PLoS ONE,
Год журнала:
2025,
Номер
20(1), С. e0317573 - e0317573
Опубликована: Янв. 16, 2025
Post-traumatic
Stress
Disorder
(PTSD),
Major
Depressive
(MDD),
and
Adjustment
(AdjD)
are
highly
prevalent
among
military
personnel,
often
presenting
diagnostic
challenges
due
to
overlapping
symptoms
reliance
on
self-reporting.
The
amygdala,
particularly
the
basolateral
complex
involved
in
fear-related
memory
formation
extinction
recall,
plays
a
crucial
role
emotional
processing.
Abnormalities
these
amygdala
nuclei
implicated
PTSD
may
distinguish
it
from
other
disorders
like
MDD
AdjD,
where
mechanisms
less
central.
Investigating
structural
differences
specific
could
enhance
precision
inform
targeted
interventions.
This
study
aimed
explore
volumetric
patients
with
PTSD,
MDD,
comorbid
(PTSD+MDD),
AdjD
using
routine
clinical
MRI
data.
We
hypothesized
that
would
exhibit
distinct
volumes
compared
those
or
AdjD.
Additionally,
we
examined
influence
of
symptom
duration,
prior
medication,
psychotherapeutic
experience
volumes.
conducted
retrospective
cross-sectional
185
personnel
(162
men,
23
women)
diagnosed
(n
=
50),
70),
PTSD+MDD
38),
27).
High-resolution
T1-weighted
scans
were
obtained
3T
Siemens
Skyra
scanner.
Amygdala
subfields
automatically
segmented
volumetrized
FreeSurfer
software.
Analysis
covariance
(ANCOVA)
models
across
groups,
controlling
for
estimated
total
intracranial
volume
(eTIV),
age,
gender.
Exploratory
analyses
included
medication
use,
psychotherapy
as
additional
covariates.
Sensitivity
further
impact
depressive
episode
type
(first
vs.
recurrent),
severity
(mild,
moderate,
severe),
duration.
main
revealed
no
significant
medial
PTSD+MDD,
groups.
did
not
identify
associations
between
psychotherapy.
also
showed
related
type,
severity,
Our
findings
suggest
that,
within
this
population,
measured
data
do
significantly
differ
indicates
volumetry
alone
suffice
stress-related
settings.
highlights
complexity
diagnosing
mental
health
conditions
underscores
need
comprehensive
approaches
integrate
neuroimaging
assessments.
Future
research
should
include
healthy
control
consider
brain
regions
functional
connectivity,
employ
longitudinal
designs
better
understand
temporal
dynamics
changes
their
relation
symptomatology.
Although
childhood
maltreatment
(CM)
is
widely
recognized
as
a
transdiagnostic
risk
factor
for
various
internalizing
and
externalizing
psychological
disorders,
the
neural
basis
underlying
this
association
remain
unclear.
The
potential
reasons
inconsistent
findings
may
be
attributed
to
involvement
of
both
common
specific
pathways
that
mediate
influence
on
emergence
psychopathological
conditions.
This
study
aimed
delineate
distinct
linking
depression
aggression.
First,
we
employed
Network-Based
Statistics
(NBS)
resting-state
functional
magnetic
resonance
imaging
(fMRI)
data
identify
connectivity
(FC)
patterns
associated
with
Mediation
analyses
were
then
conducted
assess
role
these
FC
in
relationship
between
each
outcome.
results
demonstrated
within
default
mode
network
(DMN)
cingulo-opercular
(CON)
dorsal
attention
(DAN)
mediated
aggression,
whereas
reward
system
CON
link
depression.
We
speculate
control
serve
accounting
sequela
maltreatment,
act
respectively.
Disability and Rehabilitation,
Год журнала:
2025,
Номер
unknown, С. 1 - 11
Опубликована: Фев. 12, 2025
Contemporary
healthcare
design
often
overlooks
the
environment
as
a
resource
for
supporting
patient
well-being
and
rehabilitation,
particularly
in
neurotrauma
care.
The
prioritisation
of
safety
efficiency
has
created
stressful
spaces
that
negatively
impact
needs.
This
paper
explores
whether
environmental
enrichment
can
enhance
rehabilitation
outcomes
individuals
recovering
from
neurotrauma.
It
also
introduces
BEEhive
laboratory,
multidisciplinary
initiative
integrating
principles
into
healthcare.
reviews
literature
on
role
synthesising
empirical
evidence
its
benefits,
highlighting
potential
to
improve
various
aspects
neurorehabilitation.
findings
are
applied
laboratory's
objectives.
Environmental
is
shown
stimulate
neurogenesis,
increase
engagement,
reduce
disruptive
behaviours
depressive
symptoms,
facilitate
social
relationships,
cognitive
functioning,
stress,
alleviate
boredom.
Despite
these
application
remains
underexplored.
laboratory
aims
address
this
gap
through
collaboration,
implementing
strategies
outcomes.
To
optimise
outcomes,
environments
must
holistically
support
well-being.
Environmentally
focused,
sustainable
interventions
care,
exemplified
by
initiative,
crucial
bridging
between
research
practice,
fostering
innovative
approaches
rehabilitation.
Translational Psychiatry,
Год журнала:
2025,
Номер
15(1)
Опубликована: Фев. 12, 2025
Suicide
is
a
complex
behavior
strongly
associated
with
depression.
Despite
extensive
research,
an
objective
biomarker
for
evaluating
suicide
risk
precisely
and
timely
still
lacking.
