世界贸易中心响应者中创伤后应激障碍背后的神经机制的功能变化
Azzurra Invernizzi1, Elza Rechtman2, Paul Curtin2
1Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. azzurra.invernizzi@mssm.edu.
Translational psychiatry
|July 10, 2023
概括
世界贸易中心的应急人员患有PTSD显示出不同的大脑连接模式. 休息状态fMRI确定了与创伤暴露和症状严重程度相关的神经差异,有助于PTSD诊断.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 医疗成像医学成像
背景情况:
- 世界贸易中心 (WTC) 应急人员因环境和创伤性暴露而面临慢性创伤后应激障碍 (PTSD) 的高率.
- 了解与WTC相关的PTSD (WTC-PTSD) 的神经基础对于有效的诊断和治疗至关重要.
研究的目的:
- 通过静止状态功能磁共振成像 (fMRI) 来研究WTC-PTSD的神经机制.
- 为了确定脑连接模式,通过自身向量中心性 (EC) 测量,如何与WTC暴露和PTSD症状严重程度相关.
主要方法:
- 应用数据驱动方法和自身向量中心性 (EC) 度量对来自WTC响应者的静止状态fMRI数据.
- 分析了WTC-PTSD和没有WTC-PTSD的响应者之间大脑连接的差异.
- 检查了WTC暴露时间的适度效应和与症状严重程度的关联.
主要成果:
- 在WTC-PTSD和非PTSD响应者之间,在9个区域中发现了大脑连接的显著差异,从而实现了有效的歧视.
- 在WTC暴露的持续时间缓和了PTSD和EC之间的关系在右侧前侧海马和左侧杏仁体.
- 在WTC-PTSD中,症状严重程度与右前半海马螺和脑干中EC的积极相关.
结论:
- 休息状态fMRI和EC分析可以确定WTC-PTSD的神经相关物.
- 功能神经成像为在WTC暴露的人群中识别PTSD的诊断和维度指标提供了潜在的潜力.
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