{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T06:32:57Z","timestamp":1787639577259,"version":"build-2736575974"},"reference-count":60,"publisher":"SAGE Publications","issue":"13-14","license":[{"start":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:00:00Z","timestamp":1687824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>\n                    Being choked or strangled during partnered sex is an emerging sexual behavior, prevalent among young adult women. The goal of this study was to test whether, and to what extent, frequently being choked or strangled during sex is associated with cortical surface functioning and functional connectivity. This case-control study consisted of two groups (choking vs. choking-na\u00efve). Women who were choked 4 or more times during sex in the past 30 days were enrolled into the choking group, whereas those without were assigned to the choking-na\u00efve group. We collected structural and resting-state functional magnetic resonance imaging (fMRI) data and analyzed the data for amplitude of low-frequency fluctuation (ALFF) and regional homogeneity (ReHo) using cortical surface-based resting-state fMRI analysis, followed by static and dynamic resting-state fMRI connectivity analysis. Forty-one participants (choking\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200920; choking-n-a\u00efve\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200921) contributed to the analysis. An inter-hemispheric imbalance in neuronal activation pattern was observed in the choking group. Specifically, we observed significantly lower ALFF and ReHo in the left cortical regions (e.g., angular gyrus, orbitofrontal gyrus) and higher ALFF and ReHo in the right cortical regions (e.g., pre-central\/post-central gyri) in the choking group compared with the choking-na\u00efve group. A significant group difference was found in static functional connectivity between the bilateral angular gyrus and the whole brain, in which the choking group's angular gyrus showed hyperconnectivity with, for example, the post-central gyrus, pre-central gyrus, and Rolandic operculum, relative to the choking-na\u00efve group. The dynamic analysis revealed hyperconnectivity between the left angular gyrus and the bilateral postcentral gyrus in the choking group compared with the choking-na\u00efve group. Taken together, our data show that multiple experiences of sexual choking\/strangulation are associated with an inter-hemispheric imbalance in neural activation pattern and hyperconnectivity between the angular gyrus and brain regions related to motor control, consciousness, and emotion. A longitudinal study using multi-modal neurological assessments is needed to clarify the acute and chronic consequences of sexual choking\/strangulation.\n                  <\/jats:p>","DOI":"10.1089\/neu.2022.0146","type":"journal-article","created":{"date-parts":[[2022,12,24]],"date-time":"2022-12-24T02:39:00Z","timestamp":1671849540000},"page":"1339-1351","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Association of Frequent Sexual Choking\/Strangulation With Neurophysiological Responses: A Pilot Resting-State fMRI Study"],"prefix":"10.1177","volume":"40","author":[{"given":"Jiancheng","family":"Hou","sequence":"first","affiliation":[{"name":"Research Center for Cross-Straits Cultural Development, Fujian Normal University, Fuzhou, Fujian, China."},{"name":"Department of Kinesiology, Indiana University School of Public Health, Bloomington, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"Huibregtse","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Indiana University School of Public Health, Bloomington, Indiana, USA."},{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine, Emory University, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella L.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Indiana University School of Public Health, Bloomington, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian M.","family":"Klemsz","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Indiana University School of Public Health, Bloomington, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsung-Chieh","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Applied Health Science, Indiana University School of Public Health, Bloomington, Indiana, USA."},{"name":"The Center for Sexual Health Promotion, Indiana University School of Public Health, Bloomington, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Dennis","family":"Fortenberry","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debby","family":"Herbenick","sequence":"additional","affiliation":[{"name":"Department of Applied Health Science, Indiana University School of Public Health, Bloomington, Indiana, USA."},{"name":"The Center for Sexual Health Promotion, Indiana University School of Public Health, Bloomington, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Kawata","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Indiana University School of Public Health, Bloomington, Indiana, USA."},{"name":"Department of Pediatrics, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA."