Brain Injuries and PTSD Risk

By  ,  National Institute of Health
Jan 19, 2013

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Brain_injuryScientists have found that combat veterans injured in certain brain regions are less likely to later develop post-traumatic stress disorder (PTSD). The findings suggest that PTSD might be treated by trying to reduce brain activity in these regions.

PTSD is a chronic anxiety disorder that affects millions of Americans. Many traumatic events can trigger it, including assault, rape, traffic accidents and military combat. People with PTSD relive their traumatic experiences through repeated nightmares and flashbacks that may seem real. They may become emotionally numb. They may startle easily and be constantly on guard.

NIH scientists and their colleagues studied how changes in the brain can affect PTSD. They analyzed brain scans from nearly 250 Vietnam War veterans who had been in combat. About 200 had received head wounds while fighting. The rest had no head injuries.

The researchers found that veterans rarely got PTSD if they had injuries in either of 2 brain regions. One region, the amygdala, plays a role in fear and anxiety. None of the 15 veterans with amygdala damage developed PTSD. The other brain region, a part of the prefrontal cortex, is involved in higher mental functions and planning. Only about 18% of veterans with damage to this region developed PTSD. In contrast, PTSD affected at least 40% of veterans with injury to other brain regions or no brain injury at all.

This study looked only at male veterans, but the scientists believe their findings might also apply to other types of people and trauma. Future PTSD treatments may try to suppress activity in the 2 brain regions, possibly through drugs or pacemaker-like devices.



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