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1.
Neuroimage ; 297: 120724, 2024 Aug 15.
Article in English | MEDLINE | ID: mdl-38971486

ABSTRACT

Psychopathy is characterized by antisocial behavior, poor behavioral control and lacking empathy, and structural alterations in the corresponding neural circuits. Molecular brain basis of psychopathy remains poorly characterized. Here we studied type 2 dopamine receptor (D2R) and mu-opioid receptor (MOR) availability in convicted violent offenders with high psychopathic traits (n = 11) and healthy matched controls (n = 17) using positron emission tomography (PET). D2R were measured with radioligand [11C]raclopride and MORs with radioligand [11C]carfentanil. Psychopathic subjects had lowered D2R availability in caudate and putamen, and striatal D2R availability was also associated with degree of psychopathic traits in this prisoner sample. No group differences were found in MOR availability, although in the prisoner sample, psychopathic traits were negatively correlated with MOR availability in the amygdala and nucleus accumbens. We conclude that D2R signaling could be the putative neuromolecular pathway for psychopathy, whereas evidence for alterations in the MOR system is more limited.


Subject(s)
Antisocial Personality Disorder , Criminals , Positron-Emission Tomography , Receptors, Dopamine D2 , Violence , Humans , Receptors, Dopamine D2/metabolism , Male , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/metabolism , Adult , Positron-Emission Tomography/methods , Receptors, Opioid, mu/metabolism , Raclopride/pharmacokinetics , Young Adult , Brain/metabolism , Brain/diagnostic imaging , Fentanyl/analogs & derivatives
2.
Eur J Neurosci ; 58(10): 4255-4263, 2023 11.
Article in English | MEDLINE | ID: mdl-37884281

ABSTRACT

Psychopathy is characterized by glibness and superficial charm, as well as a lack of empathy, guilt and remorse, and is often accompanied by antisocial behaviour. The cerebral bases of this syndrome have been mostly studied in violent subjects or those with a criminal history. However, the antisocial component of psychopathy is not central to its conceptualization, and in fact, psychopathic traits are present in well-adjusted, non-criminal individuals within the general population. Interestingly, certain psychopathy characteristics appear to be particularly pronounced in some groups or professions. Importantly, as these so-called adaptive or successful psychopaths do not show antisocial tendencies or have significant psychiatric comorbidities, they may represent an ideal population to study this trait. Here, we investigated such a group, specifically elite female judo athletes, and compared them with matched non-athletes. Participants completed psychopathy, anger, perspective-taking and empathic concern questionnaires and underwent structural magnetic resonance imaging (MRI). Grey matter volume (GMV) was computed using voxel-based morphometry from the T1-weighted images. Athletes scored significantly higher in primary psychopathy and anger and lower in empathy and perspective taking. They also exhibited smaller GMV in the right temporal pole, left occipital cortex and left amygdala/hippocampus. GMV values for the latter cluster significantly correlated with primary psychopathy scores across both groups. These results confirm and extend previous findings to a little-studied population and provide support for the conceptualization of psychopathy as a dimensional personality trait which not only is not necessarily associated with antisocial behaviour but may potentially have adaptive value.


Subject(s)
Brain , Gray Matter , Humans , Female , Brain/diagnostic imaging , Brain/pathology , Gray Matter/pathology , Cerebral Cortex/pathology , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/epidemiology , Antisocial Personality Disorder/pathology , Athletes , Magnetic Resonance Imaging
3.
Psychol Med ; 53(8): 3652-3660, 2023 Jun.
Article in English | MEDLINE | ID: mdl-35172913

ABSTRACT

BACKGROUND: Adolescent antisocial behavior (AB) is a public health concern due to the high financial and social costs of AB on victims and perpetrators. Neural systems involved in reward and loss processing are thought to contribute to AB. However, investigations into these processes are limited: few have considered anticipatory and consummatory components of reward, response to loss, nor whether associations with AB may vary by level of callous-unemotional (CU) traits. METHODS: A population-based community sample of 128 predominantly low-income youth (mean age = 15.9 years; 42% male) completed a monetary incentive delay task during fMRI. A multi-informant, multi-method latent variable approach was used to test associations between AB and neural response to reward and loss anticipation and outcome and whether CU traits moderated these associations. RESULTS: AB was not associated with neural response to reward but was associated with reduced frontoparietal activity during loss outcomes. This association was moderated by CU traits such that individuals with higher levels of AB and CU traits had the largest reductions in frontoparietal activity. Co-occurring AB and CU traits were also associated with increased precuneus response during loss anticipation. CONCLUSIONS: Findings indicate that AB is associated with reduced activity in brain regions involved in cognitive control, attention, and behavior modification during negative outcomes. Moreover, these reductions are most pronounced in youth with co-occurring CU traits. These findings have implications for understanding why adolescents involved in AB continue these behaviors despite severe negative consequences (e.g. incarceration).


