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Guide for Authors
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-02-01 DOI: 10.1016/S2451-9022(25)00007-2
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引用次数: 0
From Womb to Brain: Rethinking Maternal Immune Activation and Its Long-Term Impact
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-02-01 DOI: 10.1016/j.bpsc.2024.12.012
Ashley F.P. Sanders
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引用次数: 0
Neural Basis of Pain Empathy Dysregulations in Mental Disorders: A Preregistered Neuroimaging Meta-Analysis 精神障碍患者痛觉共鸣失调的神经基础--一项预先登记的神经影像学元分析。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-02-01 DOI: 10.1016/j.bpsc.2024.08.019
Jingxian He , Mercy Chepngetich Bore , Heng Jiang , Xianyang Gan , Junjie Wang , Jialin Li , Xiaolei Xu , Lan Wang , Kun Fu , Liyuan Li , Bo Zhou , Keith Kendrick , Benjamin Becker

Background

Pain empathy represents a fundamental building block of several social functions, which have been demonstrated to be impaired across various mental disorders by accumulating evidence from case-control functional magnetic resonance imaging studies. However, it remains unclear whether the dysregulations are underpinned by robust neural alterations across mental disorders.

Methods

This study utilized coordinate-based meta-analyses to quantitatively determine robust markers of altered pain empathy across mental disorders. To support the interpretation of the findings, exploratory network-level and behavioral meta-analyses were conducted.

Results

Quantitative analysis of 11 case-control functional magnetic resonance imaging studies with data from 296 patients and 229 control participants revealed that patients with mental disorders exhibited increased pain empathic reactivity in the left anterior cingulate gyrus, adjacent medial prefrontal cortex, and right middle temporal gyrus but decreased activity in the left cerebellum IV/V and left middle occipital gyrus compared with control participants. The hyperactive regions showed network-level interactions with the core default mode network and were associated with affective and social cognitive domains.

Conclusions

The findings suggest that pain empathic alterations across mental disorders are underpinned by excessive empathic reactivity in brain systems involved in empathic distress and social processes, highlighting a shared therapeutic target to normalize basal social dysfunctions in mental disorders.
背景:病例对照功能磁共振成像(fMRI)研究积累的证据表明,痛觉移情在各种精神障碍中都会受损。然而,目前仍不清楚在各种精神障碍中,这种失调是否是由神经系统的强健改变所支撑的:本研究利用基于坐标的荟萃分析来定量确定精神障碍患者疼痛移情改变的稳健标记。为了支持对研究结果的解释,还进行了探索性网络水平和行为荟萃分析:对11项病例对照fMRI研究中296名患者和229名对照者的数据进行定量分析后发现,与对照者相比,精神障碍患者在左侧扣带回前部、邻近的内侧前额叶皮层和右侧颞中回表现出更高的疼痛移情反应性,但左侧小脑IV/V和左侧枕中回的活动却有所降低。过度活跃区域与核心默认模式网络(DMN)之间存在网络层面的相互作用,并与情感和社会认知领域相关:研究结果表明,精神障碍患者的痛觉移情改变是由大脑系统中涉及移情痛苦和社会过程的过度移情反应所支撑的,这凸显了一个共同的治疗目标,即使精神障碍患者的基础社会功能障碍恢复正常。
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引用次数: 0
Prefrontal Oscillatory Slowing in Early-Course Schizophrenia Is Associated With Worse Cognitive Performance and Negative Symptoms: A Transcranial Magnetic Stimulation–Electroencephalography Study 早期精神分裂症患者的前额叶振荡减慢与认知能力下降和阴性症状有关:一项 TMS-EEG 研究。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-02-01 DOI: 10.1016/j.bpsc.2024.07.013
Francesco L. Donati , Ahmad Mayeli , Bruno Andry Nascimento Couto , Kamakashi Sharma , Sabine Janssen , Robert J. Krafty , Adenauer G. Casali , Fabio Ferrarelli

Background

Abnormalities in dorsolateral prefrontal cortex (DLPFC) oscillations are neurophysiological signatures of schizophrenia thought to underlie its cognitive deficits. Transcranial magnetic stimulation with electroencephalography (TMS-EEG) provides a measure of cortical oscillations unaffected by sensory relay functionality and/or patients’ level of engagement, which are important confounding factors in schizophrenia. Previous TMS–EEG work showed reduced fast, gamma-range oscillations and a slowing of the main DLPFC oscillatory frequency, or natural frequency, in chronic schizophrenia. However, it is unclear whether this DLPFC natural frequency slowing is present in early-course schizophrenia (EC-SCZ) and is associated with symptom severity and cognitive dysfunction.

