Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study

Abstract Severe trauma exposure may lead to symptoms of both posttraumatic stress disorder and depression. Neuroanatomical theories suggest that both disorders may share imbalances in fronto-limbic circuits. Longitudinal studies are necessary to better understand the impact of a stressful life situa...

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Main Authors: Robert C. Lorenz, Oisin Butler, Gerd Willmund, Ulrich Wesemann, Peter Zimmermann, Jürgen Gallinat, Simone Kühn
Format: Article
Language:English
Published: Nature Publishing Group 2022-11-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-022-02241-0
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author Robert C. Lorenz
Oisin Butler
Gerd Willmund
Ulrich Wesemann
Peter Zimmermann
Jürgen Gallinat
Simone Kühn
author_facet Robert C. Lorenz
Oisin Butler
Gerd Willmund
Ulrich Wesemann
Peter Zimmermann
Jürgen Gallinat
Simone Kühn
author_sort Robert C. Lorenz
collection DOAJ
description Abstract Severe trauma exposure may lead to symptoms of both posttraumatic stress disorder and depression. Neuroanatomical theories suggest that both disorders may share imbalances in fronto-limbic circuits. Longitudinal studies are necessary to better understand the impact of a stressful life situation on potential long-term fronto-limbic imbalances. Here we investigated soldiers neural processing of combat-related stimuli versus negative affective stimuli before and after the deployment in different war zones. In the final analysis we included 104 deployed soldiers (combat group) and 36 soldiers that were not deployed (control group). Behaviorally, we found a significant group by time interaction regarding depression symptom scores with an increase in the combat group. Depressive symptoms were subclinical. On the neural level, neither the whole brain analysis nor the region of interest (ROI) analyses including frontal and limbic ROIs revealed any significant results in the group by time interaction. However, extracted ROI values of the group by time interaction of amygdala and hippocampus were positively associated with the change in depression symptom scores in the combat group, but not in the control group. These results highlight the role of depression in individuals that experience stressful life situations. Future studies may need to investigate the role of depressive symptoms after trauma exposure with different tasks that may be particularly sensitive to changes due to depressive symptoms.
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spelling doaj.art-a564f406b2d84cb480ee10316ad51ee32022-12-22T03:42:12ZengNature Publishing GroupTranslational Psychiatry2158-31882022-11-011211910.1038/s41398-022-02241-0Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI studyRobert C. Lorenz0Oisin Butler1Gerd Willmund2Ulrich Wesemann3Peter Zimmermann4Jürgen Gallinat5Simone Kühn6Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human DevelopmentLise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human DevelopmentCenter for Military Mental Health, Military Hospital BerlinCenter for Military Mental Health, Military Hospital BerlinCenter for Military Mental Health, Military Hospital BerlinUniversity Medical Center Hamburg-Eppendorf (UKE), Department of Psychiatry and Psychotherapy W37Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human DevelopmentAbstract Severe trauma exposure may lead to symptoms of both posttraumatic stress disorder and depression. Neuroanatomical theories suggest that both disorders may share imbalances in fronto-limbic circuits. Longitudinal studies are necessary to better understand the impact of a stressful life situation on potential long-term fronto-limbic imbalances. Here we investigated soldiers neural processing of combat-related stimuli versus negative affective stimuli before and after the deployment in different war zones. In the final analysis we included 104 deployed soldiers (combat group) and 36 soldiers that were not deployed (control group). Behaviorally, we found a significant group by time interaction regarding depression symptom scores with an increase in the combat group. Depressive symptoms were subclinical. On the neural level, neither the whole brain analysis nor the region of interest (ROI) analyses including frontal and limbic ROIs revealed any significant results in the group by time interaction. However, extracted ROI values of the group by time interaction of amygdala and hippocampus were positively associated with the change in depression symptom scores in the combat group, but not in the control group. These results highlight the role of depression in individuals that experience stressful life situations. Future studies may need to investigate the role of depressive symptoms after trauma exposure with different tasks that may be particularly sensitive to changes due to depressive symptoms.https://doi.org/10.1038/s41398-022-02241-0
spellingShingle Robert C. Lorenz
Oisin Butler
Gerd Willmund
Ulrich Wesemann
Peter Zimmermann
Jürgen Gallinat
Simone Kühn
Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study
Translational Psychiatry
title Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study
title_full Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study
title_fullStr Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study
title_full_unstemmed Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study
title_short Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study
title_sort effects of stress on neural processing of combat related stimuli in deployed soldiers an fmri study
url https://doi.org/10.1038/s41398-022-02241-0
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