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      Effects of Psychotherapy on Brain Activation Patterns in Anxiety Disorders

      review-article
      Author(s): 1 ,
      Publication date (Electronic):
      Journal: Zeitschrift für Psychologie
      Publisher: Hogrefe Publishing
      Keywords: anxiety disorder, neuroimaging, neural Plasticity, psychotherapy, functional connectivity

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          Abstract

          Abstract. Psychotherapy is an effective treatment for most mental disorders, including anxiety disorders. Successful psychotherapy implies new learning experiences and therefore neural alterations. With the increasing availability of functional neuroimaging methods, it has become possible to investigate psychotherapeutically induced neuronal plasticity across the whole brain in controlled studies. However, the detectable effects strongly depend on neuroscientific methods, experimental paradigms, analytical strategies, and sample characteristics. This article summarizes the state of the art, discusses current theoretical and methodological issues, and suggests future directions of the research on the neurobiology of psychotherapy in anxiety disorders.

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          Most cited references55

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          What is an anxiety disorder?

          Michelle Craske, Scott L Rauch, Robert Ursano … (2009)
          Initiated as part of the ongoing deliberation about the nosological structure of DSM, this review aims to evaluate whether the anxiety disorders share features of responding that define them and make them distinct from depressive disorders, and/or that differentiate fear disorders from anxious-misery disorders. The review covers symptom self-report as well as on-line indices of behavioral, physiological, cognitive, and neural responding in the presence of aversive stimuli. The data indicate that the anxiety disorders share self-reported symptoms of anxiety and fear; heightened anxiety and fear responding to cues that signal threat, cues that signal no threat, cues that formerly signaled threat, and contexts associated with threat; elevated stress reactivity to aversive stimuli; attentional biases to threat-relevant stimuli and threat-based appraisals of ambiguous stimuli; and elevated amygdala responses to threat-relevant stimuli. Some differences exist among anxiety disorders, and between anxiety disorders and depressive disorders. However, the differences are not fully consistent with proposed subdivisions of fear disorders vs. anxious misery disorders, and comparative data in large part are lacking. Given the high rates of co-morbidity, advances in our understanding of the features of responding that are shared across vs. unique to anxiety and depressive disorders will require dimensional approaches. In summary, the extant data help to define the features of responding that are shared across anxiety disorders, but are insufficient to justify revisions to the DSM nosology at this time.
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            Emotion reactivity and regulation in late-life generalized anxiety disorder: functional connectivity at baseline and post-treatment.

            Carmen Andreescu, Lei Sheu, Dana L. Tudorascu … (2015)
            Generalized anxiety disorder (GAD) is one of the most prevalent mental disorders in the elderly, but its functional neuroanatomy is not well understood. Given the role of emotion dysregulation in GAD, we sought to describe the neural bases of emotion regulation in late-life GAD by analyzing the functional connectivity (FC) in the Salience Network and the Executive Control Network during worry induction and worry reappraisal.
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              Psychotherapy and Neuroimaging

              Rebecca B Price, Jay C. Fournier (2014)
              Article 0 comments Cited 7 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Thomas Straube
                Journal
                Journal ID (publisher): zfp
                Title: Zeitschrift für Psychologie
                Publisher: Hogrefe Publishing
                ISSN (Print): 2190-8370
                ISSN (Electronic): 2151-2604
                Publication date (Electronic): August 05, 2016
                Publication date (Print): 2016
                Volume: 224
                Issue: 2
                Pages: 62-70
                Affiliations
                [ 1 ]Institute of Medical Psychology and Systems Neuroscience, University of Münster, Germany
                Author notes
                Thomas Straube, Institute of Medical Psychology and Systems Neuroscience, University of Münster, Von-Esmarch-Str. 52, 48149 Muenster, Germany, Tel. +49 251 83 55 493, Fax +49 251 83 55 494, E-mail thomas.straube@ 123456uni-muenster.de
                Article
                ApaID ID: zfp_224_2_62
                DOI: 10.1027/2151-2604/a000240
                SO-VID: 66a6cd7d-c115-4946-bd0f-9e4c4e87ef73
                Copyright statement: Copyright @ 2016
                History
                Date received : January 28, 2016
                Date accepted : February 29, 2016
                Categories
                Subject: Review Article

                ScienceOpen disciplines: Psychology,General behavioral science
                Keywords: functional connectivity,psychotherapy,neural Plasticity,neuroimaging,anxiety disorder
                Data availability:
                ScienceOpen disciplines: Psychology, General behavioral science
                Keywords: functional connectivity, psychotherapy, neural Plasticity, neuroimaging, anxiety disorder

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