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Latent Profiles of Impulsivity and Emotion Regulation in Children With Externalizing Disorders Are Associated With Alterations in Striatocortical Connectivity 外化障碍儿童冲动和情绪调节的潜在特征与纹状皮质连通性的改变有关。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-03-07 DOI: 10.1016/j.bpsc.2025.02.013
Joseph Aloi , Tahlia E. Korin , Olivia K. Murray , Kathleen I. Crum , Katherine LeFevre , Mario Dzemidzic , Leslie A. Hulvershorn

Background

Children with externalizing disorders often have difficulties with impulsivity (IMP) and emotion regulation (ER). These constructs have been associated with dysfunction in the recruitment of reward-processing circuits and striatal connectivity with cortical networks. However, it is unclear to what extent co-presentations of IMP and ER are associated with differences in striatocortical connectivity.

Methods

In study 1, a latent profile analysis (LPA) was conducted in a sample of 198 youths with externalizing disorders (oppositional defiant disorder and/or conduct disorder) to investigate co-presentation of IMP and ER symptoms. Participants completed the UPPS Impulsivity Scale (UPPS) and the Emotion Regulation Checklist (ERC). LPA was applied to the subscales of the UPPS and ERC. In study 2, we examined 169 participants who completed a resting-state functional magnetic resonance imaging scan to examine differences in striatocortical connectivity between profiles.

Results

The LPA identified 3 profiles: moderate IMP/moderate ER, high IMP/low ER, and high IMP/moderate ER. The 2 high IMP profiles were associated with greater connectivity between the posterior caudate nucleus and parietal cortex. The high IMP/low ER profile was associated with increased connectivity between the anterior caudate and anterior insula.

Conclusions

The current data indicate that the profiles associated with high IMP are associated with greater caudate–parietal cortex connectivity, while the profile associated with high IMP and impaired ER showed increased anterior caudate–anterior insular cortex connectivity. The current work contributes to the literature by examining the relationship between heterogeneity of externalizing symptoms and functional connectivity.
外化障碍儿童通常有冲动和情绪调节方面的困难。这些结构与奖赏处理回路的招募和纹状体与皮质网络的连通性的功能障碍有关。然而,目前尚不清楚冲动和情绪调节的共同表现在多大程度上与纹状皮质连通性的差异有关。方法:在研究1中,对198例对立违抗性障碍和/或品行障碍青少年进行潜在特征分析(LPA),调查冲动和情绪调节症状的共同表现。参与者完成了UPPS冲动性量表(UPPS)和情绪调节检查表(ERC)。将LPA应用于UPPS和ERC的子量表。在研究2中,我们检查了169名参与者,他们完成了静息状态fMRI扫描,以检查纹状皮层连接的差异。结果:LPA识别出三个特征:中度冲动/中度情绪调节、高冲动/低情绪调节和高冲动/中度情绪调节。两个高IMP谱与后尾状核和顶叶皮层之间更大的连通性有关。高IMP/低ER特征与前尾状核和前岛之间的连通性增加有关。讨论:目前的数据表明,与高冲动性相关的侧图与更大的尾状-顶叶皮质连接有关,而与高冲动性和情绪调节受损相关的侧图则显示出增加的前尾状- aic连接。目前的工作是通过研究外化症状的异质性和功能连通性之间的关系来促进文献。
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引用次数: 0
Acknowledgments 致谢
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.bpsc.2025.10.015
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引用次数: 0
Editorial Board Page 编委会页面
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/S2451-9022(25)00339-8
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引用次数: 0
Amygdala-Centered Emotional Processing in Prolonged Grief Disorder: Relationship With Clinical Symptomatology 延长悲伤障碍的杏仁核中心情绪加工:与临床症状的关系。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2024-12-24 DOI: 10.1016/j.bpsc.2024.12.008
Gyujoon Hwang , Nutta-on P. Blair , B. Douglas Ward , Timothy L. McAuliffe , Stacy A. Claesges , Abigail R. Webber , Keri R. Hainsworth , Yang Wang , Charles F. Reynolds , Elliot A. Stein , Joseph S. Goveas

Background

Prolonged grief disorder (PGD) is a multidimensional condition with adverse health consequences. We hypothesized that enhanced negative emotional bias characterizes this disorder and underlies its key clinical symptoms.

