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Brain functional connectivity and anatomical features as predictors of cognitive behavioral therapy outcome for anxiety in youths
by
Lewis, Krystal M.
, Zugman, Andre
, Berman, Erin
, Winkler, Anderson M.
, Lebowitz, Eli R.
, Pine, Daniel S.
, Ringlein, Grace V.
, Finn, Emily S.
, Silverman, Wendy K.
in
Adolescent
/ Adults
/ Alternative approaches
/ Anatomy
/ Anxiety
/ Anxiety disorders
/ Anxiety Disorders - diagnostic imaging
/ Anxiety Disorders - physiopathology
/ Anxiety Disorders - therapy
/ Brain
/ Brain - diagnostic imaging
/ Brain - physiopathology
/ Chi-square test
/ Child
/ Clinical outcomes
/ Clinical trials
/ Cognition
/ Cognition & reasoning
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Cognitive-behavioral factors
/ Connectome - methods
/ Coping
/ Datasets
/ Disorders
/ Fear & phobias
/ Female
/ Functional connectivity
/ Functional magnetic resonance imaging
/ Generalized anxiety disorder
/ Humans
/ Magnetic Resonance Imaging
/ Male
/ Medical diagnosis
/ Medical treatment
/ Neural networks
/ Neuroimaging
/ Original
/ Original Article
/ Panic attacks
/ Pediatrics
/ Prediction models
/ Psychotherapy
/ Resting
/ Separation anxiety
/ Structure-function relationships
/ Substance abuse treatment
/ Treatment Outcome
/ Treatment outcomes
2025
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Brain functional connectivity and anatomical features as predictors of cognitive behavioral therapy outcome for anxiety in youths
by
Lewis, Krystal M.
, Zugman, Andre
, Berman, Erin
, Winkler, Anderson M.
, Lebowitz, Eli R.
, Pine, Daniel S.
, Ringlein, Grace V.
, Finn, Emily S.
, Silverman, Wendy K.
in
Adolescent
/ Adults
/ Alternative approaches
/ Anatomy
/ Anxiety
/ Anxiety disorders
/ Anxiety Disorders - diagnostic imaging
/ Anxiety Disorders - physiopathology
/ Anxiety Disorders - therapy
/ Brain
/ Brain - diagnostic imaging
/ Brain - physiopathology
/ Chi-square test
/ Child
/ Clinical outcomes
/ Clinical trials
/ Cognition
/ Cognition & reasoning
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Cognitive-behavioral factors
/ Connectome - methods
/ Coping
/ Datasets
/ Disorders
/ Fear & phobias
/ Female
/ Functional connectivity
/ Functional magnetic resonance imaging
/ Generalized anxiety disorder
/ Humans
/ Magnetic Resonance Imaging
/ Male
/ Medical diagnosis
/ Medical treatment
/ Neural networks
/ Neuroimaging
/ Original
/ Original Article
/ Panic attacks
/ Pediatrics
/ Prediction models
/ Psychotherapy
/ Resting
/ Separation anxiety
/ Structure-function relationships
/ Substance abuse treatment
/ Treatment Outcome
/ Treatment outcomes
2025
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Brain functional connectivity and anatomical features as predictors of cognitive behavioral therapy outcome for anxiety in youths
by
Lewis, Krystal M.
, Zugman, Andre
, Berman, Erin
, Winkler, Anderson M.
, Lebowitz, Eli R.
, Pine, Daniel S.
, Ringlein, Grace V.
, Finn, Emily S.
, Silverman, Wendy K.
in
Adolescent
/ Adults
/ Alternative approaches
/ Anatomy
/ Anxiety
/ Anxiety disorders
/ Anxiety Disorders - diagnostic imaging
/ Anxiety Disorders - physiopathology
/ Anxiety Disorders - therapy
/ Brain
/ Brain - diagnostic imaging
/ Brain - physiopathology
/ Chi-square test
/ Child
/ Clinical outcomes
/ Clinical trials
/ Cognition
/ Cognition & reasoning
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Cognitive-behavioral factors
/ Connectome - methods
/ Coping
/ Datasets
/ Disorders
/ Fear & phobias
/ Female
/ Functional connectivity
/ Functional magnetic resonance imaging
/ Generalized anxiety disorder
/ Humans
/ Magnetic Resonance Imaging
/ Male
/ Medical diagnosis
/ Medical treatment
/ Neural networks
/ Neuroimaging
/ Original
/ Original Article
/ Panic attacks
/ Pediatrics
/ Prediction models
/ Psychotherapy
/ Resting
/ Separation anxiety
/ Structure-function relationships
/ Substance abuse treatment
/ Treatment Outcome
/ Treatment outcomes
2025
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Brain functional connectivity and anatomical features as predictors of cognitive behavioral therapy outcome for anxiety in youths
Journal Article
Brain functional connectivity and anatomical features as predictors of cognitive behavioral therapy outcome for anxiety in youths
2025
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Overview
Because pediatric anxiety disorders precede the onset of many other problems, successful prediction of response to the first-line treatment, cognitive-behavioral therapy (CBT), could have a major impact. This study evaluates whether structural and resting-state functional magnetic resonance imaging can predict post-CBT anxiety symptoms.
Two datasets were studied: (A) one consisted of
= 54 subjects with an anxiety diagnosis, who received 12 weeks of CBT, and (B) one consisted of
= 15 subjects treated for 8 weeks. Connectome predictive modeling (CPM) was used to predict treatment response, as assessed with the PARS. The main analysis included network edges positively correlated with treatment outcome and age, sex, and baseline anxiety severity as predictors. Results from alternative models and analyses are also presented. Model assessments utilized 1000 bootstraps, resulting in a 95% CI for
,
, and mean absolute error (MAE).
The main model showed a MAE of approximately 3.5 (95% CI: [3.1-3.8]) points, an
of 0.08 [-0.14-0.26], and an
of 0.38 [0.24-0.511]. When testing this model in the left-out sample (B), the results were similar, with an MAE of 3.4 [2.8-4.7],
-0.65 [-2.29-0.16], and
of 0.4 [0.24-0.54]. The anatomical metrics showed a similar pattern, where models rendered overall low
.
The analysis showed that models based on earlier promising results failed to predict clinical outcomes. Despite the small sample size, this study does not support the extensive use of CPM to predict outcomes in pediatric anxiety.
Publisher
Cambridge University Press
Subject
/ Adults
/ Anatomy
/ Anxiety
/ Anxiety Disorders - diagnostic imaging
/ Anxiety Disorders - physiopathology
/ Brain
/ Child
/ Cognitive behavioral therapy
/ Cognitive Behavioral Therapy - methods
/ Cognitive-behavioral factors
/ Coping
/ Datasets
/ Female
/ Functional magnetic resonance imaging
/ Generalized anxiety disorder
/ Humans
/ Male
/ Original
/ Resting
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