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  4. Internal capsule microstructure mediates the relationship between childhood maltreatment and PTSD following adulthood trauma exposure

Internal capsule microstructure mediates the relationship between childhood maltreatment and PTSD following adulthood trauma exposure

Molecular Psychiatry, 2023 · DOI: https://doi.org/10.1038/s41380-023-02012-3 · Published: March 17, 2023

NeuroimagingMental HealthTrauma

Simple Explanation

Childhood trauma can increase the risk of developing trauma and stress-related disorders in adulthood. The study investigates how childhood trauma affects brain structure and its link to posttraumatic dysfunction after recent trauma exposure in adulthood. Researchers used diffusion tensor imaging (DTI) to assess white matter microstructure, specifically fractional anisotropy (FA), in participants' brains. They examined the relationship between childhood maltreatment, FA in various brain regions, and PTSD symptoms six months after the traumatic event. The study found that childhood maltreatment was associated with reduced FA in the internal capsule (IC), a critical white matter tract. This reduced FA in the IC mediated the relationship between childhood trauma and PTSD symptoms, suggesting a neural pathway through which childhood trauma may increase the risk of PTSD after adult trauma.

Study Duration
6 Months
Participants
202 trauma-exposed adult participants
Evidence Level
Not specified

Key Findings

  • 1
    Childhood maltreatment load predicted 6-month PTSD symptoms.
  • 2
    Childhood maltreatment load inversely varied with FA in the bilateral internal capsule (IC) at 2-weeks and 6-months.
  • 3
    IC microstructure at 2-weeks mediated the effect of childhood maltreatment load on 6-month PTSD symptoms.

Research Summary

The study investigated the relationship between childhood maltreatment, white matter microstructure, and posttraumatic symptoms in adults who recently experienced trauma. The researchers found that childhood maltreatment was associated with reduced fractional anisotropy (FA) in the internal capsule (IC), a white matter tract in the brain. Reduced FA in the IC mediated the relationship between childhood maltreatment and later PTSD symptoms, suggesting a potential neural pathway through which childhood trauma may confer risk for PTSD after adult trauma.

Practical Implications

Biomarker Identification

IC FA values may serve as a stable biomarker of later posttraumatic dysfunction in individuals with a history of childhood trauma.

Neural Pathway Clarification

The study highlights a specific neural pathway (IC microstructure) through which childhood trauma may increase the risk of acute stress reactions and PTSD in adulthood.

Risk Assessment

DTI imaging of the IC could potentially assist in identifying neural signatures of risk for later stress-related dysfunction in individuals with a history of childhood trauma.

Study Limitations

  • 1
    Childhood maltreatment load was assessed with a retrospective self-assessment.
  • 2
    Data related to the hypothesized contributions of the IC to sensory processes were not available.
  • 3
    Analyses do not consider potential protective or socioeconomic factors that may contribute to early life stress load or resiliency.

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