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Examining the Most Important Risk Factors for Predicting Youth Persistent and Distressing Psychotic-Like Experiences 研究预测青少年持续和令人不安的精神病样经历的最重要风险因素。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.05.009

Background

Persistence and distress distinguish more clinically significant psychotic-like experiences (PLEs) from those that are less likely to be associated with impairment and/or need for care. Identifying risk factors that identify clinically relevant PLEs early in development is important for improving our understanding of the etiopathogenesis of these experiences. Machine learning analyses were used to examine the most important baseline factors distinguishing persistent distressing PLEs.

Methods

Using Adolescent Brain Cognitive Development (ABCD) Study data on PLEs from 3 time points (ages 9–13 years), we created the following groups: individuals with persistent distressing PLEs (n = 305), individuals with transient distressing PLEs (n = 374), and individuals with low-level PLEs demographically matched to either the persistent distressing PLEs group (n = 305) or the transient distressing PLEs group (n = 374). Random forest classification models were trained to distinguish persistent distressing PLEs from low-level PLEs, transient distressing PLEs from low-level PLEs, and persistent distressing PLEs from transient distressing PLEs. Models were trained using identified baseline predictors as input features (i.e., cognitive, neural [cortical thickness, resting-state functional connectivity], developmental milestone delays, internalizing symptoms, adverse childhood experiences).

Results

The model distinguishing persistent distressing PLEs from low-level PLEs showed the highest accuracy (test sample accuracy = 69.33%; 95% CI, 61.29%–76.59%). The most important predictors included internalizing symptoms, adverse childhood experiences, and cognitive functioning. Models for distinguishing persistent PLEs from transient distressing PLEs generally performed poorly.

Conclusions

Model performance metrics indicated that while most important factors overlapped across models (e.g., internalizing symptoms), adverse childhood experiences were especially important for predicting persistent distressing PLEs. Machine learning analyses proved useful for distinguishing the most clinically relevant group from the least clinically relevant group but showed limited ability to distinguish among clinically relevant groups that differed in PLE persistence.

背景:持续性和痛苦会将临床意义更大的精神病样体验(PLEs)与那些不太可能与损伤和/或护理需求相关联的体验区分开来。确定在发展早期区分临床相关的类精神病体验的风险因素,对于提高我们对这些体验的发病机制的认识非常重要。机器学习分析研究了区分持续性困扰性 PLEs 的最重要基线因素:方法:利用青少年大脑认知发展研究(Adolescent Brain Cognitive Development Study)中三个时间点(9-13 岁)的 PLEs 数据,创建了具有持续性困扰 PLEs 的个体(303 人)、短暂性困扰 PLEs 的个体(374 人)以及与人口统计学相匹配的低水平 PLEs 群体。对随机森林分类模型进行了训练,以区分持续性困扰与低水平 PLEs、短暂性困扰与低水平 PLEs 以及持续性困扰与短暂性困扰 PLEs。使用已识别的基线预测因子作为输入特征(即认知、神经[皮层厚度、静息状态功能连接(RSFC)]、发育里程碑延迟、内化症状、不良童年事件)对模型进行训练:区分持续性困扰与低水平 PLE 的模型显示出最高的准确率(测试样本准确率=69.33%;95% CI:61.29%-76.59%)。最重要的预测因素包括内化症状、不良童年事件和认知功能。区分持续性和短暂性困扰性 PLE 的模型通常表现较差:模型性能指标表明,虽然大多数重要因素(如内化症状)在不同模型中都有重叠,但不良童年事件对于预测持续性困扰型 PLE 尤为重要。事实证明,机器学习分析有助于区分临床相关性最高的组别和临床相关性最低的组别,但在区分在 PLE 持续性方面存在差异的临床相关性组别方面能力有限。
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引用次数: 0
Voxelwise Multivariate Analysis of Brain-Psychosocial Associations in Adolescents Reveals 6 Latent Dimensions of Cognition and Psychopathology 对青少年大脑-心理-社会关联的体素多变量分析揭示了认知和心理病理学的六个潜在维度。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.03.006

Background

Adolescence heralds the onset of considerable psychopathology, which may be conceptualized as an emergence of altered covariation between symptoms and brain measures. Multivariate methods can detect such modes of covariation or latent dimensions, but none specifically relating to psychopathology have yet been found using population-level structural brain data. Using voxelwise (instead of parcellated) brain data may strengthen latent dimensions’ brain-psychosocial relationships, but this creates computational challenges.

