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Cognitive-behavior therapy (CBT) is a well-established first-line intervention for anxiety-related disorders, including specific phobia, social anxiety disorder, panic disorder/agoraphobia, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder. Several neural predictors of CBT outcome for anxiety-related disorders have been proposed, but previous results are inconsistent.
Methods
We conducted a systematic review and meta-analysis of task-based functional magnetic resonance imaging (fMRI) studies investigating whole-brain predictors of CBT outcome in anxiety-related disorders (17 studies, n = 442).
Results
Across different tasks, we observed that brain response in a network of regions involved in salience and interoception processing, encompassing fronto-insular (the right inferior frontal gyrus-anterior insular cortex) and fronto-limbic (the dorsomedial prefrontal cortex-dorsal anterior cingulate cortex) cortices was strongly associated with a positive CBT outcome.
Conclusions
Our results suggest that there are robust neural predictors of CBT outcome in anxiety-related disorders that may eventually lead (probably in combination with other data) to develop personalized approaches for the treatment of these mental disorders.
Interpersonal trust is a vital element in the social functioning of our relationships with persons, groups, and organizations. In the past two decades, an increase in task-based and task-free (resting-state) functional magnetic resonance imaging (fMRI) studies have been observed that explored the neuropsychological signatures of trust. In this book chapter, we compared the commonalities and differences between task-based fMRI (tb-fMRI) and task-free fMRI (tf-fMRI) approaches for studying trust and explored how these two approaches can make unique contributions to our understanding of the psychoneurobiological underpinnings of trust. Overlapping brain regions for both approaches have been identified in large-scale domain-general networks – reward (e.g., ventral striatum), salience (e.g., anterior insula), executive-control (i.e., lateral prefrontal cortex), and default-mode (i.e., temporoparietal junction) networks – supporting the underlying motivational, affective, and cognitive aspects of trust. While task-based research investigates dominantly those brain networks in building trust over time at the group level, task-free trust research has identified those networks in predicting trust preferences at the individual level. Future research would benefit from a combination of these two approaches for a broader understanding of the driving psychoneurobiological mechanisms of trust.
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