Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment

Abstract Military personnel experience high trauma load that can change brain circuitry leading to impaired inhibitory control and posttraumatic stress disorder (PTSD). Inhibitory control processing may be particularly vulnerable to developmental and interpersonal trauma. This study examines the dif...

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Main Authors: Lisa N. Miller, David Forbes, Alexander C. McFarlane, Ellie Lawrence-Wood, Julian G. Simmons, Kim Felmingham
Format: Article
Language:English
Published: Nature Portfolio 2023-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-48505-7
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author Lisa N. Miller
David Forbes
Alexander C. McFarlane
Ellie Lawrence-Wood
Julian G. Simmons
Kim Felmingham
author_facet Lisa N. Miller
David Forbes
Alexander C. McFarlane
Ellie Lawrence-Wood
Julian G. Simmons
Kim Felmingham
author_sort Lisa N. Miller
collection DOAJ
description Abstract Military personnel experience high trauma load that can change brain circuitry leading to impaired inhibitory control and posttraumatic stress disorder (PTSD). Inhibitory control processing may be particularly vulnerable to developmental and interpersonal trauma. This study examines the differential role of cumulative pre-deployment trauma and timing of trauma on inhibitory control using the Go/NoGo paradigm in a military population. The Go/NoGo paradigm was administered to 166 predominately male army combat personnel at pre- and post-deployment. Linear mixed models analyze cumulative trauma, trauma onset, and post-deployment PTSD symptoms on NoGo-N2 and NoGo-P3 amplitude and latency across deployment. Here we report, NoGo-N2 amplitude increases and NoGo-P3 amplitude and latency decreases in those with high prior interpersonal trauma across deployment. Increases in NoGo-P3 amplitude following adolescent-onset trauma and NoGo-P3 latency following childhood-onset and adolescent-onset trauma are seen across deployment. Arousal symptoms positively correlated with conflict monitoring. Our findings support the cumulative trauma load and sensitive period of trauma exposure models for inhibitory control processing in a military population. High cumulative interpersonal trauma impacts conflict monitoring and response suppression and increases PTSD symptoms whereas developmental trauma differentially impacts response suppression. This research highlights the need for tailored strategies for strengthening inhibitory control, and that consider timing and type of trauma in military personnel.
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spelling doaj.art-5ad319b1017947848e261bd939bdecaa2023-12-10T12:15:32ZengNature PortfolioScientific Reports2045-23222023-12-0113111410.1038/s41598-023-48505-7Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deploymentLisa N. Miller0David Forbes1Alexander C. McFarlane2Ellie Lawrence-Wood3Julian G. Simmons4Kim Felmingham5Melbourne School of Psychological Science, Trauma Anxiety and Stress Lab, The University of MelbourneDepartment of Psychiatry, The University of MelbourneDiscipline of Psychiatry, Adelaide Medical School, University of AdelaideDepartment of Psychiatry, The University of MelbourneMelbourne School of Psychological Science, Trauma Anxiety and Stress Lab, The University of MelbourneMelbourne School of Psychological Science, Trauma Anxiety and Stress Lab, The University of MelbourneAbstract Military personnel experience high trauma load that can change brain circuitry leading to impaired inhibitory control and posttraumatic stress disorder (PTSD). Inhibitory control processing may be particularly vulnerable to developmental and interpersonal trauma. This study examines the differential role of cumulative pre-deployment trauma and timing of trauma on inhibitory control using the Go/NoGo paradigm in a military population. The Go/NoGo paradigm was administered to 166 predominately male army combat personnel at pre- and post-deployment. Linear mixed models analyze cumulative trauma, trauma onset, and post-deployment PTSD symptoms on NoGo-N2 and NoGo-P3 amplitude and latency across deployment. Here we report, NoGo-N2 amplitude increases and NoGo-P3 amplitude and latency decreases in those with high prior interpersonal trauma across deployment. Increases in NoGo-P3 amplitude following adolescent-onset trauma and NoGo-P3 latency following childhood-onset and adolescent-onset trauma are seen across deployment. Arousal symptoms positively correlated with conflict monitoring. Our findings support the cumulative trauma load and sensitive period of trauma exposure models for inhibitory control processing in a military population. High cumulative interpersonal trauma impacts conflict monitoring and response suppression and increases PTSD symptoms whereas developmental trauma differentially impacts response suppression. This research highlights the need for tailored strategies for strengthening inhibitory control, and that consider timing and type of trauma in military personnel.https://doi.org/10.1038/s41598-023-48505-7
spellingShingle Lisa N. Miller
David Forbes
Alexander C. McFarlane
Ellie Lawrence-Wood
Julian G. Simmons
Kim Felmingham
Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
Scientific Reports
title Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
title_full Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
title_fullStr Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
title_full_unstemmed Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
title_short Cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
title_sort cumulative trauma load and timing of trauma prior to military deployment differentially influences inhibitory control processing across deployment
url https://doi.org/10.1038/s41598-023-48505-7
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