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Published Online:

15 Mar 2026

Accepted:

6 Mar 2026

Received:

10 Jan 2026

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Original Research

A multiscale psychopathological-psychophysiological nexus in anxiety-related pathways

Lleuvelyn A. Cacha and Roman R. Poznanski

Abstract


This review explores the intricate psychopathological and psychophysiological connections underlying anxiety-related behavior through a multiscale neuroscience perspective. Anxiety is conceptualized as arising from dynamic interactions among neural circuits, metabolic processes, and neuroendocrine systems that regulate stress and threat responses in both adaptive and maladaptive manners, thereby influencing vulnerability to psychopathology. Central to this framework is the bidirectional coupling of hypothalamic–pituitary–adrenal (HPA) axis activity with amygdala–hippocampal circuitry within forebrain threat-processing pathways, alongside modulation by the behavioral inhibition system. Dysregulation across these interacting systems provides a mechanistic foundation for the cognitive and behavioral manifestations of anxiety-related disorders. Keywords:psychopathology, psychophysiology, amygdala, anxiety disorder, emotional disorders, regulation, fear responses, stress hormones, motivational system, behavioral inhibition system 


How to Cite this Article:

Lleuvelyn A. Cacha & Roman R. Poznanski (2026). A multiscale psychopathological-psychophysiological nexus in anxiety-related pathways. Journal of Multiscale Neuroscience 5(1), 1-11 https://doi.org/10.56280/1737108892 



Conflict of Interest: 

The authors declare no conflict of interest 


Copyright: 

© 2026 The Author(s). Published by Neural Press. This is an open access article distributed under the terms and conditions of the CC BY 4.0 license. 


Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, Neural Press™ or the editors, and the reviewers. Any product that may be evaluated in this article, or claim that made by its manufacturer, is not guaranteed or endorsed by the publisher. 


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