Subject(s)
Antisocial Personality Disorder , Conduct Disorder , Humans , Male , Adolescent , Female , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/epidemiology , Antisocial Personality Disorder/psychology , Conduct Disorder/diagnostic imaging , Conduct Disorder/epidemiology , Conduct Disorder/psychology , Brain , Magnetic Resonance Imaging , Emotions/physiology
4.
Cereb Cortex ; 31(9): 4104-4114, 2021 07 29.
Article in English | MEDLINE | ID: mdl-33834203

ABSTRACT

Psychopathy is characterized by persistent antisocial behavior, impaired empathy, and egotistical traits. These traits vary also in normally functioning individuals. Here, we tested whether such antisocial personalities are associated with similar structural and neural alterations as those observed in criminal psychopathy. Subjects were 100 non-convicted well-functioning individuals, 19 violent male offenders, and 19 matched controls. Subjects underwent T1-weighted magnetic resonance imaging and viewed movie clips with varying violent content during functional magnetic resonance imaging. Psychopathic traits were evaluated with Levenson Self-Report Psychopathy Scale (controls) and Psychopathy Checklist-Revised (offenders). Psychopathic offenders had lower gray matter density (GMD) in orbitofrontal cortex and anterior insula. In the community sample, affective psychopathy traits were associated with lower GMD in the same areas. Viewing violence increased brain activity in periaqueductal grey matter, thalamus, somatosensory, premotor, and temporal cortices. Psychopathic offenders had increased responses to violence in thalamus and orbitofrontal, insular, and cingulate cortices. In the community sample, impulsivity-related psychopathy traits were positively associated with violence-elicited responses in similar areas. We conclude that brain characteristics underlying psychopathic spectrum in violent psychopathy are related to those observed in well-functioning individuals with asocial personality features.


Subject(s)
Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/psychology , Brain/diagnostic imaging , Criminals/psychology , Adult , Affect , Brain Mapping , Female , Gray Matter/diagnostic imaging , Healthy Volunteers , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests , Photic Stimulation , Self Report , Violence , Young Adult
5.
Hum Brain Mapp ; 42(2): 329-344, 2021 02 01.
Article in English | MEDLINE | ID: mdl-33064332

ABSTRACT

Antisocial behavior (ASB) is believed to have neural substrates; however, the association between ASB and functional brain networks remains unclear. The temporal variability of the functional connectivity (or dynamic FC) derived from resting-state functional MRI has been suggested as a useful metric for studying abnormal behaviors including ASB. This is the first study using low-frequency fluctuations of the dynamic FC to unravel potential system-level neural correlates with ASB. Specifically, we individually associated the dynamic FC patterns with the ASB scores (measured by Antisocial Process Screening Device) of the male offenders (age: 23.29 ± 3.36 years) based on machine learning. Results showed that the dynamic FCs were associated with individual ASB scores. Moreover, we found that it was mainly the inter-network dynamic FCs that were negatively associated with the ASB severity. Three major high-order cognitive functional networks and the sensorimotor network were found to be more associated with ASB. We further found that impaired behavior in the ASB subjects was mainly associated with decreased FC dynamics in these networks, which may explain why ASB subjects usually have impaired executive control and emotional processing functions. Our study shows that temporal variation of the FC could be a promising tool for ASB assessment, treatment, and prevention.


Subject(s)
Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/psychology , Brain/diagnostic imaging , Nerve Net/diagnostic imaging , Adolescent , Adult , Humans , Magnetic Resonance Imaging/methods , Male , Young Adult
6.
Dev Psychopathol ; 33(4): 1170-1183, 2021 10.
Article in English | MEDLINE | ID: mdl-32654667

ABSTRACT

Callous-unemotional (CU) traits characterize a subset of youth at risk for persistent and serious antisocial behavior. Differences in resting state connectivity in the default mode network (DMN) have been associated with CU traits in forensic and clinical samples of adolescents and with deficient interpersonal/affective traits (often operationalized as Factor 1 psychopathy traits) in adults. It is unclear whether these brain-behavior associations extend to community-based children. Using mixed model analyses, we tested the associations between CU traits and within-network resting-state connectivity of seven task-activated networks and the DMN using data from 9,636 9-11-year-olds in the Adolescent Brain Cognitive Development (ABCD) study. Even after accounting for comorbid externalizing problems, higher levels of CU traits were associated with reduced connectivity within the DMN. This finding is consistent with prior literature surrounding psychopathy and CU traits in clinically and forensically based populations, suggesting the correlation likely exists on a spectrum, can be detected in childhood, and is not restricted to children with significant antisocial behavior.


