Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD

Background We recently reported an improvement of precuneus PET metabolism after EMDR therapy in military participants suffering from PTSD. Objective The aim of the present study was to investigate the metabolic changes of precuneus connectivity in these participants after such treatment. Method Fif...

Full description

Bibliographic Details
Main Authors: A. Verger, P. F. Rousseau, E. Malbos, M. B. Chawki, F. Nicolas, C. Lançon, S. Khalfa, E. Guedj
Format: Article
Language:English
Published: Taylor & Francis Group 2020-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2020.1767986
_version_ 1797954521926729728
author A. Verger
P. F. Rousseau
E. Malbos
M. B. Chawki
F. Nicolas
C. Lançon
S. Khalfa
E. Guedj
author_facet A. Verger
P. F. Rousseau
E. Malbos
M. B. Chawki
F. Nicolas
C. Lançon
S. Khalfa
E. Guedj
author_sort A. Verger
collection DOAJ
description Background We recently reported an improvement of precuneus PET metabolism after EMDR therapy in military participants suffering from PTSD. Objective The aim of the present study was to investigate the metabolic changes of precuneus connectivity in these participants after such treatment. Method Fifteen participants with PTSD performed a brain 18F-FDG-PET sensitized by virtual reality exposure to war scenes, before and after EMDR treatment. Inter-regional correlation analysis was performed to study metabolic changes of precuneus connectivity through SPMT maps at whole-brain level (p < 0.005 for the voxel, p < 0.05 for the cluster). Results A decrease of connectivity was observed after EMDR between the precuneus and two significant bilateral clusters of the cerebellum (bilateral Crus I and VI cerebellar lobules, Tmax voxel of 5.8 and 5.3, and cluster size of 343 and 314 voxels, respectively). Moreover, higher cerebellar metabolism before treatment was associated with reduced clinical PTSD scores after EMDR (p = 0.03). Conclusions The posterior cerebellum and its metabolic connectivity with the precuneus are involved in the clinical efficiency of EMDR in PTSD.
first_indexed 2024-04-10T23:18:49Z
format Article
id doaj.art-80c95945ee604a019258e168a3d4aeb6
institution Directory Open Access Journal
issn 2000-8066
language English
last_indexed 2024-04-10T23:18:49Z
publishDate 2020-12-01
publisher Taylor & Francis Group
record_format Article
series European Journal of Psychotraumatology
spelling doaj.art-80c95945ee604a019258e168a3d4aeb62023-01-12T15:31:32ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662020-12-0111110.1080/20008198.2020.17679861767986Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSDA. Verger0P. F. Rousseau1E. Malbos2M. B. Chawki3F. Nicolas4C. Lançon5S. Khalfa6E. Guedj7Lorraine UniversityAix-Marseille Université CNRSLa Conception University HospitalLorraine UniversityAix-Marseille UniversitéLa Conception University HospitalAix-Marseille Université CNRSHôpital d’Instruction des Armées Sainte-AnneBackground We recently reported an improvement of precuneus PET metabolism after EMDR therapy in military participants suffering from PTSD. Objective The aim of the present study was to investigate the metabolic changes of precuneus connectivity in these participants after such treatment. Method Fifteen participants with PTSD performed a brain 18F-FDG-PET sensitized by virtual reality exposure to war scenes, before and after EMDR treatment. Inter-regional correlation analysis was performed to study metabolic changes of precuneus connectivity through SPMT maps at whole-brain level (p < 0.005 for the voxel, p < 0.05 for the cluster). Results A decrease of connectivity was observed after EMDR between the precuneus and two significant bilateral clusters of the cerebellum (bilateral Crus I and VI cerebellar lobules, Tmax voxel of 5.8 and 5.3, and cluster size of 343 and 314 voxels, respectively). Moreover, higher cerebellar metabolism before treatment was associated with reduced clinical PTSD scores after EMDR (p = 0.03). Conclusions The posterior cerebellum and its metabolic connectivity with the precuneus are involved in the clinical efficiency of EMDR in PTSD.http://dx.doi.org/10.1080/20008198.2020.1767986ptsdemdrpetconnectivitycerebellum
spellingShingle A. Verger
P. F. Rousseau
E. Malbos
M. B. Chawki
F. Nicolas
C. Lançon
S. Khalfa
E. Guedj
Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD
European Journal of Psychotraumatology
ptsd
emdr
pet
connectivity
cerebellum
title Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD
title_full Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD
title_fullStr Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD
title_full_unstemmed Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD
title_short Involvement of the cerebellum in EMDR efficiency: a metabolic connectivity PET study in PTSD
title_sort involvement of the cerebellum in emdr efficiency a metabolic connectivity pet study in ptsd
topic ptsd
emdr
pet
connectivity
cerebellum
url http://dx.doi.org/10.1080/20008198.2020.1767986
work_keys_str_mv AT averger involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT pfrousseau involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT emalbos involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT mbchawki involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT fnicolas involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT clancon involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT skhalfa involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd
AT eguedj involvementofthecerebelluminemdrefficiencyametabolicconnectivitypetstudyinptsd