Shitong Zhong, Jinping Lin, Lingsheng Zhang, Song Wang, Graham J Kemp, Lei Li, Qiyong Gong
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Included were a total of 10 structural voxel-based morphometry studies (11 datasets) and 13 functional positron emission tomography or single photon emission computed tomography studies (16 datasets) involving 3053 healthy participants without any psychiatric or neurological disorders evaluated for HA using the Three-Dimensional Personality Questionnaire (TPQ) or the Temperament and Character Inventory (TCI). The meta-analysis revealed brain volumetric correlates of HA in parietal and temporal cortices, and resting-state functional correlates in prefrontal, temporal and parietal gray matter. Volumetric and functional correlates co-occurred in the left superior frontal gyrus and left middle frontal gyrus, and were dissociated in the left rectus gyrus. 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引用次数: 0
摘要
危害回避(HA)是克隆宁格人格特质的一种,描述了避免厌恶刺激的行为抑制。它是导致焦虑症和重度抑郁症等精神疾病的易感因素。神经影像学研究发现了 HA 在大脑解剖学和功能上的一些相关因素,但报告的结果并不一致。因此,我们对全脑结构和静息状态功能神经影像学研究进行了多模态荟萃分析,以确定 HA 最稳定的神经基质。共纳入了 10 项结构体素形态计量学研究(11 个数据集)和 13 项功能正电子发射计算机断层扫描或单光子发射计算机断层扫描研究(16 个数据集),涉及 3053 名没有任何精神或神经疾病的健康参与者,他们均使用三维人格问卷(TPQ)或气质与性格量表(TCI)对 HA 进行了评估。荟萃分析显示了顶叶和颞叶皮层中 HA 的脑容量相关性,以及前额叶、颞叶和顶叶灰质中的静息态功能相关性。在左侧额上回和左侧额中回,体积相关性和功能相关性同时存在,而在左侧直回则不存在。我们的荟萃分析是第一项全面描述 HA 结构和功能相关性的研究,它有助于弥合 HA 神经生物学与 HA 相关精神障碍的发病机制、预防和治疗之间的巨大差距。
Neural correlates of harm avoidance: a multimodal meta-analysis of brain structural and resting-state functional neuroimaging studies.
Harm avoidance (HA) is a Cloninger personality trait that describes behavioural inhibition to avoid aversive stimuli. It serves as a predisposing factor that contributes to the development of mental disorders such as anxiety and major depressive disorder. Neuroimaging research has identified some brain anatomical and functional correlates of HA, but reported findings are inconsistent. We therefore conducted a multimodal meta-analysis of whole-brain structural and resting-state functional neuroimaging studies to identify the most stable neural substrate of HA. Included were a total of 10 structural voxel-based morphometry studies (11 datasets) and 13 functional positron emission tomography or single photon emission computed tomography studies (16 datasets) involving 3053 healthy participants without any psychiatric or neurological disorders evaluated for HA using the Three-Dimensional Personality Questionnaire (TPQ) or the Temperament and Character Inventory (TCI). The meta-analysis revealed brain volumetric correlates of HA in parietal and temporal cortices, and resting-state functional correlates in prefrontal, temporal and parietal gray matter. Volumetric and functional correlates co-occurred in the left superior frontal gyrus and left middle frontal gyrus, and were dissociated in the left rectus gyrus. Our meta-analysis is the first study to give a comprehensive picture of the structural and functional correlates of HA, a contribution that may help bridge the grievous gap between the neurobiology of HA and the pathogenesis, prevention and treatment of HA-related mental disorders.
期刊介绍:
Psychiatry has suffered tremendously by the limited translational pipeline. Nobel laureate Julius Axelrod''s discovery in 1961 of monoamine reuptake by pre-synaptic neurons still forms the basis of contemporary antidepressant treatment. There is a grievous gap between the explosion of knowledge in neuroscience and conceptually novel treatments for our patients. Translational Psychiatry bridges this gap by fostering and highlighting the pathway from discovery to clinical applications, healthcare and global health. We view translation broadly as the full spectrum of work that marks the pathway from discovery to global health, inclusive. The steps of translation that are within the scope of Translational Psychiatry include (i) fundamental discovery, (ii) bench to bedside, (iii) bedside to clinical applications (clinical trials), (iv) translation to policy and health care guidelines, (v) assessment of health policy and usage, and (vi) global health. All areas of medical research, including — but not restricted to — molecular biology, genetics, pharmacology, imaging and epidemiology are welcome as they contribute to enhance the field of translational psychiatry.