Evidence map›Paper›PMID 39367057›Full record

ArticleMolecular psychiatry2025

Resting-state functional connectivity in anxiety disorders: a multicenter fMRI study.

Till Langhammer, Kevin Hilbert, Dirk Adolph, Volker Arolt, Sophie Bischoff, Joscha Böhnlein, Jan C Cwik, Udo Dannlowski, Jürgen Deckert, Katharina Domschke and 31 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03208400 (Exposure Treatment in Anxiety Disorders), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT03208400 nacompletednot on this map

Exposure Treatment in Anxiety Disorders: Proof of Principle for an a Priori Response Prediction Approach

TypeinterventionalSponsorJulius-Maximilians UniversityRan2017 to 2020Enrolled338ConditionsSpecific Phobia, Cognitive-behavioral Therapy, Virtual RealityArmsvirtual reality exposure
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
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  7. Longitudinal Changes in Infant Attention-Related Brain Networks and Fearful Temperament.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
  8. Review
  9. Sex-Based Mechanisms of Stress-Induced Alcohol-Seeking.Behavioral sciences (Basel, Switzerland) · 2026
    Article
  10. Article
  11. Review
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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

41 authors.

Till LanghammerDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany. till.langhammer@hu-berlin.de.ORCID 0000-0001-6729-956X
Kevin HilbertDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.
Dirk AdolphMental Health Research and Treatment Center, Faculty of Psychology, Ruhr-Universität Bochum, Bochum, Germany.
Volker AroltInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0002-2445-9778
Sophie BischoffDepartment of Psychiatry and Psychotherapy, Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Joscha BöhnleinInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0002-9870-5599
Jan C CwikDepartment of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany.
Udo DannlowskiInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0002-0623-3759
Jürgen DeckertDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
Katharina DomschkeDepartment of Psychiatry and Psychotherapy, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.ORCID 0000-0002-2550-9132
Ricarda EvensDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.
Thomas FydrichDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.
Bettina GathmannInstitute of Medical Psychology and Systems Neuroscience, University of Münster, Münster, Germany.
Alfons O HammDepartment of Biological and Clinical Psychology, University of Greifswald, Greifswald, Germany.
Ingmar HeinigInstitute for Clinical Psychology and Psychotherapy, Technical University of Dresden, Dresden, Germany.
Martin J HerrmannDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.ORCID 0000-0001-9970-2122
Maike HollandtDepartment of Biological and Clinical Psychology, University of Greifswald, Greifswald, Germany.
Markus JunghoeferInstitute for Biomagnetism and Biosignalanalysis, University of Münster, Münster, Germany.
Tilo KircherDepartment of Psychiatry and Psychotherapy and Center for Mind, Brain and Behavior - CMBB, Philipps-Universität Marburg, Marburg, Germany.
Katja KoelkebeckLVR-University Hospital Essen, Department of Psychiatry and Psychotherapy, University of Duisburg-Essen, Duisburg, Germany.
Elisabeth J LeehrInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0002-9264-5003
Martin LotzeFunctional Imaging Unit, Diagnostic Radiology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0003-4519-4956
Jürgen MargrafInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0001-5207-7016
Jennifer L M MummDepartment of Psychiatry and Psychotherapy, Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Andre PittigTranslational Psychotherapy, Institute of Psychology, University of Goettingen, Göttingen, Germany.ORCID 0000-0003-3787-9576
Jens PlagDepartment of Medicine, Institute for Mental Health and Behavioral Medicine, HMU Health and Medical University, Potsdam, Germany.
Jan RichterDepartment of Experimental Psychopathology, University of Hildesheim, Hildesheim, Germany.ORCID 0000-0002-7127-6990
Kati RoesmannInstitute for Biomagnetism and Biosignalanalysis, University of Münster, Münster, Germany.
Isabelle C RidderbuschDepartment of Psychiatry and Psychotherapy and Center for Mind, Brain and Behavior - CMBB, Philipps-Universität Marburg, Marburg, Germany.
Silvia SchneiderDepartment of Clinical Child and Adolescent Psychology, Ruhr-University Bochum, Bochum, Germany.
Hanna SchwarzmeierInstitute of Medical Psychology and Systems Neuroscience, University of Münster, Münster, Germany.
Fabian SeegerInstitute of Medical Psychology and Systems Neuroscience, University of Münster, Münster, Germany.
Niklas SiminskiCenter for Mental Health, Department of Psychiatry, Psychosomatics, and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany.
Thomas StraubeInstitute of Medical Psychology and Systems Neuroscience, University of Münster, Münster, Germany.
Andreas StröhleDepartment of Psychiatry and Psychotherapy, Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Christoph SzeskaDepartment of Biological and Clinical Psychology, University of Greifswald, Greifswald, Germany.
Hans-Ulrich WittchenInstitute for Clinical Psychology and Psychotherapy, Technical University of Dresden, Dresden, Germany.
Adrian WroblewskiDepartment of Psychiatry and Psychotherapy and Center for Mind, Brain and Behavior - CMBB, Philipps-Universität Marburg, Marburg, Germany.
Yunbo YangDepartment of Psychiatry and Psychotherapy and Center for Mind, Brain and Behavior - CMBB, Philipps-Universität Marburg, Marburg, Germany.
Benjamin StraubeDepartment of Psychiatry and Psychotherapy and Center for Mind, Brain and Behavior - CMBB, Philipps-Universität Marburg, Marburg, Germany.ORCID 0000-0002-9837-0944
Ulrike LuekenDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0003-1564-4012

