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早年生活应激与成年前扣带回皮质及尾状核的形态测量学

Early life stress and morphometry of the adult anterior cingulate cortex and caudate nuclei.

作者信息

Cohen Ronald A, Grieve Stuart, Hoth Karin F, Paul Robert H, Sweet Lawrence, Tate David, Gunstad John, Stroud Laura, McCaffery Jeanne, Hitsman Brian, Niaura Raymond, Clark C Richard, McFarlane Alexander, Bryant Richard, Gordon Evian, Williams Leanne M

机构信息

Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA.

出版信息

Biol Psychiatry. 2006 May 15;59(10):975-82. doi: 10.1016/j.biopsych.2005.12.016. Epub 2006 Apr 17.

Abstract

BACKGROUND

Early life stress (ELS) is linked to adult psychopathology and may contribute to long-term brain alterations, as suggested by studies of women who suffered childhood sexual abuse. We examine whether reported adverse ELS defined as stressful and/or traumatic adverse childhood events (ACEs) is associated with smaller limbic and basal ganglia volumes.

METHOD

265 healthy Australian men and women without psychopathology or brain disorders were studied. ACEs were assessed by the ELSQ and current emotional state by the DASS. Anterior cingulate cortex (ACC), hippocampus, amygdala, and caudate nucleus volumes were measured from T1-weighted MRI. Analyses examined ROI volumetric associations with reported ACEs and DASS scores.

RESULTS

Participants with greater than two ACEs had smaller ACC and caudate nuclei than those without ACEs. A significant association between total ACEs and ROI volumes for these structures was observed. Regression analysis also revealed that ELS was more strongly associated than current emotional state (DASS) with these ROI volumes.

CONCLUSIONS

Reported ELS is associated with smaller ACC and caudate volumes, but not the hippocampal or amygdala volumes. The reasons for these brain effects are not entirely clear, but may reflect the influence of early stress and traumatic events on the developing brain.

摘要

背景

童年期应激(ELS)与成人精神病理学相关,并且可能导致长期的大脑改变,遭受童年期性虐待的女性的研究表明了这一点。我们研究了报告的不良ELS(定义为有压力和/或创伤性的童年不良事件(ACEs))是否与较小的边缘系统和基底神经节体积相关。

方法

对265名无精神病理学或脑部疾病的健康澳大利亚男性和女性进行了研究。通过ELSQ评估ACEs,通过DASS评估当前情绪状态。从T1加权MRI测量前扣带回皮质(ACC)、海马体、杏仁核和尾状核的体积。分析检查了感兴趣区域(ROI)体积与报告的ACEs和DASS评分之间的关联。

结果

有超过两次ACEs的参与者的ACC和尾状核比没有ACEs的参与者更小。观察到这些结构的总ACEs与ROI体积之间存在显著关联。回归分析还显示,与当前情绪状态(DASS)相比,ELS与这些ROI体积的关联更强。

结论

报告的ELS与较小的ACC和尾状核体积相关,但与海马体或杏仁核体积无关。这些大脑效应的原因尚不完全清楚,但可能反映了早期压力和创伤事件对发育中大脑的影响。

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