Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study

ObjectivesTo investigate the dynamic changes of emotional and memory-related brain regions in post-traumatic stress disorder (PTSD) patients and trauma-exposed subjects, who experienced motor vehicle accident (MVA).Materials and methodsFunctional Magnetic Resonance imaging (fMRI) and general data we...

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Main Authors: Luodong Yang, Haohao Li, Yao Meng, Yan Shi, Anxin Ge, Guiqing Zhang, Chaomeng Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1018276/full
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author Luodong Yang
Haohao Li
Yao Meng
Yan Shi
Anxin Ge
Guiqing Zhang
Chaomeng Liu
Chaomeng Liu
author_facet Luodong Yang
Haohao Li
Yao Meng
Yan Shi
Anxin Ge
Guiqing Zhang
Chaomeng Liu
Chaomeng Liu
author_sort Luodong Yang
collection DOAJ
description ObjectivesTo investigate the dynamic changes of emotional and memory-related brain regions in post-traumatic stress disorder (PTSD) patients and trauma-exposed subjects, who experienced motor vehicle accident (MVA).Materials and methodsFunctional Magnetic Resonance imaging (fMRI) and general data were collected from trauma victims who had experienced MVA within 2 days, and their social support and coping style were evaluated. The PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) is used for screening and diagnosis. Subsequently, 17 PTSD patients and 23 car accident trauma-exposed individuals completed a second fMRI scan at 2 months. Data were analyzed by using voxel-based morphometry (VBM) to examine the volume changes of relevant brain regions. Correlation analysis was used to assess the correlation between the regions of interest (ROIs) and the total scores on the clinical scales. Subsequently, the relationship between the total PCL-5 scores and the individual dimensions of the Simplified Coping Style Questionnaire (SCSQ) and the Social Support Rate Scale (SSRS) was studied.ResultsIn comparison with the control group, the results showed a reduction in right SFG volume in the PTSD group at 2 months. Similarly, a comparison within the PTSD group revealed a reduction in the left STG volume at 2 months. Compared with the control group, PTSD patients showed a more negative coping style and worse performance in objective and subjective support. In addition, the total PCL-5 scores were negatively associated with positive coping, objective support, and subjective support.ConclusionThe occurrence of PTSD may be related to reduced volume of the right SFG and left STG, and that patients with PTSD receive less social support and tend to cope in a negative manner in the face of stressful events. These results suggest that within 2 months of the MVA, changes in gray matter volume have occurred in some brain regions of those suffering from PTSD. We believe the results of our study will provide useful insights into the neuropsychological mechanisms underlying PTSD.
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spelling doaj.art-7999ccff78fb44de848ac6bfcbbb2d752022-12-22T03:54:35ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-10-011310.3389/fpsyg.2022.10182761018276Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up studyLuodong Yang0Haohao Li1Yao Meng2Yan Shi3Anxin Ge4Guiqing Zhang5Chaomeng Liu6Chaomeng Liu7Shihezi University School of Medicine, Shihezi, ChinaFirst Affiliated Hospital of Shihezi University School of Medicine, Shihezi, ChinaFirst Affiliated Hospital of Shihezi University School of Medicine, Shihezi, ChinaShihezi University School of Medicine, Shihezi, ChinaShihezi University School of Medicine, Shihezi, ChinaFirst Affiliated Hospital of Shihezi University School of Medicine, Shihezi, ChinaBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders and National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaObjectivesTo investigate the dynamic changes of emotional and memory-related brain regions in post-traumatic stress disorder (PTSD) patients and trauma-exposed subjects, who experienced motor vehicle accident (MVA).Materials and methodsFunctional Magnetic Resonance imaging (fMRI) and general data were collected from trauma victims who had experienced MVA within 2 days, and their social support and coping style were evaluated. The PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) is used for screening and diagnosis. Subsequently, 17 PTSD patients and 23 car accident trauma-exposed individuals completed a second fMRI scan at 2 months. Data were analyzed by using voxel-based morphometry (VBM) to examine the volume changes of relevant brain regions. Correlation analysis was used to assess the correlation between the regions of interest (ROIs) and the total scores on the clinical scales. Subsequently, the relationship between the total PCL-5 scores and the individual dimensions of the Simplified Coping Style Questionnaire (SCSQ) and the Social Support Rate Scale (SSRS) was studied.ResultsIn comparison with the control group, the results showed a reduction in right SFG volume in the PTSD group at 2 months. Similarly, a comparison within the PTSD group revealed a reduction in the left STG volume at 2 months. Compared with the control group, PTSD patients showed a more negative coping style and worse performance in objective and subjective support. In addition, the total PCL-5 scores were negatively associated with positive coping, objective support, and subjective support.ConclusionThe occurrence of PTSD may be related to reduced volume of the right SFG and left STG, and that patients with PTSD receive less social support and tend to cope in a negative manner in the face of stressful events. These results suggest that within 2 months of the MVA, changes in gray matter volume have occurred in some brain regions of those suffering from PTSD. We believe the results of our study will provide useful insights into the neuropsychological mechanisms underlying PTSD.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1018276/fullPTSDfMRIsocial supportcoping stylemotor vehicle accident
spellingShingle Luodong Yang
Haohao Li
Yao Meng
Yan Shi
Anxin Ge
Guiqing Zhang
Chaomeng Liu
Chaomeng Liu
Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study
Frontiers in Psychology
PTSD
fMRI
social support
coping style
motor vehicle accident
title Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study
title_full Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study
title_fullStr Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study
title_full_unstemmed Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study
title_short Dynamic changes in brain structure in patients with post-traumatic stress disorder after motor vehicle accident: A voxel-based morphometry-based follow-up study
title_sort dynamic changes in brain structure in patients with post traumatic stress disorder after motor vehicle accident a voxel based morphometry based follow up study
topic PTSD
fMRI
social support
coping style
motor vehicle accident
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1018276/full
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