دورية أكاديمية

Neighborhood Resources Associated With Psychological Trajectories and Neural Reactivity to Reward After Trauma.

التفاصيل البيبلوغرافية
العنوان: Neighborhood Resources Associated With Psychological Trajectories and Neural Reactivity to Reward After Trauma.
المؤلفون: Webb EK; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, Massachusetts., Stevens JS; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia., Ely TD; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia., Lebois LAM; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, Massachusetts., van Rooij SJH; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia., Bruce SE; Department of Psychological Sciences, University of Missouri-St Louis, St Louis., House SL; Department of Emergency Medicine, Washington University School of Medicine, St Louis, Missouri., Beaudoin FL; Department of Epidemiology, Brown University, Providence, Rhode Island.; Department of Emergency Medicine, Brown University, Providence, Rhode Island., An X; Institute for Trauma Recovery, Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill., Neylan TC; Departments of Psychiatry and Neurology, University of California San Francisco, San Francisco., Clifford GD; Department of Biomedical Informatics, Emory University School of Medicine, Atlanta, Georgia.; Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta., Linnstaedt SD; Institute for Trauma Recovery, Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill., Germine LT; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Institute for Technology in Psychiatry, McLean Hospital, Belmont, Massachusetts.; The Many Brains Project, Belmont, Massachusetts., Bollen KA; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill.; Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill., Rauch SL; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Institute for Technology in Psychiatry, McLean Hospital, Belmont, Massachusetts.; Department of Psychiatry, McLean Hospital, Belmont, Massachusetts., Haran JP; Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester., Storrow AB; Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee., Lewandowski C; Department of Emergency Medicine, Henry Ford Health System, Detroit, Michigan., Musey PI Jr; Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis., Hendry PL; Department of Emergency Medicine, University of Florida College of Medicine -Jacksonville, Jacksonville., Sheikh S; Department of Emergency Medicine, University of Florida College of Medicine -Jacksonville, Jacksonville., Jones CW; Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, New Jersey., Punches BE; Department of Emergency Medicine, Ohio State University College of Medicine, Columbus.; Ohio State University College of Nursing, Columbus., Swor RA; Department of Emergency Medicine, Oakland University William Beaumont School of Medicine, Rochester, Michigan., Murty VP; Department of Psychology, Temple University, Philadelphia, Pennsylvania., Hudak LA; Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia., Pascual JL; Department of Surgery, Department of Neurosurgery, University of Pennsylvania, Philadelphia.; Perelman School of Medicine, University of Pennsylvania, Philadelphia., Seamon MJ; Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Department of Surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia., Datner EM; Department of Emergency Medicine, Jefferson Einstein Hospital, Jefferson Health, Philadelphia, Pennsylvania.; Department of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania., Pearson C; Department of Emergency Medicine, Wayne State University, Ascension St John Hospital, Detroit, Michigan., Peak DA; Department of Emergency Medicine, Massachusetts General Hospital, Boston., Domeier RM; Department of Emergency Medicine, Trinity Health-Ann Arbor, Ypsilanti, Michigan., Rathlev NK; Department of Emergency Medicine, University of Massachusetts Medical School-Baystate, Springfield., O'Neil BJ; Department of Emergency Medicine, Wayne State University, Detroit Receiving Hospital, Detroit, Michigan., Sergot P; Department of Emergency Medicine, McGovern Medical School at UTHealth, Houston, Texas., Sanchez LD; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.; Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts., Joormann J; Department of Psychology, Yale University, New Haven, Connecticut., Pizzagalli DA; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, Massachusetts., Harte SE; Department of Anesthesiology, University of Michigan Medical School, Ann Arbor.; Department of Internal Medicine-Rheumatology, University of Michigan Medical School, Ann Arbor., Kessler RC; Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts., Koenen KC; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts., Ressler KJ; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, Massachusetts., McLean SA; Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill.; Institute for Trauma Recovery, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill., Harnett NG; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.; Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, Massachusetts.
المصدر: JAMA psychiatry [JAMA Psychiatry] 2024 Jul 31. Date of Electronic Publication: 2024 Jul 31.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: American Medical Association Country of Publication: United States NLM ID: 101589550 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2168-6238 (Electronic) Linking ISSN: 2168622X NLM ISO Abbreviation: JAMA Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Chicago, IL : American Medical Association, [2013]-
مستخلص: Importance: Research on resilience after trauma has often focused on individual-level factors (eg, ability to cope with adversity) and overlooked influential neighborhood-level factors that may help mitigate the development of posttraumatic stress disorder (PTSD).
Objective: To investigate whether an interaction between residential greenspace and self-reported individual resources was associated with a resilient PTSD trajectory (ie, low/no symptoms) and to test if the association between greenspace and PTSD trajectory was mediated by neural reactivity to reward.
Design, Setting, and Participants: As part of a longitudinal cohort study, trauma survivors were recruited from emergency departments across the US. Two weeks after trauma, a subset of participants underwent functional magnetic resonance imaging during a monetary reward task. Study data were analyzed from January to November 2023.
Exposures: Residential greenspace within a 100-m buffer of each participant's home address was derived from satellite imagery and quantified using the Normalized Difference Vegetation Index and perceived individual resources measured by the Connor-Davidson Resilience Scale (CD-RISC).
Main Outcome and Measures: PTSD symptom severity measured at 2 weeks, 8 weeks, 3 months, and 6 months after trauma. Neural responses to monetary reward in reward-related regions (ie, amygdala, nucleus accumbens, orbitofrontal cortex) was a secondary outcome. Covariates included both geocoded (eg, area deprivation index) and self-reported characteristics (eg, childhood maltreatment, income).
Results: In 2597 trauma survivors (mean [SD] age, 36.5 [13.4] years; 1637 female [63%]; 1304 non-Hispanic Black [50.2%], 289 Hispanic [11.1%], 901 non-Hispanic White [34.7%], 93 non-Hispanic other race [3.6%], and 10 missing/unreported [0.4%]), 6 PTSD trajectories (resilient, nonremitting high, nonremitting moderate, slow recovery, rapid recovery, delayed) were identified through latent-class mixed-effect modeling. Multinominal logistic regressions revealed that for individuals with higher CD-RISC scores, greenspace was associated with a greater likelihood of assignment in a resilient trajectory compared with nonremitting high (Wald z test = -3.92; P < .001), nonremitting moderate (Wald z test = -2.24; P = .03), or slow recovery (Wald z test = -2.27; P = .02) classes. Greenspace was also associated with greater neural reactivity to reward in the amygdala (n = 288; t277 = 2.83; adjusted P value = 0.02); however, reward reactivity did not differ by PTSD trajectory.
Conclusions and Relevance: In this cohort study, greenspace and self-reported individual resources were significantly associated with PTSD trajectories. These findings suggest that factors at multiple ecological levels may contribute to the likelihood of resiliency to PTSD after trauma.
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تواريخ الأحداث: Date Created: 20240731 Latest Revision: 20240803
رمز التحديث: 20240803
مُعرف محوري في PubMed: PMC11292566
DOI: 10.1001/jamapsychiatry.2024.2148
PMID: 39083325
قاعدة البيانات: MEDLINE