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应对方式的脑功能连接相关性

Brain functional connectivity correlates of coping styles.

作者信息

Santarnecchi Emiliano, Sprugnoli Giulia, Tatti Elisa, Mencarelli Lucia, Neri Francesco, Momi Davide, Di Lorenzo Giorgio, Pascual-Leone Alvaro, Rossi Simone, Rossi Alessandro

机构信息

Siena Brain Investigation & Neuromodulation Laboratory (Si-Bin Lab), Department of Medicine, Surgery and Neuroscience, Neurology and Clinical Neurophysiology Section, University of Siena, Siena, Italy.

Berenson-Allen Center for Non-Invasive Brain Stimulation, Beth Israel Medical Center, Harvard Medical School, Boston, MA, USA.

出版信息

Cogn Affect Behav Neurosci. 2018 Jun;18(3):495-508. doi: 10.3758/s13415-018-0583-7.

Abstract

Coping abilities represent the individual set of mental and behavioral strategies adopted when facing stress or traumatic experiences. Coping styles related to avoidance have been linked to a disposition to develop psychiatric disorders such as PTSD, anxiety, and major depression, whereas problem-oriented coping skills have been positively correlated with well-being and high quality of life. Even though coping styles constitute an important determinant of resilience and can impact many aspects of everyday living, no study has investigated their brain functional connectivity underpinnings in humans. Here we analyzed both psychometric scores of coping and resting-state fMRI data from 102 healthy adult participants. Controlling for personality and problem-solving abilities, we identified significant links between the propensity to adopt different coping styles and the functional connectivity profiles of regions belonging to the default mode (DMN) and anterior salience (AS) networks-namely, the anterior cingulate cortex, left frontopolar cortex, and left angular gyrus. Also, a reduced negative correlation between AS and DMN nodes explained variability in one specific coping style, related to avoiding problems while focusing on the emotional component of the stressor at hand, instead of relying on cognitive resources. These results might be integrated with current neurophysiological models of resilience and individual responses to stress, in order to understand the propensity to develop clinical conditions (e.g., PTSD) and predict the outcomes of psychotherapeutic interventions.

摘要

应对能力是指个体在面对压力或创伤经历时所采用的一系列心理和行为策略。与回避相关的应对方式与发展诸如创伤后应激障碍、焦虑症和重度抑郁症等精神疾病的倾向有关,而以问题为导向的应对技能则与幸福感和高质量生活呈正相关。尽管应对方式是恢复力的一个重要决定因素,并且会影响日常生活的许多方面,但尚无研究探究其在人类大脑功能连接方面的基础。在此,我们分析了102名健康成年参与者的应对心理测量分数和静息态功能磁共振成像数据。在控制了人格和解决问题能力之后,我们发现采用不同应对方式的倾向与属于默认模式网络(DMN)和前凸显网络(AS)的区域——即前扣带回皮质、左侧额极皮质和左侧角回——的功能连接图谱之间存在显著关联。此外,AS和DMN节点之间负相关性的降低解释了一种特定应对方式的变异性,这种应对方式是在关注手头压力源的情感成分时回避问题,而不是依靠认知资源。这些结果可能会与当前关于恢复力和个体对压力反应的神经生理学模型相结合,以便理解发展临床病症(如创伤后应激障碍)的倾向,并预测心理治疗干预的结果。

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