Corticostriatal-limbic gray matter morphology in adolescents with self-reported exposure to childhood maltreatment.
Corticostriatal-limbic gray matter morphology in adolescents with self-reported exposure to childhood maltreatment.
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DOI:
10.1001/archpediatrics.2011.565
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发表时间:
2011-12
影响因子:
--
通讯作者:
Blumberg, Hilary P.
中科院分区:
文献类型:
--
作者:
Edmiston, Erin E.;Wang, Fei;Mazure, Carolyn M.;Guiney, Joanne;Sinha, Rajita;Mayes, Linda C.;Blumberg, Hilary P.
To study the relationship between self-reported childhood maltreatment and cerebral gray matter in adolescents without psychiatric diagnoses. Associations between childhood maltreatment (measured by a childhood trauma self-report questionnaire for physical, emotional and sexual abuse, and physical and emotional neglect) and regional gray matter were examined. University hospital. 42 adolescents without psychiatric disorders. Correlations between childhood trauma questionnaire scores and regional gray matter volume were assessed in voxel-based analyses of structural magnetic resonance scans. Relationships between gray matter volume and childhood maltreatment subtypes and gender where explored. Total childhood trauma questionnaire scores correlated negatively (p<0.005) with gray matter volumes in prefrontal cortex, striatum, amygdala, sensory association cortices and cerebellum. Physical abuse, physical neglect and emotional neglect were associated with rostral prefrontal reductions. Additionally, decreases in dorsolateral and orbitofrontal cortices, insula, and ventral striatum were associated with physical abuse, in cerebellum with physical neglect, and in dorsolateral, orbitofrontal and subgenual prefrontal cortices, striatum, amygdala, hippocampus and cerebellum with emotional neglect. These latter emotion regulation regions were also associated with childhood trauma questionnaire scores in females, while caudate reductions, which may relate to impulse dyscontrol, were seen in males. Childhood maltreatment was associated with corticostriatal-limbic gray matter reductions in adolescents. These findings suggest that even if adolescents reporting childhood maltreatment exposure do not present with symptoms that meet full criteria for psychiatric disorders, they may have corticostriatal-limbic changes that place them at risk for behavioral difficulties. Vulnerabilities may be moderated by gender and maltreatment subtype.
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