Using
the
precision
resting-state
fMRI
method,
we
studied
61
depressive
patients
ideation
(SI)
or
attempt
(SA),
35
without
SI
to
explore
functional
biomarkers
of
risk.
Among
them,
21
participants
also
completed
electroconvulsive
therapy
(ECT)
treatment,
allowing
examination
changes
across
different
states
within
same
individual.
Functional
networks
were
localized
in
each
subject
using
then
individualized
connectome
was
constructed
represent
subject's
brain
organization.
We
identified
set
connections
that
track
(r
=
0.41,
p
0.001)
found
these
risk-associated
hyper-connected
frontoparietal
network
(FPN,
0.008,
Cohen's
d
0.58)
compared
those
without.
Moreover,
ECT
treatment
significantly
reduced
(p
0.001,
0.56)
normalized
FPN
hyper-connections.
These
findings
suggest
involving
may
constitute
important
provide
potential
targets
interventions
such
as
non-invasive
stimulation.
Frontiers in Human Neuroscience,
Год журнала:
2021,
Номер
15
Опубликована: Июнь 1, 2021
Early
life
adversity
(ELA),
such
as
child
maltreatment
or
poverty,
engenders
problems
with
emotional
and
behavioral
regulation.
In
the
quest
to
understand
neurobiological
sequelae
mechanisms
of
risk,
amygdala
has
been
major
focus.
While
basic
functions
this
region
make
it
a
strong
candidate
for
understanding
multiple
mental
health
issues
common
after
ELA,
extant
literature
is
marked
by
profound
inconsistencies,
reports
larger,
smaller,
no
differences
in
regional
volumes
area.
We
believe
integrative
models
stress
neurodevelopment,
grounded
“
allostatic
load
,”
will
help
resolve
inconsistencies
impact
ELA
on
amygdala.
review,
we
attempt
connect
past
research
studies
new
findings
animal
cellular
neurotransmitter
mediators
buffering
extreme
fear
generalization
onto
testable
clinical
concepts.
Drawing
greater
inescapability
over
unpredictability
models,
propose
mechanism
which
aggravates
an
exhaustive
cycle
expansion
subsequent
toxic-metabolic
damage.
sequela
psychosocial
mal/adaptation
bridging
attachment,
emotion
processing,
social
functioning.
Lastly,
conclude
review
proposing
multitude
future
directions
preclinical
work
humans
that
suffered
ELA.
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Март 4, 2024
Objectives
Major
Depressive
Disorder
(MDD)
is
significantly
influenced
by
childhood
trauma
(CT),
affecting
brain
anatomy
and
functionality.
Despite
the
unique
disease
trajectory
in
MDD
patients
with
CT,
underlying
neurobiological
mechanisms
remain
unclear.
Our
objective
to
investigate
CT’s
impact
on
white
matter
structure
of
MDD.
Methods
This
research
employed
tract-based
spatial
statistics
(TBSS)
detect
variations
between
groups
Fractional
Anisotropy
(FA)
throughout
whole
71
medication-free
97
HCs.
Participants
filled
out
Childhood
Trauma
Questionnaire
(CTQ)
assessments
for
depression
anxiety
symptoms.
The
relationship
FA
CTQ
scores
was
explored
partial
correlation
analysis,
adjusting
factors
such
as
age,
gender,
educational
background,
length
illness.
Results
Compared
HCs,
group
showed
decreased
values
right
posterior
limb
internal
capsule
(PLIC),
inferior
fronto-occipital
fasciculus
(IFOF),
bilateral
superior
longitudinal
(SLF).
Simple
effects
analysis
revealed
that
compared
HC-CT,
MDD-CT
demonstrated
PLIC,
IFOF,
SLF.
MDD-nCT
PLIC
IFOF
HC-nCT.
total
subscale
were
negatively
correlated
Conclusion
SLF
may
potentially
be
CT
during
development
individuals
These
results
enhance
our
knowledge
role
pathophysiology
which
influences
Journal of Affective Disorders Reports,
Год журнала:
2023,
Номер
15, С. 100714 - 100714
Опубликована: Дек. 30, 2023
Adverse
Childhood
Experience
(ACE)
has
been
shown
to
have
detrimental
impact
on
amygdala
structure.
Prior
research
found
that
adaptive
psychological
changes
after
Mindfulness-Based
Interventions
(MBI)
were
associated
with
volumetric
changes.
The
present
study
aims
further
investigate
whether
such
effects
also
occur
among
ACE
survivors
and
the
are
unique
MBI.
A
total
of
64
young
adult
childhood
adversity
randomized
an
eight-week
MBI
or
Stress
Management
Education
(SME)
as
active
control
condition.
Anatomical
MRI
questionnaires
mindfulness,
stress
health
collected
at
baseline
post-intervention.
Due
subject
dropout,
final
sample
included
39
subjects
(MBI:20,
SME:19).
Both
groups
showed
increased
mindfulness
levels,
reduced
stress,
improved
symptoms
(depression,
anxiety,
somatization),
no
significant
group
by
time
interaction
effect.
There
was
difference
Within
group,
maltreatment
severity
a
mediator
between
levels
right
Across
pooled
both
groups,
moderator
for
effect
trait
anxiety
level
left
Modest
size,
relatively
low
retention
rates,
suboptimal
monitoring
home
practice.
did
not
demonstrate
overall
better
clinical
than
SME.
Psychological-change-dependent
change
specific
modulated
relationships