A network-based neurobiological model of PTSD: evidence from structural and functional neuroimaging studies
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Purpose of review Although a fine-grained understanding of the neurobiology of posttraumatic stress disorder (PTSD) is yet to be elucidated, the last two decades have seen a rapid growth in the study of PTSD using neuroimaging techniques. The current review summarizes important findings from functional and structural neuroimaging studies of PTSD, by primarily focusing on their relevance towards an emerging network-based neurobiological model of the disorder.Recent findings PTSD may be characterized by a weakly connected and hypoactive default mode network (DMN) and central executive network (CEN) that are putatively destabilized by an overactive and hyperconnected salience network (SN), which appears to have a low threshold for perceived saliency, and inefficient DMN-CEN modulation. There is considerable evidence for large-scale functional and structural network dysfunction in PTSD. Nevertheless, several limitations and gaps in the literature need to be addressed in future research.
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Exposure to a traumatic event is associated with substantial structural and functional changes in core regions of circuits mediating emotional reactivity and regulatory control.
“At the neurobiological level, studies indicate that exposure to a traumatic event is associated with substantial structural and functional changes in core regions of circuits mediating emotional reactivity and regulatory control (Akiki et al., 2017).”
From Rt-fMRI neurofeedback-guided cognitive reappraisal training modulates amygdala responsivity in posttraumatic stress disorder (2020) · cites this paper as Akiki et al., 2017
The Network-Based Neurobiological Model of PTSD section describes imaging evidence of alterations in the amygdala, medial prefrontal cortex and hippocampus, and the Central Executive Network section describes structural and functional changes relevant to emotional modulation and control. But the review primarily discusses people with PTSD; its Conclusions and Limitations caution that differences observed after trauma may reflect pre-exposure protective factors. It therefore does not establish the claim as broadly for exposure to a traumatic event. (LLM, conf=0.84)
Experimental — accuracy not yet measuredFunctional coherence within the central executive network and the default mode network is disrupted in PTSD.
“In addition, functional coherence within the central executive network as well as the default mode network is disrupted, contributing further to the psychopathology (Akiki et al., 2017).”
From Rt-fMRI neurofeedback-guided cognitive reappraisal training modulates amygdala responsivity in posttraumatic stress disorder (2020) · cites this paper as Akiki et al., 2017
Individuals with PTSD show hyperactivation and hyperconnectivity of the SN.
“Individuals with PTSD have shown hyperactivation and hyperconnectivity of the SN ( Thome et al., 2014 ; Abdallah et al., 2019 ; for a review, see Akiki et al., 2017 )”
From The brain-body disconnect: A somatic sensory basis for trauma-related disorders (2022) · cites this paper as Akiki et al., 2017
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- [51]Helpman L Papini S Chhetry BT Shvil E Rubin M Sullivan GM PTSD REMISSION AFTER PROLONGED EXPOSURE TREATMENT IS ASSOCIATED WITH ANTERIOR CINGULATE CORTEX THINNING AND VOLUME REDUCTION Depression and Anxiety 2016 33 5 384 91 10.1002/da.22471. 26864570 PMC4846556 · DOI
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Jagger-Rickels, A., Rothlein, D., Stumps, A., Evans, T. C., Bernstein, J., Milberg, W., McGlinchey, R., DeGutis, J., & Esterman, M. (2022) · Translational Psychiatry · doi:10.1038/s41398-022-02011-y · Cited by 23 · see citing works
Altered White Matter Diffusivity of the Cingulum Angular Bundle in Posttraumatic Stress Disorder
Averill, C. L., Averill, L. A., Wrocklage, K. M., Scott, J. C., Akiki, T. J., Schweinsburg, B. C., Southwick, S. M., Krystal, J. H., & Abdallah, C. G. (2018) · Complex Psychiatry · doi:10.1159/000490464 · Cited by 22 · see citing works
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A roadmap of brain recovery in a mouse model of concussion: insights from neuroimaging
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- Authors
- Akiki, T. J., Averill, C. L., & Abdallah, C. G.
- Affiliations
- Yale University (US)
- Corresponding author
- Abdallah, Chadi G.
- Venue
- Current Psychiatry Reports
- Published
- 2017-09-19
- Volume
- 19
- Issue
- 11
- Pages
- 81-81
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC5960989
- OpenAlex
- W2756085351
- Cited by
- 365
- References
- 84
- Citations by year
- 2026: 35 · 2025: 44 · 2024: 46 · 2023: 52 · 2022: 53 · 2021: 39 · 2020: 41 · 2019: 31 · 2018: 20 · 2017: 2
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Stanley Medical Research Institute
- National Institutes of Health (5k23mh101498-05)
- National Institute of Mental Health (K23MH-101498()
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- post-traumatic stress disorder, neurobiological model, brain networks, default mode network, frontoparietal network, salience network, network dysfunction, functional connectivity, structural neuroimaging, functional neuroimaging
- MeSH terms
- Brain, Humans, Magnetic Resonance Imaging, Models, Neurological, Nerve Net, Neurobiology, Stress Disorders, Post-Traumatic, Functional Neuroimaging
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