Risk factors from nature (e.g., a person’s genetic makeup) interact with environmental factors to form the brain circuitry during development – later in life, additional elements from nature and nurture further modify the brain circuitry and behaviour, which may ultimately lead to the development of an anxiety disorder in some people. This slide deck introduces the neurobiology of fear and anxiety responses, early adversity and anxiety disorders, threat conditioning and fear learning, neuroimaging insights into anxiety disorders, genetics and anxiety disorders, and more. 

This slide deck was developed by Prof. Iiris Hovatta, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland, and Prof. Dr. Katharina Domschke, MA, MD, PhD, Full Professor and Chair of the Dept. of Psychiatry and Psychotherapy, University of Freiburg, Germany, and Adjunct Professor at the Medical University Vienna, Austria, in collaboration with Cambridge (a division of Prime, Cambridge, UK). 

Index for
slide deck

Introduction

Neurobiology and aetiology
Neurobiology and aetiology
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Fear and anxiety responses

Fear and anxiety responses
Fear and anxiety responses
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The aetiology of fear and anxiety
The aetiology of fear and anxiety

Components of the brain’s threat circuitry – including the hippocampus, stria terminalis and its bed nucleus, amygdala, and frontal regions including the medial prefrontal cortex and insula – all interact depending on the nature and proximity of perceived threats to produ…

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The smoke detector principle
The smoke detector principle

The smoke detector principle describes the difference between different types of errors and their potential ramifications.1 If the consequences of non-detection of an actual danger are serious, then it is safer to mistakenly identify non-threats even occasionally than it …

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Nature versus nurture
Nature versus nurture

Elements of both nature and nurture are thought to interact in the development of psychiatric disorders such as anxiety disorders.3 Whilst data from epidemiological studies strongly implicates certain genes, evidence from more detailed molecular genetic studies has been l…

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Early adversity and anxiety disorders

Early adversity and anxiety disorders
Early adversity and anxiety disorders
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Early adversity and anxiety disorders
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Childhood adversity and anxiety disorders
Childhood adversity and anxiety disorders

Various forms of childhood adversity were linked to the development of anxiety disorders in this analysis of the Netherlands Study of Depression and Anxiety cohort.1

Reference:

  1. Kuzminskaite E, Penninx BWJH, van Harmelen AL, et al. Childhood trauma in adult depressive and…
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Childhood adversity and anxiety disorders
Childhood adversity and anxiety disorders

More than individually contributing to the development of anxiety disorders, this study concluded that different forms of childhood adversity had independent and additive contributions to the risk of developing anxiety later in life.1 An interesting question that remains …

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Threat conditioning and fear learning

Threat conditioning and fear learning
Threat conditioning and fear learning
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Learning theory: basic forms of learning
Learning theory: basic forms of learning
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Behavioural principles: classical conditioning
Behavioural principles: classical conditioning

The slide shows the now-classic experiments that Pavlov performed on dogs to demonstrate the ideas of conditioning.1,2 By pairing a bell with repeated exposure to food, the conditioned dogs would then salivate on hearing the bell, expecting the food.1,2

References:

  1. Yerke…
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The curve of acquisition, extinction, and spontaneous recovery
The curve of acquisition, extinction, and spontaneous recovery

The rising curve in the graph on the slide represents the conditioned response becoming stronger through repeated association of the conditioned stimulus and the unconditioned stimulus, after which the strength weakens during the extinction phase when only the conditioned…

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Threat conditioning and anxiety
Threat conditioning and anxiety

Our understanding of the fear and defence circuitry of the brain primarily comes from animal studies, which allow partial translation of this research to humans.1,2

References:

  1. Duits P, Cath DC, Lissek S, et al. Updated meta-analysis of classical fear conditioning in the…
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