Subject(s)
Conduct Disorder , Adolescent , Adult , Antisocial Personality Disorder/diagnostic imaging , Brain/diagnostic imaging , Child , Conduct Disorder/diagnostic imaging , Default Mode Network , Emotions , Humans
7.
Behav Sci Law ; 39(5): 597-610, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34800344

ABSTRACT

The main goals of the present study were to replicate and extend current knowledge related to paralimbic dysfunctions associated with psychopathy. The research evaluated the quantitative electroencephalography, current density (CD) source and synchronization likelihood analysis during the rest condition and structural magnetic resonance imaging images to compare volumetric and cortical thickness, in inmates recruited from two prisons located in Havana City. The Psychopathy Checklist-Revised (PCL-R) was used as a quantitative measure of psychopathy. This study showed most beta energy and less alpha activity in male psychopath offenders. Low-resolution electromagnetic tomography signified an increase of beta activity in psychopath offender groups within paralimbic regions. The superior temporal gyrus volume was associated with the F1 factor while the fusiform, anterior cingulate and associative occipital areas were primarily associated with the F2 factor of PCL-R scale. Cortical thickness in the left dorsal anterior cingulate cortex and the temporal pole was negatively associated with PCL-R total score.


Subject(s)
Criminals , Antisocial Personality Disorder/diagnostic imaging , Electroencephalography , Humans , Knowledge , Male , Probability
8.
Behav Sci Law ; 39(6): 731-740, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34655096

ABSTRACT

Research into the neurofunctional mechanisms of psychopathy has gathered momentum over the last years. Previous neuroimaging studies have identified general changes in brain activity of psychopaths. In an exploratory meta-analysis, we here investigated the neural correlates of impaired moral cognition in psychopaths. Our analyses replicated general effects in the dorsomedial prefrontal cortex, lateral prefrontal cortex, fronto-insular cortex, and amygdala, which have been reported recently. In addition, we found aberrant brain activity in the midbrain and inferior parietal cortex. Our preliminary findings suggest that alterations in both regions may represent more specific functional brain changes related to (altered) moral cognition in psychopaths. Furthermore, future studies including a more comprehensive corpus of neuroimaging studies on moral cognition in psychopaths should re-examine this notion.


Subject(s)
Antisocial Personality Disorder , Insular Cortex , Antisocial Personality Disorder/diagnostic imaging , Brain/diagnostic imaging , Cognition , Humans , Morals
9.
Hum Brain Mapp ; 41(5): 1261-1273, 2020 04 01.
Article in English | MEDLINE | ID: mdl-31773817

ABSTRACT

Patterns in resting-state fMRI (rs-fMRI) are widely used to characterize the trait effects of brain function. In this aspect, multiple rs-fMRI scans from single subjects can provide interesting clues about the rs-fMRI patterns, though scan-to-scan variability pose challenges. Therefore, rs-fMRI's are either concatenated or the functional connectivity is averaged. This leads to loss of information. Here, we use an alternative way to extract the rs-fMRI features that are common across all the scans by applying common-and-orthogonal-basis-extraction (COBE) technique. To address this, we employed rs-fMRI of 788 subjects from the human connectome project and estimated the common-COBE-component of each subject from the four rs-fMRI runs. Since the common-COBE-component is specific to a subject, the pattern was used to classify the subjects based on the similarity/dissimilarity of the features. The subset of subjects (n = 107) with maximal-COBE-dissimilarity (MCD) was extracted and the remaining subjects (n = 681) formed the COBE-similarity (CS) group. The distribution of weights of the common-COBE-component for the two groups across rs-fMRI networks and subcortical regions was evaluated. We found the weights in the default mode network to be lower in the MCD compared to the CS. We compared the scores of 69 behavioral measures and found six behaviors related to the use of marijuana, illicit drugs, alcohol, and tobacco; and including a measure of antisocial personality to differentiate the two groups. Gender differences were also significant. Altogether the findings suggested that subtypes exist even in healthy control population, and comparison studies (case vs. control) need to be mindful of it.