Methods

We applied TMS–EEG to the left DLPFC in 30 individuals with EC-SCZ and 28 healthy control participants. Goal-directed working memory performance was assessed using the AX–Continuous Performance Task. The EEG frequency with the highest cumulative power at the stimulation site, or natural frequency, was extracted. We also calculated the local relative spectral power as the average power in each frequency band divided by the broadband power.

Results

Compared with the healthy control group, the EC-SCZ group had reduced DLPFC natural frequency (p = .0000002, Cohen’s d = −2.32) and higher DLPFC beta-range relative spectral power (p = .0003, Cohen’s d = 0.77). In the EC-SCZ group, the DLPFC natural frequency was inversely associated with negative symptoms. Across all participants, the beta band relative spectral power negatively correlated with AX–Continuous Performance Task performance.

Conclusions

DLPFC oscillatory slowing is an early pathophysiological biomarker of schizophrenia that is associated with its symptom severity and cognitive impairments. Future work should assess whether noninvasive neurostimulation, including repetitive TMS, can ameliorate prefrontal oscillatory deficits and related clinical functions in patients with EC-SCZ.
背景:背外侧前额叶皮层(DLPFC)振荡异常是精神分裂症的神经生理学特征,被认为是其认知缺陷的根源。经颅磁刺激脑电图(TMS-EEG)可测量皮层振荡,不受感觉中继功能和/或患者参与程度的影响,而这些因素是精神分裂症的重要干扰因素。之前的 TMS-EEG 研究表明,慢性精神分裂症患者的快速伽马范围振荡减少,DLPFC 的主要振荡频率或自然频率减慢。然而,目前还不清楚这种DLPFC固有频率减慢是否存在于早期精神分裂症(EC-SCZ)中,并与症状严重程度和认知功能障碍有关:我们对30名EC-SCZ受试者和28名健康对照组(HC)受试者的左侧DLPFC进行了TMS-EEG检测。使用 "AX "连续表现任务(AX-CPT)评估目标定向工作记忆表现。我们提取了刺激部位累积功率最大的脑电图频率,即自然频率。我们还计算了局部相对频谱功率(RSP),即每个频段的平均功率除以宽带功率:结果:与 HC 相比,EC-SCZ 的 DLPFC 自然频率降低(p=0.0000002,Cohen's d=-2.32),DLPFC beta 范围的 RSP 提高(p=0.0003,Cohen's d=0.77)。在EC-SCZ中,DLPFC的自然频率与消极症状成反比。在所有参与者中,β波段RSP与AX-CPT表现呈负相关:结论:DLPFC振荡减慢是精神分裂症的早期病理生理学生物标志物,与症状严重程度和认知障碍有关。未来的工作应评估非侵入性神经刺激能否改善EC-SCZ患者的前额叶振荡缺陷和相关临床功能。
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引用次数: 0
Maternal Immune Activation and Child Brain Development: A Longitudinal Population-Based Multimodal Neuroimaging Study 母亲免疫激活与儿童大脑发育:基于人群的多模态神经影像学纵向研究
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-02-01 DOI: 10.1016/j.bpsc.2024.10.013
Anna Suleri , Tonya White , Lot de Witte , Frederieke Gigase , Charlotte A.M. Cecil , Vincent W.V. Jaddoe , Michael Breen , Manon H.J. Hillegers , Ryan L. Muetzel , Veerle Bergink

Background

Maternal immune activation (MIA) has been hypothesized to have an adverse effect on child neurodevelopment, but only a few neuroimaging studies have been performed to date, mostly in neonates. In this population-based cohort study, we investigated the association between MIA and multiple neuroimaging modalities depicting brain development from childhood to adolescence.

Methods

We used data of mother-child pairs from the Generation R Study. To define our exposure, we measured interleukin (IL) 1β, IL-6, IL-17a, IL-23, interferon gamma, and C-reactive protein at 2 time points during pregnancy. Because levels of these 5 cytokines were highly correlated, we were able to compute a cytokine index. We used multiple brain imaging modalities as outcomes, including global and regional measures of brain morphology (structural magnetic resonance imaging, volume; n = 3295), white matter microstructure (diffusion magnetic resonance imaging, fractional anisotropy and mean diffusivity; n = 3267), and functional connectivity (functional magnetic resonance imaging, graph theory measures, and network-level connectivity; n = 2914) in the children at ages 10 and 14 years. We performed mixed effects models using child’s age as a continuous time variable.

