There are distinct neurological differences between normal trauma responses and PTSD
the verdict
INSUFFICIENT LEANING
refutedsupported
the weight of evidence
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The retrieved literature indicates that while trauma exposure can alter neurological functioning and studies examine differential brain patterns in PTSD, the direct neurobiological distinctions between normal trauma responses and PTSD are only partially covered.
Mild traumatic brain injury (mTBI) is often characterized by deficits in response inhibition, which can contribute to marked social and occupational dysfunction. mTBI often occurs in the context of psychologically traumatic events. This can cause posttraumatic stress disorder (PTSD), which also impedes response inhibition. The overlap or distinction in these inhibitory deficits in mTBI and PTSD is unclear. This study aimed to assess behavioral, neurophysiological, and neuroimaging indices of response inhibition in mTBI by also assessing these parameters in healthy controls (HC) and PTSD participants. Participants with mTBI (without PTSD) (n = 46), PTSD (without mTBI) (n = 41), and HC (n = 40) were assessed during a response inhibition task (the Go/NoGo task) during neuropsychological testing and separate functional magnetic imaging and event-related potentials sessions. PTSD symptom severity was assessed with the Clinician-Administered PTSD Scale. Both mTBI and PTSD participants performed more omission errors on the Go/NoGo task and were associated with greater N2 amplitude, greater left inferior parietal activation and reduced connectivity of the left inferior parietal cluster and left angular gyrus compared to HC. There were no differences between mTBI and PTSD on any of these measures. These findings highlight that both mTBI and PTSD contribute to neural dysfunction during response inhibition, and arguably these occur due to distinct mechanisms. In the context of the commo
Both mTBI and PTSD participants performed more omission errors on the Go/NoGo task and were associated with greater N2 amplitude, greater left inferior parietal activation and reduced connectivity of the left inferior parietal cluster and left angular gyrus compared to HC. There were no differences between mTBI and PTSD on any of these measures. These findings highlight that both mTBI and PTSD contribute to neural dysfunction during response inhibition, and arguably these occur due to distinct mechanisms.
These findings highlight that in addition to the clinical overlap between mTBI and PTSD, there are commonalities in neural functioning during response inhibition in both conditions. Although there have been a number of studies addressing the differential neural profiles of mTBI and PTSD ( Spadoni et al., 2017 ; Spielberg et al., 2015 ), there is a dearth of studies directly disentangling the neural processes underpinning response inhibition in the two conditions. One study that focused on behavioural responses found no differences on the Go/NoGo task between PTSD and mTBI participants ( Swick et al., 2012 ).
To this end, we assessed participants with mTBI (without PTSD), PTSD (without mTBI), and healthy controls. The comparison groups were used to remove potential overlap between mTBI and PTSD, and to investigate the effects of mTBI without the confound of PTSD. There is also a
Planned contrasts revealed a significant difference between the mTBI and HC group only for omission errors ( p = 0.017; mTBI > HC). There were no differences in omission errors between mTBI and PTSD, but the PTSD group also committed more omission errors than HC ( p = 0.013). There were no significant correlations between omission errors and PTSD symptom severity or time since trauma for the mTBI or PTSD group. There were no differences in commission errors or reaction time between the three groups. 3.3. EEG results We observed a significant group difference for the peak amplitude of the N2 wave with higher amplitude for mTBI relative to HC (F = 5.42, p = 0.025).
Posthoc analyses on individual electrodes within this set (Fz, FCz, and Cz) found a significant difference on all three electrodes (Fz: t = 2.28, p = 0.028, FCz: t = 2.415, p = 0.021, Cz: t = 2.404, p = 0.021) (See Fig. 1 ). There were no differences between the mTBI and PTSD group on the N2 wave whereas significant differences were also observed for PTSD relative to HC, with a higher amplitude for PTSD relative to HC (F = 10.69, p = 0.002). All electrodes tested showed higher amplitude for the PTSD group relative to HC on the N2 wave (Fz: t = 2.92, p = 0.007, FCz: t = 3.32, p = 0.002, Cz: t = 3.04, p = 0.005). Fig. 1 EEG responses to NoGo trials.
1 There were no significant correlations for N2 amplitude with the CAPS score or time since trauma for the mTBI or PTSD group. There were no differences between mTBI and HC for amplitude of P3 or latency for both N2 and P3 components. 3.4. fMRI results For fMRI activation for response inhibition (NoGo vs Go), we observed significantly greater activity in the left inferior parietal cortex for the mTBI sample as compared to HC ( pFWE = 0.024; Supplementary Table S6). As with the EEG data, we did not find any significant activation differences between the mTBI and PTSD groups, but PTSD also demonstrated greater activity within this region relative to HC ( Fig. 2 , pFWE = 0.033). Fig.
