Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma

ObjectiveAcross various axis-1 disorders, the severity of dissociative symptoms is significantly related to a history of childhood traumatization. Thus, the question arises if coping with childhood trauma leads to neural adaptations that enhance the frequency of dissociative processing during adulth...

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Main Authors: Judith K. Daniels, Anna Schulz, Julia Schellong, Pengfei Han, Fabian Rottstädt, Kersten Diers, Kerstin Weidner, Ilona Croy
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-04-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2019.00738/full
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author Judith K. Daniels
Judith K. Daniels
Anna Schulz
Julia Schellong
Pengfei Han
Fabian Rottstädt
Kersten Diers
Kerstin Weidner
Ilona Croy
author_facet Judith K. Daniels
Judith K. Daniels
Anna Schulz
Julia Schellong
Pengfei Han
Fabian Rottstädt
Kersten Diers
Kerstin Weidner
Ilona Croy
author_sort Judith K. Daniels
collection DOAJ
description ObjectiveAcross various axis-1 disorders, the severity of dissociative symptoms is significantly related to a history of childhood traumatization. Thus, the question arises if coping with childhood trauma leads to neural adaptations that enhance the frequency of dissociative processing during adulthood. The aim of the two reported studies therefore was to identify and replicate gray matter alterations associated with dissociation.Methods and ResultsIn a first study, whole-brain MRI data were acquired for 22 female in-patients with trauma-spectrum disorders and a history of severe childhood trauma. Voxel-based morphometry (VBM) was carried out to test for significant correlations between dissociation (depersonalization/derealization) severity and gray matter volume. Dissociation severity was positively associated with volume in the left angular gyrus. This result was diagnosis-invariant. The replication study involved 26 female in-patients with trauma-spectrum disorders and 25 healthy controls. No significant association between dissociation severity and brain volume in a left angular gyrus region of interest located at the peak identified in study 1 was identified and no significant group difference in this region could be established.ConclusionThe angular gyrus has previously been implicated in the processing of agency and vestibular integration as well as dissociative processing. The current attempt at a direct replication of brain volume alterations however, failed. The data thus only partially support the notion that dissociative processing is associated trans-diagnostically with structural brain alterations in the left angular gyrus and independent replication in a larger patient sample is essential.
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spelling doaj.art-382f0e6d9706452eb6507ba73072795c2022-12-22T01:58:36ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-04-011010.3389/fpsyg.2019.00738435148Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood TraumaJudith K. Daniels0Judith K. Daniels1Anna Schulz2Julia Schellong3Pengfei Han4Fabian Rottstädt5Kersten Diers6Kerstin Weidner7Ilona Croy8Division of Clinical Psychology and Experimental Psychopathology, Department of Psychology, University of Groningen, Groningen, NetherlandsPsychologische Hochschule Berlin, Berlin, GermanyAbteilung für Psychotherapie und Psychosomatik, Medizinische Fakultät Dresden, Technische Universität Dresden, Dresden, GermanyAbteilung für Psychotherapie und Psychosomatik, Medizinische Fakultät Dresden, Technische Universität Dresden, Dresden, GermanyAbteilung für Psychologie, Technische Universität Dresden, Dresden, GermanyAbteilung für Psychotherapie und Psychosomatik, Medizinische Fakultät Dresden, Technische Universität Dresden, Dresden, GermanyAbteilung für Hals-Nasen-Ohren-Heilkunde, Medizinische Fakultät Dresden, Technische Universität Dresden, Dresden, GermanyAbteilung für Psychotherapie und Psychosomatik, Medizinische Fakultät Dresden, Technische Universität Dresden, Dresden, GermanyAbteilung für Psychotherapie und Psychosomatik, Medizinische Fakultät Dresden, Technische Universität Dresden, Dresden, GermanyObjectiveAcross various axis-1 disorders, the severity of dissociative symptoms is significantly related to a history of childhood traumatization. Thus, the question arises if coping with childhood trauma leads to neural adaptations that enhance the frequency of dissociative processing during adulthood. The aim of the two reported studies therefore was to identify and replicate gray matter alterations associated with dissociation.Methods and ResultsIn a first study, whole-brain MRI data were acquired for 22 female in-patients with trauma-spectrum disorders and a history of severe childhood trauma. Voxel-based morphometry (VBM) was carried out to test for significant correlations between dissociation (depersonalization/derealization) severity and gray matter volume. Dissociation severity was positively associated with volume in the left angular gyrus. This result was diagnosis-invariant. The replication study involved 26 female in-patients with trauma-spectrum disorders and 25 healthy controls. No significant association between dissociation severity and brain volume in a left angular gyrus region of interest located at the peak identified in study 1 was identified and no significant group difference in this region could be established.ConclusionThe angular gyrus has previously been implicated in the processing of agency and vestibular integration as well as dissociative processing. The current attempt at a direct replication of brain volume alterations however, failed. The data thus only partially support the notion that dissociative processing is associated trans-diagnostically with structural brain alterations in the left angular gyrus and independent replication in a larger patient sample is essential.https://www.frontiersin.org/article/10.3389/fpsyg.2019.00738/fullchildhood traumadissociationVBMgray mattertemporoparietal junctionposttraumatic stress disorder
spellingShingle Judith K. Daniels
Judith K. Daniels
Anna Schulz
Julia Schellong
Pengfei Han
Fabian Rottstädt
Kersten Diers
Kerstin Weidner
Ilona Croy
Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma
Frontiers in Psychology
childhood trauma
dissociation
VBM
gray matter
temporoparietal junction
posttraumatic stress disorder
title Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma
title_full Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma
title_fullStr Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma
title_full_unstemmed Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma
title_short Gray Matter Alterations Associated With Dissociation in Female Survivors of Childhood Trauma
title_sort gray matter alterations associated with dissociation in female survivors of childhood trauma
topic childhood trauma
dissociation
VBM
gray matter
temporoparietal junction
posttraumatic stress disorder
url https://www.frontiersin.org/article/10.3389/fpsyg.2019.00738/full
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