The research conducted by Ned Kalin
on anxiety and depression includes children and adults. He has found that anxious temperament
(AT), a phenotype, appears around ages 2-3; these children show behavioral
inhibition. Behavioral inhibition
is a fancy way of saying that these kids are really, really shy. Lots of kids are shy, and in fact about
50% of them, according to Kalin, grow to develop anxiety or depression
problems. Of the other 50%, some
stay anxious but it does not develop into a disorder, and the others just “grow
out of it.” Additionally, a
longitudinal study that followed children until the age of 15 or 16 revealed
that chronically low levels of AT can result in ADHD or other ‘external’
disorders.
Anxious temperament (AT) may result
from an altered prefrontal cortex.
In humans, the prefrontal cortex is the area of decision-making and
reasoning. It therefore makes
sense that anxiety could result in an altered prefrontal cortex. Those who develop anxiety
characteristically show ‘stable anxiety,’ which is a persistence of the disease
across situations and areas of life.
High levels of brain activity in the amygdala occur during stressful
situations when someone is anxious across situations.
Genetically, Kalin’s lab has found
that some SNPs can predict anxiety in children. Single Nucleotide Polymorphisms, SNPs, are changes in DNA at
a single nucleotide (A, C, G, T).
As a result there is a mismatch pair that can result in: no change to
phenotypes, a change which does not greatly affect the quality of life, or a
change that does indeed affect the quality of life.
Kalin has extended his research to
behavioral and fieldwork with chimpanzees. He has found striking parallels to humans. When a human intruder paradigm was
introduced to a young child and monkey (in separate in environments), their
responses were exactly the same.
When left to play in an area they are comfortable and happy, but when a
stranger enters the area the monkey and child freeze up, refusing to move or
make any eye contact. This
freezing behavior is characteristic of AT, therefore people who are
consistently
acting like the monkey and child (when scared), are seen as
perpetually anxious.
Monkeys who present consistent AT
also show some parallels to humans with anxiety disorders. Kalin’s research has looked at neural
circuits that underlie socialized anxiety disorder, as well as temperamental
anxiety, in humans. These same
circuits are present in chimps exhibiting high levels of AT; the circuits are
trait-like in nature, further indicating some genetic component to anxiety.
A recent article published in Scientific
American (April 2013) touches on “how over-generalization within the brain
might influence the development of anxiety disorders.” Although a different branch than
Kalin’s work, the concepts discussed do tie in. Kalin’s research has shown that many people with anxiety or
depression exhibit signs since the womb; high levels of AT make for very shy
children. Anxious temperament is,
in itself, a very general diagnosis and commonly occurs in children at low
levels. The brains of those who
develop severe, chronic anxiety may be experiencing an overgeneralization i.e.
becoming fearful across many situations, instead of in specific
situations. Even those without
chronic anxiety get nervous sometimes, but not across most situations.
The study discussed in this article,
“Neurogenesis and generalization: a new approach to stratify and treat anxiety
disorders” (Kheirbek et al., 2012), proposes that pattern separation, which
occurs in the hippocampus, can relate to anxiety, although previously thought
to relate only to memory. Pattern
separation is not difficult to understand, but an example, using PTSD, is
useful for first-time exposure to this concept: normally, if you’re walking
around downtown Chicago and hear a loud noise, maybe a car crash, you might
glance over your shoulder to detect the source of the sound, but this is not an
earth-shattering event. For people
who suffer from PTSD, this car crash could trigger memories of guns, bombs, a
home invasion, or hand-to-hand combat, sending them into an anxiety attack;
they struggle with pattern separation in this instance. This is also applicable to other
anxiety disorders, where people cannot discern between events that should truly
make them anxious, and those that should.
It is not uncommon, even for the most confident person, to become
nervous, anxious, or excited to give a presentation, but people who suffer from
anxiety may even get nervous just raising their hand in class or speaking up in
a meeting, because they generalize this to be public speaking.
This Scientific American article
goes on to describe neurological consequences of the hippocampus, focusing on
neurogenesis as a possible mechanism behind pattern separation. Neurogenesis is the generation of new
neurons, only seen in the olfactory bulb and hippocampus, so far, and is a
process that is reduced greatly by aging and stress. Therefore, those who suffer from anxiety disorders show
impaired pattern separation and sensory input, resulting in this generalization
we see that goes with anxiety. Chronic
antidepressants are one solution to improve brain plasticity.
__________________________________________________________________________
Kalin, Ned.
"Developmental Risk for Anxiety and Depression: A Translational Neuroscience Approach." University of
Wisconsin. Loyola University Chicago, Chicago, IL. 25 April 2014. Guest speaker.
Scicurious. “The
Overgeneralization of Generalized Anxiety Disorder.” Scientific American. 29 April 2013. Web. 9 April 2014.
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