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分离性身份障碍患者杏仁核形态正常。

Normal amygdala morphology in dissociative identity disorder.

作者信息

Reinders Antje A T S, Dimitrova Lora I, Schlumpf Yolanda R, Vissia Eline M, Nijenhuis Ellert R S, Jäncke Lutz, Chalavi Sima, Veltman Dick J

机构信息

Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.

Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK; and Department of Psychiatry, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, The Netherlands.

出版信息

BJPsych Open. 2022 Mar 15;8(2):e70. doi: 10.1192/bjo.2022.36.

DOI:10.1192/bjo.2022.36
PMID:35287776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8935907/
Abstract

Studies investigating the structure of the amygdala in relation to dissociation in psychiatric disorders are limited and have reported normal or preserved, increased or decreased global volumes. Thus, a more detailed investigation of the amygdala is warranted. Amygdala global and subregional volumes were compared between individuals with dissociative identity disorder (DID: n = 32) and healthy controls (n = 42). Analyses of covariance did not show volumetric differences between the DID and control groups. Although several unknowns make it challenging to interpret our findings, we propose that the finding of normal amygdala volume is a genuine finding because other studies using this data-set have presented robust morphological aberrations in relation to the diagnosis of DID.

摘要

研究精神疾病中与解离相关的杏仁核结构的研究有限,且报告的总体积有正常或保留、增加或减少的情况。因此,有必要对杏仁核进行更详细的研究。比较了分离性身份障碍患者(DID:n = 32)和健康对照者(n = 42)的杏仁核总体积和亚区域体积。协方差分析未显示DID组和对照组之间存在体积差异。尽管有几个未知因素使得解释我们的发现具有挑战性,但我们认为杏仁核体积正常这一发现是真实的,因为使用该数据集的其他研究已经呈现出与DID诊断相关的明显形态学异常。

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引用本文的文献

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Biomarkers of dissociation.分离的生物标志物。
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A neurostructural biomarker of dissociative amnesia: a hippocampal study in dissociative identity disorder.分离性遗忘症的神经结构生物标志物:分离性身份障碍的海马研究。
Psychol Med. 2023 Feb;53(3):805-813. doi: 10.1017/S0033291721002154. Epub 2021 Jun 24.
2
Biomarkers of Pathological Dissociation: A Systematic Review.病理性分离的生物标志物:一项系统综述。
Neurosci Biobehav Rev. 2021 Apr;123:120-202. doi: 10.1016/j.neubiorev.2020.11.019. Epub 2020 Nov 30.
3
Amygdala Nuclei Volume and Shape in Military Veterans With Posttraumatic Stress Disorder.杏仁核体积和形状与创伤后应激障碍的退伍军人。
Biol Psychiatry Cogn Neurosci Neuroimaging. 2020 Mar;5(3):281-290. doi: 10.1016/j.bpsc.2019.11.016. Epub 2019 Dec 14.
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Aiding the diagnosis of dissociative identity disorder: pattern recognition study of brain biomarkers.辅助诊断分离性身份障碍:脑生物标志物的模式识别研究。
Br J Psychiatry. 2019 Sep;215(3):536-544. doi: 10.1192/bjp.2018.255.
5
Neurodevelopmental origins of abnormal cortical morphology in dissociative identity disorder.分离性身份障碍异常皮质形态的神经发育起源。
Acta Psychiatr Scand. 2018 Feb;137(2):157-170. doi: 10.1111/acps.12839. Epub 2017 Dec 27.
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Amygdala volume and hypothalamic-pituitary-adrenal axis reactivity to social stress.杏仁核体积和下丘脑-垂体-肾上腺轴对社会应激的反应性。
Psychoneuroendocrinology. 2017 Nov;85:96-99. doi: 10.1016/j.psyneuen.2017.07.487. Epub 2017 Jul 21.
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Similar cortical but not subcortical gray matter abnormalities in women with posttraumatic stress disorder with versus without dissociative identity disorder.创伤后应激障碍伴与不伴分离性身份障碍的女性患者存在类似的皮质而非皮质下灰质异常。
Psychiatry Res. 2015 Mar 30;231(3):308-19. doi: 10.1016/j.pscychresns.2015.01.014. Epub 2015 Jan 21.
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Psychiatry Res. 2014 Sep 30;223(3):236-43. doi: 10.1016/j.pscychresns.2014.05.005. Epub 2014 Jun 4.
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J Neurol Neurosurg Psychiatry. 2014 Feb;85(2):227-9. doi: 10.1136/jnnp-2013-305012. Epub 2013 Sep 13.
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Annu Rev Clin Psychol. 2013;9:299-326. doi: 10.1146/annurev-clinpsy-050212-185531. Epub 2013 Feb 1.