RESUMO
Excessive fear responses to uncertain threat are a key feature of anxiety disorders (ADs), though most mechanistic work considers adults. As ADs onset in childhood and confer risk for later psychopathology, we sought to identify conditions of uncertain threat that distinguish 8-17-year-old youth with AD (n = 19) from those without AD (n = 33), and assess test-retest reliability of such responses in a companion sample of healthy adults across three sites (n = 19). In an adapted uncertainty of threat paradigm, visual cues parametrically signaled threat of aversive stimuli (fear faces) in 25 % increments (0 %, 25 %, 50 %, 100 %), while participants underwent functional magnetic resonance imaging (fMRI). We compared neural response elicited by cues signaling different degrees of probability regarding the subsequent delivery of fear faces. Overall, youth displayed greater engagement of bilateral inferior parietal cortex, fusiform gyrus, and lingual gyrus during uncertain threat anticipation in general. Relative to healthy youth, AD youth exhibited greater activation in ventrolateral prefrontal cortex (vlPFC)/BA47 during uncertain threat anticipation in general. Further, AD differed from healthy youth in scaling of ventral striatum/sgACC activation with threat probability and attenuated flexibility of responding during parametric uncertain threat. Complementing these results, significant, albeit modest, cross-site test-retest reliability in these regions was observed in an independent sample of healthy adults. While preliminary due to a small sample size, these findings suggest that during uncertainty of threat, AD youth engage vlPFC regions known to be involved in fear regulation, response inhibition, and cognitive control. Findings highlight the potential of isolating neural correlates of threat anticipation to guide treatment development and translational work in youth.
Assuntos
Transtornos de Ansiedade , Ansiedade , Adulto , Adolescente , Humanos , Criança , Incerteza , Reprodutibilidade dos Testes , Transtornos de Ansiedade/diagnóstico por imagem , Medo/fisiologia , Imageamento por Ressonância Magnética , Antecipação Psicológica/fisiologiaRESUMO
Few studies have examined threat generalization across development and no developmental studies have compared the generalization of social versus nonsocial threat, making it difficult to identify contextual factors that contribute to threat learning across development. The present study assessed youth and adults' multivoxel neural representations of social versus nonsocial threat stimuli. Twenty adults (Mage = 25.7 ± 4.9) and 16 youth (Mage = 14.1 ± 1.7) completed two conditioning and extinction recall paradigms: one social and one nonsocial paradigm. Three weeks after conditioning, participants underwent a functional magnetic resonance imaging extinction recall task that presented the extinguished threat cue (CS+), a safety cue (CS-), and generalization stimuli (GS) consisting of CS-/CS+ blends. Across age groups, neural activity patterns and self-reported fear and memory ratings followed a linear generalization gradient for social threat stimuli and a quadratic generalization gradient for nonsocial threat stimuli, indicating enhanced threat/safety discrimination for social relative to nonsocial threat stimuli. The amygdala and ventromedial prefrontal cortex displayed the greatest neural pattern differentiation between the CS+ and GS/CS-, reinforcing their role in threat learning and extinction recall. Contrary to predictions, age did not influence threat representations. These findings highlight the importance of the social relevance of threat on generalization across development.
Assuntos
Medo , Generalização Psicológica , Adolescente , Adulto , Criança , Extinção Psicológica , Humanos , Imageamento por Ressonância Magnética , Rememoração Mental , Córtex Pré-Frontal/diagnóstico por imagem , Adulto JovemRESUMO
BACKGROUND: The association of adolescent social media use with mental health symptoms, especially depression, has recently attracted a great deal of interest in public media as well as the scientific community. Some studies have cited statistically significant associations between adolescent social media use and depression and have proposed that parents must regulate their adolescents' social media use in order to protect their mental health. METHOD: In order to rigorously assess the size of the effect that has been reported in the current scientific literature, we conducted a meta-analysis of studies that measured the association between social media use specifically and depressive symptoms amongst early- to mid- adolescents (11-18 years-old). We searched Psychnet, PubMed, and Web of Science with the following terms: online social networks, social media, internet usage, facebook, twitter, instagram, myspace, snapchat, and depression. RESULTS: We found a small but significant positive correlation (k=12 studies, r=.11, p<.01) between adolescent social media use and depressive symptoms. There was also high heterogeneity (I2=95.22%) indicating substantial variation among studies. CONCLUSIONS: High heterogeneity along with the small overall effect size observed in the relationship between self-reported social media use and depressive symptoms suggests that other factors are likely to act as significant moderators of the relationship. We suggest that future research should be focused on understanding which types of use may be harmful (or helpful) to mental health, rather than focusing on overall use measures that likely reflect highly heterogeneous exposures.
Assuntos
Mídias Sociais , Adolescente , Criança , Depressão/epidemiologia , Humanos , Saúde Mental , Pais , Rede SocialRESUMO
The stimulus sets presently used to study emotion processing are primarily static pictures of individuals (primarily adults) making emotional facial expressions. However, the dynamic, stereotyped movements associated with emotional expressions contain rich information missing from static pictures, such as the difference between happiness and pride. We created a set of 1.1 s dynamic emotional facial stimuli representing boys and girls aged 8-18. A separate group of 36 individuals (mean [M] age = 19.5 years, standard deviation [SD] = 1.95, 13 male) chose the most appropriate emotion label for each video from a superset of 250 videos. Validity and reliability statistics were performed across all stimuli, which were then used to determine which stimuli should be included in the final stimulus set. We set a criterion for inclusion of 70% agreement with the modal response made for each video. The final stimulus set contains 142 videos of 36 actors (M age = 13.24 years, SD = 2.09, 14 male) making negative (disgust, embarrassment, fear, sadness), positive (happiness, pride), and neutral facial expressions. The percent correct among the final stimuli was high (median = 88.89%; M = 88.38%, SD = 7.74%), as was reliability (κ = 0.753).