Cited by 151Posttraumatic Stress Disorder ResearchTraumatic Brain Injury ResearchChild Abuse and Trauma

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Resting Metabolic Activity in the Cingulate Cortex and Vulnerability to Posttraumatic Stress Disorder

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Shin, Lisa M., Lasko, Natasha B., Macklin, Michael L., Karpf, Rachel D., Milad, Mohammed R., Orr, Scott P., Goetz, Jared M., Fischman, Alan J., Rauch, Scott L., Pitman, Roger K.·2009·Archives of General Psychiatry

DOI 10.1001/archgenpsychiatry.2009.138PMC PMC3752096

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Abstract

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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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)
ORCID: Shin, Lisa M.
Milad, Mohammed R.
Orr, Scott P.
Goetz, Jared M.
Rauch, Scott L.
Pitman, Roger K.
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)
DOI: 10.1001/archgenpsychiatry.2009.138
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 › Clinical Neurology › 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

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Resting Metabolic Activity in the Cingulate Cortex and Vulnerability to Posttraumatic Stress Disorder

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