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The embarrassed brain : towards a neurobiology of generalized socal anxiety disorder Veen, J.F. van

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The embarrassed brain : towards a neurobiology of generalized socal anxiety disorder

Veen, J.F. van

Citation

Veen, J. F. van. (2010, October 28). The embarrassed brain : towards a neurobiology of generalized socal anxiety disorder. Retrieved from https://hdl.handle.net/1887/16086

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/16086

Note: To cite this publication please use the final published version (if

applicable).

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THE EMBARRASSED BRAIN

Towards a neurobiology of generalized social anxiety disorder

Frederieke van Veen

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Frederieke van Veen

THE EMBARRASSED BRAIN

Fotography cover: Froukje van der Zanden - Alba Fotografie

Print and design: GVO drukkers & vormgevers B.V. | Ponsen & Looijen, Ede, The Netherlands The studies in chapter 5, 6 and 7 were financed by ZonMw, The Hague, The Netherlands.

Printing of this thesis was financially supported by GGZ Leiden (Rivierduinen Mental Health Center), MSD, Janssen-Cilag B.V., Lundbeck B.V., Eli Lilly Nederland B.V., Servier Nederland Farma B.V., and Pfizer B.V.

© 2010 J.F. van Veen, Leiden, The Netherlands

CU-COC-805712 D-02

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THE EMBARRASSED BRAIN

Towards a neurobiology of generalized social anxiety disorder

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op donderdag 28 oktober 2010

klokke 16.15 uur

door

Jantien Frederieke van Veen geboren te Utrecht

in 1974

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Promotiecommissie

Promotor: Prof. dr. F.G. Zitman Copromotores: Dr. I.M. van Vliet

Dr. R.H. De Rijk

Overige leden: Prof. dr. E.R. de Kloet

Prof. dr. J.M.A. van Gerven

Prof. dr. P.M. Westenberg

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Voor Rachel en Sofie

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Contents

CHAPTER 1

Introduction ... 9

CHAPTER 2 Behavioural effects of rapid intravenous administration of meta-chlorophenylpiperazine (m-CPP) in patients with generalized social anxiety disorder, panic disorder and healthy controls ... 21

CHAPTER 3 Increased serotonin and dopamine transporter binding in psychotropic medication-naive patients with generalized social anxiety disorder shown by 123I-ß-(4-iodophenyl)-tropane SPECT... 33

CHAPTER 4 Mirtazapine in social anxiety disorder: a pilot study ... 49

CHAPTER 5 Elevated alpha-amylase but not cortisol in generalized social anxiety disorder ... 57

CHAPTER 6 Tryptophan depletion affects the autonomic stress response in generalized social anxiety disorder ... 73

CHAPTER 7 The effects of female reproductive hormones in generalized social anxiety disorder ... 83

CHAPTER 8 Summary and discussion ... 95

CHAPTER 9 Nederlandse samenvatting en discussie ...111

Dankwoord ...118

List of Publications ...120

Curriculum Vitae ...121

Abbreviations ...122

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