Evidence map›Paper›PMID 40300661›Full record

ArticleProgress in neuro-psychopharmacology & biological psychiatry2025

Amygdala-insula response to neutral stimuli and the prospective prediction of anxiety sensitivity.

Shannon E MacDonald, Claudia R Becker, Annmarie MacNamara

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Article in Progress in neuro-psychopharmacology & biological psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Shannon E MacDonaldDepartment of Psychological and Brain Sciences, Texas A&M University, College Station, TX, United States of America. Electronic address: smacdonald@tamu.edu.
Claudia R BeckerDepartment of Psychological and Brain Sciences, Texas A&M University, College Station, TX, United States of America.
Annmarie MacNamaraDepartment of Psychological and Brain Sciences, Texas A&M University, College Station, TX, United States of America; Department of Psychiatry and Behavioral Sciences, Texas A&M University, College Station, TX, United States of America; Institute for Neuroscience, Texas A&M University, College Station, TX, United States of America.

Funding

HARM-A: A neurobiological predictor of comorbidity and stress reactivity in anxiety disordersR01MH125083 · NIMH · TEXAS A&M UNIVERSITY · PI MACNAMARA, ANNMARIE EILEEN · 2021 to 2025
$3.3M
Brain-Behavior Markers of Negative Affectivity, Comorbidity in Anxiety DisordersK23MH105553 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MACNAMARA, ANNMARIE EILEEN · 2015 to 2018
$648k
NIMH NIH HHS K23 MH105553NIMH NIH HHS R01 MH125083
6 · The paper itself

Abstract

backgroundAnxiety sensitivity (AS) - the tendency to perceive benign physiological stimuli as harmful - is a risk factor for anxiety disorders. Cross-sectionally, AS has been linked to increased negative > neutral neural activity in key nodes implicated in threat detection and interoceptive - i.e., the amygdala (AMYG) and insula (INS). Examining the unique contributions of AMYG-INS blood‑oxygen-level-dependent (BOLD) response to neutral and negative stimuli to the prospective prediction of AS could increase understanding of the factors predisposing individuals to worsening AS over time.

methodsForty-six participants, including 33 patients with mixed internalizing disorders, underwent fMRI scans to assess insula and amygdala activation in response to neutral and negative pictures. AS was measured via self-report at baseline (Time 1) and approximately 1.5 years later (Time 2). We assessed whether BOLD to negative and/or neutral pictures at baseline predicted changes in AS over time.

resultsGreater insula and amygdala activation in response to neutral pictures at baseline predicted higher AS 1.5 years later, controlling for initial levels of AS and BOLD response to negative pictures. Cross-sectionally, greater insula and amygdala activation in response to negative pictures relative to neutral pictures was associated with higher Time 1 AS.

conclusionsHeightened AMYG-INS BOLD to benign stimuli precedes and may place individuals at risk for increased AS. Once established, heightened AS appears to be characterized by a neural pattern that is more often-observed in the internalizing disorders - i.e., exaggerated response to negative (> neutral) stimuli.

Indexed as

AmygdalaAnxietyAnxiety DisordersInsular CortexAdultBrain MappingCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOxygenPhotic StimulationProspective StudiesYoung AdultOxygenAnxiety sensitivity index (ASI)fMRI BOLDInternalizing psychopathology

Identifiers

PMID40300661
PMCPMC12810358

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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.