The gray matter morphology associated with the electrophysiological response to errors in individuals with high trait anxiety

Enhanced error monitoring has been associated with higher levels of anxiety. This has been consistently demonstrated in its most reliable electrophysiological index, the error-related negativity (ERN), such that increased ERN is related with elevated anxiety symptomology. However, it is still unclear whether the structural properties of the brain are associated with individual differences in ERN amplitude. Moreover, the relationship between ERN and anxiety has recently been suggested to be moderated by sex, but the degree to which sex moderates the association between brain structure and ERN amplitude is unknown. The present study investigated the association between gray matter volume (GMV) and ERN amplitude in individuals with high trait anxiety (N = 98) as well as the role of sex in moderating this association. The ERN was elicited from a flanker task, whereas structural MRI images were obtained from whole brain structural T1-weighted MRI scans. The results of voxel-based morphometry analyses showed that the relationship between ERN difference scores and GMV was moderated by sex in the dorsal anterior cingulate cortex (dACC). This sex difference was derived from a negative correlation between ERN difference scores and dACC GMV in females and a positive correlation in males. Our findings are in accordance with the critical role of the dACC serving as a neural substrate of error monitoring. It also provides further evidence for sex-specific associations with brain structures related to error monitoring.