The interaction of BDNF Val66Met, PTSD, and child abuse on psychophysiological reactivity and HPA axis function in a sample of Gulf War Veterans

While the BDNF Val66Met polymorphism has been linked to various psychological disorders, limited focus has been on its relationship to posttraumatic stress disorder (PTSD) and early traumas such as child abuse. Therefore, we assessed whether Val66Met was associated with fear potentiated psychophysio...

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Veröffentlicht in:Journal of affective disorders 2018-08, Vol.235, p.52-60
Hauptverfasser: Young, Dmitri A, Neylan, Thomas C, O'Donovan, Aoife, Metzler, Thomas, Richards, Anne, Ross, Jessica A, Inslicht, Sabra S
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container_end_page 60
container_issue
container_start_page 52
container_title Journal of affective disorders
container_volume 235
creator Young, Dmitri A
Neylan, Thomas C
O'Donovan, Aoife
Metzler, Thomas
Richards, Anne
Ross, Jessica A
Inslicht, Sabra S
description While the BDNF Val66Met polymorphism has been linked to various psychological disorders, limited focus has been on its relationship to posttraumatic stress disorder (PTSD) and early traumas such as child abuse. Therefore, we assessed whether Val66Met was associated with fear potentiated psychophysiological response and HPA axis dysfunction and whether PTSD status or child abuse history moderated these outcomes in a sample of Veterans. 226 and 173 participants engaged in a fear potentiated acoustic startle paradigm and a dexamethasone suppression test (DST) respectively. Fear conditions included no, ambiguous, and high threat conditions. Psychophysiological response measures included electromyogram (EMG), skin conductance response (SCR), and heart rate. The Clinician Administered PTSD Scale (CAPS) and the Trauma History Questionnaire (THQ) were used to assess PTSD status and child abuse history respectively. Met allele carriers exhibited greater SCR magnitudes in the no and ambiguous threat conditions (p 
doi_str_mv 10.1016/j.jad.2018.04.004
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Therefore, we assessed whether Val66Met was associated with fear potentiated psychophysiological response and HPA axis dysfunction and whether PTSD status or child abuse history moderated these outcomes in a sample of Veterans. 226 and 173 participants engaged in a fear potentiated acoustic startle paradigm and a dexamethasone suppression test (DST) respectively. Fear conditions included no, ambiguous, and high threat conditions. Psychophysiological response measures included electromyogram (EMG), skin conductance response (SCR), and heart rate. The Clinician Administered PTSD Scale (CAPS) and the Trauma History Questionnaire (THQ) were used to assess PTSD status and child abuse history respectively. Met allele carriers exhibited greater SCR magnitudes in the no and ambiguous threat conditions (p &lt; 0.01 and p &lt; 0.05 respectively). Met carriers with PTSD exhibited greater physiological response magnitudes in the ambiguous (SCR, p &lt; 0.001) and high threat conditions (SCR and heart rate, both p ≤ 0.005). Met carrier survivors of child abuse exhibited blunted heart rate magnitudes in the high threat condition (p &lt; 0.01). Met allele carries with PTSD also exhibited greater percent cortisol suppression (p &lt; 0.005). Limitations included small sample size and the cross-sectional nature of the data. The Val66met may impact PTSD susceptibility differentially via enhanced threat sensitivity and HPA axis dysregulation. Child abuse may moderate Val66Met's impact on threat reactivity. 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Met carriers with PTSD exhibited greater physiological response magnitudes in the ambiguous (SCR, p &lt; 0.001) and high threat conditions (SCR and heart rate, both p ≤ 0.005). Met carrier survivors of child abuse exhibited blunted heart rate magnitudes in the high threat condition (p &lt; 0.01). Met allele carries with PTSD also exhibited greater percent cortisol suppression (p &lt; 0.005). Limitations included small sample size and the cross-sectional nature of the data. The Val66met may impact PTSD susceptibility differentially via enhanced threat sensitivity and HPA axis dysregulation. Child abuse may moderate Val66Met's impact on threat reactivity. 