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1.
Artículo en Inglés | MEDLINE | ID: mdl-38832960

RESUMEN

CU traits, characterized by shallow affect, lack of fear, and absence of remorse, have been moderately associated with childhood maltreatment in a recent meta-analysis. However, the potential impact of brain structures remains undetermined. This paper examines the relationship between callous-unemotional (CU) traits, childhood maltreatment, and amygdala volumes. In this study, we used a region-of-interest (ROI) analysis to explore the interaction between the volumes of the amygdala, childhood maltreatment, and the manifestation of CU traits in adolescents diagnosed with conduct disorder (CD, N = 67), along with a comparison group of healthy-control youths (HCs, N = 89). The ROI analysis revealed no significant group differences in the bilateral amygdalar volumes. Significant positive correlation was discovered between all forms of child maltreatment (except for physical neglect) and CU traits across subjects. But the interaction of physical abuse and amygdala volumes was only significant within CD patients. Notably, a sensitivity analysis suggested that gender significantly influences these findings. These results contribute critical insights into the etiology of CU traits, emphasizing the need for customized clinical assessment tools and intervention strategies.

2.
Eur Child Adolesc Psychiatry ; 32(1): 193-203, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34635947

RESUMEN

There may be distinct conduct disorder (CD) etiologies and neural morphologies in adolescents with high callous unemotional (CU) traits versus low CU traits. Here, we employed surface-based morphometry methods to investigate morphological differences in adolescents diagnosed with CD [42 with high CU traits (CD-HCU) and 40 with low CU traits (CD-LCU)] and healthy controls (HCs, N = 115) in China. Whole-brain analyses revealed significantly increased cortical surface area (SA) in the left inferior temporal cortex and the right precuneus, but decreased SA in the left superior temporal cortex in the CD-LCU group, compared with the HC group. There were no significant cortical SA differences between the CD-HCU and the HC groups. Compared to the CD-HCU group, the CD-LCU group had a greater cortical thickness (CT) in the left rostral middle frontal cortex. Region-of-interest analyses revealed significant group differences in the right hippocampus, with CD-HCU group having lower right hippocampal volumes than HCs. We did not detect significant group differences in the amygdalar volume, however, the right amygdalar volume was found to be a significant moderator of the correlation between CU traits and the proactive aggression in CD patients. The present results suggested that the manifestations of CD differ between those with high CU traits versus low CU traits, and underscore the importance of sample characteristics in understanding the neural substrates of CD.


Asunto(s)
Trastorno de la Conducta , Humanos , Adolescente , Trastorno de la Conducta/diagnóstico por imagen , Trastorno de la Conducta/psicología , Imagen por Resonancia Magnética/métodos , Amígdala del Cerebelo/diagnóstico por imagen , Encéfalo , Emociones
3.
Depress Anxiety ; 39(4): 296-306, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35072959

RESUMEN

BACKGROUND: Emerging evidence has highlighted the moderating effect of childhood maltreatment (CM) in shaping neurobiological abnormalities in major depressive disorder (MDD). However, whether neural mechanisms underlying stress sensitivity in MDD are affected by the history of CM is unclear. METHODS: Two hundred and thirteen medication-free female participants were recruited for a functional magnetic resonance imaging study assessing the effects of psychosocial stress on neural responses. The Montreal Imaging Stress Task was administrated to 44 female MDD patients with CM (MDD/CM), 32 female MDD patients without CM (MDD/noCM), 43 female healthy controls (HCs) with CM (HC/CM), and 94 female HCs without CM (HC/noCM). A CM (CM, noCM) × diagnosis (MDD, HC) whole-brain voxel-wise analysis was run to assess putative group differences in neural stress responses. RESULTS: A significant CM × Diagnosis interaction emerged in the medial prefrontal cortex (mPFC). Bonferroni-corrected simple effects analysis clarified that (1) the MDD/CM group had less mPFC deactivation than the HC/CM group, (2) the MDD/noCM group exhibited greater mPFC deactivation than the HC/noCM group, and (3) the MDD/CM group exhibited less mPFC deactivation relative to the MDD/noCM group. In addition, the mPFC-seed psychophysiological interaction analysis revealed that individuals in the CM groups had significantly greater stress-related mPFC-left superior frontal gyrus and mPFC-right posterior cerebellum connectivity relative to the noCM groups. CONCLUSIONS: Findings highlight distinct neural abnormalities in MDD depending on prior CM history, particularly potentiated stress-related mPFC recruitment among MDD individuals reporting CM. Moreover, CM history was generally associated with the disruption in functional connectivity centered on the mPFC.