Methods

We obtained voxelwise gray matter density and psychosocial variables from the baseline (ages 9–10 years) Adolescent Brain Cognitive Development (ABCD) Study cohort (N = 11,288) and employed a state-of-the-art segmentation method, sparse partial least squares, and a rigorous machine learning framework to prevent overfitting.

Results

We found 6 latent dimensions, 4 of which pertain specifically to mental health. The mental health dimensions were related to overeating, anorexia/internalizing, oppositional symptoms (all ps < .002) and attention-deficit/hyperactivity disorder symptoms (p = .03). Attention-deficit/hyperactivity disorder was related to increased and internalizing symptoms related to decreased gray matter density in dopaminergic and serotonergic midbrain areas, whereas oppositional symptoms were related to increased gray matter in a noradrenergic nucleus. Internalizing symptoms were related to increased and oppositional symptoms to reduced gray matter density in the insular, cingulate, and auditory cortices. Striatal regions featured strongly, with reduced caudate nucleus gray matter in attention-deficit/hyperactivity disorder and reduced putamen gray matter in oppositional/conduct problems. Voxelwise gray matter density generated stronger brain-psychosocial correlations than brain parcellations.

Conclusions

Voxelwise brain data strengthen latent dimensions of brain-psychosocial covariation, and sparse multivariate methods increase their psychopathological specificity. Internalizing and externalizing symptoms are associated with opposite gray matter changes in similar cortical and subcortical areas.

背景青春期预示着相当程度的精神病理学的开始,这种精神病理学可被概念化为症状与大脑测量之间共变的出现。多变量方法可以检测出这种共变模式或潜在维度,但使用人群水平的大脑结构数据尚未发现与精神病理学特别相关的模式。使用体素(而非片段)脑数据可能会加强潜在维度的脑-心理-社会关系,但这给计算带来了挑战。方法我们从基线(9-10 岁)青少年大脑认知发展(ABCD)研究队列(N = 11,288)中获得了体素灰质密度和心理社会变量,并采用了最先进的分割方法、稀疏偏最小二乘法和严格的机器学习框架来防止过度拟合。心理健康维度与暴饮暴食、厌食/内向、对立症状(所有 ps 均为 0.002)和注意缺陷/多动障碍症状(p = 0.03)相关。注意缺陷/多动障碍与多巴胺能和血清素能中脑区域灰质密度的增加有关,而内化症状与多巴胺能和血清素能中脑区域灰质密度的减少有关,而对立症状与去甲肾上腺素能核灰质的增加有关。内化症状与岛叶、扣带回和听觉皮层灰质密度增加有关,而对立症状则与灰质密度减少有关。纹状体区域的特征非常明显,注意缺陷/多动障碍患者的尾状核灰质减少,而逆反/行为问题患者的普坦门灰质减少。与脑区相比,体素灰质密度产生了更强的脑-心理-社会相关性。结论体素脑数据加强了脑-心理-社会共变的潜在维度,稀疏多元方法提高了其心理病理学特异性。内化症状和外化症状与类似皮层和皮层下区域的灰质变化相反。
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引用次数: 0
Editorial Board Page 编辑委员会页面
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/S2451-9022(24)00218-0
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引用次数: 0
Influences of RASopathies on Neuroanatomical Variation in Children RASopathies 对儿童神经解剖变异的影响。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.04.003

Background

RASopathies are a group of disorders characterized by pathogenic mutations in the Ras/mitogen-activated protein kinase (Ras/MAPK) signaling pathway. Distinct pathogenic variants in genes encoding proteins in the Ras/MAPK pathway cause Noonan syndrome (NS) and neurofibromatosis type 1 (NF1), which are associated with increased risk for autism spectrum disorder and attention-deficit/hyperactivity disorder.

Methods

This study examined the effect of RASopathies (NS and NF1) on human neuroanatomy, specifically on surface area (SA), cortical thickness (CT), and subcortical volumes. Using vertex-based analysis for cortical measures and Desikan region of interest parcellation for subcortical volumes, we compared structural T1-weighted images of children with RASopathies (n = 91, mean age = 8.81 years, SD = 2.12) to those of sex- and age-matched typically developing children (n = 74, mean age = 9.07 years, SD = 1.77).

Results

Compared with typically developing children, RASopathies had convergent effects on SA and CT, exhibiting increased SA in the precentral gyrus, decreased SA in occipital regions, and thinner CT in the precentral gyrus. RASopathies exhibited divergent effects on subcortical volumes, with syndrome-specific influences from NS and NF1. Overall, children with NS showed decreased volumes in striatal and thalamic structures, and children with NF1 displayed increased volumes in the hippocampus, amygdala, and thalamus.

