Neale Zoe E, Bountress Kaitlin, Sheerin Christina, Saenz de Viteri Stacey, Cusack Shannon, Chorlian David, Barr Peter B, Kaplan Isabelle, Pandey Gayathri, Osipenko Kristina A, McCutcheon Vivia, Kuo Sally I-Chun, Cooke Megan E, Brislin Sarah J, Salvatore Jessica E, Kamarajan Chella, Porjesz Bernice, Amstadter Ananda B, Meyers Jacquelyn L
Department of Psychiatry and Behavioral Sciences, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA.
VA New York Harbor Healthcare System, Brooklyn, NY, USA.
Psychol Med. 2024 Dec 2;54(15):1-14. doi: 10.1017/S0033291724002599.
Associations between childhood trauma, neurodevelopment, alcohol use disorder (AUD), and posttraumatic stress disorder (PTSD) are understudied during adolescence.
Using 1652 participants (51.75% female, baseline = 14.3) from the Collaborative Study of the Genetics of Alcoholism, we employed latent growth curve models to (1) examine associations of childhood physical, sexual, and non-assaultive trauma (CPAT, CSAT, and CNAT) with repeated measures of alpha band EEG coherence (EEGc), and (2) assess whether EEGc trajectories were associated with AUD and PTSD symptoms. Sex-specific models accommodated sex differences in trauma exposure, AUD prevalence, and neural development.
In females, CSAT was associated with higher mean levels of EEGc in left frontocentral (LFC, ß = 0.13, = 0.01) and interhemispheric prefrontal (PFI, ß = 0.16, < 0.01) regions, but diminished growth in LFC (ß = -0.07, = 0.02) and PFI (ß = -0.07, = 0.02). In males, CPAT was associated with lower mean levels (ß = -0.17, = 0.01) and increased growth (ß = 0.11, = 0.01) of LFC EEGc. Slope of LFC EEGc was inversely associated with AUD symptoms in females (ß = -1.81, = 0.01). Intercept of right frontocentral and PFI EEGc were associated with AUD symptoms in males, but in opposite directions. Significant associations between EEGc and PTSD symptoms were also observed in trauma-exposed individuals.
Childhood assaultive trauma is associated with changes in frontal alpha EEGc and subsequent AUD and PTSD symptoms, though patterns differ by sex and trauma type. EEGc findings may inform emerging treatments for PTSD and AUD.
童年创伤、神经发育、酒精使用障碍(AUD)和创伤后应激障碍(PTSD)之间的关联在青少年时期研究较少。
我们使用来自酒精中毒遗传学合作研究的1652名参与者(51.75%为女性,基线年龄 = 14.3岁),采用潜在生长曲线模型来(1)研究童年身体创伤、性创伤和非攻击性创伤(CPAT、CSAT和CNAT)与α波段脑电图相干性(EEGc)重复测量值之间的关联,以及(2)评估EEGc轨迹是否与AUD和PTSD症状相关。特定性别的模型考虑了创伤暴露、AUD患病率和神经发育方面的性别差异。
在女性中,CSAT与左额中央(LFC,β = 0.13,p = 0.01)和半球间前额叶(PFI,β = 0.16,p < 0.01)区域较高的EEGc平均水平相关,但LFC(β = -0.07,p = 0.02)和PFI(β = -0.07,p = 0.02)的生长减弱。在男性中,CPAT与LFC EEGc较低的平均水平(β = -0.17,p = 0.01)和增加的生长(β = 0.11,p = 0.01)相关。LFC EEGc的斜率与女性的AUD症状呈负相关(β = -1.81,p = 0.01)。右额中央和PFI EEGc的截距与男性的AUD症状相关,但方向相反。在有创伤暴露的个体中也观察到EEGc与PTSD症状之间的显著关联。
童年攻击性创伤与额叶α EEGc的变化以及随后的AUD和PTSD症状相关,尽管模式因性别和创伤类型而异。EEGc的研究结果可能为PTSD和AUD的新兴治疗提供信息。