Resting metabolic activity in the cingulate cortex and vulnerability to posttraumatic stress disorder
Open accessAbstract
CONTEXT: Recent neuroimaging research has revealed functional abnormalities in the anterior cingulate cortex, amygdala, and hippocampus in individuals with posttraumatic stress disorder (PTSD). OBJECTIVE: To determine whether resting functional abnormalities found in PTSD are acquired characteristics or familial risk factors. DESIGN: Cross-sectional design including identical twins discordant for trauma exposure. SETTING: Academic medical center. PARTICIPANTS: Combat-exposed veterans with PTSD (n = 14) and their identical co-twins not exposed to combat (n = 14) as well as combat-exposed veterans without PTSD (n = 19) and their identical co-twins not exposed to combat (n = 19). MAIN OUTCOME MEASURES: We used positron emission tomography and fluorodeoxyglucose 18 to examine resting regional cerebral metabolic rate for glucose (rCMRglu). RESULTS: Veterans with PTSD and their co-twins had significantly higher resting rCMRglu in the dorsal anterior cingulate cortex/midcingulate cortex (dACC/MCC) compared with veterans without PTSD and their co-twins. Resting rCMRglu in the dACC/MCC in unexposed co-twins was positively correlated with combat exposure severity, PTSD symptom severity, and alcohol use in their exposed twins. CONCLUSIONS: Enhanced resting metabolic activity in the dACC/MCC appears to represent a familial risk factor for developing PTSD after exposure to psychological trauma.
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Shin et al. (2009) showed significantly higher resting cerebral metabolic rate for glucose in dorsal anterior cingulate/mid cingulate cortex among veterans with PTSD and their twins.
“A study authors Shin et al. conducted among veterans with PTSD and their twins showed significantly higher resting cerebral metabolic rate for glucose (rCMRglu) in dorsal anterior cingulate/mid cingulate cortex (dACC/MCC).”
From Neuroimaging research in posttraumatic stress disorder – Focus on amygdala, hippocampus and prefrontal cortex (2019) · cites this paper as Shin et al., 2009
Increased dACC activation may constitute a family risk factor for PTSD.
“Increased dACC activation may constitute a family risk factor for PTSD (Shin et al., 2009).”
From Neuroimaging research in posttraumatic stress disorder – Focus on amygdala, hippocampus and prefrontal cortex (2019) · cites this paper as Shin et al., 2009
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Hinojosa, C. A., VanElzakker, M. B., Hughes, K. C., Offringa, R., Sangermano, L., Spaulding, I. G., Staples-Bradley, L. K., Whitman, E. T., Lasko, N. B., Rauch, S. L., et al. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.049 · Cited by 13 · see citing works
Self-citationRepatriation is associated with isthmus cingulate cortex reduction in community-dwelling elderly
Calati, R., Maller, J. J., Meslin, C., López‐Castromán, J., Ritchie, K. A., Courtet, P., & Artéro, S. (2016) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2016.1258490 · Cited by 14 · see citing works
Neurobehavioral assessment in forensic practice
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Posttraumatic Stress and the Comprehension of Everyday Activity
Eisenberg, M. L., Sargent, J. Q., & Zacks, J. M. (2016) · Collabra · doi:10.1525/collabra.43 · Cited by 14 · see citing works
Acute and Post-Traumatic Stress Disorders: A biased nervous system
Allène, C., Kalalou, K., Durand, F., Thomas, F., & Januel, D. (2020) · Revue Neurologique · doi:10.1016/j.neurol.2020.05.010 · Cited by 14 · see citing works
Rahman, S. S., Mulvihill, K. G., Wood, C. M., Quah, S. K. L., Horst, N. K., Clarke, H. F., Cockcroft, G. J., Santangelo, A. M., & Roberts, A. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhab121 · Cited by 11 · see citing works
Trauma and the default mode network: review and exploratory study
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Functional magnetic resonance imaging of the brain: A quick review
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- Authors
- Shin, L. M., Lasko, N. B., Macklin, M. L., Karpf, R. D., Milad, M. R., Orr, S. P., Goetz, J. M., Fischman, A. J., Rauch, S. L., & Pitman, R. K.
- Affiliations
- Tufts University (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2009-10-01
- Volume
- 66
- Issue
- 10
- Pages
- 1099
- ISSN
- 0003-990X (ISSN-L)
- PMC
- PMC3752096
- OpenAlex
- W2154032489
- Cited by
- 151
- References
- 97
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 8 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 10 · 2016: 17 · 2015: 12 · 2014: 11 · 2013: 15 · 2012: 12
- FWCI
- 12.76
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01-MH54636, R01MH054636)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, anterior cingulate cortex, combat veterans, monozygotic twins, family risk factors, combat exposure, alcohol consumption, PTSD symptom severity
- MeSH terms
- Amygdala, Combat Disorders, Disease Susceptibility, Diseases in Twins, Glucose, Gyrus Cinguli, Hippocampus, Humans, Image Processing, Computer-Assisted, Life Change Events, Male, Middle Aged, Regional Blood Flow, Rest, Stress Disorders, Post-Traumatic, Veterans, Fluorodeoxyglucose F18, Positron-Emission Tomography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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