Distinct Functional Connectivities Predict Clinical Response with Emotion Regulation Therapy
AuthorFresco, David M.
Roy, Amy K.
Mennin, Douglas S.
AffiliationUniv Arizona, Dept Psychol
Keywordsgeneralized anxiety disorder
major depressive disorder
resting state functional connectivity
MetadataShow full item record
PublisherFRONTIERS MEDIA SA
CitationDistinct Functional Connectivities Predict Clinical Response with Emotion Regulation Therapy 2017, 11 Frontiers in Human Neuroscience
JournalFrontiers in Human Neuroscience
Rights© 2017 Fresco, Roy, Adelsberg, Seeley, García-Lesy, Liston and Mennin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at email@example.com.
AbstractDespite the success of available medical and psychosocial treatments, a sizable subgroup of individuals with commonly co-occurring disorders, generalized anxiety disorder (GAD) and major depressive disorder (MDD), fail to make sufficient treatment gains thereby prolonging their deficits in life functioning and satisfaction. Clinically, these patients often display temperamental features reflecting heightened sensitivity to underlying motivational systems related to threat/safety and reward/loss (e.g., somatic anxiety) as well as inordinate negative self-referential processing (e.g., worry, rumination). This profile may reflect disruption in two important neural networks associated with emotional/motivational salience (e.g., salience network) and self-referentiality (e.g., default network, DN). Emotion Regulation Therapy (ERT) was developed to target this hypothesized profile and its neurobehavioral markers. In the present study, 22 GAD patients (with and without MDD) completed resting state MRI scans before receiving 16 sessions of ERT. To test study these hypotheses, we examined the associations between baseline patterns of intrinsic functional connectivity (iFC) of the insula and of hubs within the DN (anterior and dorsal medial prefrontal cortex [MPFC] and posterior cingulate cortex [PCC]) and treatment-related changes in worry, somatic anxiety symptoms and decentering. Results suggest that greater treatment linked reductions in worry were associated with iFC clusters in both the insular and parietal cortices. Greater treatment linked gains in decentering, a metacognitive process that involves the capacity to observe items that arise in the mind with healthy psychological distance that is targeted by ERT, was associated with iFC clusters in the anterior and posterior DN. The current study adds to the growing body of research implicating disruptions in the default and salience networks as promising targets of treatment for GAD with and without co-occurring MDD.
VersionFinal published version
SponsorsCUNY Collaborative Incentive Research Grant (CIRG) ; PSC-CUNY Enhanced Research Award [65797-0043]; National Institutes of Health (NIH) MBRS-RISE Program at Hunter College [GM060665]; Doctoral Student Research Grant, City University of New York, Graduate Center; NIH [1R01HL119977-01, 1P30NR015326-01]
- Changes in Functional Connectivity Following Treatment With Emotion Regulation Therapy.
- Authors: Scult MA, Fresco DM, Gunning FM, Liston C, Seeley SH, García E, Mennin DS
- Issue date: 2019
- A randomized controlled trial of emotion regulation therapy for generalized anxiety disorder with and without co-occurring depression.
- Authors: Mennin DS, Fresco DM, O'Toole MS, Heimberg RG
- Issue date: 2018 Mar
- Insular dysfunction within the salience network is associated with severity of symptoms and aberrant inter-network connectivity in major depressive disorder.
- Authors: Manoliu A, Meng C, Brandl F, Doll A, Tahmasian M, Scherr M, Schwerthöffer D, Zimmer C, Förstl H, Bäuml J, Riedl V, Wohlschläger AM, Sorg C
- Issue date: 2013
- Emotion reactivity and regulation in late-life generalized anxiety disorder: functional connectivity at baseline and post-treatment.
- Authors: Andreescu C, Sheu LK, Tudorascu D, Gross JJ, Walker S, Banihashemi L, Aizenstein H
- Issue date: 2015 Feb
- Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress.
- Authors: Renna ME, Quintero JM, Fresco DM, Mennin DS
- Issue date: 2017