Subject(s)
Antisocial Personality Disorder/diagnostic imaging , Substance-Related Disorders/diagnostic imaging , Algorithms , Antisocial Personality Disorder/psychology , Brain Mapping , Connectome , Default Mode Network/diagnostic imaging , Female , Humans , Image Processing, Computer-Assisted , Magnetic Resonance Imaging , Male , Rest , Sex Characteristics , Substance-Related Disorders/psychology
10.
Mol Psychiatry ; 24(3): 463-470, 2019 03.
Article in English | MEDLINE | ID: mdl-30038232

ABSTRACT

Psychopathy is a disorder of high public concern because it predicts violence and offense recidivism. Recent brain imaging studies suggest abnormal brain activity underlying psychopathic behavior. No reliable pattern of altered neural activity has been disclosed so far. This study sought to identify consistent changes of brain activity in psychopaths and to investigate whether these could explain known psychopathology. First, we used activation likelihood estimation (p < 0.05, corrected) to meta-analyze brain activation changes associated with psychopathy across 28 functional magnetic resonance imaging studies reporting 753 foci from 155 experiments. Second, we characterized the ensuing regions functionally by employing metadata of a large-scale neuroimaging database (p < 0.05, corrected). Psychopathy was consistently associated with decreased brain activity in the right laterobasal amygdala, the dorsomedial prefrontal cortex, and bilaterally in the lateral prefrontal cortex. A robust increase of activity was observed in the fronto-insular cortex on both hemispheres. Data-driven functional characterization revealed associations with semantic language processing (left lateral prefrontal and fronto-insular cortex), action execution and pain processing (right lateral prefrontal and left fronto-insular), social cognition (dorsomedial prefrontal cortex), and emotional as well as cognitive reward processing (right amygdala and fronto-insular cortex). Aberrant brain activity related to psychopathy is located in prefrontal, insular, and limbic regions. Physiological mental functions fulfilled by these brain regions correspond to disturbed behavioral patterns pathognomonic for psychopathy. Hence, aberrant brain activity may not just be an epiphenomenon of psychopathy but directly related to the psychopathology of this disorder.


Subject(s)
Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/physiopathology , Brain/pathology , Amygdala/physiopathology , Antisocial Personality Disorder/genetics , Brain/diagnostic imaging , Brain Mapping/methods , Cerebral Cortex/pathology , Databases, Factual , Emotions/physiology , Humans , Image Processing, Computer-Assisted , Magnetic Resonance Imaging , Prefrontal Cortex/pathology , Psychopathology/methods
11.
Psychol Med ; 49(1): 20-31, 2019 01.
Article in English | MEDLINE | ID: mdl-30207255

ABSTRACT

Psychopathy is a personality type characterized by both callous emotional dysfunction and deviant behavior that affects society in the form of actions that harm others. Historically, researchers have been concerned with seeking data and arguments to support a neurobiological foundation of psychopathy. In the past few years, increasing research has begun to reveal brain alterations putatively underlying the enigmatic psychopathic personality. In this review, we describe the brain anatomical and functional features that characterize psychopathy from a synthesis of available neuroimaging research and discuss how such brain anomalies may account for psychopathic behavior. The results are consistent in showing anatomical alterations involving primarily a ventral system connecting the anterior temporal lobe to anterior and ventral frontal areas, and a dorsal system connecting the medial frontal lobe to the posterior cingulate cortex/precuneus complex and, in turn, to medial structures of the temporal lobe. Functional imaging data indicate that relevant emotional flow breakdown may occur in both these brain systems and suggest specific mechanisms via which emotion is anomalously integrated into cognition in psychopathic individuals during moral challenge. Directions for future research are delineated emphasizing, for instance, the relevance of further establishing the contribution of early life stress to a learned blockage of emotional self-exposure, and the potential role of androgenic hormones in the development of cortical anomalies.


