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家庭暴力罪犯对威胁刺激的高反应性:一项功能磁共振成像研究。

Hyperresponsivity to threat stimuli in domestic violence offenders: a functional magnetic resonance imaging study.

作者信息

Lee Tatia M C, Chan Siu-Ching, Raine Adrian

机构信息

Laboratory of Neuropsychology, University of Hong Kong, China .

出版信息

J Clin Psychiatry. 2009 Jan;70(1):36-45. doi: 10.4088/jcp.08m04143. Epub 2009 Jan 13.

Abstract

OBJECTIVE

While spouse abuse research has almost exclusively adopted a social perspective, an increasing body of imaging research is documenting neural contributions to violence.

METHOD

To test the hypothesis that wife batterers are hyperresponsive to threatening stimuli, echo-planar functional magnetic resonance imaging was employed to assess brain function of 10 male batterers and 13 male matched controls during viewing of 4 types of visual stimuli: neutral, positive affect, aggressive-threat, and aggression against women. The study was conducted from September 2005 to August 2006.

RESULTS

Compared to controls, batterers showed significantly higher neural hyperresponsivity to the threat stimuli in the hippocampus, fusiform gyrus, posterior cingulate gyrus, thalamus, and occipital cortex (p < .001). To a lesser extent, they also showed increased activation to the aggression against women stimuli, particularly in the precuneus bilaterally (p < .001), and also increased activation to positive affect stimuli in right hemisphere orbitofrontal, anterior cingulate, and inferior parietal cortical regions (p < .001).

CONCLUSIONS

Findings indicate an affect-processing abnormality in wife batterers and suggest that hypersensitivity to mildly threatening affective provocations by their spouses may represent a neurobiological predisposition to spouse abuse in some men.

摘要

目的

虽然配偶虐待研究几乎完全采用社会视角,但越来越多的影像学研究正在记录暴力行为的神经学影响因素。

方法

为了验证妻子施暴者对威胁性刺激反应过度这一假设,采用回波平面功能磁共振成像技术,在10名男性施暴者和13名与之匹配的男性对照者观看4种视觉刺激(中性、积极情感、攻击性威胁以及针对女性的攻击行为)时评估其脑功能。该研究于2005年9月至2006年8月进行。

结果

与对照组相比,施暴者在海马体、梭状回、后扣带回、丘脑和枕叶皮质对威胁性刺激表现出显著更高的神经反应过度(p < 0.001)。在较小程度上,他们对针对女性的攻击行为刺激也表现出激活增加,特别是双侧楔前叶(p < 0.001),并且对右侧半球眶额、前扣带回和顶下皮质区域的积极情感刺激的激活也增加(p < 0.001)。

结论

研究结果表明妻子施暴者存在情感加工异常,并表明对配偶轻度威胁性情感挑衅的超敏反应可能代表了一些男性配偶虐待的神经生物学易感性。

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