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. 2023 Apr 21;130(6):729–746. doi: 10.1016/j.bja.2023.03.008

Table 2.

Summary table of the main result for the functional MRI studies. adverse childhood experiences, adverse childhood experiences; BDI-II, Beck's Depression Inventory; CECA, Childhood Experience of Care and Abuse; CM, childhood maltreatment; CTQ, Childhood Trauma Questionnaire; CTQ-SF, Childhood Trauma Questionnaire-Short Form; EA, emotional abuse; ELA, early life adversity; ELT, early life trauma; GMV, grey matter volume; HAD, Hospital Anxiety and Depression Scale; HAMD, Hamilton depression scale; HAMD-D, Hamilton Rating Scale for Depression; HC, healthy control; HDRS, Hamilton Depression Rating; IBS, irritable bowel syndrome; IDS-SR, Inventory of Depressive Symptomatology-Self report; IP, internalizing psychopathology; MADRS, Montgomery Åsberg Depression Rating Scale; MDD, major depressive disorder; MSPD, multisomatoform pain disorder; PA, physical abuse; PHQ, Patient Health Questionnaire; QIDS, Quick Inventory for Depression Symptomatology; SA, sexual abuse; SDS, Self-rating Depression Scale; SPD, somatoform pain disorder. ∗Structural MRI provides detailed images of the brain's anatomy, whereas task-based functional MRI provides information about brain activity and function during a specific task.

Author Task-based functional MRI∗
Task Group of participants Contrast of interest Main results
Grant and colleagues59 Riksen flanker task of selective attention MDD+ELA Sad>neutral In contrast to the sad > neutral faces, the right amygdala showed higher activation for the unipolar depressed patients with ELA. Increased activation of the amygdala was found, and a positive correlation with the PA. Other forms of abuse and neglect were also found to have a weaker relationship. The correlation was significant when the patient had experienced ELA, and it was not significant for depressed patients.
MDD+ELA positive>neutral For positive > neutral faces, sexual abuse showed a correlation with amygdala response.
Hentze and colleagues62 Affective ToM task MDD Emotional focus The contrast of emotional focus revealed a negative correlation between amygdala and MADRS scores (depression).
CTQ Perspective taking Perspective taking revealed a positive correlation between amygdala activation and CTQ total scores.
Miller and colleagues66 Continuous performance task (CPT); Go/No-go MDD+CM> MDD-CM CM vs no CM During working memory updating on CPT, patients with and without CM differed in the activation of the right dorsolateral prefrontal cortex.
Noll-Hussong and colleagues88 Empathy-for-pain paradigm MSPD+abuse >
MSPD–abuse
MSPD+abuse vs >
MSPD–abuse
Abused patients in contrast to those with no experience of abuse showed an activation in the left lateral and medial superior frontal gyrus. No-abused patients in contrast with the abuse group showed an activation in the left hippocampus.
Peters and colleagues71 Face/shapes interaction IP+ELA Angry>Shapes Cuneus showed increase activation in the angry > shapes contrast for IP+ELA.
IP+ELA Fearful > Shapes Increased activation in the anterior and posterior cingulate, superior parietal, precuneus, cuneus, superior frontal and inferior temporal was demonstrated in the contrast of fearful > shapes for IP+ELA.
Ringel and colleagues89 Three sets of repeated 39 s rectal distension separated by a 39-s rest period All abuse>All non-abuse All abuse vs All non-abuse Abused patients in contrast to non-abuse patients with IBS showed an activation in the left mid-cingulate cortex and left posterior cingulate cortex.
IBS+abuse > ALL IBS with abuse vs all IBS patients with abuse in contrast with all others showed an activation in the left mid-cingulate cortex, bilateral posterior cingulate cortex and a de-activation in bilateral supra genual cingulate cortex.
Skokauskas and colleagues74 Emotional attention shifting task MDD Judgement of emotion minus judgement of geometry after emotional neutral stimuli Decrease activation with the contrast judgement of emotion minus judgement of geometry after emotional neutral stimuli on patients with MDD on the fusiform gyrus
MDD+SA Judgement of emotion minus judgement of geometry after emotional negative stimuli Increased activation with the contrast of judgement of emotion minus judgement of geometry after emotional negative stimuli on patients with MDD and experiences of SA on the left inferior parietal lobe.
Grant and colleagues60 Gender identification variant of the Eriksen flanker task of selective attention MDD>HC MDD>HC Based on medial prefrontal cortex–amygdala connectivity within the MDD group, association between exposure to ELT with failure of inhibition was observed. Association between negative causal pathways from medial prefrontal cortex to amygdala with non-ELT MDD patients, even though a reduced dorsolateral prefrontal cortex input compared with HC.
Tozzi and colleagues77 Attentional cognitive emotional task HC>MDD HC>MDD HC in contrast to MDD patients revealed an activation in the right middle frontal gyrus, right hippocampus, right precuneus and left lingual gyrus.
Tozzi and colleagues78 Valence recognition of emotional images. MDD>HC MDD>HC MDD patients compared with HC during valence recognition of emotional images showed de-activation in the bilateral inferior frontal gyrus.