Subject(s)
Antisocial Personality Disorder , Cerebral Cortex , Neuroimaging , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/pathology , Antisocial Personality Disorder/physiopathology , Cerebral Cortex/diagnostic imaging , Cerebral Cortex/pathology , Cerebral Cortex/physiopathology , Humans
12.
Curr Psychiatry Rep ; 21(4): 24, 2019 03 09.
Article in English | MEDLINE | ID: mdl-30852703

ABSTRACT

PURPOSE OF REVIEW: This paper aims to provide a comprehensive discussion of single-photon emission computed tomography (SPECT) and positron emission tomography (PET) studies of antisocial personality disorder (ASPD) and aggression. RECENT FINDINGS: Among ASPD males with high impulsivity, the density of brainstem serotonin (5-HT) transporters shows a relationship with impulsivity, aggression, and ratings of childhood trauma. 5-HT1B receptor (R) binding in the striatum, anterior cingulate cortex, and orbitofrontal cortex (OFC) correlated with anger, aggression, and psychopathic traits in another study of violent offenders, most of whom were diagnosed with ASPD. Finally, the density of monoamine oxidase-A (MAO-A), a mitochondrial enzyme that degrades 5-HT, norepinephrine, and dopamine (DA), was reported as lower in the OFC and ventral striatum of ASPD. Among non-clinical populations, 5-HT4R binding, as an index of low cerebral 5-HT levels, has been associated with high trait aggression, but only in males. Furthermore, evidence suggests that individuals with high-activity MAO-A genetic variants compared with low-activity MAO-A allelic variants release more DA in the ventral caudate and putamen when exposed to violent imagery. There are very few PET or SPECT studies that exclusively sample individuals with ASPD. However, among ASPD samples, there is evidence of regional serotonergic abnormalities in the brain and alteration of neural MAO-A levels. Future studies should consider employing additional molecular probes that could target alternative neurotransmitter systems to investigate ASPD. Furthermore, examining different typologies of aggression in clinical and non-clinical populations using SPECT/PET is another important area to pursue and could shed light on the neurochemical origins of these traits in ASPD.


Subject(s)
Aggression , Antisocial Personality Disorder/diagnostic imaging , Positron-Emission Tomography , Tomography, Emission-Computed, Single-Photon , Brain/enzymology , Brain/metabolism , Criminals/psychology , Humans , Impulsive Behavior , Monoamine Oxidase/metabolism , Serotonin/metabolism
13.
Hum Brain Mapp ; 39(6): 2624-2634, 2018 06.
Article in English | MEDLINE | ID: mdl-29498761

ABSTRACT

Psychopathy is a personality disorder characterized by antisocial behavior, lack of remorse and empathy, and impaired decision making. The disproportionate amount of crime committed by psychopaths has severe emotional and economic impacts on society. Here we examine the neural correlates associated with psychopathy to improve early assessment and perhaps inform treatments for this condition. Previous resting-state functional magnetic resonance imaging (fMRI) studies in psychopathy have primarily focused on regions of interest. This study examines whole-brain functional connectivity and its association to psychopathic traits. Psychopathy was hypothesized to be characterized by aberrant functional network connectivity (FNC) in several limbic/paralimbic networks. Group-independent component and regression analyses were applied to a data set of resting-state fMRI from 985 incarcerated adult males. We identified resting-state networks (RSNs), estimated FNC between RSNs, and tested their association to psychopathy factors and total summary scores (Factor 1, interpersonal/affective; Factor 2, lifestyle/antisocial). Factor 1 scores showed both increased and reduced functional connectivity between RSNs from seven brain domains (sensorimotor, cerebellar, visual, salience, default mode, executive control, and attentional). Consistent with hypotheses, RSNs from the paralimbic system-insula, anterior and posterior cingulate cortex, amygdala, orbital frontal cortex, and superior temporal gyrus-were related to Factor 1 scores. No significant FNC associations were found with Factor 2 and total PCL-R scores. In summary, results suggest that the affective and interpersonal symptoms of psychopathy (Factor 1) are associated with aberrant connectivity in multiple brain networks, including paralimbic regions.


Subject(s)
Antisocial Personality Disorder/pathology , Brain Mapping , Brain/pathology , Criminals/psychology , Adolescent , Adult , Antisocial Personality Disorder/diagnostic imaging , Brain/diagnostic imaging , Brain/physiopathology , Female , Humans , Image Processing, Computer-Assisted , Magnetic Resonance Imaging , Male , Middle Aged , Neural Pathways/diagnostic imaging , Oxygen/blood , Principal Component Analysis , Severity of Illness Index , Young Adult
14.
Int J Neuropsychopharmacol ; 21(8): 725-733, 2018 08 01.
Article in English | MEDLINE | ID: mdl-29746646

