A pilot longitudinal study of hippocampal volumes in pediatric maltreatment-related posttraumatic stress disorder.

Biol Psychiatry

University of Pittsburgh Medical Center, Developmental Traumatology Neuroimaging Laboratory, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania , USA.

Published: August 2001

Background: Adult posttraumatic stress disorder (PTSD) is associated with decreased hippocampal volumes; however, decreased hippocampal volumes were not seen in pediatric maltreatment-related PTSD. We examined hippocampal volumes longitudinally to determine if a history of childhood traumatic stress alters hippocampal growth during puberty.

Methods: Magnetic resonance imaging was used to measure temporal lobes, amygdala, and hippocampal volumes in nine prepubertal maltreated subjects with pediatric maltreatment-related PTSD and nine sociodemographically matched healthy nonmaltreated yoked control subjects at baseline and after at least 2 years follow-up (during the later stages of pubertal development) using identical equipment and measurement methodology.

Results: Temporal lobe, amygdala and hippocampal volumes did not differ between groups at baseline, follow-up, or across time.

Conclusions: Whereas these data are from a small sample, the results do not support hippocampal changes in pediatric maltreatment-related PTSD.

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http://dx.doi.org/10.1016/s0006-3223(01)01105-2DOI Listing

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