Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder

Abstract Introduction Most youths who suffer from post‐traumatic stress disorder (PTSD) lose their diagnosis in the first 1–2 years. However, there are few studies on this brain mechanism, and the heterogeneity of the findings is partially due to the different stimuli applied and the mixed trauma hi...

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Main Authors: Peng Wang, Zu‐Lai Peng, Lu Liu, Li An, Yu‐Xin Liu, Qing‐Jiu Cao, Li Sun, Ning Ji, Yun Chen, Bin‐Rang Yang, Yu‐Feng Wang
Format: Article
Language:English
Published: Wiley 2021-07-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.2173
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author Peng Wang
Zu‐Lai Peng
Lu Liu
Li An
Yu‐Xin Liu
Qing‐Jiu Cao
Li Sun
Ning Ji
Yun Chen
Bin‐Rang Yang
Yu‐Feng Wang
author_facet Peng Wang
Zu‐Lai Peng
Lu Liu
Li An
Yu‐Xin Liu
Qing‐Jiu Cao
Li Sun
Ning Ji
Yun Chen
Bin‐Rang Yang
Yu‐Feng Wang
author_sort Peng Wang
collection DOAJ
description Abstract Introduction Most youths who suffer from post‐traumatic stress disorder (PTSD) lose their diagnosis in the first 1–2 years. However, there are few studies on this brain mechanism, and the heterogeneity of the findings is partially due to the different stimuli applied and the mixed trauma history. Therefore, the use of trauma‐related/unrelated stimuli to study the remittance mechanism of earthquake‐induced PTSD could advance our knowledge of PTSD and inspire future treatment. Methods Thirteen youths with PTSD, 18 remitted participants, and 18 control participants underwent functional magnetic resonance imaging (fMRI), while viewing trauma‐related pictures, trauma‐unrelated negative pictures, and scrambled pictures. Results Under trauma‐unrelated condition, the neural activity of the left hippocampus in the remitted group was between the two other groups. Under trauma‐related condition, the PTSD and the remitted group exhibited higher neural activity in the right middle occipital gyrus than controls. The remitted group showed higher neural activity in the right parahippocampal gyrus and right lingual gyrus under trauma‐related condition than trauma‐unrelated condition, while no significant difference was found in PTSD group. Conclusion PTSD status‐related group differences are mainly reflected in the left hippocampus under the trauma‐unrelated condition, while the hyperactivity in the right middle occipital gyrus under trauma‐related condition could be an endophenotype for PTSD.
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spelling doaj.art-0a237bd3b5c14bfc8365a394f749cd2e2022-12-21T18:29:33ZengWileyBrain and Behavior2162-32792021-07-01117n/an/a10.1002/brb3.2173Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorderPeng Wang0Zu‐Lai Peng1Lu Liu2Li An3Yu‐Xin Liu4Qing‐Jiu Cao5Li Sun6Ning Ji7Yun Chen8Bin‐Rang Yang9Yu‐Feng Wang10Sixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaShenzhen Children's Hospital Shenzhen ChinaSixth Hospital/Institute of Mental Health Peking University Beijing ChinaAbstract Introduction Most youths who suffer from post‐traumatic stress disorder (PTSD) lose their diagnosis in the first 1–2 years. However, there are few studies on this brain mechanism, and the heterogeneity of the findings is partially due to the different stimuli applied and the mixed trauma history. Therefore, the use of trauma‐related/unrelated stimuli to study the remittance mechanism of earthquake‐induced PTSD could advance our knowledge of PTSD and inspire future treatment. Methods Thirteen youths with PTSD, 18 remitted participants, and 18 control participants underwent functional magnetic resonance imaging (fMRI), while viewing trauma‐related pictures, trauma‐unrelated negative pictures, and scrambled pictures. Results Under trauma‐unrelated condition, the neural activity of the left hippocampus in the remitted group was between the two other groups. Under trauma‐related condition, the PTSD and the remitted group exhibited higher neural activity in the right middle occipital gyrus than controls. The remitted group showed higher neural activity in the right parahippocampal gyrus and right lingual gyrus under trauma‐related condition than trauma‐unrelated condition, while no significant difference was found in PTSD group. Conclusion PTSD status‐related group differences are mainly reflected in the left hippocampus under the trauma‐unrelated condition, while the hyperactivity in the right middle occipital gyrus under trauma‐related condition could be an endophenotype for PTSD.https://doi.org/10.1002/brb3.2173childearthquakeshippocampuspost‐traumaticremittance
spellingShingle Peng Wang
Zu‐Lai Peng
Lu Liu
Li An
Yu‐Xin Liu
Qing‐Jiu Cao
Li Sun
Ning Ji
Yun Chen
Bin‐Rang Yang
Yu‐Feng Wang
Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder
Brain and Behavior
child
earthquakes
hippocampus
post‐traumatic
remittance
title Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder
title_full Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder
title_fullStr Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder
title_full_unstemmed Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder
title_short Neural response to trauma‐related and trauma‐unrelated negative stimuli in remitted and persistent pediatric post‐traumatic stress disorder
title_sort neural response to trauma related and trauma unrelated negative stimuli in remitted and persistent pediatric post traumatic stress disorder
topic child
earthquakes
hippocampus
post‐traumatic
remittance
url https://doi.org/10.1002/brb3.2173
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