ABSTRACT

BACKGROUND: The influence of genetic variation on resting-state neural networks represents a burgeoning line of inquiry in psychiatric research. Monoamine oxidase A, an X-linked gene, is one example of a molecular target linked to brain activity in psychiatric illness. Monoamine oxidase A genetic variants, including the high and low variable nucleotide tandem repeat polymorphisms, have been shown to differentially affect brain functional connectivity in healthy humans. However, it is currently unknown whether these same polymorphisms influence resting-state brain activity in clinical conditions. Given its high burden on society and strong connection to violent behavior, antisocial personality disorder is a logical condition to study, since in vivo markers of monoamine oxidase A brain enzyme are reduced in key affect-modulating regions, and striatal levels of monoamine oxidase A show a relation with the functional connectivity of this same region. METHODS: We utilized monoamine oxidase A genotyping and seed-to-voxel-based functional connectivity to investigate the relationship between genotype and corticostriatal connectivity in 21 male participants with severe antisocial personality disorder and 19 male healthy controls. RESULTS: Dorsal striatal connectivity to the frontal pole and anterior cingulate gyrus differentiated antisocial personality disorder subjects and healthy controls by monoamine oxidase A genotype. Furthermore, the linear relationship of proactive aggression to superior ventral striatal-angular gyrus functional connectivity differed by monoamine oxidase A genotype in the antisocial personality disorder groups. CONCLUSIONS: These results suggest that monoamine oxidase A genotype may affect corticostriatal connectivity in antisocial personality disorder and that these functional connections may also underlie use of proactive aggression in a genotype-specific manner.


Subject(s)
Aggression , Antisocial Personality Disorder/genetics , Cerebral Cortex/physiopathology , Corpus Striatum/physiopathology , Monoamine Oxidase/genetics , Polymorphism, Genetic , Adult , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/physiopathology , Antisocial Personality Disorder/psychology , Case-Control Studies , Cerebral Cortex/diagnostic imaging , Corpus Striatum/diagnostic imaging , Genetic Predisposition to Disease , Humans , Magnetic Resonance Imaging , Male , Minisatellite Repeats , Neural Pathways/diagnostic imaging , Neural Pathways/physiopathology , Phenotype , Risk Factors
15.
Annu Rev Clin Psychol ; 14: 259-289, 2018 05 07.
Article in English | MEDLINE | ID: mdl-29401045

ABSTRACT

Although antisocial personality disorder (APD) is one of the most researched personality disorders, it is still surprisingly resistant to treatment. This lack of clinical progress may be partly due to the failure to view APD as a neurodevelopmental disorder and to consider early interventions. After first defining what constitutes a neurodevelopmental disorder, this review evaluates the extent to which APD meets neurodevelopmental criteria, covering structural and functional brain imaging, neurocognition, genetics and epigenetics, neurochemistry, and early health risk factors. Prevention and intervention strategies for APD are then outlined, focusing on addressing early biological and health systems, followed by forensic and clinical implications. It is argued both that APD meets criteria for consideration as a neurodevelopmental disorder and that consideration should be given both to the possibility that early onset conduct disorder is neurodevelopmental in nature, and also to the inclusion of psychopathy as a specifier in future Diagnostic and Statistical Manual revisions of APD.


Subject(s)
Antisocial Personality Disorder , Limbic System , Neurodevelopmental Disorders , Prefrontal Cortex , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/genetics , Antisocial Personality Disorder/pathology , Antisocial Personality Disorder/physiopathology , Humans , Limbic System/growth & development , Limbic System/pathology , Limbic System/physiopathology , Neurodevelopmental Disorders/diagnostic imaging , Neurodevelopmental Disorders/genetics , Neurodevelopmental Disorders/pathology , Neurodevelopmental Disorders/physiopathology , Prefrontal Cortex/growth & development , Prefrontal Cortex/pathology , Prefrontal Cortex/physiopathology
16.
Neuroimage ; 145(Pt B): 265-273, 2017 01 15.
Article in English | MEDLINE | ID: mdl-26690808