Asunto(s)
Maltrato a los Niños , Trastorno Depresivo Mayor , Niño , Depresión , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Corteza Prefrontal
4.
Eur Child Adolesc Psychiatry ; 31(4): 601-613, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33398650

RESUMEN

Childhood maltreatment (CM) poses a serious risk to the physical, emotional and psychological well-being of children, and can advance the development of maladaptive behaviors, including conduct disorder (CD). CD involves repetitive, persistent violations of others' basic rights and societal norms. Little is known about whether and how CM influences the neural mechanisms underlying CD, and CD-characteristic neuroanatomical changes have not yet been defined in a structural magnetic resonance imaging (sMRI) study. Here, we used voxel-based morphometry (VBM) and surface-based morphometry (SBM) to investigate the influence of the CD diagnosis and CM on the brain in 96 boys diagnosed with CD (62 with CM) and 86 typically developing (TD) boys (46 with CM). The participants were 12-17 years of age. Compared to the CM- CD group, the CM+ CD group had structural gray matter (GM) alterations in the fronto-limbic regions, including the left amygdala, right posterior cingulate cortex (PCC), right putamen, right dorsolateral prefrontal cortex (dlPFC) and right anterior cingulate cortex (ACC). We also found boys with CD exhibited increased GM volume in bilateral dorsomedial prefrontal cortex (dmPFC), as well as decreased GM volume and decreased gyrification in the left superior temporal gyrus (STG) relative to TD boys. Regional GM volume correlated with aggression and conduct problem severity in the CD group, suggesting that the GM changes may contribute to increased aggression and conduct problems in boys with CD who have suffered CM. In conclusion, these results demonstrate previously unreported CM-associated distinct brain structural changes among CD-diagnosed boys.


Asunto(s)
Maltrato a los Niños , Trastorno de la Conducta , Encéfalo/diagnóstico por imagen , Encéfalo/patología , Corteza Cerebral/patología , Niño , Trastorno de la Conducta/diagnóstico por imagen , Trastorno de la Conducta/patología , Femenino , Sustancia Gris/patología , Humanos , Imagen por Resonancia Magnética/métodos , Masculino , Corteza Prefrontal/diagnóstico por imagen , Corteza Prefrontal/patología
5.
Artículo en Inglés | MEDLINE | ID: mdl-35704134

RESUMEN

Aggression is a core feature of conduct disorder (CD), but the motivation, execution of aggression may vary. A deeper understanding of the neural substrates of aggressive behaviours is critical for effective clinical intervention. Seventy-six Boys with CD (50 with impulsive aggression (I-CD) and 26 with premeditated aggression (P-CD)) and 69 healthy controls (HCs) underwent a structural MRI scan and behavioural assessments. Whole-brain analyses revealed that, compared to HCs, the I-CD group showed significant cortical thinning in the right frontal cortex, while the P-CD group demonstrated significant folding deficits in the bilateral superior parietal cortex. Both types of aggression negatively correlated with the left amygdala volume, albeit in different ways. The present results demonstrated that the complex nature of aggression relies on differentiated anatomical substrates, highlighting the importance of exploring differential circuit-targeted interventions for CD patients.

6.
Eur Child Adolesc Psychiatry ; 29(4): 479-488, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31264106

RESUMEN

Accumulating evidence suggests that neural abnormalities in conduct disorder (CD) may be subject to genetic influences, but few imaging studies have taken genetic variants into consideration. The Val66Met polymorphism of brain-derived neurotrophic factor (BDNF) has emerged as a high-interest genetic variant due to its importance in cortical maturation, and several studies have implicated its involvement in neurodevelopmental disorders. Thus, it is unclear how this polymorphism may influence brain anatomy and aberrant behaviors in CD. A total of 65 male adolescents with CD and 69 gender-, IQ- and socioeconomic status-matched healthy controls (HCs) (age range 13-17 years) were enrolled in this study. Analyses of variance (ANOVAs) were used to assess the main effects of CD diagnosis, BDNF genotype, and diagnosis-genotype interactions on brain anatomy and behaviors. We detected a significant main effect of BDNF genotype on temporal gyrification and antisocial behaviors, but not on CD symptoms. Diagnosis-genotype interactive effects were found for cortical thickness of the superior temporal and adjacent areas. These results suggest that the BDNF Val66Met polymorphism may exert its influence both on neural alterations and delinquent behaviors in CD patients. This initial evidence highlights the importance of elucidating potentially different pathways between BDNF genotype and cortical alterations or delinquent behaviors in CD patients.