Results

We found no significant effect of time on any neuroimaging outcomes in children over time, and there was no time × MIA interaction. These associations were similar for the cytokine index, C-reactive protein, and individual cytokines. We observed no evidence for differential effects of timing of prenatal MIA or child sex after multiple testing correction.

Conclusions

In this longitudinal population-based study, we found no evidence for an association between MIA and child brain development in the general population. Our findings differ from previous research in neonates that have shown structural and functional brain abnormalities after MIA.
背景:母体免疫激活(MIA)被认为会对儿童的神经发育产生不良影响,但迄今为止仅开展了少数几项神经影像学研究,其中大部分是针对新生儿的。在这项基于人群的队列研究中,我们调查了 MIA 与描述儿童至青少年时期大脑发育的多种神经影像模式之间的关联:我们使用了 R 世代研究中的母子对数据。为了确定我们的暴露,我们在怀孕期间的两个时间点测量了IL-1β、IL-6、IL-17a、IL-23和IFN-γ以及CRP。鉴于这五种细胞因子的水平高度相关,我们可以计算出细胞因子指数。我们使用了多种脑成像模式作为研究结果,包括在儿童平均 10 岁和 14 岁时对大脑形态(结构磁共振成像,体积,n=3,295)、白质微结构(扩散磁共振成像,FA 和 MD,n=3,267)和功能连接(功能磁共振成像,图论测量和网络级连接,n=2,914)的整体和区域测量。我们使用儿童年龄作为连续时间变量,建立了混合效应模型:结果:我们发现,随着时间的推移,MIA 与儿童的任何神经影像结果之间都没有明显的关联或时间交互作用。细胞因子指数、CRP 和单个细胞因子也存在类似的关联。经过多重检验校正后,我们没有观察到产前 MIA 时间或儿童性别的不同影响:这项以人群为基础的纵向研究没有发现 MIA 与普通人群中儿童大脑发育有关的证据。我们的研究结果与之前对新生儿进行的研究不同,这些新生儿在经历 MIA 后会出现大脑结构和功能异常。
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引用次数: 0
Reward-Related Brain Activity Mediates the Relationship Between Decision-Making Deficits and Pediatric Depression Symptom Severity 奖赏相关大脑活动调节决策缺陷与小儿抑郁症症状严重程度之间的关系
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-02-01 DOI: 10.1016/j.bpsc.2024.06.007
Riddhi J. Pitliya , Kreshnik Burani , Brady D. Nelson , Greg Hajcak , Jingwen Jin

Background

The mechanisms that link neural and behavioral indices of reduced reward sensitivity in depression, particularly in children, remain unclear. Reward positivity (RewP), a neural index of reward processing, has been consistently associated with depression. Separately, recent studies using the drift-diffusion model on behavioral data have delineated computational indices of reward sensitivity. Therefore, in the current study, we examined whether RewP is a neural mediator of drift-diffusion model–based indices of reward processing in predicting pediatric depression across varying levels of symptom severity.

Methods

A community sample of 166 girls, ages 8 to 14 years, completed 2 tasks. The first was a reward guessing task from which RewP was computed using electroencephalography; the second was a probabilistic reward-based decision-making task. On this second task, drift-diffusion model analysis was applied to behavioral data to quantify the efficiency of accumulating reward-related evidence (drift rate) and potential baseline bias (starting point) toward the differently rewarded choices. Depression severity was measured using the self-report Children’s Depression Inventory.

Results

RewP was correlated with drift rate, but not starting point bias, toward the more rewarded choice. Furthermore, RewP completely mediated the association between a slower drift rate toward the more rewarded option and higher depression symptom severity.