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 442075332Deutsche Forschungsgemeinschaft (German Research Foundation) 44541416
6 · The paper itself

Abstract

Anxiety disorders (AD) are associated with altered connectivity in large-scale intrinsic brain networks. It remains uncertain how much these signatures overlap across different phenotypes due to a lack of well-powered cross-disorder comparisons. We used resting-state functional magnetic resonance imaging (rsfMRI) to investigate differences in functional connectivity (FC) in a cross-disorder sample of AD patients and healthy controls (HC). Before treatment, 439 patients from two German multicenter clinical trials at eight different sites fulfilling a primary diagnosis of panic disorder and/or agoraphobia (PD/AG, N = 154), social anxiety disorder (SAD, N = 95), or specific phobia (SP, N = 190) and 105 HC underwent an 8 min rsfMRI assessment. We performed categorical and dimensional regions of interest (ROI)-to-ROI analyses focusing on connectivity between regions of the defensive system and prefrontal regulation areas. AD patients showed increased connectivity between the insula and the thalamus compared to controls. This was mainly driven by PD/AG patients who showed increased (insula/hippocampus/amygdala-thalamus) and decreased (dorsomedial prefrontal cortex/periaqueductal gray-anterior cingulate cortex) positive connectivity between subcortical and cortical areas. In contrast, SAD patients showed decreased negative connectivity exclusively in cortical areas (insula-orbitofrontal cortex), whereas no differences were found in SP patients. State anxiety associated with the scanner environment did not explain the FC between these regions. Only PD/AG patients showed pronounced connectivity changes along a widespread subcortical-cortical network, including the midbrain. Dimensional analyses yielded no significant results. The results highlighting categorical differences between ADs at a systems neuroscience level are discussed within the context of personalized neuroscience-informed treatments. PROTECT-AD's registration at NIMH Protocol Registration System: 01EE1402A and German Register of Clinical Studies: DRKS00008743. SpiderVR's registration at ClinicalTrials.gov: NCT03208400.

Indexed as

Anxiety DisordersAdultAgoraphobiaAmygdalaBrainBrain MappingClinical Trials as TopicFemaleGermanyHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetNeural PathwaysPanic Disorder

Identifiers

PMID39367057
PMCPMC11919712

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Registered trials

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