Asunto(s)
Factor Neurotrófico Derivado del Encéfalo/metabolismo , Encéfalo/patología , Trastorno de la Conducta/genética , Polimorfismo Genético/genética , Adolescente , Factor Neurotrófico Derivado del Encéfalo/genética , Femenino , Humanos , Masculino
7.
Eur Child Adolesc Psychiatry ; 27(9): 1159-1169, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29855796

RESUMEN

Conduct disorder (CD), a common psychiatric disorder in children and adolescents, is characterized by encroaching upon other rights and violations of age-appropriate social expectations repeatedly and persistently. Individuals with CD often have high aggressiveness and low inhibitory capacity. The monoamine oxidase A (MAOA) gene has long been associated with aggression. Effects of MAOA genotype on inhibitory control have been examined in general population. Several studies had revealed reduced activation in prefrontal areas, especially the anterior cingulate cortex (ACC), in low-expression MAOA (MAOA-L) allele carriers compared to high-expression MAOA (MAOA-H) allele carriers. However, little is known about its genetic risk influences on inhibitory processes in clinical samples. In this study, functional magnetic resonance imaging (fMRI) was administered to a sample of adolescent boys with CD during the performance of a GoStop task, 29 of whom carrying MAOA-L allele and 24 carrying MAOA-H allele. Relative to MAOA-H carriers, MAOA-L carriers in CD showed more pronounced deactivation in the precuneus, supplementary motor area (SMA) and dorsal anterior cingulate cortex (dACC). Deactivation within the default mode network (DMN) and inhibitory-related areas in MAOA-L carriers may be related to compensation for low sensitivity to inhibition and/or an atypical allocation of cognitive resources. The results suggested a possible neural mechanism through which MAOA affects inhibitory processes in a clinical sample.


Asunto(s)
Trastorno de la Conducta/genética , Imagen por Resonancia Magnética/métodos , Monoaminooxidasa/genética , Niño , Femenino , Genotipo , Humanos , Masculino
8.
Eur Child Adolesc Psychiatry ; 26(7): 827-837, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28185093

RESUMEN

Functional magnetic resonance imaging (fMRI) studies have revealed abnormal neural activity in several brain regions of adolescents with conduct disorder (CD) performing various tasks. However, little is known about the spontaneous neural activity in people with CD in a resting state. The aims of this study were to investigate CD-associated regional activity abnormalities and to explore the relationship between behavioral impulsivity and regional activity abnormalities. Resting-state fMRI (rs-fMRI) scans were administered to 28 adolescents with CD and 28 age-, gender-, and IQ-matched healthy controls (HCs). The rs-fMRI data were subjected to regional homogeneity (ReHo) analysis. ReHo can demonstrate the temporal synchrony of regional blood oxygen level-dependent signals and reflect the coordination of local neuronal activity facilitating similar goals or representations. Compared to HCs, the CD group showed increased ReHo bilaterally in the insula as well as decreased ReHo in the right inferior parietal lobule, right middle temporal gyrus and right fusiform gyrus, left anterior cerebellum anterior, and right posterior cerebellum. In the CD group, mean ReHo values in the left and the right insula correlated positively with Barratt Impulsivity Scale (BIS) total scores. The results suggest that CD is associated with abnormal intrinsic brain activity, mainly in the cerebellum and temporal-parietal-limbic cortices, regions that are related to emotional and cognitive processing. BIS scores in adolescents with CD may reflect severity of abnormal neuronal synchronization in the insula.


Asunto(s)
Encéfalo/patología , Trastorno de la Conducta/psicología , Imagen por Resonancia Magnética/métodos , Adolescente , Femenino , Humanos , Masculino
9.
Neuropsychopharmacology ; 49(5): 806-813, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38218921

RESUMEN

Sex-specific neurobiological changes have been implicated in Major Depressive Disorder (MDD). Dysfunctions of the default mode network (DMN), salience network (SN) and frontoparietal network (FPN) are critical neural characteristics of MDD, however, the potential moderating role of sex on resting-state network dynamics in MDD has not been sufficiently evaluated. Thus, resting-state functional magnetic resonance imaging (fMRI) data were collected from 138 unmedicated patients with first-episode MDD (55 males) and 243 healthy controls (HCs; 106 males). Recurring functional network co-activation patterns (CAPs) were extracted, and time spent in each CAP (the total amount of volumes associated to a CAP), persistence (the average number of consecutive volumes linked to a CAP), and transitions across CAPs involving the SN, DMN and FPN were quantified. Relative to HCs, MDD patients exhibited greater persistence in a CAP involving activation of the DMN and deactivation of the FPN (DMN + FPN-). In addition, relative to the sex-matched HCs, the male MDD group spent more time in two CAPs involving the SN and DMN (i.e., DMN + SN- and DMN-SN + ) and transitioned more frequently from the DMN + FPN- CAP to the DMN + SN- CAP relative to the male HC group. Conversely, the female MDD group showed less persistence in the DMN + SN- CAP relative to the female HC group. Our findings highlight that the imbalance between SN and DMN could be a neurobiological marker supporting sex differences in MDD. Moreover, the dominance of the DMN accompanied by the deactivation of the FPN could be a sex-independent neurobiological correlate related to depression.


