Division of Psychology and Language Sciences, University College London, London, UK; Anna Freud National Centre for Children and Families, London, UK.
Division of Psychology and Language Sciences, University College London, London, UK.
Dev Cogn Neurosci. 2023 Dec;64:101322. doi: 10.1016/j.dcn.2023.101322. Epub 2023 Nov 10.
Resting-state functional connectivity (rsFC) has the potential to shed light on how childhood abuse and neglect relates to negative psychiatric outcomes. However, a comprehensive review of the impact of childhood maltreatment on the brain's resting state functional organization has not yet been undertaken. We systematically searched rsFC studies in children and youth exposed to maltreatment. Nineteen studies (total n = 3079) met our inclusion criteria. Two consistent findings were observed. Childhood maltreatment was linked to reduced connectivity between the anterior insula and dorsal anterior cingulate cortex, and with widespread heightened amygdala connectivity with key structures in the salience, default mode, and prefrontal regulatory networks. Other brain regions showing altered connectivity included the ventral anterior cingulate cortex, dorsolateral prefrontal cortex, and hippocampus. These patterns of altered functional connectivity associated with maltreatment exposure were independent of symptoms, yet comparable to those seen in individuals with overt clinical disorder. Summative findings indicate that rsFC alterations associated with maltreatment experience are related to poor cognitive and social functioning and are prognostic of future symptoms. In conclusion, maltreatment is associated with altered rsFC in emotional reactivity, regulation, learning, and salience detection brain circuits. This indicates patterns of recalibration of putative mechanisms implicated in maladaptive developmental outcomes.
静息态功能连接(rsFC)有可能揭示儿童期虐待和忽视与负面精神结果的关系。然而,尚未对儿童期虐待对大脑静息状态功能组织的影响进行全面综述。我们系统地搜索了暴露于虐待的儿童和青少年的 rsFC 研究。符合纳入标准的有 19 项研究(总 n=3079)。观察到两个一致的发现。儿童期虐待与前岛叶和背侧前扣带皮层之间的连接减少有关,与杏仁核与突显、默认模式和前额叶调节网络中的关键结构之间的广泛增强连接有关。其他显示连接改变的脑区包括腹侧前扣带皮层、背外侧前额叶皮层和海马体。与虐待暴露相关的这些功能连接改变模式与症状无关,但与明显临床障碍个体所见的模式相当。综合研究结果表明,与虐待经历相关的 rsFC 改变与认知和社会功能不良以及未来症状的预后有关。总之,虐待与情绪反应、调节、学习和突显检测大脑回路的 rsFC 改变有关。这表明与适应不良的发育结果相关的潜在机制的重新校准模式。