Anxiety symptoms without depression are associated with cognitive
control network (CNN) dysfunction: an fNIRS study
Abstract
Anxiety is a common psychological disorder associated with affective
disorders and associated with other mental disorders, with depression
being the most common comorbidity. Few studies have examined the neural
mechanisms underlying anxiety after controlling for depressive symptoms.
This study aimed to explore whether there are differences in cortical
activation in anxiety patients with different severity whose depressive
symptoms is normal. In current study, depression levels were normal for
366 subjects—139 healthy subjects, 117 with mild anxiety, and 110 with
major anxiety. The Hospital Anxiety and Depression Scale (HADS) and a
verbal fluency task (VFT) tested subjects’ anxiety and depression and
cognitive function, respectively. A 53-channel guided near-infrared
spectroscopic imaging technology (fNIRS) detected the concentration of
oxyhemoglobin (oxy-Hb). Correlation analysis between anxiety severity
and oxy-Hb concentration in the brain cortex was performed, as well as
ANOVA analysis of oxy-Hb concentration among the three anxiety severity
groups. Results showed that anxiety severity was significantly and
negatively correlated with oxy-Hb concentration in the left frontal eye
field (lFEF) and in the right dorsolateral prefrontal area (rDLPFC). The
oxy-Hb concentration in the lFEF and the rDLPFC were significantly lower
in the major anxiety disorder group than that in the control group. This
suggests that decreased cortical activity of lFEF and rDLPFC may be
neural markers of anxiety symptoms after control depressive symptoms.
Anxiety symptoms without depressive symptoms may be result from the
dysfunction of cognitive control network (CCN) which includes lFEF and
rDLPFC.