Asunto(s)
Trastorno Depresivo Mayor , Humanos , Femenino , Masculino , Trastorno Depresivo Mayor/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Vías Nerviosas/diagnóstico por imagen , Encéfalo/diagnóstico por imagen , Mapeo Encefálico
10.
Eur J Psychotraumatol ; 14(1): 2179278, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37052100

RESUMEN

Background: Childhood maltreatment (CM) is a common psychological stressor associated with multiple mental disorders. While CM is associated with vulnerability to depression and anxiety, little is known about the specific mechanism underlying this relationship.Objective: This study aimed to investigate the white matter (WM) of healthy adults with CM and their relationships with depression and anxiety to provide biological evidence for the development of mental disorders in subjects with childhood trauma.Methods: The CM group included 40 healthy adults with CM. The non-CM group included 40 healthy adults without CM. Diffusion tensor imaging (DTI) data were collected, and tract-based spatial statistics (TBSS) were applied to the whole brain to assess WM differences between the two groups; post-hoc fibre tractography was used to characterise the developmental differences; and mediation analysis was used to assess the relationships among the Child Trauma Questionnaire (CTQ) results, DTI indices, and depression and anxiety scores.Results: Relative to the non-CM group, the CM group revealed significantly lower fractional anisotropy (FA) in the right posterior corona radiata (PCR-R), right anterior corona radiata (ACR-R), left super corona radiata (SCR-L), anterior thalamic radiation (ATR), and right posterior limb of the internal capsule (PLIC-R). Additionally, shorter fibre bundles passed through the PCR-R, ACR-R, and ATR in the CM group compared with the non-CM group. Besides, the length of the ACR-R mediated the relationship between CM and trait anxiety.Conclusions: The alteration of white matter microstructure associated with childhood trauma in healthy adults may reflect biomarkers of childhood trauma. Besides, an alteration of WM microstructure in healthy adults with CM mediates the association between CM and trait anxiety, which may represent the vulnerability to developing mental disorders after childhood trauma experiences.


In this paper, we found specific alterations associated with CM in healthy adults, which may mediate the relationship between childhood trauma and trait anxiety in later life.


Asunto(s)
Maltrato a los Niños , Sustancia Blanca , Niño , Humanos , Adulto , Sustancia Blanca/diagnóstico por imagen , Imagen de Difusión Tensora/métodos , Encéfalo/diagnóstico por imagen , Ansiedad/diagnóstico por imagen
11.
J Affect Disord ; 337: 159-168, 2023 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-37245549

RESUMEN

BACKGROUND: Distinguishing between trait- and state-like neural alternations in major depressive disorder (MDD) may advance our understanding of this recurring disorder. We aimed to investigate dynamic functional connectivity alternations in unmedicated individuals with current or past MDD using co-activation pattern analyses. METHODS: Resting-state functional magnetic resonance imaging data were acquired from individuals with first-episode current MDD (cMDD, n = 50), remitted MDD (rMDD, n = 44), and healthy controls (HCs, n = 64). Using a data-driven consensus clustering technique, four whole-brain states of spatial co-activation were identified and associated metrics (dominance, entries, transition frequency) were analyzed with respect to clinical characteristics. RESULTS: Relative to rMDD and HC, cMDD showed increased dominance and entries of state 1 (primarily involving default mode network (DMN)), and decreased dominance of state 4 (mostly involving frontal-parietal network (FPN)). Among cMDD, state 1 entries correlated positively with trait rumination. Conversely, relative to cMDD and HC, individuals with rMDD were characterized by increased state 4 entries. Relative to HC, both MDD groups showed increased state 4-to-1 (FPN to DMN) transition frequency but reduction in state 3 (spanning visual attention, somatosensory, limbic networks), with the former metric specifically related to trait rumination. LIMITATIONS: Further confirmation with longitudinal studies are required. CONCLUSIONS: Regardless of symptoms, MDD was characterized by increased FPN-to-DMN transitions and reduced dominance of a hybrid network. State-related effect emerged in regions critically implicated in repetitive introspection and cognitive control. Asymptomatic individuals with past MDD were uniquely linked to increased FPN entries. Our findings identify trait-like brain network dynamics that might increase vulnerability to future MDD.


