordersDepressionHumansMagnetic Resonance ImagingNeuroimagingamygdalaanxietyanxious distress specifierdepressionneuroimagingsalience

Identifiers

PMID35536093
PMCPMC9543619

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