正常人精神病理倾向与额叶脑容量减少的关系。

M Matsui, R C Gur, B I Turetsky, M X Yan, R E Gur
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引用次数: 0

摘要

目的:我们假设精神病理倾向与额颞叶体积较低有关。背景:尽管有相当多的证据表明严重精神疾病患者的结构异常,并且越来越多的人认识到神经基质可能是人格个体差异的基础,但还没有在健康人群中尝试将人格与大脑结构的体积测量联系起来的研究。方法:采用核磁共振成像技术,采用先进的方法对脑区室进行脑灰质、脑白质和脑脊液的自动分割。我们研究了59名健康个体的额叶和颞叶体积与明尼苏达多相人格量表测量的精神病理倾向之间的关系。结果:正如假设的那样,临床量表得分越高,平均额叶体积越小。然而,当样本按性别划分时,这些相关性在男性(n = 29)中显著,而在女性(n = 30)中不显著。男性额叶白质体积较低与精神分裂症量表得分之间的相关性最高(r[27] = -0.59, p)。结论:研究结果表明,健康人的人格维度可能与神经基质有关,神经基质可能作为精神病理倾向的内表型标记。两性二态效应与精神疾病临床表现的性别差异一致,可能提示性激素调节精神病理过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relation between tendency for psychopathology and reduced frontal brain volume in healthy people.

Objective: We hypothesized that tendency toward psychopathology is associated with lower frontotemporal volumes.

Background: Although there is considerable evidence for structural abnormalities in patients with major psychiatric disorders and increased recognition that neural substrates may underlie individual differences in personality, there have been no studies in healthy people attempting to relate personality to volumetric measures of brain structure.

Method: We used magnetic resonance imaging with an advanced method for automated segmentation of cranial compartments to gray matter, white matter, and cerebrospinal fluid. We examined the relation between frontal and temporal lobe volumes and Minnesota Multiphasic Personality Inventory measures of tendency toward psychopathology in 59 healthy individuals.

Results: As hypothesized, higher scores on the clinical scales were associated with lower average frontal lobe volume. When the sample was divided according to sex, however, these correlations were significant in men (n = 29) but not in women (n = 30). The highest correlation was observed between lower frontal white matter volume in men and high schizophrenia scale score (r[27] = -0.59, p <0.001).

Conclusions: The findings suggest that personality dimensions in healthy people can be linked to neural substrates, which can potentially serve as endophenotypic markers of disposition to psychopathology. The sexually dimorphic effects are consistent with gender-related differences in the clinical manifestations of psychiatric disorders and may suggest sex hormone modulation of the psychopathologic processes.

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