原创力文档quantitative meta-analysis of neural activity in posttraumatic stress disorder定量分析创伤后应激障碍的神经活动.pdfVIP
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quantitative meta-analysis of neural activity in posttraumatic stress disorder定量分析创伤后应激障碍的神经活动
Hayes et al. Biology of Mood Anxiety Disorders 2012, 2:9
/content/2/1/9 Biology of
Mood Anxiety Disorders
RESEARCH Open Access
Quantitative meta-analysis of neural activity in
posttraumatic stress disorder
Jasmeet P Hayes1,2,3*, Scott M Hayes2,3,4 and Amanda M Mikedis1,2
Abstract
Background: In recent years, neuroimaging techniques such as functional magnetic resonance imaging (fMRI) and
positron emission tomography (PET) have played a significant role in elucidating the neural underpinnings of
posttraumatic stress disorder (PTSD). However, a detailed understanding of the neural regions implicated in the
disorder remains incomplete because of considerable variability in findings across studies. The aim of this meta-
analysis was to identify consistent patterns of neural activity across neuroimaging study designs in PTSD to improve
understanding of the neurocircuitry of PTSD.
Methods: We conducted a literature search for PET and fMRI studies of PTSD that were published before February
2011. The article search resulted in 79 functional neuroimaging PTSD studies. Data from 26 PTSD peer-reviewed
neuroimaging articles reporting results from 342 adult patients and 342 adult controls were included. Peak
activation coordinates from selected articles were used to generate activation likelihood estimate maps separately
for symptom provocation and cognitive-emotional studies of PTSD. A separate meta-analysis examined the
coupling between ventromedial prefrontal cortex and amygdala activity in patients.
Results: Results demonstrated that the regions most consistently hyperactivated in PTSD patients included mid-
and dorsal anterior cingulate cortex, and
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