DiGangi Julia A, Tadayyon Armin, Fitzgerald Daniel A, Rabinak Christine A, Kennedy Amy, Klumpp Heide, Rauch Sheila A M, Phan K Luan
Mental Health Service Line, Jesse Brown Veterans Administration Medical Center, Chicago, IL, USA; Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
Neurosci Lett. 2016 Feb 26;615:37-43. doi: 10.1016/j.neulet.2016.01.010. Epub 2016 Jan 12.
Recent studies show decreased functional connectivity in the default mode network (DMN) in PTSD; however, few have directly examined combat trauma specifically. There is limited understanding of how combat itself may affect the DMN. Some literature suggests that trauma exposure, rather than PTSD, can disrupt the DMN. To further elucidate the effect of trauma and PTSD on the DMN, we investigated DMN functional connectivity during the resting-state in veterans with PTSD, combat-exposed controls, and never-traumatized healthy controls. Results revealed that DMN connectivity was reduced in veterans exposed to combat trauma with and without PTSD compared to healthy civilian controls. Specifically, both groups of veterans demonstrated weaker connectivity within a network involving the precuneus, medial prefrontal cortex (mPFC) and right superior parietal lobule regardless of whether the mPFC or precuneus was chosen as a seed region. Findings suggest that the experience of trauma, rather than the pathology of PTSD, may be related to DMN changes.
近期研究表明,创伤后应激障碍(PTSD)患者默认模式网络(DMN)的功能连接性降低;然而,很少有研究直接专门考察战斗创伤。对于战斗本身如何影响默认模式网络,人们了解有限。一些文献表明,创伤暴露而非创伤后应激障碍会扰乱默认模式网络。为了进一步阐明创伤和创伤后应激障碍对默认模式网络的影响,我们对患有创伤后应激障碍的退伍军人、有战斗经历的对照者以及从未受过创伤的健康对照者在静息状态下的默认模式网络功能连接性进行了研究。结果显示,与健康平民对照者相比,有和没有创伤后应激障碍的经历过战斗创伤的退伍军人的默认模式网络连接性均降低。具体而言,无论选择内侧前额叶皮质(mPFC)还是楔前叶作为种子区域,这两组退伍军人在一个涉及楔前叶、内侧前额叶皮质和右侧顶上小叶的网络内均表现出较弱的连接性。研究结果表明,创伤经历而非创伤后应激障碍的病理状态可能与默认模式网络的变化有关。