Developmental Biopsychiatry Research Program, McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Developmental Biopsychiatry Research Program, McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Behav Brain Res. 2021 Feb 5;399:113023. doi: 10.1016/j.bbr.2020.113023. Epub 2020 Nov 26.
The amygdala morphometry is highly sensitive to stress and is implicated in various psychopathologies that are common among individuals with childhood maltreatment histories. This pilot study investigated bilateral amygdala volumetric changes among 15 young adults with childhood maltreatment histories undergoing an eight-week mindfulness intervention compared to 19 matched participants in a waitlist control group. Results indicated significant cross-individual variability in amygdala volumetric changes after the intervention, which resulted in no significant group by time interaction effect. Degree and direction of changes in right amygdala volume correlated with baseline volumes, with larger than average right amygdala showing an increase in volume and smaller amygdala a decrease. Increasing right amygdala volume was also associated with higher intervention compliance, and a greater increase in self-compassion. Increasing left amygdala volume was associated with more reduction in perceived stress, rejection sensitivity and interpersonal distress. Findings from the present study highlight the importance of investigating individual variability and its contributing factors in future studies on neural responses of mindfulness interventions, as well as the distinct responses of the left and right amygdala.
杏仁核形态测量学对压力高度敏感,与经历过童年期虐待的个体中常见的各种精神病理学有关。本研究对 15 名经历过童年期虐待的年轻成年人进行了为期八周的正念干预,与 19 名等待对照组的参与者进行了比较,研究了杏仁核体积的变化。结果表明,干预后杏仁核体积的个体间变化存在显著差异,但没有出现组间时间的交互作用。右杏仁核体积变化的程度和方向与基线体积相关,体积大于平均值的右杏仁核体积增加,体积较小的右杏仁核体积减少。右杏仁核体积的增加还与更高的干预依从性和自我同情的更大增加相关。左杏仁核体积的增加与感知压力、拒绝敏感性和人际困扰的减少有关。本研究的结果强调了在未来的正念干预神经反应研究中,以及在左、右杏仁核的不同反应中,研究个体变异性及其影响因素的重要性。