Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Neuroimage. 2011 Jan;54 Suppl 1:S280-6. doi: 10.1016/j.neuroimage.2010.05.027. Epub 2010 May 17.
Exposure to parental verbal aggression (PVA) during childhood increases risk for the development of psychopathology, particularly mood and anxiety disorders. Other forms of childhood abuse have been found to be associated with alterations in brain structure. The aim of this study was to ascertain whether exposure to PVA was associated with discernible effects on brain morphology.
Optimized voxel-based morphometry was performed on 21 unmedicated, right-handed subjects (18-25 years) with histories of PVA and 19 psychiatrically healthy controls of comparable age and gender. Group differences in gray matter volume (GMV)--covaried by age, gender, parental education, financial stress, and total GMV--were assessed using high-resolution, T1-weighted, volumetric MRI data sets (Siemens 3T trio scanner).
GMV was increased by 14.1% in the left superior temporal gyrus (STG, BA 22) (P=0.004, corrected cluster level). GMV in this cluster was associated most strongly with levels of maternal (ß=0.544, P<0.0001) and paternal (ß=0.300, P<0.02) verbal aggression and inversely associated with parental education (ß=-0.577, P<0.0001).
Previous studies have demonstrated an increase in STG GMV in children with abuse histories, and found a reduction in fractional anisotropy in the arcuate fasciculus connecting Wernicke's and frontal areas in young adults exposed to PVA. These findings and the present results suggest that the development of auditory association cortex involved in language processing may be affected by exposure to early stress and/or emotionally abusive language.
儿童时期遭受父母言语攻击(PVA)会增加出现精神病理学的风险,尤其是心境障碍和焦虑障碍。其他形式的儿童虐待也与大脑结构的改变有关。本研究旨在确定是否有证据表明 PVA 的暴露与可识别的大脑形态学变化有关。
对 21 名未接受药物治疗、右利手、有 PVA 病史的受试者(18-25 岁)和 19 名年龄和性别相匹配的精神健康对照组进行了优化的基于体素的形态测量学分析。使用高分辨率、T1 加权、容积 MRI 数据集(西门子 3T trio 扫描仪),对年龄、性别、父母教育程度、经济压力和总 GMV 进行协方差分析,评估灰质体积(GMV)的组间差异。
左颞上回(STG,BA22)的 GMV 增加了 14.1%(P=0.004,校正后的簇水平)。该聚类中的 GMV 与母亲(ß=0.544,P<0.0001)和父亲(ß=0.300,P<0.02)言语攻击水平的相关性最强,与父母教育程度呈负相关(ß=-0.577,P<0.0001)。
先前的研究表明,有虐待史的儿童的 STG GMV 增加,并且在暴露于 PVA 的年轻成年人中,连接 Wernicke 区和额叶的弓状束的各向异性分数降低。这些发现和本研究结果表明,语言处理涉及的听觉联合皮层的发育可能受到早期应激和/或情感虐待性语言的影响。