Methods

In a cross-sectional design, chronically grieving older adults (age 61.5 ± 8.9 years) experiencing probable PGD (n = 33) were compared with demographic- and time since loss–equated integrated (adaptive) grief participants (n = 38). To probe generalized negative affective reactivity, participants performed an emotional face-matching task during functional magnetic resonance imaging scanning and completed demographic and clinical assessments. Contrast maps (fearful + angry faces [−] shapes) were generated to determine group differences in brain activity within hypothesized affective and regulatory processing regions (amygdala, anterior insula, dorsal anterior cingulate, dorsolateral prefrontal cortex) and in exploratory whole-brain regression analyses.

Results

The PGD group showed higher right amygdala activation to negative emotional stimuli than the integrated grief group (pcorrected < .05), which positively correlated with intrusive thoughts. Generalized psychophysiological interaction analysis revealed lower task-dependent functional connectivity (FC) between the right amygdala and posterior cingulate cortex/precuneus in PGD (pcorrected < .05), which negatively correlated with avoidance of loss reminders. Resting-state FC between the identified right amygdala and thalamus was higher in PGD (pcorrected < .05), which negatively correlated with loneliness.

Conclusions

Dysregulated amygdala-centric neural activity and FC during processing of negative affective stimuli and at rest appear to differentiate prolonged from integrated grief in older adults. Future investigations that use interventions to target amygdala-centric neural circuit abnormalities may provide new insights into the role of enhanced negative bias and related mechanisms that underlie PGD and support treatment efficacy.
背景:长期悲伤障碍是一种具有不良健康后果的多维状况。我们假设,增强的负面情绪偏见是这种疾病的特征,也是其关键临床症状的基础。方法:在横断面设计中,慢性悲伤的老年人(61.5±8.9岁)经历可能的延长悲伤障碍(PGD;N =33)与人口统计学和自损失相等的综合(适应性)悲伤参与者(N =38)以来的时间进行比较。为了探究广义的消极情感反应,参与者在fMRI扫描、人口统计和临床评估期间进行了情绪面部匹配任务。生成对比图(恐惧+愤怒脸(-)形状),以确定在假设的情感和调节加工区域(杏仁核、岛叶前部、前扣带背侧、背外侧前额叶皮质)和探索性全脑回归分析中,大脑活动的组间差异。结果:与综合悲伤组相比,PGD组表现出更高的右侧杏仁核对负性情绪刺激的激活。结论:在处理负性情感刺激和休息时,杏仁核中心神经活动和功能连接的失调似乎是老年人长期悲伤和综合悲伤的区别。未来针对杏仁核中心神经回路异常的干预研究可能会为PGD的负偏倚增强及其相关机制提供新的见解,并支持治疗效果。
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引用次数: 0
Restoring Cortical Control: Dopaminergic Modulation of Inhibitory Networks in Alcohol Use Disorder 恢复皮质控制:酒精使用障碍中抑制网络的多巴胺能调节
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.bpsc.2025.10.009
Meredith E. Halcomb
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引用次数: 0
Encoding-Retrieval Similarity Reveals Distinct Neural Reinstatement of Safety Memories Following Counterconditioning in Posttraumatic Stress Disorder 编码-检索相似性揭示了创伤后应激障碍中对抗条件作用后安全记忆的明显神经恢复。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-11-01 Epub Date: 2025-07-29 DOI: 10.1016/j.bpsc.2025.07.007
Elizabeth A. Bauer , Samuel E. Cooper , Nicole E. Keller , Josh M. Cisler , Joseph E. Dunsmoor

Background

Posttraumatic stress disorder (PTSD) is characterized by deficits in the ability to retrieve extinction memories, which likely contribute to symptom relapse over time. Adapting a hybrid Pavlovian conditioning and episodic memory paradigm, we examined whether counterconditioning produces a more stable and persistent long-term neural memory trace of safety compared with standard extinction in the ventromedial prefrontal cortex (vmPFC)—a region associated with the learning and retrieval of safety.

Methods

Participants consisted of 32 individuals (27 female) who met diagnostic criteria for PTSD and 21 healthy (13 female) comparison participants. Participants completed a multiday Pavlovian conditioning and episodic memory paradigm with standard extinction/counterconditioning.

Results

In healthy adults, we identified overlapping multivariate patterns of functional magnetic resonance imaging activity in the vmPFC associated with the formation and 24-hour retrieval of stimuli that underwent counterconditioning, but neural reinstatement diminished after ∼1 month. This pattern was reversed in PTSD, such that neural reinstatement of counterconditioning was not observed the day after safety learning but did emerge a month later. Interestingly, participants with PTSD showed reinstatement of standard extinction memories in the dorsal anterior cingulate cortex—a region associated with learning and retrieval of threat—both 24 hours and 1 month after safety learning.