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Neylan, Thomas C ; O'Donovan, Aoife ; Metzler, Thomas ; Richards, Anne ; Ross, Jessica A ; Inslicht, Sabra S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3474-cb4da3acb8654bbc00734df6e62d8f2c0eb3dc500c4d5e7d73e3e1cc6c8f52c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adaptation, Psychological - physiology</topic><topic>Adult</topic><topic>Adult Survivors of Child Abuse - psychology</topic><topic>Alleles</topic><topic>Brain-Derived Neurotrophic Factor - genetics</topic><topic>Cross-Sectional Studies</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Genetic Predisposition to Disease</topic><topic>Gulf War</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Hypothalamo-Hypophyseal System - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pituitary-Adrenal System - physiopathology</topic><topic>Polymorphism, Genetic</topic><topic>Stress Disorders, Post-Traumatic - genetics</topic><topic>Stress Disorders, Post-Traumatic - physiopathology</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>United States</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Young, Dmitri A</creatorcontrib><creatorcontrib>Neylan, Thomas C</creatorcontrib><creatorcontrib>O'Donovan, Aoife</creatorcontrib><creatorcontrib>Metzler, Thomas</creatorcontrib><creatorcontrib>Richards, Anne</creatorcontrib><creatorcontrib>Ross, Jessica A</creatorcontrib><creatorcontrib>Inslicht, Sabra S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Young, Dmitri A</au><au>Neylan, Thomas C</au><au>O'Donovan, Aoife</au><au>Metzler, Thomas</au><au>Richards, Anne</au><au>Ross, Jessica A</au><au>Inslicht, Sabra S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The interaction of BDNF Val66Met, PTSD, and child abuse on psychophysiological reactivity and HPA axis function in a sample of Gulf War Veterans</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>235</volume><spage>52</spage><epage>60</epage><pages>52-60</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>While the BDNF Val66Met polymorphism has been linked to various psychological disorders, limited focus has been on its relationship to posttraumatic stress disorder (PTSD) and early traumas such as child abuse. Therefore, we assessed whether Val66Met was associated with fear potentiated psychophysiological response and HPA axis dysfunction and whether PTSD status or child abuse history moderated these outcomes in a sample of Veterans. 226 and 173 participants engaged in a fear potentiated acoustic startle paradigm and a dexamethasone suppression test (DST) respectively. Fear conditions included no, ambiguous, and high threat conditions. Psychophysiological response measures included electromyogram (EMG), skin conductance response (SCR), and heart rate. The Clinician Administered PTSD Scale (CAPS) and the Trauma History Questionnaire (THQ) were used to assess PTSD status and child abuse history respectively. Met allele carriers exhibited greater SCR magnitudes in the no and ambiguous threat conditions (p &lt; 0.01 and p &lt; 0.05 respectively). Met carriers with PTSD exhibited greater physiological response magnitudes in the ambiguous (SCR, p &lt; 0.001) and high threat conditions (SCR and heart rate, both p ≤ 0.005). Met carrier survivors of child abuse exhibited blunted heart rate magnitudes in the high threat condition (p &lt; 0.01). Met allele carries with PTSD also exhibited greater percent cortisol suppression (p &lt; 0.005). Limitations included small sample size and the cross-sectional nature of the data. The Val66met may impact PTSD susceptibility differentially via enhanced threat sensitivity and HPA axis dysregulation. Child abuse may moderate Val66Met's impact on threat reactivity. Future research should explore how neuronal mechanisms might mediate this risk.</abstract><cop>Netherlands</cop><pmid>29649711</pmid><doi>10.1016/j.jad.2018.04.004</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3568-0926</orcidid><orcidid>https://orcid.org/0000-0002-2456-1625</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adaptation, Psychological - physiology
Adult
Adult Survivors of Child Abuse - psychology
Alleles
Brain-Derived Neurotrophic Factor - genetics
Cross-Sectional Studies
Fear - psychology
Female
Genetic Predisposition to Disease
Gulf War
Humans
Hydrocortisone - metabolism
Hypothalamo-Hypophyseal System - physiopathology
Male
Middle Aged
Pituitary-Adrenal System - physiopathology
Polymorphism, Genetic
Stress Disorders, Post-Traumatic - genetics
Stress Disorders, Post-Traumatic - physiopathology
Stress Disorders, Post-Traumatic - psychology
United States
Veterans - psychology
title The interaction of BDNF Val66Met, PTSD, and child abuse on psychophysiological reactivity and HPA axis function in a sample of Gulf War Veterans
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