Conclusions

Our study reveals the converging and diverging neuroanatomical effects of RASopathies on human neurodevelopment. The convergence of cortical effects on SA and CT indicates a shared influence of Ras/MAPK hyperactivation on the human brain. Therefore, considering these measures as objective outcome indicators for targeted treatments is imperative.

背景RAS病是一组以Ras/中性粒细胞活化蛋白激酶(Ras/MAPK)信号通路中的致病突变为特征的疾病。RAS病(NS和NF1)对人类神经解剖学的影响,特别是对表面积(SA)、皮层厚度(CT)和皮层下体积的影响。我们使用基于顶点的分析方法来测量皮质,并使用 Desikan 兴趣区划分法来测量皮质下体积,比较了患有 RAS 病的儿童(n = 91,平均年龄 = 8.81 岁,SD = 2.12)与性别和年龄匹配的发育正常儿童(n = 74,平均年龄 = 9.结果与发育正常的儿童相比,RASopathies 对 SA 和 CT 有趋同的影响,表现为前中央回的 SA 增加,枕区的 SA 减少,前中央回的 CT 变薄。RAS疾病对皮层下体积的影响各不相同,NS和NF1对皮层下体积的影响具有综合征的特异性。总体而言,NS 患儿纹状体和丘脑结构的体积减小,而 NF1 患儿海马、杏仁核和丘脑的体积增大。SA和CT对大脑皮层影响的趋同性表明,Ras/MAPK过度激活对人类大脑具有共同的影响。因此,将这些指标作为靶向治疗的客观结果指标势在必行。
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引用次数: 0
Methodological Advances for Studying the Motivation Hypothesis of Autism 研究自闭症动机假说的方法论进展。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.07.016
Caitlin C. Clements
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引用次数: 0
Neural Correlates of Novelty-Evoked Distress in 4-Month-Old Infants: A Synthetic Cohort Study 4 个月大婴儿因新奇事物而产生困扰的神经相关性:合成队列研究
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.03.008

Background

Observational assessments of infant temperament have provided unparalleled insight into prediction of risk for social anxiety. However, it is challenging to administer and score these assessments alongside high-quality infant neuroimaging data. In the current study, we aimed to identify infant resting-state functional connectivity associated with both parent report and observed behavioral estimates of infant novelty-evoked distress.

Methods

Using data from the OIT (Origins of Infant Temperament) study, which includes deep phenotyping of infant temperament, we identified parent-report measures that were associated with observed novelty-evoked distress. These parent-report measures were then summarized into a composite score used for imaging analysis. Our infant magnetic resonance imaging sample was a synthetic cohort, harmonizing data from 2 functional magnetic resonance imaging studies of 4-month-old infants (OIT and BCP [Baby Connectome Project]; n = 101), both of which included measures of parent-reported temperament. Brain-behavior associations were evaluated using enrichment, a statistical approach that quantifies the clustering of brain-behavior associations within network pairs.

Results

Results demonstrated that parent-report composites of novelty-evoked distress were significantly associated with 3 network pairs: dorsal attention–salience/ventral attention, dorsal attention–default mode, and dorsal attention–control. These network pairs demonstrated negative associations with novelty-evoked distress, indicating that less connectivity between these network pairs was associated with greater novelty-evoked distress. Additional analyses demonstrated that dorsal attention–control network connectivity was associated with observed novelty-evoked distress in the OIT sample (n = 38).

Conclusions

Overall, this work is broadly consistent with existing work and implicates dorsal attention network connectivity in novelty-evoked distress. This study provides novel data on the neural basis of infant novelty-evoked distress.

