Pedophilic sex offenders are characterised by reduced GABA concentration in dorsal anterior cingulate cortex
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Pedophilic sex offenders are characterised by reduced GABA concentration in dorsal anterior cingulate cortex. / Ristow, Inka; Li, Meng; Colic, Lejla; Marr, Vanessa; Födisch, Carina; von Düring, Felicia; Schiltz, Kolja; Drumkova, Krasimira; Witzel, Joachim; Walter, Henrik; Beier, Klaus; Kruger, Tillmann H C; Ponseti, Jorge; Schiffer, Boris; Walter, Martin.
In: NEUROIMAGE-CLIN, Vol. 18, 2018, p. 335-341.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Pedophilic sex offenders are characterised by reduced GABA concentration in dorsal anterior cingulate cortex
AU - Ristow, Inka
AU - Li, Meng
AU - Colic, Lejla
AU - Marr, Vanessa
AU - Födisch, Carina
AU - von Düring, Felicia
AU - Schiltz, Kolja
AU - Drumkova, Krasimira
AU - Witzel, Joachim
AU - Walter, Henrik
AU - Beier, Klaus
AU - Kruger, Tillmann H C
AU - Ponseti, Jorge
AU - Schiffer, Boris
AU - Walter, Martin
PY - 2018
Y1 - 2018
N2 - A pedophilic disorder is characterised by abnormal sexual urges towards prepubescent children. Child abusive behavior is frequently a result of lack of behavioral inhibition and current treatment options entail, next to suppressing unchangeable sexual orientation, measures to increase cognitive and attentional control. We tested, if in brain regions subserving attentional control of behavior and perception of salient stimuli, such inhibition deficit can be observed also on the level of inhibitory neurotransmitters. We measured GABA concentration in the dorsal anterior cingulate cortex (dACC) and in a control region, the pregenual anterior cingulate cortex (pgACC) in pedophilic sex offenders (N = 13) and matched controls (N = 13) using a 7 Tesla STEAM magnetic resonance spectroscopy (MRS). In dACC but not in the control region pedophilic sex offenders showed reduced GABA/Cr concentrations compared to healthy controls. The reduction was robust after controlling for potential influence of age and gray matter proportion within the MRS voxel (p < 0.04). Importantly, reduced GABA/Cr in patients was correlated with lower self-control measured with the Barratt Impulsiveness Scale (p = 0.028, r = -0.689). In a region related to cognitive control and salience mapping, pedophilic sex offenders showed reduction of the inhibitory neurotransmitter GABA which may be seen as a neuronal correlate of inhibition and behavioral control.
AB - A pedophilic disorder is characterised by abnormal sexual urges towards prepubescent children. Child abusive behavior is frequently a result of lack of behavioral inhibition and current treatment options entail, next to suppressing unchangeable sexual orientation, measures to increase cognitive and attentional control. We tested, if in brain regions subserving attentional control of behavior and perception of salient stimuli, such inhibition deficit can be observed also on the level of inhibitory neurotransmitters. We measured GABA concentration in the dorsal anterior cingulate cortex (dACC) and in a control region, the pregenual anterior cingulate cortex (pgACC) in pedophilic sex offenders (N = 13) and matched controls (N = 13) using a 7 Tesla STEAM magnetic resonance spectroscopy (MRS). In dACC but not in the control region pedophilic sex offenders showed reduced GABA/Cr concentrations compared to healthy controls. The reduction was robust after controlling for potential influence of age and gray matter proportion within the MRS voxel (p < 0.04). Importantly, reduced GABA/Cr in patients was correlated with lower self-control measured with the Barratt Impulsiveness Scale (p = 0.028, r = -0.689). In a region related to cognitive control and salience mapping, pedophilic sex offenders showed reduction of the inhibitory neurotransmitter GABA which may be seen as a neuronal correlate of inhibition and behavioral control.
KW - Adult
KW - Brain Mapping
KW - Correlation of Data
KW - Creatine
KW - Gyrus Cinguli
KW - Humans
KW - Inhibition (Psychology)
KW - Magnetic Resonance Imaging
KW - Magnetic Resonance Spectroscopy
KW - Male
KW - Middle Aged
KW - Pedophilia
KW - Sex Offenses
KW - Young Adult
KW - gamma-Aminobutyric Acid
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1016/j.nicl.2018.01.018
DO - 10.1016/j.nicl.2018.01.018
M3 - SCORING: Journal article
C2 - 29876253
VL - 18
SP - 335
EP - 341
JO - NEUROIMAGE-CLIN
JF - NEUROIMAGE-CLIN
SN - 2213-1582
ER -