Asunto(s)
Trastorno Depresivo Mayor , Humanos , Imagen por Resonancia Magnética/métodos , Vías Nerviosas , Encéfalo , Mapeo Encefálico
12.
Biol Psychiatry ; 93(3): 268-278, 2023 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-36567087

RESUMEN

BACKGROUND: Major depressive disorder (MDD) is a highly prevalent mood disorder affecting more than 300 million people worldwide. Biased processing of negative information and neural hyper-responses to negative events are hallmarks of depression. This study combined cross-sectional and longitudinal experiments to explore both persistent and resolved neural hyper-responses to negative outcomes from risky decision making in patients with current MDD (cMDD) and remitted MDD (rMDD). METHODS: A total of 264 subjects participated in the cross-sectional study, including 117 patients with medication-naïve, first-episode current depression; 45 patients with rMDD with only 1 episode of depression; and 102 healthy control subjects. Participants completed a modified balloon analog risk task during functional magnetic resonance imaging. In the longitudinal arm of the study, 42 patients with cMDD were followed and 26 patients with rMDD were studied again after 8 weeks of antidepressant treatment. RESULTS: Patients with cMDD showed hyper-responses to loss outcomes in multiple limbic regions including the amygdala and ventral anterior cingulate cortex (vACC). Amygdala but not vACC hyperactivity correlated with depression scores in patients with cMDD. Furthermore, amygdala hyperactivity resolved while vACC hyperactivity persisted in patients with rMDD in both cross-sectional and longitudinal studies. CONCLUSIONS: These findings provide consistent evidence supporting differential patterns of amygdala and vACC hyper-responses to negative outcomes during depression remission. Amygdala hyperactivity may be a symptomatic and state-dependent marker of depressive neural responses, while vACC hyperactivity may reflect a persistent and state-independent effect of depression on brain function. These findings offer new insights into the neural underpinnings of depression remission and prevention of depression recurrence.


Asunto(s)
Trastorno Depresivo Mayor , Giro del Cíngulo , Humanos , Trastorno Depresivo Mayor/diagnóstico por imagen , Trastorno Depresivo Mayor/tratamiento farmacológico , Trastorno Depresivo Mayor/patología , Estudios Transversales , Depresión , Estudios Longitudinales , Amígdala del Cerebelo , Imagen por Resonancia Magnética/métodos
13.
Artículo en Inglés | MEDLINE | ID: mdl-35564559

RESUMEN

Adolescent depression is a worldwide public health concern and has contributed to significant socioeconomic burden. Investigating the association between time spent on social media (TSSM) and depression may provide guidance toward the prevention and intervention of adolescent depression. However, related literature reported mixed findings in terms of the relationship between TSSM and depression in adolescents. Hence, we conducted a comprehensive dose−response meta-analysis to clarify this issue. We conducted a systematic title/abstract and topic search of the relative terms in Web of Science, PubMed, PsycINFO databases through 9 January 2022. Odd ratios (ORs) were used to examine the pooled effect size of the association between TSSM and risk of depression. Dose−response analysis was evaluated by a generalized least squares trend estimation. Twenty-one cross-sectional studies and five longitudinal studies including a total of 55,340 participants were included. Overall, more TSSM was significantly associated with a higher risk of depression symptoms (OR = 1.60, 95%CI: 1.45 to 1.75) with high heterogeneity (Q(29) = 105.9, p < 0.001; I2 = 72.6%). The association was stronger for adolescent girls (OR = 1.72, 95%CI: 1.41 to 2.09) than boys (OR = 1.20, 95%CI: 1.05 to 1.37). Five studies with seven reports were included in dose−response analysis. There was a linear dose−response association of TSSM and risk of depression. The risk of depression increased by 13% (OR = 1.13, 95%CI: 1.09 to 1.17, p < 0.001) for each hour increase in social media use in adolescents. TSSM is associated with depression in a linear dose−response and gender-specific manner, which suggests the need for better monitoring of adolescent social media use. However, motivation, content, and engagement on and exposure to social media use may also be important contributing factors, making it necessary to interpret the current findings with caution. Therefore, further research is required to clarify not only the causal link between TSSM and depression by randomized control studies but also the influence of other factors, such as active vs. passive social media use or different types of engagement or environments in which social media is used.


