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童年期创伤程度较高与青年期新奇刺激时海马体功能活动和连接的变化有关。

High levels of childhood trauma associated with changes in hippocampal functional activity and connectivity in young adults during novelty salience.

机构信息

Department of Psychology, School of Psychology, University of Roehampton, Whitelands College, Hollybourne Avenue, London, SW15 4JD, UK.

Univ Lille, INSERM U1172, CHU Lille, Lille Neuroscience & Cognition Centre (LiNC), Plasticity & SubjectivitY Team, Lille, FR, France.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2023 Aug;273(5):1061-1072. doi: 10.1007/s00406-023-01564-3. Epub 2023 Feb 4.

Abstract

Childhood trauma (CT) has been linked to increased risk for psychosis. Moreover, CT has been linked to psychosis phenotypes such as impaired cognitive and sensory functions involved in the detection of novel sensory stimuli. Our objective was to investigate if CT was associated with changes in hippocampal and superior temporal gyrus functional activation and connectivity during a novelty detection task. Fifty-eight young adults were assigned to High-CT (n = 28) and Low-CT (n = 24) groups based on their scores on the childhood trauma questionnaire (CTQ) and underwent functional Magnetic Resonance Imaging during an auditory oddball task (AOT). Relative to the Low CT group, High CT participants showed reduced functional activation in the left hippocampus during the unpredictable tone condition of the AOT. Furthermore, in the High CT group, psychophysiological interaction analysis revealed hypoconnectivity between the hippocampus and temporal and medial regions. The present study indicates both altered hippocampal activation and hippocampal-temporal-prefrontal connectivity during novelty detection in individuals that experienced CT, similarly to that reported in psychosis risk populations. Early stressful experiences and environments may alter hippocampal function during salient events, mediating the relationship between childhood trauma and psychosis risk.

摘要

童年创伤 (CT) 与精神病风险增加有关。此外,CT 还与认知和感觉功能受损等精神病表型有关,这些功能与检测新的感觉刺激有关。我们的目的是研究 CT 是否与新奇感检测任务期间海马体和颞上回功能激活和连接的变化有关。根据童年创伤问卷 (CTQ) 的得分,将 58 名年轻成年人分为高 CT 组 (n = 28) 和低 CT 组 (n = 24),并在听觉Oddball 任务 (AOT) 期间进行功能磁共振成像。与低 CT 组相比,高 CT 组参与者在 AOT 的不可预测音调条件下左侧海马体的功能激活减少。此外,在高 CT 组中,心理生理交互分析显示海马体与颞叶和内侧区域之间的连接减少。本研究表明,在经历 CT 的个体中,在新颖性检测期间,海马体的激活和海马体-颞叶-前额叶的连接都发生了改变,这与精神病风险人群中的报道相似。早期的应激经历和环境可能会改变重要事件期间的海马体功能,从而介导童年创伤与精神病风险之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1d/10359215/64f7ceecb7b2/406_2023_1564_Fig1_HTML.jpg

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