MRI Shows How Stress Damages the Brain

PTSD is associated with several abnormalities in brain structure and function. However, researcher Dr. Roger Pitman, from Harvard Medical School (Boston, MA, USA) explained, "Although it is tempting to conclude that these abnormalities were caused by the traumatic event, it is also possible that they were pre-existing risk factors that increased the risk of developing PTSD upon the traumatic event's occurrence.”

Drs. Kiyoto Kasai and Hidenori Yamasue, from the University of Tokyo (Japan), along with their colleagues sought to examine this association in a new study published in the March 15, 2008, issue of the journal Biological Psychiatry. The investigators measured the gray matter density of the brains of combat-exposed Vietnam veterans, some with and some without PTSD, and their combat-unexposed identical twins utilizing magnetic resonance imaging (MRI). The detailed images provided by the MRI scans then allowed the investigators to compare specific brain regions of the siblings. They discovered that the gray matter density of the pregenual anterior cingulate cortex, a region of the brain involved in emotional functioning, was reduced in veterans with PTSD, but not in their twins who had not experienced combat.

According to Dr. Pitman, "this finding supports the conclusion that the psychological stress resulting from the traumatic stressor may damage this brain region, with deleterious emotional consequences.”

John H. Krystal, M.D., editor of Biological Psychiatry and affiliated with both Yale University School of Medicine (New Haven, CT, USA), discussed in the same issue the need for this kind of study because of two separate sets of earlier findings, "On the one hand, compelling data from animal research indicates that stress can cause brain atrophy and even neural death in some brain regions. On the other hand, the volume of several brain regions are highly heritable and small brain volumes, presumably related to reduced function, in the hippocampus may increase stress reactivity or impair the capacity for resilience.”

Dr. Krystal added that findings from this study "suggest that volume reductions in [the anterior cingulate cortex] associated with PTSD arise as a consequence of stress exposure rather than emerging as a heritable trait,” leaving one to conclude that "the extent to which particular genes and environmental exposures interact to shape the development of the brain thus appears to be complex and region-specific.”


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Harvard Medical School
University of Tokyo