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有同伴言语虐待史的青少年腹外侧前额叶皮质功能改变。

Altered Function of Ventrolateral Prefrontal Cortex in Adolescents with Peer Verbal Abuse History.

作者信息

Lee Sang Won, Choi Jeewook, Lee Jong-Sun, Yoo Jae Hyun, Kim Ko Woon, Kim Dongchan, Park HyunWook, Jeong Bumseok

机构信息

Computational Affective Neuroscience and Development Laboratory, Graduate School of Medical Science and Engineering, KAIST, Daejeon, Republic of Korea.

Department of Psychiatry, Kyungpook National University School of Medicine, Daegu, Republic of Korea.

出版信息

Psychiatry Investig. 2017 Jul;14(4):441-451. doi: 10.4306/pi.2017.14.4.441. Epub 2017 Jul 11.

Abstract

OBJECTIVE

Previous studies showing the association of exposure to peer (PeVA) and parental verbal abuse in childhood with structural alterations in the young adult brain suggest functional changes in adolescence. In this functional MRI study, we investigated the effects of exposure to PeVA, during elementary and middle school periods, on brain response to emotional words, in high school students.

METHODS

An emotional Stroop task consisting of swear, negative, positive, and neutral words was performed during functional MRI scan for 23 subjects who were divided into low- and high exposure groups to PeVA.

RESULTS

High-PeVA group had a higher depression score, greater left ventrolateral prefrontal cortex (VLPFC) activity, and higher left VLPFC-left hippocampus connectivity in swear word conditions. The VLPFC activity and left VLPFC-left hippocampus connectivity was negatively related to the severity of anxiety and depressive symptoms, respectively.

CONCLUSION

These preliminary findings support the hypothesis that exposure to PeVA, during childhood, is an aversive stimulus associated with meaningful functional change in emotional regulation network, showing hypersensitivity to swear words, at middle adolescence.

摘要

目的

先前的研究表明,童年时期遭受同伴言语虐待(PeVA)和父母言语虐待与青少年大脑结构改变有关,这提示青春期存在功能变化。在这项功能磁共振成像(fMRI)研究中,我们调查了小学和初中阶段遭受PeVA对高中生大脑对情感词汇反应的影响。

方法

对23名受试者进行功能磁共振成像扫描,期间执行一项由脏话、消极、积极和中性词汇组成的情绪Stroop任务,这些受试者被分为PeVA低暴露组和高暴露组。

结果

在脏话条件下,高PeVA组的抑郁得分更高,左侧腹外侧前额叶皮层(VLPFC)活动更强,左侧VLPFC与左侧海马的连接性更高。VLPFC活动和左侧VLPFC与左侧海马的连接性分别与焦虑和抑郁症状的严重程度呈负相关。

结论

这些初步发现支持以下假设,即童年时期遭受PeVA是一种厌恶刺激,与情绪调节网络中有意义的功能变化相关,在青春期中期对脏话表现出超敏反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3396/5561402/d625af7649d5/pi-14-441-g001.jpg

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