青少年罪犯的童年创伤与静息态功能连接异常有关。
Aberrant resting-state functional connectivity associated with childhood trauma among juvenile offenders.
机构信息
The Mind Research Network, 1101 Yale Blvd NE, Albuquerque, NM 87106-4188, USA.
The Mind Research Network, 1101 Yale Blvd NE, Albuquerque, NM 87106-4188, USA.
出版信息
Neuroimage Clin. 2023;37:103343. doi: 10.1016/j.nicl.2023.103343. Epub 2023 Feb 7.
Individuals with history of childhood trauma are characterized by aberrant resting-state limbic and paralimbic functional network connectivity. However, it is unclear whether specific subtypes of trauma (i.e., experienced vs observed or community) showcase differential effects. This study examined whether subtypes of childhood trauma (assessed via the Trauma Checklist [TCL] 2.0) were associated with aberrant intra-network amplitude of fluctuations and connectivity (i.e., functional coherence within a network), and inter-network connectivity across resting-state networks among incarcerated juvenile males (n = 179). Subtypes of trauma were established via principal component analysis of the TCL 2.0 and resting-state networks were identified by applying group independent component analysis to resting-state fMRI scans. We tested the association of subtypes of childhood trauma (i.e., TCL Factor 1 measuring experienced trauma and TCL Factor 2 assessing community trauma), and TCL Total scores to the aforementioned functional connectivity measures. TCL Factor 2 scores were associated with increased high-frequency fluctuations and increased intra-network connectivity in cognitive control, auditory, and sensorimotor networks, occurring primarily in paralimbic regions. TCL Total scores exhibited similar neurobiological patterns to TCL Factor 2 scores (with the addition of aberrant intra-network connectivity in visual networks), and no significant associations were found for TCL Factor 1. Consistent with previous analyses of community samples, our results suggest that childhood trauma among incarcerated juvenile males is associated with aberrant intra-network amplitude of fluctuations and connectivity across multiple networks including predominately paralimbic regions. Our results highlight the importance of accounting for traumatic loss, observed trauma, and community trauma in assessing neurobiological aberrances associated with adverse experiences in childhood, as well as the value of trained-rater trauma assessments compared to self-report.
有童年创伤史的个体表现出边缘和边缘下静息状态功能网络连接异常。然而,尚不清楚特定类型的创伤(即经历性或观察性或社区性)是否会产生不同的影响。本研究通过囚犯青少年男性(n=179)的创伤检查表(TCL 2.0)评估了童年创伤的亚型(即经历性或观察性或社区性)是否与静息状态网络内的波动和连接的异常(即网络内的功能一致性)以及静息状态网络间的连接有关。通过 TCL 2.0 的主成分分析确定创伤亚型,通过对静息态 fMRI 扫描应用组独立成分分析确定静息态网络。我们测试了童年创伤亚型(即测量经历性创伤的 TCL 因子 1 和评估社区创伤的 TCL 因子 2)和 TCL 总评分与上述功能连接测量的关联。TCL 因子 2 评分与认知控制、听觉和感觉运动网络中的高频波动增加和网络内连接增加有关,主要发生在边缘下区域。TCL 总评分表现出与 TCL 因子 2 评分相似的神经生物学模式(在视觉网络中增加了异常的网络内连接),而 TCL 因子 1 则没有发现显著关联。与以前对社区样本的分析一致,我们的结果表明,监禁青少年男性的童年创伤与多个网络(包括主要是边缘下区域)中的网络内波动和连接异常有关。我们的结果强调了在评估与童年不良经历相关的神经生物学异常时,需要考虑创伤性丧失、观察性创伤和社区创伤的重要性,以及与自我报告相比,受过训练的评估者进行创伤评估的价值。