Introduction
Resting state functional magnetic resonance imaging (rsfMRI) studies demonstrate that individuals with posttraumatic stress disorder (PTSD) exhibit atypical functional connectivity (FC) between the amygdala, involved in the generation of emotion, and regions responsible for emotional appraisal (e.g., insula, orbitofrontal cortex [OFC]) and regulation (prefrontal cortex [PFC], anterior cingulate cortex). Consequently, atypical amygdala FC within an emotional processing and regulation network may be a defining feature of PTSD, although altered FC does not seem constrained to one brain region. Instead, altered amygdala FC involves a large, distributed brain network in those with PTSD. The present study used a machineâlearning dataâdriven approach, multiâvoxel pattern analysis (MVPA), to predict PTSD severity based on wholeâbrain patterns of amygdala FC.
Methods
Traumaâexposed adults (
N
=Â 90) completed the PTSD ChecklistâCivilian Version to assess symptoms and a 5âmin rsfMRI. Wholeâbrain FC values to bilateral amygdala were extracted and used in a relevance vector regression analysis with a leaveâoneâout approach for crossâvalidation with permutation testing (1,000) to obtain significance values.
Results
Results demonstrated that amygdala FC predicted PCLâC scores with statistically significant accuracy (
r
=Â .46,
p
= .001; mean sum of squares = 130.46,
p
=Â .001;
R
2
=Â 0.21,
p
=Â .001). Prediction was based on wholeâbrain amygdala FC, although regions that informed prediction (top 10%) included the OFC, amygdala, and dorsolateral PFC.
Conclusion
Findings demonstrate the utility of MVPA based on amygdala FC to predict individual severity of PTSD symptoms and that amygdala FC within a fear acquisition and regulation network contributed to accurate prediction.