Cerebral function in posttraumatic stress disorder during verbal working memory updating: a positron emission tomography study

This study examined cerebral function in posttraumatic stress disorder (PTSD) during the updating of working memory to trauma-neutral, verbal information. Ten PTSD and matched control subjects completed a visuoverbal target detection task involving continuous updating (Variable target condition) or...

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Veröffentlicht in:Biological psychiatry (1969) 2003-03, Vol.53 (6), p.474-481
Hauptverfasser: Clark, C.Richard, McFarlane, Alexander C, Morris, Philip, Weber, Darren L, Sonkkilla, Cynon, Shaw, Marnie, Marcina, Jackie, Tochon-Danguy, H.J, Egan, Gary F
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container_end_page 481
container_issue 6
container_start_page 474
container_title Biological psychiatry (1969)
container_volume 53
creator Clark, C.Richard
McFarlane, Alexander C
Morris, Philip
Weber, Darren L
Sonkkilla, Cynon
Shaw, Marnie
Marcina, Jackie
Tochon-Danguy, H.J
Egan, Gary F
description This study examined cerebral function in posttraumatic stress disorder (PTSD) during the updating of working memory to trauma-neutral, verbal information. Ten PTSD and matched control subjects completed a visuoverbal target detection task involving continuous updating (Variable target condition) or no updating (Fixed target condition) of target identity, with updating activity estimated by condition comparison. Normal updating activity using this paradigm involved bilateral activation of the dorsolateral prefrontal cortex (DLPFC) and inferior parietal lobe. The PTSD group lacked this activation in the left hemisphere and was significantly different from control subjects in this regard, but showed additional activation in the superior parietal lobe, bilaterally. The pattern of parietal activation suggests a dependence on visuospatial coding for working memory representation of trauma-neutral, verbal information. Group differences in the relative involvement of the DLPFC indicate less dependence in PTSD on the executive role normally attributed to the left DLPFC for monitoring and manipulation of working memory content in posterior regions of the brain.
doi_str_mv 10.1016/S0006-3223(02)01505-6
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subjects Adult and adolescent clinical studies
Anxiety disorders. Neuroses
Biological and medical sciences
cortical networks
Female
frontal-parietal axis
Humans
Male
Medical sciences
Memory Disorders - diagnosis
Memory Disorders - etiology
Middle Aged
Neuropsychological Tests
Parietal Lobe - blood supply
Parietal Lobe - metabolism
Parietal Lobe - physiopathology
positron emission tomography
Post-traumatic stress disorder
Posttraumatic stress disorder
Prefrontal Cortex - blood supply
Prefrontal Cortex - metabolism
Prefrontal Cortex - physiopathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Severity of Illness Index
Stress Disorders, Post-Traumatic - metabolism
Stress Disorders, Post-Traumatic - physiopathology
Stress Disorders, Post-Traumatic - psychology
Tomography, Emission-Computed
Tropical medicine
Visual Perception - physiology
working memory
title Cerebral function in posttraumatic stress disorder during verbal working memory updating: a positron emission tomography study
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