Conclusions

Our findings suggest that reduced neural sensitivity to reward feedback may be a neural mechanism that underlies behavioral insensitivity to reward in children and adolescents with higher depression symptom severity, offering novel insights into the relationship between neural and computational indices of reward processing in this context.
背景:抑郁症(尤其是儿童抑郁症)患者奖赏敏感性降低的神经和行为指数之间的关联机制仍不清楚。奖赏积极性(Reward positivity,RewP)是奖赏处理的神经指标,一直与抑郁症相关。另外,最近使用漂移-扩散模型(DDM)对行为数据进行的研究已经确定了奖赏敏感性的计算指标。因此,本研究考察了 RewP 是否是基于 DDM 的奖赏处理指数的神经介导因素,以预测不同症状严重程度的小儿抑郁症:方法:166名8至14岁的社区女孩完成了两项任务。第一项任务是奖励猜测任务,通过脑电图计算 RewP;第二项任务是基于奖励的概率决策任务。在第二个任务中,对行为数据进行了DDM分析,以量化奖励相关证据的积累效率(漂移率)和对不同奖励选择的潜在基线偏差(起点)。抑郁的严重程度通过自我报告的儿童抑郁量表(CDI)进行测量:结果:RewP 与漂移率相关,但与起点偏向奖励更多的选择无关。此外,RewP 完全调节了向奖励更多的选项漂移的速度较慢与抑郁症状严重程度较高之间的关联:我们的研究结果表明,对奖赏反馈的神经敏感性降低可能是抑郁症状严重程度较高的儿童和青少年对奖赏行为不敏感的一种神经机制,这为在这种情况下奖赏处理的神经和计算指标之间的关系提供了新的见解。
{"title":"Reward-Related Brain Activity Mediates the Relationship Between Decision-Making Deficits and Pediatric Depression Symptom Severity","authors":"Riddhi J. Pitliya ,&nbsp;Kreshnik Burani ,&nbsp;Brady D. Nelson ,&nbsp;Greg Hajcak ,&nbsp;Jingwen Jin","doi":"10.1016/j.bpsc.2024.06.007","DOIUrl":"10.1016/j.bpsc.2024.06.007","url":null,"abstract":"<div><h3>Background</h3><div>The mechanisms that link neural and behavioral indices of reduced reward sensitivity in depression, particularly in children, remain unclear. Reward positivity (RewP), a neural index of reward processing, has been consistently associated with depression. Separately, recent studies using the drift-diffusion model on behavioral data have delineated computational indices of reward sensitivity. Therefore, in the current study, we examined whether RewP is a neural mediator of drift-diffusion model–based indices of reward processing in predicting pediatric depression across varying levels of symptom severity.</div></div><div><h3>Methods</h3><div>A community sample of 166 girls, ages 8 to 14 years, completed 2 tasks. The first was a reward guessing task from which RewP was computed using electroencephalography; the second was a probabilistic reward-based decision-making task. On this second task, drift-diffusion model analysis was applied to behavioral data to quantify the efficiency of accumulating reward-related evidence (drift rate) and potential baseline bias (starting point) toward the differently rewarded choices. Depression severity was measured using the self-report Children’s Depression Inventory.</div></div><div><h3>Results</h3><div>RewP was correlated with drift rate, but not starting point bias, toward the more rewarded choice. Furthermore, RewP completely mediated the association between a slower drift rate toward the more rewarded option and higher depression symptom severity.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that reduced neural sensitivity to reward feedback may be a neural mechanism that underlies behavioral insensitivity to reward in children and adolescents with higher depression symptom severity, offering novel insights into the relationship between neural and computational indices of reward processing in this context.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 2","pages":"Pages 138-147"},"PeriodicalIF":5.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial Board Page
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 DOI: 10.1016/S2451-9022(24)00361-6
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引用次数: 0
Losing Control: Prefrontal Emotion Regulation Is Related to Symptom Severity and Predicts Treatment-Related Symptom Change in Adolescent Girls With Conduct Disorder 失去控制前额叶情绪调节与症状严重程度有关,并可预测患有行为障碍的少女在接受治疗后的症状变化。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.bpsc.2024.08.005
Nora Maria Raschle , Réka Borbás , Plamina Dimanova , Eva Unternaehrer , Gregor Kohls , Stephane De Brito , Graeme Fairchild , Christine M. Freitag , Kerstin Konrad , Christina Stadler

Background

Emotion regulation skills are linked to corticolimbic brain activity (e.g., dorsolateral prefrontal cortex [dlPFC] and limbic regions) and enable an individual to control their emotional experiences, thus allowing healthy social functioning. Disruptions in emotion regulation skills are reported in neuropsychiatric disorders, including conduct disorder or oppositional defiant disorder (CD/ODD). Clinically recognized means to ameliorate emotion regulation deficits observed in CD/ODD include cognitive or dialectical behavioral skills therapy as implemented in the START NOW program. However, the role of emotion regulation and its neural substrates in symptom severity and prognosis following treatment of adolescent CD/ODD has not been investigated.

