June 20, 2003
Shyness In Babies Detectable By MRI Brain Amygdala Scans

Functional Magnetic Resonance (fMRI) brain scans done on adults show patterns in adult brain activity that correlate with shyness of those same people as toddlers.

A key area in the brains of people who displayed an inhibited temperament as toddlers shows a greater response to new faces than does the same brain area in adults who were uninhibited early in life, according to a study by researchers from Massachusetts General Hospital (MGH). The imaging studies of the amygdala a part of the brain that responds to events requiring extra vigilance appear in the June 20 issue of Science.

"Our findings both support the theory that differences in temperament are related to differences in amygdala function, something earlier technology could not prove, and show that the footprint of temperamental differences observed when people are younger persist and can be measured when they get older," says Carl Schwartz, MD, director of the developmental psychopathology lab in the MGH Psychiatric Neuroscience Program, the paper's first author. "In a way, this research is the neuroscientist's version of the 'Seven-Up' movies," he adds, referring to a well-known series of British documentaries that have revisited a group of people every seven years for more than 40 years.

In psychological terms, temperament refers to a stable emotional and behavioral profile that is observed in infancy and partially controlled by genetic factors. One of the most carefully studied temperamental measures relates to a child's typical response to unfamiliar people, objects and situations. It usually is described with terms such as shyness versus sociability, caution versus boldness, or withdrawal versus approach. The two extremes of this measurement define types of children called inhibited and uninhibited by Jerome Kagan, PhD, professor of Psychology at Harvard University, a co-author of the current study.

The study participants were 22 young adults who, as children, had participated in Kagan's earlier research. Thirteen of the participants had been determined to be inhibited as infants, and nine were categorized as uninhibited. In the first phase of the current study, functional MR images (fMRI) were taken while participants viewed a random series of six faces that were presented several times. In the test phase, participants viewed a larger number of faces, some of which were totally new and some that were repeated from the first phase. All of the faces that the participants viewed had expressions that were neutral and not characterized by any emotion.

While some increase in amygdala response to strange faces is normal, the inhibited participants showed a significantly greater response to the unfamiliar faces than did the uninhibited participants. Two of the inhibited participants previously had been diagnosed with the anxiety disorder social phobia, but even when their results were removed from analysis, the inhibited groups showed much greater amygdala response.

"It's been theorized that the behavioral differences that characterize inhibited and uninhibited children may relate to the amygdala's response to novelty, and our study supports that concept," says Schwartz, who is assistant professor of Psychiatry at Harvard Medical School. "This was a modest study that needs to be confirmed in a larger population, something we are hoping to receive the resources to carry out."

The researchers also note that the current findings could complicate the interpretation of psychiatric imaging studies. Schwartz notes, "There are many imaging studies that have compared people with anxiety disorders such as panic disorder and social phobia to normal controls and found increased amygdalar activity.

While the conventional interpretation of such studies is to regard these differences as markers of the illness, our results suggest that this brain activity may in fact be a marker for the continued influence of temperamental risk factors persisting from infancy."

"These findings may reflect a difference in vulnerability that can be compensated for or exacerbated by environment and experience," says Scott Rauch, MD, MGH director of psychiatric neuroimaging, another co-author of the Science paper.

Two year old babies already have distinct recognizeable differences in their reactions to new situations.

"Inhibited children in the second year of life don't like novelty, don't like unknown situations," Schwartz said in a telephone interview. "It is broader than shyness ... It is about being more vigilant about things that are new

The differences in the temperament of babies are easily observable.

"A grad student made a little R2D2 robot," Schwartz said. "The uninhibited toddlers would walk up and poke the robot in the eye and say 'duh.' The inhibited child would freeze or even run to his mother."

There are long term behavior differences between inhibited and uninhibited children.

These temperaments are widely thought to be inborn, and each carries risks. Uninhibited children can become aggressive and antisocial in adolescence and adulthood, while inhibited children are more prone to anxiety disorders.

Anxiety is more common among inhibited people.

The findings may help to start sorting out the nature-versus-nurture debate. About one-third of "inhibited" children end up with social anxiety disorder, versus only 9 percent of "uninhibited" ones.

If these differences in temperament which are evident from such an early age are at least partially genetically based then eventually it will become possible to do genetic engineering to create babies with different temperaments.

Early amygdala differences persist for decades.

Dr Schwartz said: "It's been theorised that the behavioural differences that characterise inhibited and uninhibited children may relate to the amygdala's response to novelty, and our study supports that concept. Now we're suggesting that the same link continues through life. We found that individual differences in temperament are associated with persistent differences in the response of the amygdala after more than 20 years of development and life experience."

Share |      Randall Parker, 2003 June 20 11:31 AM  Brain Development

TRAUBE Raymond said at October 18, 2003 3:20 PM:

hello. I'm a swiss child psychiatrist.
People will ask me in a public conference on OCD next week :
and about phobia ? whyare they so fewer neuro evidences (MRI, genetics, serotonine...) ?
Could you maybe send me some bibliography ?
Thank you already for your attention,
sinc. yrs

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