Attention and regional cerebral blood flow in posttraumatic stress disorder patients with substance abuse histories

被引:70
作者
Semple, WE
Goyer, PF
McCormick, R
ComptonToth, B
Morris, E
Donovan, B
Muswick, G
Nelson, D
Garnett, ML
Sharkoff, J
Leisure, G
Miraldi, F
Schulz, SC
机构
[1] CASE WESTERN RESERVE UNIV,DEPT PSYCHIAT,CLEVELAND,OH 44106
[2] CASE WESTERN RESERVE UNIV,DEPT RADIOL,CLEVELAND,OH 44106
关键词
positron emission tomography; parietal cortex; continuous performance task;
D O I
10.1016/0925-4927(96)02735-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Performance on an attentional task was assessed in posttraumatic stress disorder patients with substance abuse histories (PTSD-SA). Positron emission tomography (PET) was used to measure concurrent regional cerebral blood flow (rCBF). Eight male PTSD-SA patients and eight normal subjects each received three serial PET scans with O-15-labeled water under the following conditions: (1) resting, (2) auditory continuous performance task (ACPT1), and (3) repeat auditory task (ACPT2). PTSD-SA patients made more errors of commission on the ACPT than normal subjects. Examination of right frontal and parietal cortex ACPT task substrates revealed decreased parietal blood flow in PTSD-SA, which may represent a pathophysiology for poor attentional task performance in PTSD-SA. Attentional problems may underlie other symptomatology in PTSD.
引用
收藏
页码:17 / 28
页数:12
相关论文
共 33 条
[1]  
*AM PSYCH ASS, 1987, DSM3R DIAGN STAT MAN
[2]  
BREMNER JD, 1993, AM J PSYCHIAT, V150, P1015
[3]   GLUCOSE METABOLIC-RATE IN NORMALS AND SCHIZOPHRENICS DURING THE CONTINUOUS PERFORMANCE-TEST ASSESSED BY POSITRON EMISSION TOMOGRAPHY [J].
BUCHSBAUM, MS ;
NUECHTERLEIN, KH ;
HAIER, RJ ;
WU, J ;
SICOTTE, N ;
HAZLETT, E ;
ASARNOW, R ;
POTKIN, S ;
GUICH, S .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 156 :216-227
[4]   DYSFUNCTION IN A PREFRONTAL SUBSTRATE OF SUSTAINED ATTENTION IN SCHIZOPHRENIA [J].
COHEN, RM ;
SEMPLE, WE ;
GROSS, M ;
NORDAHL, TE ;
DELISI, LE ;
HOLCOMB, HH ;
KING, AC ;
MORIHISA, JM ;
PICKAR, D .
LIFE SCIENCES, 1987, 40 (20) :2031-2039
[5]  
COHEN RM, 1992, EXP BRAIN RES, V92, P165
[6]  
Cohen RM., 1988, Neuropsychiatr. Neuropsychol. Behav. Neurol, V1, P3
[7]  
COTTLER LB, 1992, AM J PSYCHIAT, V149, P664
[8]  
DAHLSTROM WG, 1975, MMPI HDB, V2
[9]   PSYCHIATRIC-DISORDERS IN RAPE VICTIMS - PAST HISTORY AND CURRENT SYMPTOMATOLOGY [J].
FRANK, E ;
ANDERSON, BP .
COMPREHENSIVE PSYCHIATRY, 1987, 28 (01) :77-82
[10]  
GLANTZ M, 1992, VULNERABILITY DRUG A