A Diagnostic Biomarker for Pediatric Generalized Anxiety Disorder Using the Error-Related Negativity

被引:16
作者
Hanna, Gregory L. [1 ]
Liu, Yanni [1 ]
Rough, Haley E. [1 ]
Surapaneni, Mihir [1 ]
Hanna, Barbara S. [1 ]
Arnold, Paul D. [2 ]
Gehring, William J. [3 ]
机构
[1] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
[2] Univ Calgary, Mathison Ctr Mental Hlth Res & Educ, Calgary, AB T2N 4N1, Canada
[3] Univ Michigan, Dept Psychol, 4250 Plymouth Rd, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
Anxiety; Biomarker; Diagnosis; Error-related negativity; Pediatric; Receiver operating characteristic analysis; OBSESSIVE-COMPULSIVE DISORDER; FRONTAL MIDLINE THETA; BRAIN ACTIVITY; CHILDREN; ERN; YOUTH; ADOLESCENTS; PREVALENCE; BEHAVIORS; SYSTEM;
D O I
10.1007/s10578-020-01021-5
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
The error-related negativity (ERN) is a negative deflection in the event-related potential following a mistake that is a putative biomarker of anxiety. The study assessed the ERN as a diagnostic biomarker using receiver operating characteristic (ROC) analyses in 96 cases with anxiety disorders (AD) and 96 matched healthy controls (HC) ages 8 to 18 years. Forty-one cases had generalized anxiety disorder (GAD); 55 cases had other anxiety disorders (OAD) without GAD. ERN amplitude was significantly increased in AD cases compared to HC. The area under the curve (AUC) in the ROC analysis was 0.64, indicating the ERN is an inadequate diagnostic test for AD altogether. The ERN was significantly increased in cases with either GAD or OAD compared to HC. The AUC in ROC analyses with GAD and OAD was 0.75 and 0.56, respectively, suggesting the ERN provides an adequate diagnostic test for GAD but not for OAD.
引用
收藏
页码:827 / 838
页数:12
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