},{"name":"Program in Neuroscience, The College of Arts and Sciences, Indiana University, Bloomington, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,27]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2013.02.003"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.05.016"},{"key":"e_1_3_6_4_2","doi-asserted-by":"crossref","unstructured":"Hensel DJ Fortenberry JD. Life-Span Sexuality through a Sexual Health Perspective. In: APA Handbook of Sexuality and Psychology. (Tolman LM Diamond JA Bauermeister WH et al. eds.) American Psychological Association: 2014; pp. 385\u2013413.","DOI":"10.1037\/14193-013"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-021-01917-w"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556-4029.2005.00032.x"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2021.1991641"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2022.2073406"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2021.03.006"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/03637751.2014.981558"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/2374623817698113"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-021-02049-x"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2018.1549634"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2021.1985025"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13243"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.scib.2021.09.016"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A5527"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0601417103"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrn2201"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-019-10317-7"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.3928\/0048-5713-20020901-06"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.03.006"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1995.56.423"},{"key":"e_1_3_6_27_2","unstructured":"The fMRIPrep developers. Processing pipeline details. 2021. Available from: https:\/\/fmriprep.org\/en\/latest\/workflows.html [Last accessed October 2]."},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1006\/nimg.1998.0395"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8070951"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12021-016-9299-4"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnsys.2010.00013"},{"key":"e_1_3_6_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/mrm.1910350312"},{"key":"e_1_3_6_33_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9394156"},{"key":"e_1_3_6_34_2","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sby077"},{"key":"e_1_3_6_35_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002358"},{"key":"e_1_3_6_36_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2019.00685"},{"key":"e_1_3_6_37_2","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.70"},{"key":"e_1_3_6_38_2","unstructured":"Jumah FR Dossani RH. Neuroanatomy Cingulate Cortex. In: StatPearls [Internet]. StatPearls Publishing: Treasure Island FL; 2022."},{"key":"e_1_3_6_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/1073858412440596"},{"key":"e_1_3_6_40_2","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.14.4.416"},{"key":"e_1_3_6_41_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjno-2021-000229"},{"key":"e_1_3_6_42_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2017.5365"},{"key":"e_1_3_6_43_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2016.4526"},{"key":"e_1_3_6_44_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2018.00994"},{"key":"e_1_3_6_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2016.02.007"},{"key":"e_1_3_6_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/mp.12027"},{"key":"e_1_3_6_47_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00218"},{"key":"e_1_3_6_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2013.05.079"},{"key":"e_1_3_6_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neures.2010.06.013"},{"key":"e_1_3_6_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2007.05.033"},{"key":"e_1_3_6_51_2","doi-asserted-by":"publisher","DOI":"10.1159\/000287940"},{"key":"e_1_3_6_52_2","doi-asserted-by":"publisher","DOI":"10.3109\/00207458709043334"},{"key":"e_1_3_6_53_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.58.10.925"},{"key":"e_1_3_6_54_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000086378.74539.85"},{"key":"e_1_3_6_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2019.101958"},{"key":"e_1_3_6_56_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.95.11.6454"},{"key":"e_1_3_6_57_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000755"},{"key":"e_1_3_6_58_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0736-4679(01)00402-4"},{"key":"e_1_3_6_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-385157-4.00438-3"},{"key":"e_1_3_6_60_2","doi-asserted-by":"publisher","DOI":"10.1139\/jpn.0255"},{"key":"e_1_3_6_61_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-022-09535-6"}],"container-title":["Journal of Neurotrauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/neu.2022.0146","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/neu.2022.0146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/neu.2022.0146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:40:48Z","timestamp":1777675248000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/neu.2022.0146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,27]]},"references-count":60,"journal-issue":{"issue":"13-14","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1089\/neu.2022.0146"],"URL":"https:\/\/doi.org\/10.1089\/neu.2022.0146","relation":{},"ISSN":["0897-7151","1557-9042"],"issn-type":[{"value":"0897-7151","type":"print"},{"value":"1557-9042","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,27]]}}}