Childhood Emotional Maltreatment Severity Is Associated with Dorsal Medial Prefrontal Cortex Responsivity to Social Exclusion in Young Adults.docVIP

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2017-05-07 发布于上海
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Childhood Emotional Maltreatment Severity Is Associated with Dorsal Medial Prefrontal Cortex Responsivity to Social Exclusion in Young Adults.doc

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Childhood Emotional Maltreatment Severity Is Associated with Dorsal Medial Prefrontal Cortex Responsivity to Social Exclusion in Young Adults

ChildhoodEmotionalMaltreatmentSeverityIs AssociatedwithDorsalMedialPrefrontalCortex ResponsivitytoSocialExclusioninYoungAdults Anne-LauravanHarmelen1,2,3*,KirstenHauber4,BregtjeGuntherMoor1,5,PhilipSpinhoven1,2,6 , AlbertE.Boon4,7,8,EvelineA.Crone1,5,BernetM.Elzinga1,2 1Leiden University, Leiden Institute for Brain Cognition, Leiden, The Netherlands, 2Leiden University, Institute of Psychology, Clinical Psychology, Leiden, the Netherlands, 3University of Cambridge, Department of Developmental Psychiatry, Cambridge, United Kingdom, 4De Jutters, Youth Mental Health Care Center, The Hague, The Netherlands, 5Leiden University, Institute of Psychology, Developmental Psychology, Leiden, The Netherlands, 6Leiden University Medical Center, DepartmentofPsychiatry,Leiden,TheNetherlands,7DeFjordLucertis,CentreforOrthopsychiatryandForensicYouthPsychiatry,CapelleaandenIJssel,TheNetherlands, 8Curium-LeidenUniversityMedicalCentre,DepartmentofChildandAdolescentPsychiatry,Leiden,TheNetherlands Abstract Children who have experienced chronic parental rejection and exclusion during childhood, as is the case in childhood emotional maltreatment, may become especially sensitive to social exclusion. This study investigated the neural and emotional responses to social exclusion (with the Cyberball task) in young adults reporting childhood emotional maltreatment.Usingfunctionalmagneticresonanceimaging,weinvestigatedbrainresponsesandself-reporteddistressto social exclusion in 46 young adult patients and healthy controls (mean age=19.262.16) reporting low to extreme childhoodemotionalmaltreatment.Consistentwithpriorstudies,socialexclusionwasassociatedwithactivityintheventral medial prefrontal cortex and posterior cingulate cortex. In addition, severity of childhood emotional maltreatment was positively associated with increased dorsal medial prefrontal cortex responsivity to social exclusion. The dorsal medial prefrontalcortexplaysacrucialroleinself-andother-referentialprocessing,suggestingth