Cantor J M, Lafaille S J, Hannah J, Kucyi A, Soh D W, Girard T A, Mikulis D J
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada; Complex Mental Illness Program, Centre for Addiction and Mental Health, Toronto, ON, Canada; Department of Psychiatry, University of Toronto Faculty of Medicine, Toronto, ON, Canada.
Complex Mental Illness Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
J Sex Med. 2016 Oct;13(10):1546-54. doi: 10.1016/j.jsxm.2016.08.004.
Neuroimaging and other studies have changed the common view that pedophilia is a result of childhood sexual abuse and instead is a neurologic phenomenon with prenatal origins. Previous research has identified differences in the structural connectivity of the brain in pedophilia.
To identify analogous differences in functional connectivity.
Functional magnetic resonance images were recorded from three groups of participants while they were at rest: pedophilic men with a history of sexual offenses against children (n = 37) and two control groups: non-pedophilic men who committed non-sexual offenses (n = 28) and non-pedophilic men with no criminal history (n = 39).
Functional magnetic resonance imaging data were subjected to independent component analysis to identify known functional networks of the brain, and groups were compared to identify differences in connectivity with those networks (or "components").
The pedophilic group demonstrated wide-ranging increases in functional connectivity with the default mode network compared with controls and regional differences (increases and decreases) with the frontoparietal network. Of these brain regions (total = 23), 20 have been identified by meta-analytic studies to respond to sexually relevant stimuli. Conversely, of the brain areas known to be those that respond to sexual stimuli, nearly all emerged in the present data as significantly different in pedophiles.
This study confirms the presence of significant differences in the functional connectivity of the brain in pedophilia consistent with previously reported differences in structural connectivity. The connectivity differences detected here and elsewhere are opposite in direction from those associated with anti-sociality, arguing against anti-sociality and for pedophilia as the source of the neuroanatomic differences detected.
神经影像学及其他研究改变了人们对恋童癖的普遍看法,即不再认为它是童年性虐待的结果,而是一种源于产前的神经学现象。此前的研究已发现恋童癖患者大脑结构连接存在差异。
确定功能连接方面的类似差异。
在三组参与者静息状态下记录功能磁共振图像:有针对儿童性犯罪史的恋童癖男性(n = 37)以及两个对照组:实施非性犯罪的非恋童癖男性(n = 28)和无犯罪史的非恋童癖男性(n = 39)。
对功能磁共振成像数据进行独立成分分析,以识别大脑已知的功能网络,并比较各组之间与这些网络(或“成分”)连接性的差异。
与对照组相比,恋童癖组与默认模式网络的功能连接广泛增加,与额顶叶网络存在区域差异(增加和减少)。在这些脑区(共23个)中,有20个已通过荟萃分析研究确定对性相关刺激有反应。相反,在已知对性刺激有反应的脑区中,几乎所有在当前数据中显示恋童癖患者与对照组有显著差异。
本研究证实恋童癖患者大脑功能连接存在显著差异,这与先前报道的结构连接差异一致。此处及其他地方检测到的连接差异方向与反社会行为相关的差异相反,这表明反社会行为并非这些神经解剖学差异的根源,而恋童癖才是。