論文

国際誌
2016年10月4日

Possible neural mechanisms of psychotherapy for trauma-related symptoms: cerebral responses to the neuropsychological treatment of post-traumatic stress disorder model individuals.

Scientific reports
  • Tamaki Amano
  • ,
  • Motomi Toichi

6
開始ページ
34610
終了ページ
34610
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/srep34610

Psychotherapy is often effective for treating psychogenic disorders, but the changes that occur in the brain during such treatments remain unknown. To investigate this, we monitored cerebral activity throughout an entire session using a psychotherapeutic technique in healthy subjects. Since post-traumatic stress disorder (PTSD) is a typical psychogenic psychiatric disorder, we used PTSD-model volunteers who had experienced a moderately traumatic event. The technique used as psychotherapy was eye movement desensitisation and reprocessing (EMDR), a standard method for treating PTSD. The oxygenated haemoglobin concentration ([oxy-Hb]), a sensitive index of brain activation, measured using multi-channel near-infrared spectroscopy, revealed changes in [oxy-Hb] in the superior temporal sulcus (STS) and orbitofrontal cortex (OFC). During a vital therapeutic stage, a significant reduction in the activation by forced eye movements was observed in the right STS, and a trend toward a reduction in the left OFC. The hyperactivation of the right STS on the recall of unpleasant memories, and its normalisation by eye movements, seem to reflect an important neural mechanism of the psychotherapy. These findings suggest that psychotherapy for traumatic symptoms involves brain regions related to memory representation and emotion, and possibly those that link memory and emotion, such as the amygdala.

リンク情報
DOI
https://doi.org/10.1038/srep34610
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27698453
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5048146
ID情報
  • DOI : 10.1038/srep34610
  • PubMed ID : 27698453
  • PubMed Central 記事ID : PMC5048146

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