Yang Yaling, Narr Katherine L, Baker Laura A, Joshi Shantanu H, Jahanshad Neda, Raine Adrian, Thompson Paul M
Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, Smith Research Tower Room 400B, Los Angeles, CA 90027, USA.
Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Psychiatry Res. 2015 Mar 30;231(3):333-40. doi: 10.1016/j.pscychresns.2015.01.017. Epub 2015 Jan 24.
Neuroimaging research has demonstrated a range of structural deficits in adults with psychopathy, but little is known about structural correlates of psychopathic tendencies in adolescents. Here we examined structural magnetic resonance imaging (sMRI) data obtained from 14-year-old adolescents (n=108) using tensor-based morphometry (TBM) to isolate global and localized differences in brain tissue volumes associated with psychopathic traits in this otherwise healthy developmental population. We found that greater levels of psychopathic traits were correlated with increased brain tissue volumes in the left putamen, left ansa peduncularis, right superiomedial prefrontal cortex, left inferior frontal cortex, right orbitofrontal cortex, and right medial temporal regions and reduced brain tissues volumes in the right middle frontal cortex, left superior parietal lobule, and left inferior parietal lobule. Post hoc analyses of parcellated regional volumes also showed putamen enlargements to correlate with increased psychopathic traits. Consistent with earlier studies, findings suggest poor decision-making and emotional dysregulation associated with psychopathy may be due, in part, to structural anomalies in frontal and temporal regions whereas striatal structural variations may contribute to sensation-seeking and reward-driven behavior in psychopathic individuals. Future studies will help clarify how disturbances in brain maturational processes might lead to the developmental trajectory from psychopathic tendencies in adolescents to adult psychopathy.
神经影像学研究已证明患有精神病态的成年人存在一系列结构缺陷,但对于青少年精神病态倾向的结构相关性却知之甚少。在此,我们使用基于张量的形态测量法(TBM)检查了从14岁青少年(n = 108)获得的结构磁共振成像(sMRI)数据,以分离出在这个其他方面健康的发育群体中与精神病态特征相关的全脑和局部脑组织体积差异。我们发现,较高水平的精神病态特征与左侧壳核、左侧脚桥核、右侧额上内侧皮质、左侧额下皮质、右侧眶额皮质和右侧颞叶内侧区域的脑组织体积增加以及右侧额中皮质、左侧顶上小叶和左侧顶下小叶的脑组织体积减少相关。对分割后的区域体积进行的事后分析还显示,壳核增大与精神病态特征增加相关。与早期研究一致,研究结果表明,与精神病态相关的决策能力差和情绪调节障碍可能部分归因于额叶和颞叶区域的结构异常,而纹状体结构变化可能导致精神病态个体的寻求刺激和奖励驱动行为。未来的研究将有助于阐明大脑成熟过程中的紊乱如何可能导致从青少年的精神病态倾向到成人精神病态的发展轨迹。