Methods

Cross-sectional data including functional magnetic resonance imaging responses during emotion regulation (N = 114; average age = 15 years), repeated-measures assessments of symptom severity (pretreatment, posttreatment, long-term follow-up), and functional magnetic resonance imaging data collected prior to and following the START NOW randomized controlled trial (n = 44) for female adolescents with CD/ODD were analyzed using group comparisons and multiple regression.

Results

First, behavioral and neural correlates of emotion regulation were disrupted in female adolescents with CD/ODD. Second, ODD symptom severity was negatively associated with dlPFC/precentral gyrus activity during regulation. Third, treatment-related symptom changes were predicted by pretreatment ODD symptom severity and regulatory dlPFC/precentral activity. Additionally, pretreatment dlPFC/precentral activity and ODD symptom severity predicted long-term reductions in symptom severity following treatment for participants who received the START NOW treatment.

Conclusions

Our findings demonstrate the important role that emotion regulation skills play in the characteristics of CD/ODD and show that regulatory dlPFC/precentral activity is positively associated with treatment response in female adolescents with CD/ODD.
背景:情绪调节能力与大脑皮质边缘活动(如背外侧前额叶皮质(dlPFC)和边缘区)有关,它能使人控制自己的情绪体验,从而实现健康的社会功能。据报道,神经精神疾病(包括行为障碍或对立违抗障碍(CD/ODD))都会导致情绪调节技能的紊乱。临床公认的改善 CD/ODD 情绪调节能力缺陷的方法包括认知或辩证行为技能疗法,如 START-NOW 计划中实施的方法。然而,情绪调节及其神经基质在青少年 CD/ODD 治疗后症状严重程度和预后中的作用仍有待研究:方法:采用分组比较和多元回归法分析了横断面数据,包括情绪调节过程中的fMRI反应(人数=114;平均年龄=15岁)、症状严重程度的重复测量评估(治疗前、治疗后、长期随访),以及在START-NOW随机对照试验(人数=44)之前和之后为患有CD/ODD的女性青少年收集的fMRI数据:结果:首先,患有 CD/ODD 的女性青少年情绪调节的行为和神经相关性受到干扰。其次,ODD症状的严重程度与调节过程中dlPFC/中央后回的活动呈负相关。第三,与治疗相关的症状变化可通过治疗前的 ODD 症状严重程度和调节性 dlPFC/中央后回活动进行预测。此外,对于那些接受了START NOW治疗的参与者来说,治疗前的dlPFC/中枢活动和ODD症状严重程度可以预测治疗后症状严重程度的长期缓解情况:我们的研究结果表明,情绪调节能力在CD/ODD的特征中扮演着重要角色,并表明调节性dlPFC/中枢活动与患有CD/ODD的女性青少年的治疗反应呈正相关。
{"title":"Losing Control: Prefrontal Emotion Regulation Is Related to Symptom Severity and Predicts Treatment-Related Symptom Change in Adolescent Girls With Conduct Disorder","authors":"Nora Maria Raschle ,&nbsp;Réka Borbás ,&nbsp;Plamina Dimanova ,&nbsp;Eva Unternaehrer ,&nbsp;Gregor Kohls ,&nbsp;Stephane De Brito ,&nbsp;Graeme Fairchild ,&nbsp;Christine M. Freitag ,&nbsp;Kerstin Konrad ,&nbsp;Christina Stadler","doi":"10.1016/j.bpsc.2024.08.005","DOIUrl":"10.1016/j.bpsc.2024.08.005","url":null,"abstract":"<div><h3>Background</h3><div>Emotion regulation skills are linked to corticolimbic brain activity (e.g., dorsolateral prefrontal cortex [dlPFC] and limbic regions) and enable an individual to control their emotional experiences, thus allowing healthy social functioning. Disruptions in emotion regulation skills are reported in neuropsychiatric disorders, including conduct disorder or oppositional defiant disorder (CD/ODD). Clinically recognized means to ameliorate emotion regulation deficits observed in CD/ODD include cognitive or dialectical behavioral skills therapy as implemented in the START NOW program. However, the role of emotion regulation and its neural substrates in symptom severity and prognosis following treatment of adolescent CD/ODD has not been investigated.</div></div><div><h3>Methods</h3><div>Cross-sectional data including functional magnetic resonance imaging responses during emotion regulation (<em>N</em> = 114; average age = 15 years), repeated-measures assessments of symptom severity (pretreatment, posttreatment, long-term follow-up), and functional magnetic resonance imaging data collected prior to and following the START NOW randomized controlled trial (<em>n</em> = 44) for female adolescents with CD/ODD were analyzed using group comparisons and multiple regression.</div></div><div><h3>Results</h3><div>First, behavioral and neural correlates of emotion regulation were disrupted in female adolescents with CD/ODD. Second, ODD symptom severity was negatively associated with dlPFC/precentral gyrus activity during regulation. Third, treatment-related symptom changes were predicted by pretreatment ODD symptom severity and regulatory dlPFC/precentral activity. Additionally, pretreatment dlPFC/precentral activity and ODD symptom severity predicted long-term reductions in symptom severity following treatment for participants who received the START NOW treatment.</div></div><div><h3>Conclusions</h3><div>Our findings demonstrate the important role that emotion regulation skills play in the characteristics of CD/ODD and show that regulatory dlPFC/precentral activity is positively associated with treatment response in female adolescents with CD/ODD.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 1","pages":"Pages 80-93"},"PeriodicalIF":5.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brain Activation and Aberrant Effective Connectivity in the Mentalizing Network of Preadolescent Children at Familial High Risk of Schizophrenia or Bipolar Disorder 有精神分裂症或躁郁症家族高风险的青春期前儿童心理网络中的大脑激活和异常有效连接。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.bpsc.2024.08.004
Lotte Veddum , Vibeke Bliksted , Yuan Zhou , Anna Krogh Andreassen , Christina Bruun Knudsen , Aja Neergaard Greve , Nanna Lawaetz Steffensen , Merete Birk , Nicoline Hemager , Julie Marie Brandt , Maja Gregersen , Line Korsgaard Johnsen , Kit Melissa Larsen , William Frans Christiaan Baaré , Kathrine Skak Madsen , Hartwig Roman Siebner , Kerstin Jessica Plessen , Anne Amalie Elgaard Thorup , Leif Østergaard , Merete Nordentoft , Martin Dietz