Asunto(s)
Medios de Comunicación Sociales , Adolescente , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , Estudios Longitudinales , Masculino
14.
Psychol Res Behav Manag ; 15: 3531-3540, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36510585

RESUMEN

Background: Research on the links between the behavioral inhibition and approach systems (BIS/BAS), and internet addiction (IA) in adolescents has been inconclusive. BIS/BAS may interact with adolescent trait characteristics, resulting in different outcomes. Grit may alter adolescents' motivations, which can even be based on biological systems such as BIS/BAS. However, the impact of BIS/BAS and potential moderating factors on adolescents' internet use remains unclear. This study aimed to examine the association between BIS/BAS and IA in adolescents and explore the potential moderating roles of the two facts of grit, passion and perseverance, on the association between BIS/BAS and IA. Methods: A total of 1,881 junior and senior high school students (Mage = 14.65, standard deviation age = 1.81, ranging from 11 to 20 years) completed a self-reported measure of BIS/BAS, IA, and grit. Independent t-tests and chi-square tests were used to evaluate the differences between adolescents with IA and those with normal internet use. Pearson correlation and regression model analyses, including moderating model analysis, were used to qualify the associations between IA and BIS/BAS, as well as the potential moderating role of grit passion and perseverance. Results: The results showed that 19.1% of the participants met the criteria for IA. Both BIS (ß = 0.085, t = 3.650, p < 0.001) and BAS (ß = 0.06, t = 2.552, p < 0.05) were positively associated with IA risk, and grit-perseverance moderated the association between BIS and IA (ß = -0.230, bootstrap 95% confidence interval: -0.450 to -0.012) and BAS with IA (ß = -0.187, bootstrap 95% confidence interval: -0.299 to -0.076). Conclusion: These findings extend the current knowledge on the associations between BIS/BAS and IA. Moreover, the findings suggest that enhancing grit-perseverance may improve prevention and intervention of IA risk in adolescents who are sensitive to BIS and BAS.

15.
Psychiatry Res Neuroimaging ; 326: 111544, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36137479

RESUMEN

Microstructural alterations to white matter (WM) have been implicated in the onset and recurrence of major depressive disorder (MDD). The present study aimed to identify trait-like WM abnormality in current and remitted depression, as well as changes to WM that could be specifically related to the state of clinical remission. Diffusion tensor imaging data were collected from 60 patients with medication-naive first episode current depression (cMDD), 41 patients with medication-naive remitted depression (rMDD), and 62 demographically-matched healthy control participants (HCs). Tract-based spatial statistics (TBSS) applied to the whole brain were used to detect microstructural differences of WM among the three groups. TBSS analyses showed that, compared with HCs, both the cMDD and rMDD groups exhibited significantly reduced FA values in the genus and body of the corpus callosum, and superior and anterior corona radiata, with no significant differences between the cMDD and rMDD groups. FA values in the corpus callosum were negatively correlated with the duration of illness in the rMDD group. Reduced WM integrity in the corpus callosum and corona radiata might reflect the trait markers of MDD, and could constitute a neuroanatomical marker of MDD.

16.
Transl Psychiatry ; 12(1): 2, 2022 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-35013110

RESUMEN

Major Depressive Disorder (MDD) is characterized by increased stress sensitivity. Emerging findings in healthy adults suggest that stress responses within limbic/striatal-prefrontal regions are moderated by sex and unfold over time. Thus, we hypothesized that stress response abnormalities in MDD might be affected by sex and stress exposure time. The Montreal Imaging Stress Task was administered to 124 unmedicated patients with first-episode MDD (76 females) and 243 healthy controls (HC; 137 females) during functional magnetic resonance imaging (fMRI). Based on prior studies, amygdala, hippocampus, medial orbitofrontal cortex (mOFC), nucleus accumbens (NAc) and dorsolateral prefrontal cortex (dlPFC) were selected as a priori regions of interest. In a complementary approach, we probed the effects of stress on the frontoparietal network (FPN) and a network including the amygdala, NAc and anterior cingulate cortex (ACC). Across groups, males exhibited higher dlPFC activity and right FPN amplitude than females. Relative to female HCs, the female MDD group had less deactivation in limbic/striatal regions (amygdala, NAc, hippocampus, Amygdala-NAc-ACC network). Furthermore, unlike female HCs, the female MDD group failed to show a significant increase of deactivation over stress exposure time in the amygdala, mOFC and NAc. Our findings confirm the importance of considering sex differences when investigating neural stress responses. Case-control differences in neural stress responses observed in females (but not males) provide insights into sex differences in the etiology and pathophysiology of depression. The failure to deactivate limbic/NAc regions in depressed females point to dysfunction of adaptive stress responses over stress exposure time.