ABSTRACT

Classification models are becoming useful tools for finding patterns in neuroimaging data sets that are not observable to the naked eye. Many of these models are applied to discriminating clinical groups such as schizophrenic patients from healthy controls or from patients with bipolar disorder. A more nuanced model might be to discriminate between levels of personality traits. Here, as a proof of concept, we take an initial step toward developing prediction models to differentiate individuals based on a personality disorder: psychopathy. We included three groups of adolescent participants: incarcerated youth with elevated psychopathic traits (i.e., callous and unemotional traits and conduct disordered traits; n=71), incarcerated youth with low psychopathic traits (n=72), and non-incarcerated youth as healthy controls (n=21). Support vector machine (SVM) learning models were developed to separate these groups using an out-of-sample cross-validation method on voxel-based morphometry (VBM) data. Regions of interest from the paralimbic system, identified in an independent forensic sample, were successful in differentiating youth groups. Models seeking to classify incarcerated individuals to have high or low psychopathic traits achieved 69.23% overall accuracy. As expected, accuracy increased in models differentiating healthy controls from individuals with high psychopathic traits (82.61%) and low psychopathic traits (80.65%). Here we have laid the foundation for using neural correlates of personality traits to identify group membership within and beyond psychopathy. This is only the first step, of many, toward prediction models using neural measures as a proxy for personality traits. As these methods are improved, prediction models with neural measures of personality traits could have far-reaching impact on diagnosis, treatment, and prediction of future behavior.


Subject(s)
Amygdala/diagnostic imaging , Antisocial Personality Disorder/diagnostic imaging , Cerebral Cortex/diagnostic imaging , Conduct Disorder/diagnostic imaging , Criminals , Hippocampus/diagnostic imaging , Machine Learning , Magnetic Resonance Imaging/methods , Support Vector Machine , Adolescent , Adult , Antisocial Personality Disorder/physiopathology , Conduct Disorder/physiopathology , Humans , Juvenile Delinquency , Male , Prisoners , Young Adult
17.
Hum Brain Mapp ; 37(11): 4017-4033, 2016 11.
Article in English | MEDLINE | ID: mdl-27453465

ABSTRACT

Psychopathy is a serious psychiatric phenomenon characterized by a pathological constellation of affective (e.g., callous, unemotional), interpersonal (e.g., manipulative, egocentric), and behavioral (e.g., impulsive, irresponsible) personality traits. Though amygdala subregional defects are suggested in psychopathy, the functionality and connectivity of different amygdala subnuclei is typically disregarded in neurocircuit-level analyses of psychopathic personality. Hence, little is known of how amygdala subregional networks may contribute to psychopathy and its underlying trait assemblies in severely antisocial people. We addressed this important issue by uniquely examining the intrinsic functional connectivity of basolateral (BLA) and centromedial (CMA) amygdala networks in relation to affective, interpersonal, and behavioral traits of psychopathy, in conduct-disordered juveniles with a history of serious delinquency (N = 50, mean age = 16.83 ± 1.32). As predicted, amygdalar connectivity profiles exhibited dissociable relations with different traits of psychopathy. Interpersonal psychopathic traits not only related to increased connectivity of BLA and CMA with a corticostriatal network formation accommodating reward processing, but also predicted stronger CMA connectivity with a network of cortical midline structures supporting sociocognitive processes. In contrast, affective psychopathic traits related to diminished CMA connectivity with a frontolimbic network serving salience processing and affective responding. Finally, behavioral psychopathic traits related to heightened BLA connectivity with a frontoparietal cluster implicated in regulatory executive functioning. We suggest that these trait-specific shifts in amygdalar connectivity could be particularly relevant to the psychopathic phenotype, as they may fuel a self-centered, emotionally cold, and behaviorally disinhibited profile. Hum Brain Mapp 37:4017-4033, 2016. © 2016 The Authors Human Brain Mapping Published by Wiley Periodicals, Inc.


Subject(s)
Amygdala/physiopathology , Antisocial Personality Disorder/psychology , Conduct Disorder/physiopathology , Conduct Disorder/psychology , Criminals , Adolescent , Amygdala/diagnostic imaging , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/physiopathology , Brain Mapping , Comorbidity , Conduct Disorder/diagnostic imaging , Humans , Interview, Psychological , Magnetic Resonance Imaging , Male , Neural Pathways/diagnostic imaging , Neural Pathways/physiopathology , Rest , Substance-Related Disorders/complications , Substance-Related Disorders/diagnostic imaging , Substance-Related Disorders/physiopathology
18.
Cogn Affect Behav Neurosci ; 16(6): 1074-1085, 2016 12.
Article in English | MEDLINE | ID: mdl-27549758

