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童年创伤暴露与健康成年人的n-回溯激活及表现改变有关:对一项常用工作记忆任务的启示。

Exposure to childhood trauma is associated with altered n-back activation and performance in healthy adults: implications for a commonly used working memory task.

作者信息

Philip Noah S, Sweet Lawrence H, Tyrka Audrey R, Carpenter S Louisa, Albright Sarah E, Price Lawrence H, Carpenter Linda L

机构信息

Center for Neurorestoration and Neurotechnology, Providence VA Medical Center, 830 Chalkstone Avenue, Providence, RI, 02908, USA.

Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.

出版信息

Brain Imaging Behav. 2016 Mar;10(1):124-35. doi: 10.1007/s11682-015-9373-9.

Abstract

Previous research suggests that a history of early life stress (ELS) impacts working memory (WM) in adulthood. Despite the widespread use of WM paradigms, few studies have evaluated whether ELS exposure, in the absence of psychiatric illness, also impacts WM-associated brain activity in ways that might improve sensitivity to these ELS effects or provide insights into the mechanisms of these effects. This study evaluated whether ELS affects WM behavioral performance and task-associated activity by acquiring 3T functional images from 27 medication-free healthy adults (14 with ELS) during an N-back WM task that included 0- and 2-back components. Whole brain voxel-wise analysis was performed to evaluate WM activation, followed by region of interest analyses to evaluate relationships between activation and clinical variables. ELS was associated with poorer accuracy during the 2-back (79% ± 19 vs. 92% ± 9, p = 0.049); accuracy and response time otherwise did not differ between groups. During the 0-back, ELS participants demonstrated increased activation in the superior temporal gyrus/insula, left inferior parietal lobule (IPL) (both corrected p < 0.001), and middle temporal and parahippocampal gyrus (MTG/PHG)(corrected p < 0.010). During the 2-back, ELS was associated with greater activation in the IPL, MTG/PHG and inferior frontal gyrus (corrected p < 0.001), with a trend towards precuneus activation (p = 0.080). These findings support previous research showing that ELS is associated with impaired neurobehavioral performance and changes in brain activation, suggesting recruitment of additional cognitive resources during WM in ELS. Based on these findings, ELS screening in future WM imaging studies appears warranted.

摘要

先前的研究表明,早年生活应激(ELS)史会影响成年后的工作记忆(WM)。尽管WM范式被广泛应用,但很少有研究评估在没有精神疾病的情况下,ELS暴露是否也会以可能提高对这些ELS效应的敏感性或为这些效应的机制提供见解的方式影响与WM相关的大脑活动。本研究通过在一个包含0-back和2-back成分的N-back WM任务中,从27名未服用药物的健康成年人(14名有ELS)获取3T功能图像,评估了ELS是否会影响WM行为表现和与任务相关的活动。进行了全脑体素水平分析以评估WM激活,随后进行感兴趣区域分析以评估激活与临床变量之间的关系。ELS与2-back任务期间较差的准确性相关(79%±19 vs. 92%±9,p = 0.049);两组之间的准确性和反应时间在其他方面没有差异。在0-back任务期间,有ELS的参与者在颞上回/脑岛、左侧顶下小叶(IPL)(两者校正p < 0.001)以及颞中回和海马旁回(MTG/PHG)(校正p < 0.010)表现出激活增加。在2-back任务期间,ELS与IPL、MTG/PHG和额下回更大的激活相关(校正p < 0.001),楔前叶激活有增加趋势(p = 0.080)。这些发现支持了先前的研究,表明ELS与神经行为表现受损和大脑激活变化有关,提示在有ELS的个体进行WM时会调用额外的认知资源。基于这些发现,未来在WM成像研究中进行ELS筛查似乎是有必要的。

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