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来自酗酒高风险家庭的青少年和青年后代的右侧杏仁核体积。

Right amygdala volume in adolescent and young adult offspring from families at high risk for developing alcoholism.

作者信息

Hill S Y, De Bellis M D, Keshavan M S, Lowers L, Shen S, Hall J, Pitts T

机构信息

Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

出版信息

Biol Psychiatry. 2001 Jun 1;49(11):894-905. doi: 10.1016/s0006-3223(01)01088-5.

Abstract

BACKGROUND

Neurobiological factors have been implicated in the increased susceptibility for developing alcohol dependence that offspring from alcoholic families exhibit. The P300 component of the event-related potential shows developmental changes during childhood and adolescence that appear to be related to risk status. The underlying structural changes that accompany these neurophysiological changes are not well understood.

METHODS

Magnetic resonance imaging was used to measure cerebral, amygdala, and hippocampal volumes in 17 high-risk adolescent and young adult offspring from multiplex alcoholism families and 17 age-, gender-, and IQ-matched control subjects without a family history for alcoholism or other substance dependence. Twenty-two of the subjects are part of a longitudinal prospective study and have been followed an average of 7.3 years, making it possible to relate P300 developmental trajectories to structural volumes.

RESULTS

High-risk adolescents and young adults showed reduced right amygdala volume in comparison with control subjects. Right amygdala volume was significantly correlated with visual P300 amplitude.

CONCLUSIONS

Offspring from families having a high density of alcoholism differ in both neurophysiological and neuroanatomical characteristics that could not be explained by personal drinking history or particular childhood and adolescent psychopathology. Because the amygdala tends to increase in volume during childhood and adolescence, smaller volumes in high-risk children may indicate a developmental delay that parallels delays seen in visual P300 amplitude.

摘要

背景

神经生物学因素与酗酒家庭后代患酒精依赖易感性增加有关。事件相关电位的P300成分在儿童期和青少年期呈现出发育变化,这似乎与风险状态有关。伴随这些神经生理变化的潜在结构变化尚不清楚。

方法

利用磁共振成像测量了17名来自多重酗酒家庭的高危青少年和青年后代以及17名年龄、性别和智商匹配的无酗酒或其他物质依赖家族史的对照受试者的脑、杏仁核和海马体积。其中22名受试者是一项纵向前瞻性研究的一部分,平均随访了7.3年,这使得将P300发育轨迹与结构体积联系起来成为可能。

结果

与对照受试者相比,高危青少年和青年的右侧杏仁核体积减小。右侧杏仁核体积与视觉P300波幅显著相关。

结论

酗酒密度高的家庭的后代在神经生理和神经解剖特征上存在差异,这些差异无法用个人饮酒史或特定的儿童期和青少年期精神病理学来解释。由于杏仁核在儿童期和青少年期体积往往会增加,高危儿童较小的体积可能表明发育延迟,这与视觉P300波幅的延迟相似。

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