Skip to main content
Log in

Diffusion Tensor Imaging in Anxiety Disorders

  • ANXIETY DISORDERS (DJ STEIN, SECTION EDITOR)
  • Published:
Current Psychiatry Reports Aims and scope Submit manuscript

Abstract

Diffusion tensor imaging (DTI) can be used to examine the structural integrity of regional white matter and to map white matter tracts. DTI studies have been performed in several psychiatric disorders, especially in those for which a developmental or a neuropsychiatric component was postulated. Thus far, the use of DTI has been very limited in panic disorder, social anxiety disorder, and generalized anxiety disorder, and somewhat more extensive in post-traumatic stress disorder and obsessive-compulsive disorder. In most anxiety disorders, the results of DTI studies are in line with other structural and functional MRI findings and can be interpreted within the frameworks of existing models for the neurocircuitry of the various disorders. DTI findings could further enrich neurobiological models for anxiety disorders, although replication is often warranted, and studies in pediatric populations are lagging behind remarkably.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. 2000;Fourth Edition.

  2. Shin LM, Liberzon I. The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology. 2010;35:169–91.

    Article  PubMed  Google Scholar 

  3. Asami T, Hayano F, Nakamura M, et al. Anterior cingulate cortex volume reduction in patients with panic disorder. Psychiatry Clin Neurosci. 2008;62:322–30.

    Article  PubMed  Google Scholar 

  4. Uchida RR, Del-Ben CM, Busatto GF, et al. Regional gray matter abnormalities in panic disorder: a voxel-based morphometry study. Psychiatry Res. 2008;163:21–9.

    Article  PubMed  Google Scholar 

  5. van Tol MJ, van der Wee NJ, van den Heuvel OA, et al. Regional brain volume in depression and anxiety disorders. Arch Gen Psychiatry. 2010;67:1002–11.

    Article  PubMed  Google Scholar 

  6. Han DH, Renshaw PF, Dager SR, et al. Altered cingulate white matter connectivity in panic disorder patients. J Psychiatr Res. 2008;42:399–407.

    Article  PubMed  Google Scholar 

  7. Hettema JM, Kettenmann B, Ahluwalia V et al. Pilot multimodal twin imaging study of generalized anxiety disorder. Depress Anxiety. 2011.

  8. Ebeling U, von CD. Topography of the uncinate fascicle and adjacent temporal fiber tracts. Acta Neurochir (Wien). 1992;115:143–8.

    Article  CAS  Google Scholar 

  9. Etkin A, Prater KE, Schatzberg AF, et al. Disrupted amygdalar subregion functional connectivity and evidence of a compensatory network in generalized anxiety disorder. Arch Gen Psychiatry. 2009;66:1361–72.

    Article  PubMed  Google Scholar 

  10. Etkin A, Prater KE, Hoeft F, et al. Failure of anterior cingulate activation and connectivity with the amygdala during implicit regulation of emotional processing in generalized anxiety disorder. Am J Psychiatry. 2010;167:545–54.

    Article  PubMed  Google Scholar 

  11. • Zhang L, Zhang Y, Li L et al. Different white matter abnormalities between the first-episode, treatment-naive patients with posttraumatic stress disorder and generalized anxiety disorder without comorbid conditions. J Affect Disord. 2011;133:294–299. This study also examined differences between anxiety disorders.

  12. Blair K, Geraci M, DeVido J, et al. Neural response to self- and other referential praise and criticism in generalized social phobia. Arch Gen Psychiatry. 2008;65:1176–84.

    Article  PubMed  Google Scholar 

  13. Amir N, Klumpp H, Elias J, et al. Increased activation of the anterior cingulate cortex during processing of disgust faces in individuals with social phobia. Biol Psychiatry. 2005;57:975–81.

    Article  PubMed  Google Scholar 

  14. Evans KC, Wright CI, Wedig MM, et al. A functional MRI study of amygdala responses to angry schematic faces in social anxiety disorder. Depress Anxiety. 2008;25:496–505.

    Article  PubMed  Google Scholar 

  15. Liao W, Xu Q, Mantini D, et al. Altered gray matter morphometry and resting-state functional and structural connectivity in social anxiety disorder. Brain Res. 2011;1388:167–77.

    Article  PubMed  CAS  Google Scholar 

  16. Phan KL, Orlichenko A, Boyd E, et al. Preliminary evidence of white matter abnormality in the uncinate fasciculus in generalized social anxiety disorder. Biol Psychiatry. 2009;66:691–4.

    Article  PubMed  Google Scholar 

  17. Baur V, Hanggi J, Rufer M, et al. White matter alterations in social anxiety disorder. J Psychiatr Res. 2011;45:1366–72.

    Article  PubMed  Google Scholar 

  18. Kim MJ, Whalen PJ. The structural integrity of an amygdala-prefrontal pathway predicts trait anxiety. J Neurosci. 2009;29:11614–8.

    Article  PubMed  CAS  Google Scholar 

  19. Schuff N, Zhang Y, Zhan W, et al. Patterns of altered cortical perfusion and diminished subcortical integrity in posttraumatic stress disorder: an MRI study. Neuroimage. 2011;54 Suppl 1:S62–8.

    Article  PubMed  Google Scholar 

  20. Kim MJ, Lyoo IK, Kim SJ, et al. Disrupted white matter tract integrity of anterior cingulate in trauma survivors. Neuroreport. 2005;16:1049–53.

