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创伤后应激障碍中的述情障碍:心理测量与功能磁共振成像研究

Alexithymia in PTSD: psychometric and FMRI studies.

作者信息

Frewen Paul A, Pain Claire, Dozois David J A, Lanius Ruth A

机构信息

London Health Sciences Centre, 339 Windermere Road, PO Box 5339, London, Ontario, Canada, N6A 5A5.

出版信息

Ann N Y Acad Sci. 2006 Jul;1071:397-400. doi: 10.1196/annals.1364.029.

DOI:10.1196/annals.1364.029
PMID:16891585
Abstract

Two studies examined correlates of alexithymia in posttraumatic stress disorder (PTSD). In study 1 (n = 77 individuals with PTSD and 45 controls) Toronto alexithymia scale (TAS-20) scores were positively correlated with PTSD symptoms, dissociation, and childhood abuse and neglect. In study 2, TAS-20 scores were examined as correlates of functional magnetic resonance imaging (fMRI) blood oxygen level dependent (BOLD) response to trauma script imagery. In 16 controls, TAS-20 scores correlated positively with response in medial prefrontal cortex (mPFC), and negatively with response in anterior cingulate cortex (ACC) and thalamus. In 26 individuals with PTSD, TAS-20 scores correlated positively with response in insula, posterior cingulate cortex (PCC), and thalamus, and negatively with response in ACC.

摘要

两项研究探讨了创伤后应激障碍(PTSD)中述情障碍的相关因素。在研究1(77名PTSD患者和45名对照)中,多伦多述情障碍量表(TAS-20)得分与PTSD症状、解离以及童年期虐待和忽视呈正相关。在研究2中,TAS-20得分被作为功能磁共振成像(fMRI)对创伤脚本意象的血氧水平依赖(BOLD)反应的相关因素进行研究。在16名对照中,TAS-20得分与内侧前额叶皮质(mPFC)的反应呈正相关,与前扣带回皮质(ACC)和丘脑的反应呈负相关。在26名PTSD患者中,TAS-20得分与脑岛、后扣带回皮质(PCC)和丘脑的反应呈正相关,与ACC的反应呈负相关。

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