title: Neuroanatomic abnormalities in adolescents with generalized anxiety disorder: a voxel-based morphometry study.
abstract: BACKGROUND
  Despite recent data implicating functional abnormalities in the neurocircuitry underlying emotional processing in pediatric anxiety disorders, little is known regarding neurostructural abnormalities within these systems.
  
  
  METHODS
  Using voxel-based morphometry, gray and white matter volumes were compared in 15 medication-free adolescents with generalized anxiety disorder (GAD; and no comorbid major depressive disorder) and 28 age- and sex-matched healthy comparison subjects.
  
  
  RESULTS
  Compared to healthy adolescents, youth with GAD had larger gray matter volumes in the right precuneus and right precentral gyrus and decreased gray matter volumes in the left orbital gyrus and posterior cingulate. White matter volumes were decreased in the left medial and superior frontal gyrus and were increased in the left inferior temporal gyrus in youth with GAD relative to healthy subjects.
  
  
  CONCLUSIONS
  Adolescents with GAD, who are early in the course of their illness, exhibit abnormalities in neural structures that subserve threat appraisal, modulation of fear responses, attachment, and mentalization.
authors.affiliation: Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, College of Medicine, Cincinnati, OH 45267, USA. strawnjr@uc.edu
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Strawn
authors.forename: Anna M
authors.initials: AM
authors.lastname: Wehry
authors.forename: Wen-Jang
authors.initials: WJ
authors.lastname: Chu
authors.forename: Caleb M
authors.initials: CM
authors.lastname: Adler
authors.forename: James C
authors.initials: JC
authors.lastname: Eliassen
authors.forename: Michael A
authors.initials: MA
authors.lastname: Cerullo
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Strakowski
authors.forename: Melissa P
authors.initials: MP
authors.lastname: Delbello
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000473:pathology*; D001921:Brain / Q000473:pathology*; D001931:Brain Mapping; D016022:Case-Control Studies; D002648:Child; D005260:Female; D005625:Frontal Lobe / Q000473:pathology; D006179:Gyrus Cinguli / Q000473:pathology; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008297:Male; D009413:Nerve Fibers, Myelinated / Q000473:pathology*; D036421:Nerve Fibers, Unmyelinated / Q000473:pathology*; D009929:Organ Size; D010296:Parietal Lobe / Q000473:pathology; D013702:Temporal Lobe / Q000473:pathology
keywords: adolescence; generalized anxiety disorder; voxel-based morphometry