Evidence map›Paper›PMID 38179593›Full record

ArticleBJPsych open2024

North Korean defectors with PTSD and complex PTSD show alterations in default mode network resting-state functional connectivity.

Byung-Hoon Kim, Jiwon Baek, Ocksim Kim, Hokon Kim, Minjeong Ko, Sang Hui Chu, Young-Chul Jung

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Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Byung-Hoon KimDepartment of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea; and Institute of Behavioral Sciences in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-2501-038X
Jiwon BaekMo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, South Korea.
Ocksim KimDepartment of Nursing, Yonsei University College of Nursing and Brain Korea 21 FOUR Project, Seoul, South Korea.
Hokon KimDepartment of Nursing, Yonsei University College of Nursing, Seoul, South Korea; and Brain Korea 21 FOUR Project, Seoul, South Korea.
Minjeong KoDepartment of Nursing, Yonsei University College of Nursing, Seoul, South Korea.
Sang Hui ChuMo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, South Korea; and Department of Nursing, Yonsei University College of Nursing, Seoul, South Korea.
Young-Chul JungDepartment of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea; and Institute of Behavioral Sciences in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-0578-2510

Funding

National Research Foundation of Korea 2019R1I1A2A01058746
6 · The paper itself

Abstract

backgroundNorth Korean defectors (NKDs) have often been exposed to traumatic events. However, there have been few studies of neural alterations in NKDs with post-traumatic stress disorder (PTSD) and complex PTSD (cPTSD).

aimsTo investigate neural alterations in NKDs with PTSD and cPTSD, with a specific focus on alterations in resting-state functional connectivity networks, including the default mode network (DMN).

methodResting-state functional connectivity was assessed using brain functional magnetic resonance imaging in three groups of NKDs: without PTSD, with PTSD and with cPTSD. Statistical tests were performed, including region of interest (ROI)-to-ROI and ROI-to-voxel analysis, followed by

resultsIn the ROI-to-ROI analysis, differences in functional connectivity were found among the components of the DMN, as well as in the thalamus and the basal ganglia. Right hippocampus-left pallidum and right amygdala-left lingual gyrus connectivity differed between groups in the ROI-to-voxel analysis, as did connectivity involving the basal ganglia. The

conclusionsThe results suggest that there are alterations in the functional connectivity of the DMN and the limbic system in NKDs with PTSD and cPTSD, and that these alterations involve the basal ganglia. The lower correlations of CAPS score with right basal ganglia-DMN functional connectivity in patients compared with controls further implies that these connectivities are potential targets for treatment of PTSD and cPTSD.

Indexed as

complex PTSDdefault mode networkfunctional connectivityNorth Korean defectorsPTSD

Identifiers

PMID38179593
PMCPMC10790227

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