Asunto(s)
Trastorno Depresivo Mayor , Adulto , Amígdala del Cerebelo/diagnóstico por imagen , Mapeo Encefálico , Depresión , Corteza Prefontal Dorsolateral , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Estrés Psicológico
17.
Eur J Psychotraumatol ; 12(1): 1975951, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34992756

RESUMEN

Background: Childhood trauma is a major social public-health problem worldwide. Previous literature suggests childhood trauma is associated with the development of psychiatric disorders and maladaptive behaviours later in life, but little is known about the neural basis underlying these associations. Objective: The aim of the current study was to investigate intrinsic brain network alterations in non-clinical adults with childhood trauma. Methods: Resting-state functional magnetic resonance imaging (fMRI) data were collected from 65 non-clinical adults with moderate or severe childhood trauma (CT group), according to the international demarcation criteria of the Childhood Trauma Questionnaire (CTQ), and 73 socio-demographically matched non-clinical controls without childhood trauma (no-CT group). Independent component analysis (ICA) was used to extract subnetworks of the default mode network (DMN), salience network (SN), and central executive network (CEN). Results: ICA revealed that the CT group had increased FC of the left medial prefrontal cortex (mPFC) in the anterior DMN (aDMN), increased functional connectivity (FC) of the left anterior insula in the SN, and decreased FC of the inferior parietal gyrus of the right CEN (rCEN). Compared to the controls, the CT group had decreased inter-network FCs between the SN and posterior DMN (pDMN), as well as between the pDMN and rCEN. Conclusions: Impaired FC within the three key brain networks, decreased inter-FC between SN and rCEN, and decreased inter-FC between pDMN and rCEN may reflect biomarkers of childhood trauma.


Antecedentes: El trauma infantil es un importante problema de salud pública social a nivel mundial. La literatura previa sugiere que el trauma infantil está asociado con el desarrollo de trastornos psiquiátricos y conductas desadaptativas posteriores en la vida, pero se sabe poco acerca de las bases neuronales que subyacen a estas asociaciones.Objetivo: El objetivo del este estudio fue el de investigar las alteraciones intrínsecas de las redes cerebrales en población adulta no clínica con trauma infantil.Métodos: Se recolectaron los datos de resonancia magnética funcional (fMRI) en estado de reposo de 65 adultos no-clínicos con trauma infantil moderado o severo (grupo de TI) de acuerdo con los criterios de demarcación internacional del Cuestionario de Trauma Infantil (CTQ en sus siglas en ingles) y de 73 controles no clínicos sin antecedente de trauma infantil (grupo sin-TI) emparejados sociodemográficamente. Se utilizó el análisis de componentes independientes (ACI) para extraer subredes de la red neuronal por defecto (RND), la red de asignación de relevancia (RAR en sus siglas en ingles) y la red ejecutiva central (REC en sus siglas en ingles).Resultados: El ACI mostró que el grupo de TI presentaba un incremento de la conectividad funcional (CF) de la corteza prefrontal medial izquierda (CPFm) en la RND anterior (RNDa), un incremento de la CF de la ínsula anterior izquierda en la RAR y una CF disminuida en la circunvolución parietal inferior de la REC derecha (RECd). En comparación con los controles, el grupo de TI mostraba menores CF entre redes. Esto se observó entre la RAR y la RND posterior (RNDp), así como entre la RNDp y la RECd.Conclusiones: Una disfunción en la CF entre tres redes cerebrales clave, una disminución de la CF entre la RAR y la RECd y una disminución de la CF entre la RNDp y la RECd podían mostrarse como biomarcadores del trauma infantil.


Asunto(s)
Adultos Sobrevivientes de Eventos Adversos Infantiles , Experiencias Adversas de la Infancia , Corteza Cerebral/fisiopatología , Conectoma , Red en Modo Predeterminado/fisiopatología , Red Nerviosa/fisiopatología , Adolescente , Adulto , Corteza Cerebral/diagnóstico por imagen , Red en Modo Predeterminado/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Red Nerviosa/diagnóstico por imagen , Adulto Joven
18.
J Psychiatr Res ; 138: 560-568, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33991994

RESUMEN

Callous unemotional (CU) traits differentiate subtypes of conduct disorder (CD). It has been suggested that CU traits may be related to topographical irregularities that hinder information integration. To date, there is limited evidence of whether CU traits may be associated with abnormal brain topology. In this study, 43 CD boys with high and low CU trait (CD-HCU, CD-LCU), and 46 healthy controls (HCs) were subjected to resting-state functional magnetic resonance imaging to investigate how CU trait level and conduct problems may be reflected in topological organization. Brain functional networks were constructed and network/nodal properties, including small-world properties and network/nodal efficiency, were calculated. Topological analysis revealed that, compared with HCs, CD-HCU group were characterized by decreased small-worldness (σ), decreased global efficiency, and increased path length (λ). These variables were similar between the CD-LCU and HC groups. Self-reported CU traits in CD patients correlated negatively with global efficiency and positively with λ. Regional analysis revealed diminished nodal efficiency in the right amygdala in the CD-HCU group compared with HCs. The present results suggest that disrupted global efficiency, together with a regional abnormality affecting the amygdala, may contribute to abnormal information processing and integration in adolescents with CD and high CU traits.


