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. Author manuscript; available in PMC: 2015 Oct 1.
Published in final edited form as: Depress Anxiety. 2014 Aug 8;31(10):880–892. doi: 10.1002/da.22291

Table 1.

Summary of prior resting state functional connectivity studies of childhood stress/trauma, and adult PTSD symptoms. Studies included here assessed one or more key fear network nodes including the amygdala, hippocampus, and/or prefrontal cortex. Note that decreases in connectivity that originally have a negative sign reflect a loss of anticorrelation.

Childhood Stress/Trauma Exposure
Ref. Seed or
Network
Analysis
Seed/Network
Approach
Stress/Trauma
Type
Subjects (n) Main Findings
(original
connectivity sign)
Notes
13 Seed Amygdala
dACC
PCC
dmPFC
Childhood
emotional
maltreatment
(CEM) – emotional
abuse/neglect
Adults with CEM
(44)
Adults without CEM
(44)
↓Amygdala-
insula/hippocampu
s (+)
↓Amygdala-
precuneus (−)
↓dACC-vmPFC (+)
↓dACC-precuneus
(−)
Psychiatric
medication use not
reported. Groups
matched for
psychopathology.
Physical/sexual
abuse excluded.
14 Seed Amygdala Maternal/family
stress up to 1 year
of age
Adolescent
community sample
(57)
↓Amygdala-vmPFC
(+)
Effects found in
females only and
mediated by child
cortisol levels at
age 4.5 years.
15 Seed Amygdala
Hippocampus
Childhood
maltreatment – all
types combined
Adolescent
community sample
(64)
↓Amygdala-sgACC
(+)
↓Hippocampus-
sgACC (+)
Amygdala effects in
females only,
hippocampus
effects in both
sexes.
57 Seed Amygdala
PCC
Childhood
maltreatment (CM)
– physical, sexual,
or emotional abuse
Healthy adults with
CM (12)
Healthy adults
without CM (9)
↓PCC-vmPFC (+)
↓PCC-ITC (+)
↑Amygdala-vmPFC
(trend only)
A priori search
regions were used.
All subjects were
free of current
psychiatric illness.
Four adults with
CM reported past
psychiatric illness.
16 Network Graph theory Childhood neglect
(CN) –
emotional/physical
Adult MDD with CN
(18)
Adult MDD without
CN (20)
Healthy adults
without CN (20)
MDD with vs.
without CN:
↓global
connectivity in
dl/vl/dmPFC, insula,
caudate, thalamus,
parahippocampal
gyrus, amygdala,
hippocampus
All MDD patients
were receiving
antidepressant
medications.
Primary analysis
used global signal
regression. Most
CN-associated
findings disappear
when global signal
regression was not
used. Global
connectivity =
degree.
17 Network Graph theory Early life stress
(ELS) such as abuse,
neglect, caregiver
death, accident
“Susceptible” adults
with current or past
MDD/PTSD and ELS
(19)
“Resilient” adults
(no MDD/PTSD)
with ELS (7)
“Control” adults
without ELS (12)
Susceptible vs.
other groups:
↓local connectivity
and ↑hub
properties of
amygdala, ↓hub
properties of dACC,
↓local connectivity
of left vlPFC
Resilient vs. other
groups:
↓global
connectivity and
hub properties of
right vlPFC, ↓local
connectivity of
dACC, ↑local
connectivity of
mPFC, ↑global
connectivity of
hippocampus
All female sample.
Only ↓hub
properties of right
vlPFC for the
resilient group
survives multiple
comparison
correction. Local
connectivity =
efficiency. Hub
properties =
betweenness
centrality. Global
connectivity =
degree.
Adult PTSD
58 Seed PCC
mPFC
Childhood abuse PTSD (17)
NTC (15)
↓PCC to mPFC,
parietal cortex,
middle temporal
gyrus,
parahippocampal
gyrus, insula,
hippocampus,
amygdala
↓mPFC to parietal
cortex, PCC
All female sample.
Thirteen PTSD
subjects were
receiving
psychiatric
medications.
6 Seed Amygdala Combat PTSD (17)
TEC (17)
↑Amygdala-insula
(+)
All male sample.
PTSD subjects were
unmedicated at
time of study.
7 Seed Amygdala Combat PTSD (15)
TEC (14)
↑Amygdala-insula
(+)
↓Amygdala-
hippocampus (+) ↓Amygdala-
rostral/dorsal ACC
(−)
A priori search
regions were used.
All male sample.
Two PTSD subjects
were taking
trazodone.
8 Seed PCC
vmPFC
Anterior insula
Combat PTSD (15)
TEC (15)
NTC, community
sample (15)
PTSD vs. TEC:
↑PCC-amygdala
and -insula (−)
↑Insula-amygdala
(+)
↑Insula-
hippocampus (−)
PTSD vs. NTC:
↓PCC-
hippocampus (+)
↓vmPFC-rostral
ACC (+)
A priori search
regions were used.
All male sample.
Two PTSD subjects
were taking
trazodone. The two
comparison groups
were combined for
primary analysis
10 Seed Anterior
hippocampus
Posterior
hippocampus
Various –
interpersonal
violence, accident,
combat, childhood
abuse, rape, natural
disaster
PTSD (17)
GAD (39)
NTC (60)
PTSD vs. NTC:
↓Anterior
hippocampus to
dACC/pre-SMA (+)
↓Posterior
hippocampus to
PCC, PC, pgACC (+)
A priori search
regions and global
signal regression
were used. Four
PTSD subjects were
receiving
psychiatric
medications.
Posterior
hippocampal
findings were
specific to PTSD.
9 Seed Basolateral
amygdala
(BLA)
Centromedial
amygdala
(CMA)
Combat PTSD (20)
TEC (22)
↓BLA-
pgACC/dmPFC (−)
↓BLA-dACC (−)
↓BLA to IFG (+)
Twelve PTSD and
two TEC subjects
were receiving
psychiatric
medications.