Locating Regions of Interest in Generalized Anxiety Disorder Using Function Magnetic Resonance Imaging (fMRI)
Status: | Completed |
---|---|
Conditions: | Anxiety, Psychiatric |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 11/8/2014 |
Start Date: | July 2012 |
End Date: | September 2014 |
Contact: | Gretchen J Diefenbach, Ph.D. |
Email: | GDiefen@harthosp.org |
Phone: | 860-545-7396 |
The investigators are seeking to locate the brain regions of interest in generalized anxiety
disorder (GAD) using both structural (sMRI) and functional magnetic resonance imaging
(fMRI). The MRI will be used to measure changes in blood flow in the brain while at rest and
while completing tasks designed to elicit symptoms of anxiety. Results from a nonclinical
control group and a GAD group will be compared to determine whether they exhibit different
areas of brain activity during the tasks.
disorder (GAD) using both structural (sMRI) and functional magnetic resonance imaging
(fMRI). The MRI will be used to measure changes in blood flow in the brain while at rest and
while completing tasks designed to elicit symptoms of anxiety. Results from a nonclinical
control group and a GAD group will be compared to determine whether they exhibit different
areas of brain activity during the tasks.
20 healthy controls and 20 participants with GAD will be recruited. Each participant will
undergo an MRI session that will last approximately 2 hours. The structural MRI will be used
when the participant is at rest. During the functional MRI (fMRI), a computer screen inside
the scanner will display four tasks the participant must complete: (1)Gambling Task, (2)Risk
& Ambiguity Task, (3)Reading Emotion from the Eyes (REE) Task, and (4)Emotional Counting
Task.
undergo an MRI session that will last approximately 2 hours. The structural MRI will be used
when the participant is at rest. During the functional MRI (fMRI), a computer screen inside
the scanner will display four tasks the participant must complete: (1)Gambling Task, (2)Risk
& Ambiguity Task, (3)Reading Emotion from the Eyes (REE) Task, and (4)Emotional Counting
Task.
Generalized Anxiety Disorder(GAD)Group:
Inclusion Criteria:
- Clinical diagnosis of Generalized Anxiety Disorder
- Hamilton Anxiety Rating Scale score of 18 or higher
- Hamilton Rating Scale for Depression score of 17 or less
- Fluency in English
- Capacity to understand the nature of the study and willingness to sign informed
consent for
Exclusion Criteria:
- History of epilepsy or head trauma (Loss of consciousness>5 minutes) with the past 6
months
- Lifetime history of increased intracranial pressure, seizure disorder, stroke, brain
tumor, multiple sclerosis or brain surgery
- A review of patient medications by the study physician indicates an increased risk of
seizure
- An active autoimmune, endocrine, viral, or vascular disorder affecting the brain; any
unstable cardiac disease; hypertension; or severe renal or liver insufficiency
- Substance use disorder or posttraumatic stress disorder (PTSD) within the past 6
months
- Lifetime bipolar disorder, obsessive-compulsive disorder (OCD), psychotic disorder,
mental retardation, or pervasive development disorder
- Any psychotic features, including dementia or delirium
- Medication change within past 3 months
- Current serious suicidal or homicidal ideation, and/or serious suicidal attempt
within past 6 months
- Serious, unstable, or terminal medical condition or clinically judged too
psychiatrically unstable to participate in the study
- Any contraindication for participation in MRI scan
Nonclinical Control Group:
Inclusion Criteria:
- Absence of any psychiatric diagnosis
Exclusion Criteria:
- History of epilepsy or head trauma (Loss of Consciousness>5 minutes) with the past 6
months
- Lifetime history of increased intracranial pressure, seizure disorder, stroke, brain
tumor, multiple sclerosis or brain surgery
- A review of patient medications by the study physician indicates an increased risk of
seizure
- An active autoimmune, endocrine, viral, or vascular disorder affecting the brain; any
unstable cardiac disease; hypertension; or severe renal or liver insufficiency
- Substance use disorder or PTSD within the past 6 months
- Lifetime bipolar disorder, OCD, psychotic disorder, mental retardation, or pervasive
development disorder
- Any psychotic features, including dementia or delirium
- Medication change within past 3 months
- Current serious suicidal or homicidal ideation, and/or serious suicidal attempt
within past 6 months
- Serious, unstable, or terminal medical condition or clinically judged too
psychiatrically unstable to participate in the study
- Any contraindication for participation in MRI scan
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