Grey matter density changes of structures involved in Posttraumatic Stress Disorder (PTSD) after recovery following Eye Movement Desensitization and Reprocessing (EMDR) therapy

Abstract Recovery of stress-induced structural alterations in Posttraumatic Stress Disorder (PTSD) remains largely unexplored. This study aimed to determine whether symptoms improvement is associated with GM density changes of brain structures involved in PTSD. Two groups of PTSD patients were invol...

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Veröffentlicht in:Psychiatry research. Neuroimaging 2017-08, Vol.266, p.146-152
Hauptverfasser: Boukezzi, Sarah, El-Khoury-Malhame, Myriam, Auzias, Guillaume, Reynaud, Emmanuelle, Rousseau, Pierre-François, Richard, Emmanuel, Zendjidjian, Xavier, Roques, Jacques, Castelli, Nathalie, Correard, Nadia, Guyon, Valérie, Gellato, Caroline, Samuelian, Jean-Claude, Cancel, Aida, Comte, Magali, Latinus, Marianne, Guedj, Eric, Khalfa, Stéphanie
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container_title Psychiatry research. Neuroimaging
container_volume 266
creator Boukezzi, Sarah
El-Khoury-Malhame, Myriam
Auzias, Guillaume
Reynaud, Emmanuelle
Rousseau, Pierre-François
Richard, Emmanuel
Zendjidjian, Xavier
Roques, Jacques
Castelli, Nathalie
Correard, Nadia
Guyon, Valérie
Gellato, Caroline
Samuelian, Jean-Claude
Cancel, Aida
Comte, Magali
Latinus, Marianne
Guedj, Eric
Khalfa, Stéphanie
description Abstract Recovery of stress-induced structural alterations in Posttraumatic Stress Disorder (PTSD) remains largely unexplored. This study aimed to determine whether symptoms improvement is associated with GM density changes of brain structures involved in PTSD. Two groups of PTSD patients were involved in this study. The first group was treated with Eye Movement Desensitization and Reprocessing (EMDR) therapy and recovered from their symptoms ( recovery group) ( n = 11); Patients were scanned prior to therapy (T1), one week (T2) and five months after the end of therapy (T3). The second group included patients which followed a supportive therapy and remained symptomatic ( wait-list group) ( n = 7). They were scanned at three time-steps mimicking the same inter-scan intervals. T1-weighted images of anatomical structure were acquired using magnetic resonance imaging (MRI) prior to therapy (T1). Voxel-based morphometry (VBM) was used to characterize GM density evolution. GM density values showed a significant group-by-time interaction effect between T1 and T3 in prefrontal cortex areas. These interaction effects were driven by a GM density increase in the recovery group with respect to the wait-list group. Symptoms removal goes hand-in-hand with GM density enhancement of structures involved in emotional regulation.
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Neuroimaging</title><addtitle>Psychiatry Res Neuroimaging</addtitle><description>Abstract Recovery of stress-induced structural alterations in Posttraumatic Stress Disorder (PTSD) remains largely unexplored. This study aimed to determine whether symptoms improvement is associated with GM density changes of brain structures involved in PTSD. Two groups of PTSD patients were involved in this study. The first group was treated with Eye Movement Desensitization and Reprocessing (EMDR) therapy and recovered from their symptoms ( recovery group) ( n = 11); Patients were scanned prior to therapy (T1), one week (T2) and five months after the end of therapy (T3). The second group included patients which followed a supportive therapy and remained symptomatic ( wait-list group) ( n = 7). They were scanned at three time-steps mimicking the same inter-scan intervals. T1-weighted images of anatomical structure were acquired using magnetic resonance imaging (MRI) prior to therapy (T1). 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identifier ISSN: 0925-4927
ispartof Psychiatry research. Neuroimaging, 2017-08, Vol.266, p.146-152
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subjects Adult
EMDR therapy
Eye Movement Desensitization Reprocessing - methods
Female
Humans
Life Sciences
Longitudinal MRI
Magnetic Resonance Imaging
Male
Middle Aged
Neuroanatomy
Neurons and Cognition
Outcome Assessment (Health Care)
Posttraumatic stress disorder
Prefrontal Cortex - diagnostic imaging
Prefrontal Cortex - pathology
Psychiatry
Radiology
Recovery
Stress Disorders, Post-Traumatic - diagnostic imaging
Stress Disorders, Post-Traumatic - pathology
Stress Disorders, Post-Traumatic - physiopathology
Stress Disorders, Post-Traumatic - therapy
Young Adult
title Grey matter density changes of structures involved in Posttraumatic Stress Disorder (PTSD) after recovery following Eye Movement Desensitization and Reprocessing (EMDR) therapy
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