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  • 标题:Right temporal cortical hypertrophy in resilience to trauma: an MRI study
  • 作者:André Sevenius Nilsen ; Eva Hilland ; Norunn Kogstad
  • 期刊名称:European Journal of Psychotraumatology
  • 印刷版ISSN:2000-8198
  • 电子版ISSN:2000-8066
  • 出版年度:2016
  • 卷号:7
  • 期号:1
  • 页码:31314
  • DOI:10.3402/ejpt.v7.31314
  • 语种:English
  • 出版社:Taylor & Francis Group
  • 摘要:André Sevenius Nilsen a* , Eva Hilland ab , Norunn Kogstad c , Trond Heir de , Edvard Hauff df , Lars Lien cg & Tor Endestad a a Institute of Psychology , University of Oslo , Oslo , Norway b Diakonhjemmet Hospital , Oslo , Norway c Innlandet Hospital Trust , Brumunddal , Norway d Institute of Clinical Medicine , University of Oslo , Oslo , Norway e Norwegian Center for Violence and Traumatic Stress Studies , Oslo , Norway f Division of Mental Health and Addiction, Oslo University Hospital , Oslo , Norway g Faculty of Public Health , Hedmark University College , Elverum , Norway * Correspondence to: André Sevenius Nilsen, Institute of Psychology, University of Oslo, Forskningsveien 3a, NO-0317 Oslo, Norway, Email: sevenius.nilsen@gmail.com Responsible Editor: Ruth Lanius, Western University of Canada, Canada. Background In studies employing physiological measures such as magnetic resonance imaging (MRI), it is often hard to distinguish what constitutes risk-resilience factors to posttraumatic stress disorder (PTSD) following trauma exposure and what the effects of trauma exposure and PTSD are. Objective We aimed to investigate whether there were observable morphological differences in cortical and sub-cortical regions of the brain, 7–8 years after a single potentially traumatic event. Methods Twenty-four participants, who all directly experienced the 2004 Indian Ocean Tsunami, and 25 controls, underwent structural MRI using a 3T scanner. We generated cortical thickness maps and parcellated sub-cortical volumes for analysis. Results We observed greater cortical thickness for the trauma-exposed participants relative to controls, in a right lateralized temporal lobe region including anterior fusiform gyrus, and superior, middle, and inferior temporal gyrus. Conclusions We observed greater thickness in the right temporal lobe which might indicate that the region could be implicated in resilience to the long-term effects of a traumatic event. We hypothesize this is due to altered emotional semantic memory processing. However, several methodological and confounding issues warrant caution in interpretation of the results. Highlights of the article Following a traumatic event, most people do not develop long-lasting trauma-related symptoms. In a group who experienced a traumatic event 8 years prior, but showed low levels of trauma-related symptoms, we observed increased cortical thickness in the right temporal lobe. The right temporal lobe is implicated in emotional semantic memory processing, and thus might be associated with resilience to the long-term effects of a traumatic event.
  • 关键词:Psychotraumatology ; PTSD ; natural disaster ; traumatic event ; psychological distress ; MRI
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