Voxel-based morphometry and cortical thickness in combat veterans suffering from impulsive aggression.
Tim Varkevisser1,2,3, Remko van Lutterveld1,2, Lieke Heesink1,2,3
1University Medical Center, Utrecht, The Netherlands.
Psychological Medicine
|February 8, 2020
Summary
Neuroimaging studies found no direct link between brain structure and impulsive aggression in combat veterans. However, an interaction between anxiety and aggression was observed, suggesting shared neural mechanisms.
Area of Science:
- Neuroscience
- Psychiatry
- Neuroimaging
Background:
- Impulsive aggression is prevalent in psychiatric disorders and common among combat veterans.
- Understanding the neuroanatomical basis of combat-related impulsive aggression is crucial.
Purpose of the Study:
- To investigate the neuroanatomical correlates of impulsive aggression in combat veterans.
- To examine differences in brain structure between aggressive and non-aggressive combat veterans.
Main Methods:
- Magnetic resonance imaging (MRI) was used to acquire T1-weighted images from male veterans.
- Subcortical volumetry focused on the amygdala and hippocampus, while cortical thickness was measured in prefrontal regions.
- Regions of interest included basolateral/centromedial amygdala, hippocampus subdivisions, dorsolateral prefrontal cortex, orbitofrontal cortex, and anterior cingulate cortex.
Main Results:
- No significant differences in cortical thickness or subcortical grey matter volumes were found between groups.
- No significant correlations were observed between brain measures and psychometric assessments.
- An exploratory analysis revealed a significant group by anxiety interaction in the left lingual gyrus for cortical thickness.
Conclusions:
- Impulsive aggression in combat veterans may not be directly linked to structural changes in the amygdala, hippocampus, or specific cortical areas.
- The findings suggest a potential shared neural basis for impulsive aggression and anxiety, consistent with previous research.
- Further research is needed to elucidate the complex neural mechanisms underlying impulsive aggression and its comorbidity with anxiety in veterans.