ABSTRACT

Psychopathy is a disorder characterized by severe and frequent moral violations in multiple domains of life. Numerous studies have shown psychopathy-related limbic brain abnormalities during moral processing; however, these studies only examined negatively valenced moral stimuli. Here, we aimed to replicate prior psychopathy research on negative moral judgments and to extend this work by examining psychopathy-related abnormalities in the processing of controversial moral stimuli and positive moral processing. Incarcerated adult males (N = 245) completed a functional magnetic resonance imaging protocol on a mobile imaging system stationed at the prison. Psychopathy was assessed using the Hare Psychopathy Checklist-Revised (PCL-R). Participants were then shown words describing three types of moral stimuli: wrong (e.g., stealing), not wrong (e.g., charity), and controversial (e.g., euthanasia). Participants rated each stimulus as either wrong or not wrong. PCL-R total scores were correlated with not wrong behavioral responses to wrong moral stimuli, and were inversely related to hemodynamic activity in the anterior cingulate cortex in the contrast of wrong > not wrong. In the controversial > noncontroversial comparison, psychopathy was inversely associated with activity in the temporal parietal junction and dorsolateral prefrontal cortex. These results indicate that psychopathy-related abnormalities are observed during the processing of complex, negative, and positive moral stimuli.


Subject(s)
Antisocial Personality Disorder/physiopathology , Brain/physiopathology , Morals , Adolescent , Adult , Aged , Antisocial Personality Disorder/diagnostic imaging , Brain/diagnostic imaging , Cerebrovascular Circulation/physiology , Criminals , Decision Making/physiology , Humans , Interview, Psychological , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests , Prisoners , Psychiatric Status Rating Scales , Reaction Time , Reading , Visual Perception/physiology , Young Adult
19.
Sci Rep ; 14(1): 4087, 2024 02 19.
Article in English | MEDLINE | ID: mdl-38374428

ABSTRACT

Youths with high levels of callous-unemotional (CU) traits and aggression are at an increased risk for developing antisocial behaviours into adulthood. In this population, neurostructural grey matter abnormalities have been observed in the prefrontal cortex. However, the directionality of these associations is inconsistent, prompting some to suggest they may vary across development. Although similar neurodevelopmental patterns have been observed for other disorders featuring emotional and behavioural dysregulation, few studies have tested this hypothesis for CU traits, and particularly not for aggression subtypes. The current study sought to examine grey matter correlates of CU traits and aggression (including its subtypes), and then determine whether these associations varied by age. Fifty-four youths (10-19 years old) who were characterized for CU traits and aggression underwent MRI. Grey matter volume and surface area within the anterior cingulate cortex was positively associated with CU traits. The correlation between CU traits and medial orbitofrontal cortex (mOFC) volume varied significantly as a function of age, as did the correlation between reactive aggression and mOFC surface area. These associations became more positive with age. There were no significant findings for proactive/total aggression. Results are interpreted considering the potential for delayed cortical maturation in youths with high CU traits/aggression.


Subject(s)
Conduct Disorder , Adolescent , Humans , Child , Young Adult , Adult , Aggression/physiology , Emotions/physiology , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/psychology , Prefrontal Cortex/diagnostic imaging
20.
Psychiatry Res Neuroimaging ; 331: 111615, 2023 06.
Article in English | MEDLINE | ID: mdl-36924739

ABSTRACT

Callous-Unemotional (CU) traits are often associated with impairments in perspective taking and cognitive control (regulating goal directed behavior); and adolescents with CU traits demonstrate aberrant brain activation/connectivity in areas underlying these processes. Together cognitive control and perspective taking are thought to link mechanistically to explain CU traits. Because increased cognitive control demands modulate perspective taking ability among both typically developing samples and individuals with elevated CU traits, understanding the neurophysiological substrates of these constructs could inform efforts to alleviate societal costs of antisocial behavior. The present study uses GIMME to examine the heterogenous functional brain properties (i.e., connection density, node centrality) underlying cognitive control's influence on perspective taking among adolescents on a CU trait continuum. Results reveal that cognitive control had a negative indirect association with CU traits via perspective taking; and brain connectivity indirectly associated with lower CU traits - specifically the social network via perspective taking and conflict network via cognitive control. Additionally, less negative connection density between the social and conflict networks was directly associated with higher CU traits. Our results support the growing literature on cognitive control's influence on socio-cognitive functioning in CU traits and extends that work by identifying underlying functional brain properties.


Subject(s)
Conduct Disorder , Adolescent , Humans , Conduct Disorder/diagnostic imaging , Emotions/physiology , Antisocial Personality Disorder/diagnostic imaging , Antisocial Personality Disorder/psychology , Cognition/physiology
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