背景对婴儿气质的观察评估为预测社交焦虑的风险提供了无与伦比的洞察力。然而,在进行这些评估的同时,还要对高质量的婴儿神经影像数据进行管理和评分,这是一项具有挑战性的工作。在目前的研究中,我们旨在确定与父母报告和观察到的婴儿新奇感诱发的痛苦的行为估计相关的婴儿静息状态功能连接。然后将这些家长报告指标汇总成一个综合分数,用于成像分析。我们的婴儿磁共振成像样本是一个合成队列,协调了两项针对 4 个月大婴儿的功能磁共振成像研究(OIT 和 BCP [婴儿连接组项目];n = 101)的数据,这两项研究都包括对父母报告的气质的测量。结果表明,家长报告的新奇事物诱发的苦恼的复合结果与以下 3 个网络对有显著关联:背侧注意-细心/腹侧注意、背侧注意-默认模式和背侧注意-控制。这些网络对与新奇诱发的痛苦呈负相关,表明这些网络对之间的连接较少与新奇诱发的痛苦较大有关。其他分析表明,在 OIT 样本(n = 38)中,背侧注意-控制网络连通性与观察到的新奇诱发的困扰相关。这项研究提供了有关婴儿新奇感诱发困扰的神经基础的新数据。
{"title":"Neural Correlates of Novelty-Evoked Distress in 4-Month-Old Infants: A Synthetic Cohort Study","authors":"","doi":"10.1016/j.bpsc.2024.03.008","DOIUrl":"10.1016/j.bpsc.2024.03.008","url":null,"abstract":"<div><h3>Background</h3><p>Observational assessments of infant temperament have provided unparalleled insight into prediction of risk for social anxiety. However, it is challenging to administer and score these assessments alongside high-quality infant neuroimaging data. In the current study, we aimed to identify infant resting-state functional connectivity associated with both parent report and observed behavioral estimates of infant novelty-evoked distress.</p></div><div><h3>Methods</h3><p>Using data from the OIT (Origins of Infant Temperament) study, which includes deep phenotyping of infant temperament, we identified parent-report measures that were associated with observed novelty-evoked distress. These parent-report measures were then summarized into a composite score used for imaging analysis. Our infant magnetic resonance imaging sample was a synthetic cohort, harmonizing data from 2 functional magnetic resonance imaging studies of 4-month-old infants (OIT and BCP [Baby Connectome Project]; <em>n</em> = 101), both of which included measures of parent-reported temperament. Brain-behavior associations were evaluated using enrichment, a statistical approach that quantifies the clustering of brain-behavior associations within network pairs.</p></div><div><h3>Results</h3><p>Results demonstrated that parent-report composites of novelty-evoked distress were significantly associated with 3 network pairs: dorsal attention–salience/ventral attention, dorsal attention–default mode, and dorsal attention–control. These network pairs demonstrated negative associations with novelty-evoked distress, indicating that less connectivity between these network pairs was associated with greater novelty-evoked distress. Additional analyses demonstrated that dorsal attention–control network connectivity was associated with observed novelty-evoked distress in the OIT sample (<em>n</em> = 38).</p></div><div><h3>Conclusions</h3><p>Overall, this work is broadly consistent with existing work and implicates dorsal attention network connectivity in novelty-evoked distress. This study provides novel data on the neural basis of infant novelty-evoked distress.</p></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 9","pages":"Pages 905-914"},"PeriodicalIF":5.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2451902224001071/pdfft?md5=719ac4312b95c6e8cc8da4fbe6caee10&pid=1-s2.0-S2451902224001071-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778724","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
Neural Hyperresponsivity During the Anticipation of Tangible Social and Nonsocial Rewards in Autism Spectrum Disorder: A Concurrent Neuroimaging and Facial Electromyography Study 自闭症谱系障碍患者在期待有形社交和非社交奖励时的神经高反应性:神经影像学和面部肌电图同步研究。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.04.006

Background

Atypical anticipation of social reward has been shown to lie at the core of the social challenges faced by individuals with autism spectrum disorder (ASD). However, previous research has yielded inconsistent results and has often overlooked crucial characteristics of stimuli. Here, we investigated ASD reward processing using social and nonsocial tangible stimuli, carefully matched on several key dimensions.

Methods

We examined the anticipation and consumption of social (interpersonal touch) and nonsocial (flavored milk) rewards in 25 high-functioning individuals with ASD and 25 neurotypical adult individuals. In addition to subjective ratings of wanting and liking, we measured physical energetic expenditure to obtain the rewards, brain activity with neuroimaging, and facial reactions through electromyography on a trial-by-trial basis.

Results

Participants with ASD did not exhibit reduced motivation for social or nonsocial rewards; their subjective ratings, motivated efforts, and facial reactions were comparable to those of neurotypical participants. However, anticipation of higher-value rewards increased neural activation in lateral parietal cortices, sensorimotor regions, and the orbitofrontal cortex. Moreover, participants with ASD exhibited hyperconnectivity between frontal medial regions and occipital regions and the thalamus.

Conclusions

Individuals with ASD who experienced rewards with tangible characteristics, whether social or nonsocial, displayed typical subjective and objective motivational and hedonic responses. Notably, the observed hyperactivations in sensory and attentional nodes during anticipation suggest atypical sensory overprocessing of forthcoming rewards rather than decreased reward value. While these atypicalities may not have manifested in observable behavior here, they could impact real-life social interactions that require nuanced predictions, potentially leading to the misperception of reduced interest in rewarding social stimuli in ASD.

