Exposure to traumatic experiences is associated with abnormal neural mechanism during charitable donation.

Previous studies suggested that posttraumatic stress disorder (PTSD) might be associated with dysfunctional reward processing. At present, little is known about the neural mechanisms of reward-related processing during a charitable donation task in trauma survivors who do not go on to develop PTSD. We used functional magnetic resonance imaging (fMRI) to investigate the neural basis of charitable donation in non-PTSD survivors of the Sichuan earthquake. Results showed that activations in the striatum of trauma survivors were reduced in both the low donation (donated a small amount to the Red Cross) and the high donation conditions (donated a large amount to the Red Cross) compared with the healthy controls. Furthermore, the trauma survivors also exhibited less activity in the insula than the healthy controls in the high donation condition. These findings suggest that abnormal reward-related activations might be associated with dysfunctions in the reward pathway of trauma survivors. Also, we discuss the possibility that traumatic experiences attenuate the reactivity of reward-related brain areas to positive emotions (as induced by advantageous donations).