Military service members who have returned from theaters of war are at
increased risk of mental health problems. But few studies have examined the
physical effects that war-zone related stress may have on the structure of the
brain.
A new study led by investigators at
Brigham and Women’s Hospital, a founding member of the Mass General Brigham
health care system, investigates microstructural changes in the limbic and
paralimbic gray matter regions of the brain—areas that control basic emotions
and drives.
The team analyzed diffusion-weighted MRI
scans from 168 male veterans who had participated in the Translational Research
Center for TBI and Stress Disorders (TRACTS) study, which took place in 2010 to
2014 at the Veterans Affair Rehabilitation Research and Development TBI
National Network Research Center.
The team found that war-zone related
stress was associated with alterations of the limbic gray matter
microstructure, independent of a diagnosis of a mental health disorder or mild
traumatic injury. These structural alterations were, in turn, associated with
cognitive functioning, including impaired response inhibition as well as
improved verbal short-term memory and processing speed.
“These findings suggest that war
zone-related stress may lead to microstructure alterations in the brain,” said
corresponding author Inga K. Koerte, MD, of the Psychiatry Neuroimaging
Laboratory in the Brigham’s Department of Psychiatry.
“These changes may underlie the deleterious outcomes of war zone-related stress on brain health. Given these findings, military service members may benefit from early therapeutic interventions following deployment.”
Source: https://www.brighamandwomens.org/
Journal article: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796359
Image is in the public domain
Image: War zone–related stress was associated with decreased fractional
anisotropy of tissue (FAT) in cingulate and orbitofrontal cortex, as well as
increased FAT in the amygdala-hippocampus complex. Limbic gray matter FAT
measures were further associated with cognitive function (ie, impaired response
inhibition as well as improved verbal short-term memory and processing speed).
Taken together with the current literature on functional imaging in
posttraumatic stress disorder, we propose that the observed diffusion
alterations may result from a functional shift from frontolimbic toward mesial
temporal structures (shift of functional demand from cingulate and
orbitofrontal regions toward mesial temporal regions). Credit: The researchers
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