Conclusions

These results provide the first evidence that counterconditioning may stabilize a long-term safety memory trace in PTSD. These effects seem to emerge over longer time scales, suggesting that counterconditioning could be an effective strategy for sustained treatment gains.
背景:创伤后应激障碍(PTSD)的特征是恢复消失记忆的能力不足,可能导致症状随着时间的推移而复发。采用巴甫洛夫条件反射和情景记忆的混合模式,我们研究了在与安全学习和检索相关的腹内侧前额叶皮层(vmPFC)中,与标准消退相比,对抗条件反射是否会产生更稳定和持久的长期安全神经记忆痕迹。方法:参与者包括32名符合PTSD诊断标准的个体(27名女性)和21名健康的对照组(13名女性)。参与者完成了为期多日的巴甫洛夫条件反射和情景记忆范式,其中包括标准的消退/对抗条件反射。结果:在健康成人中,我们在vmPFC中发现了重叠的多变量fMRI活动模式,这些模式与经过对抗条件的刺激的形成和24小时恢复有关,但神经恢复在1个月后减弱。这种模式在创伤后应激障碍中被逆转,因此在安全学习后的第二天没有观察到对抗条件作用的神经恢复,但在一个月后确实出现了。有趣的是,创伤后应激障碍参与者在安全学习后24小时和1个月,在背前扣带皮层(dACC)——一个与学习和恢复威胁相关的区域——显示了标准消失记忆的恢复。结论:这些结果提供了第一个证据,证明对抗条件可能稳定PTSD患者的长期安全记忆痕迹。这些影响似乎在更长的时间尺度上出现,这表明对抗条件作用可能是持续治疗效果的有效策略。
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引用次数: 0
Reliable Multimodal Brain Signatures Predict Mental Health Outcomes in Children 可靠的多模态脑特征预测儿童心理健康结果。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-11-01 Epub Date: 2025-03-17 DOI: 10.1016/j.bpsc.2025.03.003
Kathryn Y. Manning , Alberto Llera , Catherine Lebel

Background

Interindividual brain differences likely precede the emergence of mood and anxiety disorders; however, the specific brain alterations remain unclear. While many studies focus on a single imaging modality in isolation, recent advances in multimodal image analysis allow for a more comprehensive understanding of the complex neurobiology that underlies mental health.

Methods

In a large population-based cohort of children from the ABCD (Adolescent Brain Cognitive Development) Study (N > 10,000), we applied data-driven linked independent component analysis to identify linked variations in cortical structure and white matter microstructure that together predict longitudinal behavioral and mental health symptoms. Brain differences were examined in a subsample of twins depending on the presence of at-risk behaviors.

Results

Two multimodal brain signatures at ages 9 to 10 years predicted longitudinal mental health symptoms from 9 to 12 years, with small effect sizes. Cortical variations in association, limbic, and default mode regions linked with peripheral white matter microstructure together predicted higher depression and anxiety symptoms across 2 independent split-halves. The brain signature differed between depression and anxiety symptom trajectories and related to emotion regulation network functional connectivity. Linked variations of subcortical structures and projection tract microstructure variably predicted behavioral inhibition, sensation seeking, and psychosis symptom severity over time in male participants. These brain patterns were significantly different between pairs of twins discordant for self-injurious behavior.

