Suppr超能文献

与创伤后应激障碍发生相关的大脑内在活动的时间传播。

The Temporal Propagation of Intrinsic Brain Activity Associate With the Occurrence of PTSD.

作者信息

Weng Yifei, Qi Rongfeng, Chen Feng, Ke Jun, Xu Qiang, Zhong Yuan, Chen Lida, Li Jianjun, Zhang Zhiqiang, Zhang Li, Lu Guangming

机构信息

Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.

Department of Radiology, People's Hospital of Hainan Province, Haikou, China.

出版信息

Front Psychiatry. 2018 May 25;9:218. doi: 10.3389/fpsyt.2018.00218. eCollection 2018.

Abstract

The abnormal brain activity is a pivotal condition for the occurrence of posttraumatic stress disorder. However, the dynamic time features of intrinsic brain activities still remain unclearly in PTSD patients. Our study aims to perform the resting-state lag analysis (RS-LA) method to explore potential propagated patterns of intrinsic brain activities in PTSD patients. We recruited 27 drug-naive patients with PTSD, 33 trauma-exposed controls (TEC), and 30 demographically matched healthy controls (HC) in the final data statistics. Both RS-LA and conventional voxel-wise functional connectivity strength (FCS) methods were employed on the same dataset. Then, Spearman correlation analysis was conducted on time latency values of those abnormal brain regions with the clinical assessments. Compared with HC group, the time latency patterns of PTSD patients significantly shifted toward later in posterior cingulate cortex/precuneus, middle prefrontal cortex, right angular, and left pre- and post-central cortex. The TEC group tended to have similar time latency in right angular. Additionally, significant time latency in right STG was found in PTSD group relative to TEC group. Spearman correlation analysis revealed that the time latency value of mPFC negatively correlated to the PTSD checklist-civilian version scores (PCL_C) in PTSD group ( = -0.578, < 0.05). Furthermore, group differences map of FCS exhibited parts of overlapping areas with that of RS-LA, however, less specificity in detecting PTSD patients. In conclusion, apparent alterations of time latency were observed in DMN and primary sensorimotor areas of PTSD patients. These findings provide us with new evidence to explain the neural pathophysiology contributing to PTSD.

摘要

异常的大脑活动是创伤后应激障碍发生的关键条件。然而,创伤后应激障碍患者大脑内在活动的动态时间特征仍不清楚。我们的研究旨在采用静息态滞后分析(RS-LA)方法,探索创伤后应激障碍患者大脑内在活动的潜在传播模式。在最终数据统计中,我们招募了27名未服用药物的创伤后应激障碍患者、33名有创伤暴露史的对照者(TEC)以及30名在人口统计学上匹配的健康对照者(HC)。在同一数据集上同时采用了RS-LA和传统的体素功能连接强度(FCS)方法。然后,对那些异常脑区的时间延迟值与临床评估进行了Spearman相关性分析。与HC组相比,创伤后应激障碍患者在后扣带回皮质/楔前叶、中前额叶皮质、右侧角回以及左侧中央前回和中央后回的时间延迟模式显著向后偏移。TEC组在右侧角回的时间延迟倾向于相似。此外,相对于TEC组,创伤后应激障碍组在右侧颞上回发现了显著的时间延迟。Spearman相关性分析显示,创伤后应激障碍组中内侧前额叶皮质的时间延迟值与创伤后应激障碍检查表-平民版评分(PCL_C)呈负相关(r = -0.578,P < 0.05)。此外,FCS的组间差异图与RS-LA的组间差异图表现出部分重叠区域,然而,在检测创伤后应激障碍患者方面特异性较低。总之,在创伤后应激障碍患者的默认模式网络和主要感觉运动区域观察到了明显的时间延迟改变。这些发现为我们解释导致创伤后应激障碍的神经病理生理学提供了新证据。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验