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创伤后应激障碍(PTSD)的DSM-5症状群、生活事件和童年逆境对大量现役战斗人员额叶振荡性脑不对称的个体贡献。

The individual contribution of DSM 5 symptom clusters of PTSD, life events, and childhood adversity to frontal oscillatory brain asymmetry in a large sample of active combatants.

作者信息

Moran James K, Crombach Anselm, Elbert Thomas, Nandi Corina, Bambonyé Manassé, Wienbruch Christian, Lommen Ursula, Weierstall Roland

机构信息

Department of Psychology, University of Konstanz, Konstanz, Baden-Württemberg, Germany; Charité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Berlin, Germany.

Department of Psychology, University of Konstanz, Konstanz, Baden-Württemberg, Germany; Department of Psychology, University Lumière of Bujumbura, Burundi.

出版信息

Biol Psychol. 2017 Oct;129:305-313. doi: 10.1016/j.biopsycho.2017.09.014. Epub 2017 Sep 25.

Abstract

Post-Traumatic Stress Disorder (PTSD) has been linked to deviations in lateralized frontal functional oscillatory activity. This is possibly because left and right DLPFC have differential roles in regulating both memory and stress response, which are both dysfunctional in PTSD. However, previous results are heterogeneous, and could be attributable to individual symptom clusters, traumatic or aggressive life events, early life stress, or the interaction of these factors. In a large sample of active combatants (N=401), we regressed these factors on frontal electroencephalography (EEG) asymmetry across 5 frequency bands (delta: 2-4Hz; theta: 4-8Hz; alpha: 8-12Hz; beta: 12-24Hz; gamma: 24-48Hz). Negative cognition and mood was associated with stronger relative left delta and theta band power. Traumatic life events showed stronger right alpha and beta band power. Traumatic life events in interaction with hyperarousal predicted stronger relative right left-right imbalance (theta, alpha, and beta bands), whereas childhood adversity, in interaction with negative cognition and mood, predicted stronger relative left left-right imbalance (delta, theta, alpha and beta bands). The contribution of lateralized DLPFC dysfunction to PTSD is thus dependent on the individual complexities of subsymptom clusters and life history, and future studies need to take these factors into account.

摘要

创伤后应激障碍(PTSD)与额叶功能振荡活动的偏侧化偏差有关。这可能是因为左右背外侧前额叶皮质(DLPFC)在调节记忆和应激反应方面具有不同作用,而这两者在PTSD中均功能失调。然而,先前的结果并不一致,可能归因于个体症状群、创伤性或攻击性生活事件、早期生活压力或这些因素的相互作用。在一个由现役战斗人员组成的大样本(N = 401)中,我们将这些因素对横跨5个频段(δ波:2 - 4Hz;θ波:4 - 8Hz;α波:8 - 12Hz;β波:12 - 24Hz;γ波:24 - 48Hz)的额叶脑电图(EEG)不对称性进行回归分析。消极认知和情绪与相对较强的左侧δ波和θ波功率相关。创伤性生活事件表现出较强的右侧α波和β波功率。与过度觉醒相互作用的创伤性生活事件预测相对较强的右侧左右失衡(θ波、α波和β波频段),而与消极认知和情绪相互作用的童年逆境预测相对较强的左侧左右失衡(δ波、θ波、α波和β波频段)。因此,DLPFC功能失调的偏侧化对PTSD的影响取决于亚症状群和生活史的个体复杂性,未来的研究需要考虑这些因素。

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