背景自闭症谱系障碍(ASD)患者所面临的社交挑战的核心是对社交奖赏的非典型预期。然而,以往的研究结果并不一致,而且往往忽略了刺激物的关键特征。在此,我们使用社交性和非社交性有形刺激物对自闭症奖励加工进行了研究,这些刺激物在几个关键维度上进行了仔细匹配。除了对 "想要 "和 "喜欢 "的主观评价外,我们还测量了获得奖赏的体力消耗、神经影像学的大脑活动以及通过肌电图逐次测试的面部反应。然而,对高价值奖励的预期会增加外侧顶叶皮层、感觉运动区和眶额叶皮层的神经激活。此外,患有自闭症的参与者还表现出额叶内侧区域与枕叶区域和丘脑之间的超连接性。结论患有自闭症的个体在经历了具有有形特征的奖励后,无论是社会性奖励还是非社会性奖励,都会表现出典型的主观和客观动机及享乐反应。值得注意的是,在预期过程中观察到的感觉和注意力节点的过度激活表明,他们对即将到来的奖励进行了非典型的感觉过度处理,而不是奖励价值的降低。虽然这些不典型性在这里可能没有表现为可观察到的行为,但它们可能会影响现实生活中需要细微预测的社会交往,从而可能导致人们误认为 ASD 患者对奖励性社会刺激的兴趣降低。
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引用次数: 0
Subscribers' Page 订阅者页面
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/S2451-9022(24)00219-2
{"title":"Subscribers' Page","authors":"","doi":"10.1016/S2451-9022(24)00219-2","DOIUrl":"10.1016/S2451-9022(24)00219-2","url":null,"abstract":"","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 9","pages":"Page A2"},"PeriodicalIF":5.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150346","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
Guide for Authors 作者指南
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/S2451-9022(24)00222-2
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引用次数: 0
Electrocortical Reactivity During Self-Referential Processing Predicts the Development of Depression Across Adolescence 自我推断处理过程中的皮层电反应可预测整个青春期抑郁症的发展。
IF 5.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.bpsc.2024.04.016

Background

Negative attentional biases and self-schemas have been implicated in the development of depression. Research has indicated that a larger late positive potential (LPP) to negative self-referential words is associated with depression—as well as a maternal history of depression, an indicator of risk. However, it is unclear whether the LPP to self-referential words predicts the actual development of depression. In the current study, we examined whether electrocortical reactivity during self-referential processing predicted the development of depression across adolescence.

Methods

The sample consisted of 165 8- to 14-year-old girls with no lifetime history of a depressive disorder who completed the self-referential encoding task while electroencephalography was recorded at a baseline assessment. Participants and their parent completed the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children at the baseline and 2-, 4-, and 6-year follow-up assessments.

Results

Results indicated that a larger LPP to negative self-referential words at baseline predicted an increased likelihood of developing chronic-intermittent depression (i.e., persistent and/or recurrent), but not nonchronic, single-episode depression, across adolescence. In contrast, neither self-referential encoding task recall biases nor the LPP to positive self-referential words predicted the development of either type of depression.

Conclusions

The results of the current study suggest that electrocortical reactivity associated with a negative self-schema in late childhood predicts the development of a more pernicious subtype of depression across adolescence. Moreover, the current study highlights the importance of considering clinical course in the examination of biomarkers of risk for depression.

背景:负性注意偏差和自我模式与抑郁症的发病有关。研究表明,对消极的自我暗示词的后期积极潜能(LPP)较大与抑郁症以及作为风险指标的母亲抑郁症病史有关。然而,自我暗示词的晚期阳性电位是否能预测抑郁症的实际发展尚不清楚。本研究探讨了自我暗示处理过程中的皮层电反应是否能预测青少年抑郁症的发展:样本包括165名8至14岁的女孩,这些女孩一生中没有抑郁症病史,她们在完成自我暗示编码任务(SRET)的同时,还在基线评估时记录了脑电图。在基线、2年、4年和6年的随访评估中,参与者及其家长填写了学龄儿童情感障碍和精神分裂症的Kiddie时间表:结果表明,基线时对消极自我暗示词的LPP越大,预测在整个青春期患慢性间歇性抑郁症(即持续性和/或复发性)的可能性就越大,但非慢性、单次发作的抑郁症则不会。相比之下,SRET回忆偏差和LPP对积极自我暗示词的反应均不能预测任何一种抑郁症的发展:本研究表明,童年晚期与消极自我概念相关的皮层电反应可预测青少年时期更严重的抑郁症亚型的发展。此外,本研究还强调了在研究抑郁症风险生物标志物时考虑临床病程的重要性。
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引用次数: 0
期刊
Biological Psychiatry-Cognitive Neuroscience and Neuroimaging
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