A Short Note on Psychiatric Disorder is Social Anxiety Disorder (SAD)

Journal of Health & Medical Informatics

ISSN: 2157-7420

Open Access

Commentary - (2022) Volume 13, Issue 12

A Short Note on Psychiatric Disorder is Social Anxiety Disorder (SAD)

Reshma Khatoon*
*Correspondence: Reshma Khatoon, Department of Medicine & Advanced Technology, Seoul National University Hospital, Seoul, Korea, Email:
Department of Medicine & Advanced Technology, Seoul National University Hospital, Seoul, Korea

Received: 03-Dec-2022, Manuscript No. jhmi-23-88766; Editor assigned: 05-Dec-2022, Pre QC No. P-88766; Reviewed: 16-Dec-2022, QC No. Q-88766; Revised: 22-Dec-2022, Manuscript No. R-88766; Published: 30-Dec-2022 , DOI: 10.37421/2157-7420.2022.13.454
Citation: Khatoon, Reshma. “A Short Note on Psychiatric Disorder is Social Anxiety Disorder (SAD).” J Health Med Informat 13 (2022): 454.
Copyright: © 2022 Khatoon R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Social Nervousness Problem (Miserable) is the fourth most common mental problem after significant burdensome issue, explicit fears, and liquor use jumble. It has an impact on between 1.61 and 12.1% of people worldwide at some point in their lives. This illness causes a great deal of impairment in many aspects of a person's life because sufferers have a strong fear of social situations and avoidance of them. New treatments are needed because only about 30% of those treated recover completely from SAD symptoms. Anatomical regions involved in "fear neurocircuitry" have been linked to SAD, even though the disease processes are unknown. The main parts of fear neurocircuitry are the thalamocortical, corticocortical, and corticostriatal circuits. Multiple feedforward, feedback inhibition, and disinhibition mechanisms involving numerous GABAergic inhibitory neurons control Glu neurotransmission [1].


Through their essential tactile source, the thalamus and Locus Coeruleus (LC) direct the majority of tangible improvements to various cortical regions. Numerous connections exist within the cortical regions as well as between the cortex and subcortical regions, allowing for the evaluation and comprehension of actual advancements and the production of the appropriate behavior response. The amygdala possesses all of the characteristics of a key participant in the limbic framework's "dread neurocircuitry." The overactivity of the amygdala and insula in neurotic states like SAD may cause "error" of questionable upgrades as a risk. In SAD, the insula also appears to be a crucial substrate of the brain. This substrate may "over interpret" recognizable body sensations as stress reactions, which may optionally initiate an instinctive reaction via the periaqueductal dim (PAG) and nerve center. Additionally, the dorsomedial prefrontal cortex (dmPFC) and the dorsal anterior cingulate cortex (dACC) may contribute to the "distortion" of doubtful tangible signs as undermining. The brain contributions to the rostral anterior cingulate cortex (rACC), ventromedial prefrontal cortex (vmPFC), and orbitofrontal cortex (OFC) may not provide the amygdala with sufficient inhibitory contributions from the dACC and dmPFC. Finally, hyperactivity in the striatum's putamen and caudate core also contributes to the "dread neurocircuitry." Recently, avoidant behaviors, which are frequently displayed by individuals with SAD, were linked to the outcomes of the hyperactivity around there.

Proton Magnetic Resonance Spectroscopy, also known as 1H MRS, is an ionizing, painless, and radiation-free imaging technique. It provides information on appealing reverberation signals emanating from protons in various atoms' hydrogen cores. The centralizations of neurometabolites that occur as a result of physiological cycles and typical substance digestion systems can be analyzed using 1H MRS signals. In this way, abnormalities in these neurometabolites could point to unusual disease instruments like neurons and glial cells that are common in mental or neurological disorders. N-acetylaspartate (NAA), total creatine (tCr), complete choline (tCho), myo-inositol (mI), Glu, glutamine (Gln), glutamate + glutamine (Glx), and -aminobutyric acid (GABA) are among the neurochemicals that are the focus of 1H MRS. Neurons and glial cells are particularly affected by dysregulation of these metabolites [2-4].

The eight 1H MRS concentrates examined in this article suggest that members with SAD have provincial irregularities in "dread neurocircuitry." The thalamus, dmPFC, insula, ACC, dlPFC, and subcortical regions that include the caudate and putamen are among the ensnared locations. NAA, tCho, tCr, mI, GABA, Glu, and Gln all underwent alterations. The evidence from the eight studies focuses on the pathophysiological instruments, such as damage to neurons and glial cells, despite a few segments, specialized, and test size limitations. Damage to cells may have occurred as a result of impairments in mitochondrial function, perturbations in ATP production, macromolecules essential for maintaining cell layers, enhancements in G-protein-coupled second courier frameworks, and awkwardness in Glu-Gln and Glu-GABA cycling [5].


The evidence also supports the need for additional 1H MRS tests because it suggests that oxidative pressure and glycolysis may also play a role in the pathogenesis of SAD. The investigations into Glu, Gln, and GABA also ensnare the lopsided characteristics found in "dread neurocircuitry." However, the commitments of various metabolites, such as NAA, Cho, Cr, and mI, to the E/I awkward nature ought to be focused from this point forward. The results of this survey are likely to be confirmed by additional cross-sectional studies with adequate sample sizes, such as studies focusing on the effects of SAD on GABA, Glu/Gln, lactate and GSH, taurine, or ascorbate. Longitudinal spectroscopic investigations into the effects of pharmacological medicines on changes in neurochemicals and subatomic components of SAD pathogenesis can also benefit future research.



Conflict of Interest

The authors declare that there is no conflict of interest associated with this manuscript


  1. Kessler, Ronald C, Patricia Berglund, Olga Demler and Robert Jin. “Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication.” Arch Gen Psychiatry 62 (2005): 593–602.
  2. Google Scholar, Crossref, Indexed at

  3. Stein, Dan J, Carmen C W Lim, Annelieke M Roest and Peter de Jonge. “The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative.” BMC Med 15 (2017): 143.
  4. Google Scholar, Crossref, Indexed at

  5. Leichsenring, Falk, and Frank Leweke. “Social Anxiety Disorder.” N Engl J Med 376 (2017): 2255–2264.
  6. Google Scholar, Crossref, Indexed at

  7. Yang, Ying, and Jian-Zhi Wang. “From structure to behavior in basolateral amygdala-hippocampus circuits.” Front Neural Circuits 11 (2017): 86.
  8. Google Scholar, Crossref, Indexed at

  9. Zhang, Handi, Gen Yan, Haiyun Xu and Zeman Fang. “The recovery trajectory of adolescent social defeat stress-induced behavioral, (1)H-MRS metabolites and myelin changes in Balb/c mice.” Sci Rep 6 (2016): 27906.
  10. Google Scholar, Crossref, Indexed at

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