Alterations in gray matter microstructure and functional connectivity after acute stress.
Na Zhao1, Linhan Liu1, Yingdong Zhang2
1Department of Radiology, Hebei Medical University Third Hospital, Shijiazhuang, People's Republic of China.
European Journal of Psychotraumatology
|February 23, 2026
Summary
Motor vehicle accident survivors show early gray matter microstructure changes in brain regions like the mOFC and ACC. These alterations may impact brain network function shortly after acute stress.
Area of Science:
- Neuroscience
- Neuroimaging
- Trauma Research
Background:
- Trauma exposure is linked to gray matter (GM) changes, but acute stress effects are unclear.
- Understanding neurobiological abnormalities after acute stress is crucial for intervention.
Purpose of the Study:
- Investigate structural and functional brain changes in acute stress (motor vehicle accident survivors).
- Assess sex differences in GM microstructure and functional connectivity.
- Explore associations between GM structure and anxiety symptoms.
Main Methods:
- Compared 32 MVA survivors and 31 controls using MRI (MD, FA, GMV).
- Examined medial orbitofrontal cortex (mOFC), amygdala, hippocampus, insula, and anterior cingulate cortex (ACC).
- Conducted functional connectivity (FC) and correlation analyses.
Main Results:
- MVA survivors showed lower fractional anisotropy (FA) in mOFC and ACC.
- Females in the MVA group had lower mean diffusivity (MD) in the right ACC.
- Reduced connectivity between right mOFC and left inferior OFC was observed in MVA survivors.
Conclusions:
- Motor vehicle accident survivors exhibit GM microstructure alterations soon after trauma.
- These changes may lead to functional consequences in brain networks.
- Findings support timely interventions for acute stress.
Keywords:
EstrésMRIRMStressconectividad funcionaldiffusion tensor imagingfunctional connectivitygray matterimagen por tensor de difusiónsustancia gris