    Article  PubMed  Google Scholar 

  21. Kim SJ, Jeong DU, Sim ME, et al. Asymmetrically altered integrity of cingulum bundle in posttraumatic stress disorder. Neuropsychobiology. 2006;54:120–5.

    Article  PubMed  Google Scholar 

  22. Abe O, Yamasue H, Kasai K, et al. Voxel-based diffusion tensor analysis reveals aberrant anterior cingulum integrity in posttraumatic stress disorder due to terrorism. Psychiatry Res. 2006;146:231–42.

    Article  PubMed  Google Scholar 

  23. Jackowski AP, Douglas-Palumberi H, Jackowski M, et al. Corpus callosum in maltreated children with posttraumatic stress disorder: a diffusion tensor imaging study. Psychiatry Res. 2008;162:256–61.

    Article  PubMed  Google Scholar 

  24. Radua J, Mataix-Cols D. Voxel-wise meta-analysis of grey matter changes in obsessive-compulsive disorder. Br J Psychiatry. 2009;195:393–402.

    Article  PubMed  Google Scholar 

  25. Del CA, Kotzalidis GD, Rapinesi C, et al. Functional neuroimaging in obsessive-compulsive disorder. Neuropsychobiology. 2011;64:61–85.

    Article  Google Scholar 

  26. Chiu CH, Lo YC, Tang HS, et al. White matter abnormalities of fronto-striato-thalamic circuitry in obsessive-compulsive disorder: a study using diffusion spectrum imaging tractography. Psychiatry Res. 2011;192:176–82.

    Article  PubMed  Google Scholar 

  27. Cannistraro PA, Makris N, Howard JD, et al. A diffusion tensor imaging study of white matter in obsessive-compulsive disorder. Depress Anxiety. 2007;24:440–6.

    Article  PubMed  Google Scholar 

  28. Saito Y, Nobuhara K, Okugawa G, et al. Corpus callosum in patients with obsessive-compulsive disorder: diffusion-tensor imaging study. Radiology. 2008;246:536–42.

    Article  PubMed  Google Scholar 

  29. Li F, Huang X, Yang Y, et al. Microstructural brain abnormalities in patients with obsessive-compulsive disorder: diffusion-tensor MR imaging study at 3.0 T. Radiology. 2011;260:216–23.

    Article  PubMed  Google Scholar 

  30. Menzies L, Williams GB, Chamberlain SR, et al. White matter abnormalities in patients with obsessive-compulsive disorder and their first-degree relatives. Am J Psychiatry. 2008;165:1308–15.

    Article  PubMed  Google Scholar 

  31. Szeszko PR, Ardekani BA, Ashtari M, et al. White matter abnormalities in obsessive-compulsive disorder: a diffusion tensor imaging study. Arch Gen Psychiatry. 2005;62:782–90.

    Article  PubMed  Google Scholar 

  32. Nakamae T, Narumoto J, Sakai Y, et al. Diffusion tensor imaging and tract-based spatial statistics in obsessive-compulsive disorder. J Psychiatr Res. 2011;45:687–90.

    Article  PubMed  Google Scholar 

  33. Garibotto V, Scifo P, Gorini A, et al. Disorganization of anatomical connectivity in obsessive compulsive disorder: a multi-parameter diffusion tensor imaging study in a subpopulation of patients. Neurobiol Dis. 2010;37:468–76.

    Article  PubMed  CAS  Google Scholar 

  34. Zarei M, Mataix-Cols D, Heyman I, et al. Changes in gray matter volume and white matter microstructure in adolescents with obsessive-compulsive disorder. Biol Psychiatry. 2011;70:1083–90.

    Article  PubMed  Google Scholar 

  35. Bora E, Harrison BJ, Fornito A, et al. White matter microstructure in patients with obsessive-compulsive disorder. J Psychiatry Neurosci. 2011;36:42–6.

    Article  PubMed  Google Scholar 

  36. Nakamae T, Narumoto J, Shibata K, et al. Alteration of fractional anisotropy and apparent diffusion coefficient in obsessive-compulsive disorder: a diffusion tensor imaging study. Prog Neuropsychopharmacol Biol Psychiatry. 2008;32:1221–6.

    Article  PubMed  Google Scholar 

  37. Yoo SY, Jang JH, Shin YW, et al. White matter abnormalities in drug-naive patients with obsessive-compulsive disorder: a diffusion tensor study before and after citalopram treatment. Acta Psychiatr Scand. 2007;116:211–9.

    Article  PubMed  CAS  Google Scholar 

  38. •• Westlye LT, Bjornebekk A, Grydeland H et al. Linking an anxiety-related personality trait to brain white matter microstructure: diffusion tensor imaging and harm avoidance. Arch Gen Psychiatry. 2011;68:369–377. This study was conducted in a large sample of healthy individuals.

Download references

Acknowledgments

This review was supported through a EU Marie Curie International Staff Exchange Scheme grant for the European South African Research Network in Anxiety Disorders (EUSARNAD) (PIRSES-GA-2010-269213), and the Netherlands Organization for Scientific Research–National Initiative Brain and Cognition (NIBC) project grants no. 056-25-010 and no. 056-23-011.

Disclosure

No potential conflicts of interest relevant to this article were reported.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nic van der Wee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ayling, E., Aghajani, M., Fouche, JP. et al. Diffusion Tensor Imaging in Anxiety Disorders. Curr Psychiatry Rep 14, 197–202 (2012). https://doi.org/10.1007/s11920-012-0273-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11920-012-0273-z

Keywords

Navigation