Intrinsic network connectivity and own body perception in gender dysphoria.

Gender dysphoria (GD) is characterized by incongruence between one's identity and gender assigned at birth. The biological mechanisms of GD are unclear. We investigated brain network connectivity patterns involved in own body perception in the context of self in GD. Twenty-seven female-to-male (FtM)...

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Publicado en:Brain Imaging & Behavior Vol. 11; no. 4; pp. 964 - 977
Autores principales: Feusner, Jamie, Lidström, Andreas, Moody, Teena, Dhejne, Cecilia, Bookheimer, Susan, Savic, Ivanka, Feusner, Jamie D, Moody, Teena D, Bookheimer, Susan Y
Formato: research Journal Article
Publicado: Springer Nature Aug2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Intrinsic network connectivity and own body perception in gender dysphoria.
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          Feusner, Jamie
          Lidström, Andreas
          Moody, Teena
          Dhejne, Cecilia
          Bookheimer, Susan
          Savic, Ivanka
          Feusner, Jamie D
          Lidström, Andreas
          Moody, Teena D
          Bookheimer, Susan Y
        affil: Department of Psychiatry and Biobehavioral Sciences , University of California Los Angeles , 300 UCLA Medical Plaza, suite 2200 Los Angeles 90095 USA
      sug:
        subj:
          Brain Physiopathology
          Body Image
          Transgender Persons Physiopathology
          Transgender Persons
          Neural Pathways
          Relaxation
          Adult
          Male
          Brain Mapping
          Magnetic Resonance Imaging
          Gender Identity
          Female
          Neural Pathways Physiopathology
          Human
          Brain
          Young Adult
          Adolescence
          Cross Sectional Studies
          Transgender Persons Psychosocial Factors
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Clinical Assessment Tools
          Short Portable Mental Status Questionnaire
          Adult: 19-44 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Gender dysphoria (GD) is characterized by incongruence between one's identity and gender assigned at birth. The biological mechanisms of GD are unclear. We investigated brain network connectivity patterns involved in own body perception in the context of self in GD. Twenty-seven female-to-male (FtM) individuals with GD, 27 male controls, and 27 female controls underwent resting state fMRI. We compared functional connections within intrinsic connectivity networks involved in self-referential processes and own body perception -default mode network (DMN) and salience network - and visual networks, using independent components analyses. Behavioral correlates of network connectivity were also tested using self-perception ratings while viewing own body images morphed to their sex assigned at birth, and to the sex of their gender identity. FtM exhibited decreased connectivity of anterior and posterior cingulate and precuneus within the DMN compared with controls. In FtM, higher "self" ratings for bodies morphed towards the sex of their gender identity were associated with greater connectivity of the anterior cingulate within the DMN, during long viewing times. In controls, higher ratings for bodies morphed towards their gender assigned at birth were associated with right insula connectivity within the salience network, during short viewing times. Within visual networks FtM showed weaker connectivity in occipital and temporal regions. Results suggest disconnectivity within networks involved in own body perception in the context of self in GD. Moreover, perception of bodies in relation to self may be reflective rather than reflexive, as a function of mesial prefrontal processes. These may represent neurobiological correlates to the subjective disconnection between perception of body and self-identification.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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