行動障害を持つ子供の脳構造は虐待歴によって異なる(Brain differences seen in children with conduct disorder depend on abuse history)

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2025-05-27 バース大学

バース大学の研究チームは、反社会的行動障害(Conduct Disorder, CD)を持つ若者の脳構造が、幼少期の虐待経験の有無によって異なることを明らかにしました。具体的には、虐待歴のあるCD患者は、感情処理や意思決定に関与する灰白質に顕著な変化が見られた一方、白質には健常者との有意な差異が認められませんでした。一方、虐待歴のないCD患者では、左右の脳半球を結ぶ主要な白質経路に構造的な異常が確認されました。これらの結果は、CDの発症メカニズムが異なる可能性を示唆しており、治療法の個別化の必要性を示しています。

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エコフェノタイプ仮説の検証 行動障害の青少年における白質微細構造の相違(小児期の虐待歴の有無による Testing the ecophenotype hypothesis: Differences in white matter microstructure in youth with conduct disorder with versus without a history of childhood abuse

Sophie TownendMarlene Staginnus,Jack Rogers,Areti Smaragdi,Anne Martinelli,Anka Bernhard,Nora Maria Raschle,Gregor Kohls,Kerstin Konrad and Christina Stadler,…
Development and Psychopathology  Published:26 May 2025
DOI:https://doi.org/10.1017/S0954579425000367

行動障害を持つ子供の脳構造は虐待歴によって異なる(Brain differences seen in children with conduct disorder depend on abuse history)

Abstract

Childhood maltreatment is a key risk factor for conduct disorder (CD), and the “ecophenotype hypothesis” suggests that maltreatment-related versus non-maltreatment-related CD are neurobiologically distinct. This may explain inconsistent findings in previous structural connectivity studies of CD. We tested this hypothesis by comparing youth with CD with (CD/+) versus without (CD/-) childhood physical or sexual abuse in white-matter microstructure. Diffusion tensor imaging data were collected from 100 CD and 169 control participants aged 9–18 years. Using Tract-Based Spatial Statistics, we compared the CD and control groups in fractional anisotropy, and axial, radial and mean diffusivity, then compared the CD/+ (n = 39) and CD/- (n = 61) subgroups and controls. The combined CD group had higher fractional anisotropy in the corpus callosum than controls. When divided by abuse history, only the CD/- subgroup exhibited higher corpus callosum fractional anisotropy than controls; the CD/+ subgroup did not differ from controls. Comparing the CD subgroups, the CD/+ subgroup displayed higher superior longitudinal fasciculus axial diffusivity than the CD/- subgroup. Notably, sex-stratified analyses yielded different findings in all-male and all-female samples. Findings support the ecophenotype hypothesis, demonstrating microstructural differences between the CD/+ and CD/- subgroups and emphasizing the importance of considering abuse/maltreatment (and sex) in future studies.

医療・健康
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