Conclusions

Our results demonstrate reliable, multimodal brain patterns in childhood, before mood and anxiety disorders tend to emerge, that lay the foundation for long-term mental health outcomes and offer targets for early identification of children at risk.
背景:个体间的脑部差异很可能在情绪和焦虑症出现之前就已存在,但具体的脑部改变仍不清楚。虽然许多研究都是孤立地关注单一成像模式,但最近在多模式图像分析方面取得的进展有助于更全面地了解作为心理健康基础的复杂神经生物学:在青少年大脑认知发展(ABCD)研究(N > 10K )的大型人群儿童队列中,我们应用数据驱动的关联独立成分分析来确定皮质结构和白质微结构的关联变异,这些变异可共同预测纵向行为和心理健康症状。根据是否存在危险行为,我们对双胞胎子样本的大脑差异进行了研究:结果:9-10 岁时的两种多模态大脑特征可预测 9-12 岁的纵向心理健康症状,但影响程度较小。联想区、边缘区和默认模式区的皮层变化与外周白质微结构相关联,共同预测了两个独立分裂半球中较高的抑郁和焦虑症状。大脑特征在抑郁和焦虑症状轨迹之间存在差异,并与情绪调节网络功能连接有关。皮层下结构和投射束微结构的关联变化可不同程度地预测男性参与者的行为抑制、感觉寻求和精神病症状严重程度。这些大脑模式在自伤行为不一致的双胞胎之间存在显著差异:我们的研究结果表明,在儿童期,即情绪和焦虑症出现之前,可靠的多模态大脑模式为长期的心理健康结果奠定了基础,并为早期识别高危儿童提供了目标。
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引用次数: 0
Subscribers' Page 用户页面
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-11-01 Epub Date: 2025-11-05 DOI: 10.1016/S2451-9022(25)00314-3
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引用次数: 0
Trading Fear for Safety 用恐惧换取安全
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-11-01 Epub Date: 2025-11-05 DOI: 10.1016/j.bpsc.2025.09.009
Kai Zhang, Lihan Cui, Mohammed R. Milad
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引用次数: 0
Altered Striatal Functional Gradients in Obsessive-Compulsive Disorder 强迫症患者纹状体功能梯度改变。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-11-01 Epub Date: 2025-07-25 DOI: 10.1016/j.bpsc.2025.07.006
Lachlan Webb , Luke J. Hearne , Ye E. Tian , Andrew Zalesky , Conor Robinson , Caitlin V. Hall , Saurabh Sonkusare , Bjorn Burgher , Michael Breakspear , Garance M. Meyer , Andreas Horn , Sebastien Naze , Philip Mosley , Luca Cocchi

Background

Obsessive-compulsive disorder (OCD) is associated with functional alterations in how the striatum interacts with the rest of the brain. However, the characterization of these changes in OCD is incomplete. Mapping functional striatal gradients provides a new opportunity to fill this knowledge gap. These gradients provide a spatial representation of continuous changes in whole-brain connectivity within striatal regions. Thus, OCD-related differences in striatal gradients imply changes in the functional organization of striatal connections.

Methods

We calculated spatial striatal gradients linked to whole-brain activity in 52 people with OCD and 45 control participants. Gradients were computed with individuals at rest and when they underwent a threat-safety reversal task. Using a longitudinal dataset of 47 people with OCD, we investigated possible associations between changes in striatal gradient topology and fluctuations in symptom severity.

Results

Results showed group differences in the main gradient topology at rest, specifically in striatal regions that overlap with the putamen and caudate. Individuals who showed a reduction in symptoms over time tended to change their gradient topology in favor of the control participants’ average topology. Finally, gradients linked to the appraisal of safety reversal, but not threat reversal, showed a group difference in a region separating the right nucleus accumbens and the putamen.

Conclusions

This study advances knowledge of striatal connectivity profiles in OCD, supporting a core role of distinct changes in striatal topology in the expression of symptoms. Collectively, these results encourage studies assessing neural mechanisms that drive the dynamic reorganization of striatal topology and the development of therapies that leverage striatocortical plasticity.
背景:强迫症(OCD)与纹状体与大脑其他部分相互作用的功能改变有关。然而,对强迫症中这些变化的描述是不完整的。绘制功能性纹状体梯度为填补这一知识空白提供了新的机会。这些梯度提供了纹状体区域内全脑连通性连续变化的空间表征。因此,强迫症相关纹状体梯度的差异暗示纹状体连接的功能组织发生了变化。方法:我们计算了52名强迫症患者和45名对照组与全脑活动相关的空间纹状体梯度。梯度是在个体休息时和他们接受威胁-安全逆转任务时计算的。利用47名强迫症患者的纵向数据集,我们研究了纹状体梯度拓扑变化与症状严重程度波动之间的可能关联。结果:结果显示各组在静止状态下的主要梯度拓扑结构存在差异,特别是纹状体区域与壳核和尾状核重叠。随着时间的推移,表现出症状减轻的个体倾向于改变他们的梯度拓扑,以支持对照组参与者的平均拓扑。最后,与安全逆转(而非威胁逆转)评估相关的梯度显示,在右侧伏隔核和壳核之间的区域存在组间差异。结论:本研究提高了对强迫症纹状体连接谱的认识,支持纹状体拓扑结构的明显变化在症状表达中的核心作用。总的来说,这些结果鼓励了评估驱动纹状体拓扑动态重组的神经机制的研究,以及利用纹状体-皮层可塑性的治疗方法的发展。
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引用次数: 0
期刊
Biological Psychiatry-Cognitive Neuroscience and Neuroimaging
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