UNIVERSITY OF ILLINOIS AT CHICAGO Department of Psychiatry Fifth Annual Research Forum – Extravaganza 2014 POSTER TITLE Effects of Depressive Symptoms and Developmental Changes on Electrocortical Reactivity to Emotional Faces in Youth Anxiety Disorders DISEASE/KEY WORDS: Anxiety, depression, development, event-related potentials AUTHORS: Autumn Kujawa, M.A. K. Luan Phan, M.D. MENTEE CATEGORY: Psychology Intern RESEARCH MENTOR: Luan Phan BACKGROUND: METHODS: RESULTS: There has been growing interest in identifying core neural dimensions that contribute to mood and anxiety disorders across development. Despite high comorbidity between depression and anxiety, these disorders may be associated with relatively distinct patterns of emotional processing. For example, anxiety has consistently been associated with attention biases toward threatening faces, while depression has been linked with blunted responding to emotional faces. Event-related potential (ERP) measures may be useful biomarkers of internalizing disorders, as they are relatively inexpensive and easy to administer across development. In particular, the late positive potential (LPP) is an ERP component that reflects sustained processing of emotional information and appears to be impaired in both depression and anxiety. However, most of this work has focused on adults, and has not systematically examined unique effects of depressive and anxiety symptoms. In the current study, we measured the LPP in response to emotional faces (angry, fearful, happy) and shapes among a sample of youth (age 7-19) with current anxiety disorders (n=54) and no history of psychopathology (n=38). We evaluated group differences, as well as effects of self-reported depressive symptoms and age on the LPP to emotional faces. Youth with anxiety disorders exhibited enhanced LPPs to angry and fearful faces compared to healthy controls, and higher depressive symptoms were associated with reduced LPPs to angry faces across both groups. Older youth exhibited smaller LPPs to all emotional faces. UNIVERSITY OF ILLINOIS AT CHICAGO Department of Psychiatry CONCLUSIONS: Results suggest that anxiety disorders in youth are characterized by enhanced attention towards and reactivity to social threat. Importantly, however, depressive symptoms were associated with blunted reactivity to threatening faces. Despite high comorbidity between these conditions, anxiety and depressive symptoms appear to be associated with distinct effects on the LPP in youth, raising the need for assessment and targeted intervention to address core dimensions underlying symptoms. In addition, these results highlight the importance of accounting for symptoms of depression and anxiety, as well as developmental changes, when examining biomarkers.