患有PTSD和复杂PTSD的朝鲜叛逃者在默认模式网络休息状态功能连接的默认模式中显示变化
Byung-Hoon Kim1, Jiwon Baek2, Ocksim Kim3
1Department of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea; and Institute of Behavioral Sciences in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
BJPsych open
|January 5, 2024
概括
默认模式网络 (DMN) 和基底质的神经变化在朝鲜叛逃者 (NKD) 中明显,他们患有创伤后应激障碍 (PTSD) 和复杂的PTSD (cPTSD). 这些大脑连接的变化可能提供治疗点.
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:
- 朝鲜叛逃者 (NKD) 经常经历创伤.
- 关于患有创伤后应激障碍 (PTSD) 和复杂PTSD (cPTSD) 的NKD的神经变化的研究有限.
研究的目的:
- 研究患有PTSD和cPTSD的NKD的神经变化.
- 专注于静止状态的功能连接网络,包括默认模式网络 (DMN).
主要方法:
- 在三组NKD中使用fMRI评估休息状态功能连接:没有PTSD,PTSD和cPTSD.
- 雇佣的感兴趣地区 (ROI) 到ROI和ROI到voxel的分析.
- 通过应对和适应处理量表 (CAPS) 进行了后期相关性分析.
主要成果:
- 在各组之间发现了DMN连接, thalamus 和基底腺功能连接的显著差异.
- 确定了右海马 - 左白体和右杏仁体 - 左舌环之间改变的连接性.
- 观察到CAPS得分与基底 - 脑膜核蛋白连接性之间的特定群体相关性.
结论:
- 患有PTSD和cPTSD的NKD在DMN和边缘系统中表现出改变的功能连接,涉及基底.
- 患者的基底-DMN连接性改变表明了对PTSD和cPTSD的潜在治疗点.
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