Reduced amygdalar and hippocampal size in adults with generalized social phobia

Autor: Godehard Weniger, Falk Leichsenring, Mirjana Ruhleder, Eva Irle, Eric Leibing, Ulrich Seidler-Brandler, Claudia Lange, Simone Salzer, Peter Dechent
Přispěvatelé: University of Zurich, Irle, E
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Male
Oncology
social phobia
adult
Hippocampus
Comorbidity
Hippocampal formation
Severity of Illness Index
Functional Laterality
2738 Psychiatry and Mental Health
0302 clinical medicine
2736 Pharmacology (medical)
Pharmacology (medical)
Sex Characteristics
Brief Report
Brain
Organ Size
Middle Aged
Amygdala
Magnetic Resonance Imaging
Psychiatry and Mental health
medicine.anatomical_structure
Phobic Disorders
Major depressive disorder
Female
Psychology
2803 Biological Psychiatry
Anxiety disorder
Psychopathology
Clinical psychology
Adult
medicine.medical_specialty
610 Medicine & health
10056 Clinic for Clinical and Social Psychiatry Zurich West (former)
Personality Disorders
Young Adult
03 medical and health sciences
Imaging
Three-Dimensional

Neuroimaging
Internal medicine
medicine
Humans
Biological Psychiatry
Psychiatric Status Rating Scales
medicine.disease
030227 psychiatry
030217 neurology & neurosurgery
Popis: Background: Structural and functional brain imaging studies suggest abnormalities of the amygdala and hippocampus in posttraumatic stress disorder and major depressive disorder. However, structural brain imaging studies in social phobia are lacking. Methods: In total, 24 patients with generalized social phobia (GSP) and 24 healthy controls underwent 3-dimensional structural magnetic resonance imaging of the amygdala and hippocampus and a clinical investigation. Results: Compared with controls, GSP patients had significantly reduced amygdalar (13%) and hippocampal (8%) size. The reduction in the size of the amygdala was statistically significant for men but not women. Smaller right-sided hippocampal volumes of GSP patients were significantly related to stronger disorder severity. Limitations: Our sample included only patients with the generalized subtype of social phobia. Because we excluded patients with comorbid depression, our sample may not be representative. Conclusion: We report for the first time volumetric results in patients with GSP. Future assessment of these patients will clarify whether these changes are reversed after successful treatment and whether they predict treatment response.
Databáze: OpenAIRE