There were no further significant connections within or between the DMN-CCN brain networks which differentiated the mTBI group from healthy controls. Neither activation nor connectivity were significantly correlated with CAPS scores or with time since trauma for the mTBI or PTSD group. 4. Discussion This study aimed to refine our understanding of the neural processes involved in response inhibition in mTBI by also considering response inhibition patterns in PTSD.
Overall, we found that both mTBI and PTSD demonstrated abnormalities in response inhibition with more omission errors during the task, greater N2 ERP amplitude, greater fMRI activation in the left inferior parietal cortex and reduced connectivity for this region relative to healthy controls. There were no differences between mTBI and PTSD. These findings indicate commonalities in neural mechanisms responsible for response inhibition difficulties in both conditions. mTBI is often followed by a range of functional, cognitive and emotional problems collectively known as postconcussive syndrome.
depression, suicide and self harm, PTSD, substance misuse, and relationship difficulties. The effects of childhood trauma are not limited to emotional
Childhood trauma is often described as serious adverse childhood experiences. Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse. They may also witness abuse of a sibling or parent, or have a mentally ill parent. Childhood trauma has been correlated with later negative eff
Neglect, abandonment, sexual abuse, emotional abuse, and physical abuse are all forms of psychological trauma that can have long-lasting effects on a child's mental health. These types of abuse disrupt a child's sense of safety and trust, which can lead to various mental disorders including post-traumatic stress disorder (PTSD), attachment issues, depression, and substance abuse. Sensitive and critical stages of child development can result in altered neurological functioning, adaptive to a malevolent environment but difficult for more benign environments.
Trauma experienced in childhood may also increase vulnerability to developing severe mental health conditions, such as psychosis, as the individual may have a compromised ability to regulate their emotions. In a study done by Stefania Tognin and Maria Calem comparing healthy comparisons (HC) and individuals at clinically high risk for developing psychosis (CHR), 65.6% CHR patients and 23.1% HC experienced some level of childhood trauma. The conclusion of the study shows that there is a correlation between the effects of childhood trauma and the being at high risk for psychosis. Children with disabilities are twice as likely to experience abuse or neglect, often due to dependency on caregivers. Those with communication challenges may struggle to report abuse, leading to prolonged exposure to harm. Access to trauma-informed mental health care is often limited, making recovery more difficult. Children from lower-income families face unique stressors that compound their traumatic experiences such as economic hardship often leads to housing instability, food insecurity, and exposure to unsafe environments, all of which heighten stress and trauma responses. These children may struggle to access mental health services due to cost, transportation barriers, or inadequate insurance coverage. Educational disparities mean low-income children may attend underfunded schools, which may not provide adequate trauma-informed care or mental health support.
Altered resting-state functional activity in posttraumatic stress disorder: A quantitative meta-analysis | Scientific Reports
### Subjects
- Functional magnetic resonance imaging
- Positron-emission tomography
- Post-traumatic stress disorder
## Abstract
Many functional neuroimaging studies have reported differential patterns of spontaneous brain activity in posttraumatic stress disorder (PTSD), but the findings are inconsistent and have not so far been quantitatively reviewed. The present study set out to determine consistent, specific regional brain activity alterations in PTSD, using the Effect Size Signed Differential Mapping technique to conduct a quantitative meta-analysis of resting-state functional neuroimaging studies of PTSD that used either a non-trauma (NTC) or a trauma-exposed (TEC) comparison control group. Fifteen functional neuroimaging studies were included, comparing 286 PTSDs, 203 TECs and 155 NTCs. Compared with NTC, PTSD patients showed hyperactivity in the right anterior insula and bilateral cerebellum, and hypoactivity in the dorsal medial prefrontal cortex (mPFC); compared with TEC, PTSD showed hyperactivity in the ventral mPFC. The pooled meta-analysis
Diverging roles of the anterior insula in trauma-exposed individuals vulnerable or resilient to posttraumatic stress disorder | Scientific Reports
### Subjects
- Post-traumatic stress disorder
- Risk factors
## Abstract
Distinct brain alterations in response to traumatic events may render trauma-exposed individuals either resilient or vulnerable to posttraumatic stress disorder (PTSD). This study compared regional cerebral metabolic rate of glucose (rCMRglu) among trauma-exposed individuals with current PTSD (PTSD group, n = 61), those without current PTSD (Resilience/Recovery group, n = 26), and trauma-unexposed controls (Control group, n = 54). All participants underwent brain [18F]-fluorodeoxyglucose positron emission tomography (FDG-PET) scans. Voxel-wise group differences in rCMRglu among the three groups were evaluated. Associations between rCMRglu and both PTSD severity and resilience were examined. The rCMRglu in the right anterior insula and adjacent prefrontal and striatal areas was lower in the PTSD group, while higher in the Resilience/Recovery group, compared to the Control group. In addition, the lower glucose metabolism of these areas was associated with higher s
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