Resting State connectivity patterns associated with trait anxiety in adolescence

Anxiety symptoms can vary across different life stages, with a higher frequency during adolescence and early adulthood, increasing the risk of developing future anxiety disorders. To date, neuroscientific research on anxiety has primarily focused on adulthood, thus limiting our understanding of how anxiety may characterize earlier stages of life, and employing mostly univariate approaches, thus discounting large-scale alterations of the brain. One intriguing hypothesis is that adolescents with trait anxiety may display similar abnormalities shown by adults in brain regions ascribed to the Default Mode Network (DMN) associated with self-referential thinking, awareness, and rumination-related processes. The present study aims to expand our previous knowledge on this topic using a large sample of young individuals to uncover the resting-state connectivity patterns associated with trait anxiety in a network approach. To test our hypotheses, we analyzed the rs-fMRI images of 1263 adolescents (mean age 20.55 years) as well as their scores on anxiety trait. A significant association between trait anxiety and resting-state functional connectivity in two networks was found, with some regions overlapping with the Default Mode Network. The first network included regions such as the cingulate gyrus and the middle temporal gyri known to be involved in self-referential processing and emotional perception and control, both altered in anxiety disorders. The second network included the precuneus, possibly related to rumination that characterizes anxiety. Of note, the higher the trait anxiety, the lower the connectivity within both networks, suggesting abnormal self-referential processing, awareness, and emotion regulation abilities in adolescents with high anxiety trait. These findings provided a better understanding of the association between trait anxiety and brain rs-functional connectivity, and may pave the way for the development of potential biomarkers in adolescents with anxiety.