Asunto(s)
Trastorno de la Conducta , Adolescente , Amígdala del Cerebelo , Encéfalo/diagnóstico por imagen , Trastorno de la Conducta/diagnóstico por imagen , Emociones , Humanos , Imagen por Resonancia Magnética , Masculino
19.
Neuroimage Clin ; 32: 102871, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34749291

RESUMEN

It has been proposed recently that major depressive disorder (MDD) could represent an adaptation to conserve energy after the perceived loss of an investment in a vital source, such as group identity, personal assets, or relationships. Energy conserving behaviors associated with MDD may form a persistent marker in brain regions and networks involved in cognition and emotion regulation. In this study, we examined whether subcortical regions and volume-based structural covariance networks (SCNs) have state-independent alterations (trait markers). First-episode drug-naïve currently depressed (cMDD) patients (N = 131), remitted MDD (RD) patients (N = 67), and healthy controls (HCs, N = 235) underwent structural magnetic resonance imaging (MRI). Subcortical gray matter volumes (GMVs) were calculated in FreeSurfer software, and group differences in GMVs and SCN were analyzed. Compared to HCs, major findings were decreased GMVs of left pallidum and pulvinar anterior of thalamus in the cMDD and RD groups, indicative of a trait marker. Relative to HCs, subcortical SCNs of both cMDD and RD patients were found to have reduced small-world-ness and path length, which together may represent a trait-like topological feature of depression. In sum, the left pallidum, left pulvinar anterior of thalamus volumetric alterations may represent trait marker and reduced small-world-ness, path length may represent trait-like topological feature of MDD.


Asunto(s)
Trastorno Depresivo Mayor , Encéfalo/diagnóstico por imagen , Corteza Cerebral , Depresión/diagnóstico por imagen , Trastorno Depresivo Mayor/diagnóstico por imagen , Sustancia Gris/diagnóstico por imagen , Humanos , Imagen por Resonancia Magnética
20.
J Affect Disord ; 261: 211-220, 2020 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-31654919

RESUMEN

BACKGROUDS: The 10-item Connor-Davidson Resilience Scale (CD-RISC-10) is a widely self-report questionnaire to assess resilience in different populations, including adolescents, elderly individuals and psychiatric patients. Considering the application of the CD-RISC-10 in depression patients, the present study aimed to evaluate the psychometric properties, especially the measurement invariance, of the CD-RISC-10 in depressive patient sample. METHODS: A total of 2230 undergraduates from Hunan Province and 293 patients with major depressive disorder (MDD) from psychological clinics participated in our study. Confirmatory factor analysis (CFA) was conducted to evaluate the single-factor model of the CD-RISC-10 and the measurement equivalence of the CD-RISC-10 across the clinical (MDD) and non-clinical (undergraduate) samples, as well as gender invariance in the non-clinical sample. RESULTS: The findings implied that the CD-RISC-10 showed good reliability and validity, including favorable internal consistency and criterion-related validity. The CFA results showed that the strong model fit for a unidimensional structure of the CD-RISC-10 was supported in the clinical (eg., CFI >0.910, TLI >0.900, RMSEA < 0.080) and non-clinical (eg., CFI >0.950, TLI >0.940, RMSEA < 0.060) groups, respectively. Moreover, the scalar invariance of the CD-RISC-10 was supported across the clinical and non-clinical samples (eg., △CFI < 0.009, △TLI < 0.005, ΔRMSEA < 0.003). Similarly, the strict gender invariance was also established in the male (n = 1035) and female (n = 1195) undergraduate samples (eg., △CFI < 0.008, △TLI < 0.004, ΔRMSEA < 0.002). LIMITATIONS: The inclusion of Chinese individuals only and the absence of depressive patients with comorbidities were our major limitations. CONCLUSIONS: Overall, these psychometric findings not only supported the stability and validity of the CD-RISC-10 for application with different samples in resilience study, but also indicated that the CD-RISC-10 could be an effective instrument for research in depression.


Asunto(s)
Pueblo Asiatico/psicología , Trastorno Depresivo Mayor/diagnóstico , Psicometría , Encuestas y Cuestionarios/normas , Adolescente , Anciano , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Resiliencia Psicológica , Estudiantes
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