Background

Schizophrenia and bipolar disorder are characterized by social cognitive impairments, and recent research has identified alterations of the social brain. However, it is unknown whether familial high risk (FHR) of these disorders is associated with neurobiological alterations already present in childhood.

Methods

As part of the Danish High Risk and Resilience Study–VIA 11, we examined children at FHR of schizophrenia (n = 121, 50% female) or bipolar disorder (n = 75, 47% female) and population-based control children (PBCs) (n = 128, 48% female). Using functional magnetic resonance imaging and dynamic causal modeling, we investigated brain activation and effective connectivity during the social cognition paradigm from the Human Connectome Project.

Results

We found similar activation of the mentalizing network across groups, including visual area V5, the dorsomedial prefrontal cortex, and the posterior superior temporal sulcus (pSTS). Nonetheless, both FHR groups showed aberrant brain connectivity in the form of increased feedforward connectivity from left V5 to pSTS compared with PBCs. Children at FHR of schizophrenia had reduced intrinsic connectivity in bilateral V5 compared with PBCs, whereas children at FHR of bipolar disorder showed increased reciprocal connectivity between the left dorsomedial prefrontal cortex and the pSTS, increased intrinsic connectivity in the right pSTS, and reduced feedforward connectivity from the right pSTS to the dorsomedial prefrontal cortex compared with PBCs.

