Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.
Soc Cogn Affect Neurosci. 2017 Sep 1;12(9):1500-1510. doi: 10.1093/scan/nsx070.
Psychopathy comprises interpersonal, affective, lifestyle and antisocial facets that vary dimensionally in the population and are associated with criminal offending and adverse psychosocial outcomes. Evidence associating these facets with white matter microstructure of the uncinate fasciculus and the cingulum tracts is inconsistent and derives principally from studies of male offenders. In a sample of 99 young women presenting a range of scores on the Psychopathy Checklist: Screening Version, we used Diffusion Tensor Imaging, tractography and Tract-Based Spatial Statistics to investigate microstructure across the brain and of the uncinate fasciculus and cingulum. Right uncinate fasciculus microstructure was negatively associated with the interpersonal facet, while cingulum integrity was not associated with any facet of psychopathy. Whole-brain analyses revealed that both affective and lifestyle facets were negatively correlated with white matter microstructure adjacent to the fusiform gyrus, and the interpersonal facet correlated negatively with the integrity of the fornix. Findings survived adjustment for the other facet scores, and age, verbal and performance IQ. A similar negative association between the interpersonal facet and uncinate fasciculus integrity was previously observed in male offenders. Thus, previous evidence showing that psychopathic traits are associated with functional and structural abnormalities within limbic networks may also apply to females.
精神病态包括人际、情感、生活方式和反社会方面,在人群中具有维度上的差异,与犯罪行为和不良心理社会后果有关。将这些方面与钩束和扣带回束的白质微观结构联系起来的证据不一致,主要来自男性罪犯的研究。在一个由 99 名年轻女性组成的样本中,她们在《精神病态检查表:筛查版》上的得分范围不同,我们使用弥散张量成像、束追踪和基于束的空间统计学来研究大脑和钩束及扣带回束的微观结构。右钩束微观结构与人际方面呈负相关,而扣带回束的完整性与精神病态的任何方面都没有关联。全脑分析显示,情感和生活方式方面都与梭状回附近的白质微观结构呈负相关,人际方面与穹窿的完整性呈负相关。这些发现经过其他方面得分、年龄、言语和表现智商的调整后仍然存在。以前在男性罪犯中也观察到人际方面与钩束完整性之间存在类似的负相关。因此,以前的证据表明,精神病态特征与边缘网络内的功能和结构异常有关,这可能也适用于女性。