Conclusions

Our results provide first-time evidence of aberrant brain connectivity in the mentalizing network of children at FHR of schizophrenia or FHR of bipolar disorder. Longitudinal research is warranted to clarify whether aberrant brain connectivity during mentalizing constitutes an endophenotype associated with the development of a mental disorder later in life.
简介精神分裂症和躁郁症的特征是社会认知障碍,最近的研究发现了社会性大脑的改变。然而,这些疾病的家族性高风险是否与童年时期就已存在的神经生物学改变有关,目前还不得而知:作为丹麦高风险和复原力研究 - VIA 11 的一部分,我们对精神分裂症家族高风险儿童(FHR-SZ,n = 121,女性占 50%)或双相情感障碍儿童(FHR-BP,n = 75,女性占 47%)以及人群对照组(PBC,n = 128,女性占 48%)进行了研究。我们利用功能磁共振成像和动态因果模型,研究了人类连接组项目中社会认知范式的大脑激活和有效连接:结果:我们发现各组的心理网络激活相似,包括视觉区 V5、背内侧前额叶皮层 (dmPFC) 和后颞上沟 (pSTS)。然而,与 PBC 相比,两个家族性高风险组都显示出大脑连接的异常,即从左 V5 到 pSTS 的前馈连接增加。与PBC相比,FHR-SZ儿童双侧V5的内在连通性降低,而与PBC相比,FHR-BP儿童左侧dmPFC和pSTS之间的相互连通性增加,右侧pSTS的内在连通性增加,右侧pSTS到dmPFC的前馈连通性降低:我们的研究结果首次证明,FHR-SZ 或 FHR-BP 儿童的思维网络中存在异常的大脑连接。我们有必要开展纵向研究,以明确心理化过程中的大脑连接异常是否构成与日后精神障碍发展相关的内表型。
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引用次数: 0
Brain Age Is Not a Significant Predictor of Relapse Risk in Late-Life Depression 脑年龄并非晚年抑郁症复发风险的重要预测因素。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.bpsc.2024.09.009
Helmet T. Karim , Andrew Gerlach , Meryl A. Butters , Robert Krafty , Brian D. Boyd , Layla Banihashemi , Bennett A. Landman , Olusola Ajilore , Warren D. Taylor , Carmen Andreescu

Background

Late-life depression (LLD) has been associated cross-sectionally with lower brain structural volumes and accelerated brain aging compared with healthy control participants (HCs). There are few longitudinal studies on the neurobiological predictors of recurrence in LLD. We tested a machine learning brain age model and its prospective association with LLD recurrence risk.

Methods

We recruited individuals with LLD (n = 102) and HCs (n = 43) into a multisite, 2-year longitudinal study. Individuals with LLD were enrolled within 4 months of remission. Remitted participants with LLD underwent baseline neuroimaging and longitudinal clinical follow-up. Over 2 years, 43 participants with LLD relapsed and 59 stayed in remission. We used a previously developed machine learning brain age algorithm to compute brain age at baseline, and we evaluated brain age group differences (HC vs. LLD and HC vs. remitted LLD vs. relapsed LLD). We conducted a Cox proportional hazards model to evaluate whether baseline brain age predicted time to relapse.

Results

We found that brain age did not significantly differ between the HC and LLD groups or between the HC, remitted LLD, and relapsed LLD groups. Brain age did not significantly predict time to relapse.

Conclusions

In contrast to our hypothesis, we found that brain age did not differ between control participants without depression and individuals with remitted LLD, and brain age was not associated with subsequent recurrence. This is in contrast to existing literature which has identified baseline brain age differences in late life but consistent with work that has shown no differences between people who do and do not relapse on gross structural measures.
简介与健康对照组(HC)相比,晚年抑郁症(LLD)在横断面上与较低的脑结构体积和加速的脑衰老有关。有关晚年抑郁症复发的神经生物学预测因素的纵向研究很少。我们测试了机器学习(ML)脑年龄模型及其与LLD复发风险的前瞻性关联:我们招募了LLD患者(n=102)和HC患者(n=43)参与一项为期2年的多地点纵向研究。LLD患者在病情缓解后4个月内入组。缓解的LLD患者接受基线神经影像学检查和纵向临床随访。2年中,43名LLD患者复发(REL),59名患者保持缓解(REM)。我们使用之前开发的ML脑年龄算法计算基线时的脑年龄,并评估了脑年龄组差异(HC vs. LLD,HC vs. REM vs. REL)。我们采用 Cox 比例危险模型来评估基线脑龄是否能预测复发时间:结果:我们发现,脑年龄在 HC 组与 LLD 组以及 HC 组、REM 组和 REL 组之间没有明显差异。脑年龄对复发时间的预测作用也不明显:与我们的假设相反,我们发现非抑郁对照组和LLD缓解患者的脑年龄没有差异,而且脑年龄与随后的复发没有关联。这与现有文献中发现的晚年基线脑龄差异不同,但与那些显示复发和未复发者在结构测量上没有差异的研究结果一致。
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引用次数: 0
期刊
Biological Psychiatry-Cognitive Neuroscience and Neuroimaging
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