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Variable Presence of an Evolutionarily New Brain Structure is Related to Trait Impulsivity. 一种进化上的新大脑结构的可变存在与特质冲动性有关。
Pub Date : 2024-11-27 DOI: 10.1016/j.bpsc.2024.11.015
Ethan H Willbrand, Samira A Maboudian, Matthew V Elliott, Gabby M Kellerman, Sheri L Johnson, Kevin S Weiner

Background: Impulsivity is a multidimensional construct reflecting poor constraint over one's behaviors. Clinical psychology research identifies separable impulsivity dimensions that are each unique transdiagnostic indicators for psychopathology. Yet, despite this apparent clinical importance, the shared and unique neuroanatomical correlates of these factors remain largely unknown. Concomitantly, neuroimaging research identifies variably present human brain structures implicated in cognition and disorder: the folds (sulci) of the cerebral cortex located in the latest developing and most evolutionarily expanded hominoid-specific association cortices.

Methods: We tethered these two fields to test whether variability in one such structure in anterior cingulate cortex (ACC)-the paracingulate sulcus (PCGS)-was related to individual differences in trait impulsivity. 120 adult participants with internalizing or externalizing psychopathology completed a magnetic resonance imaging scan and the Three-Factor Impulsivity Index. Using precision imaging techniques, we manually identified the PCGS, when present, and acquired quantitative folding metrics (PCGS length and ACC local gyrification index).

Results: Neuroanatomical-behavioral analyses revealed that participants with leftward or symmetrical PCGS patterns had greater severity of Lack of Follow Through (LFT)-which captures inattention and lack of perseverance-than those with rightward asymmetry. Neuroanatomical-functional analyses identified that the PCGS co-localized with a focal locus found in a neuroimaging meta-analysis on a feature underlying LFT. Both quantitative folding metrics did not relate to any impulsivity dimension.

Conclusions: This study advances understanding of the neuroanatomical correlates of impulsivity and establishes the notion that the topographical organization of distinct, hominoid-specific cortical expanses underlie separable impulsivity dimensions with robust, transdiagnostic implications for psychopathology.

背景:冲动是一个多维结构,反映了对一个人的行为缺乏约束。临床心理学研究确定了可分离的冲动维度,每个维度都是精神病理学的独特的跨诊断指标。然而,尽管这种明显的临床重要性,这些因素的共同和独特的神经解剖学相关性在很大程度上仍然未知。与此同时,神经影像学研究确定了与认知和障碍有关的不同的人类大脑结构:大脑皮层的褶皱(沟)位于最新发展和进化上扩展最多的类人猿特异性关联皮层。方法:我们将这两个领域连接起来,以测试前扣带皮层(ACC)中一个这样的结构——扣带旁沟(PCGS)的变异性是否与特质冲动的个体差异有关。120名患有内化或外化精神病理的成年参与者完成了磁共振成像扫描和三因素冲动指数。利用精密成像技术,我们手动识别出存在的PCGS,并获得了定量的折叠指标(PCGS长度和ACC局部回转指数)。结果:神经解剖学-行为分析显示,左向或对称的PCGS模式的参与者比右向不对称的参与者有更严重的缺乏跟进(LFT),这反映了注意力不集中和缺乏毅力。神经解剖学功能分析发现,PCGS与LFT基础特征的神经影像学荟萃分析中发现的病灶位点共定位。两个定量折叠指标都不涉及任何冲动性维度。结论:本研究促进了对冲动性神经解剖学相关性的理解,并确立了一种概念,即不同的、类人猿特有的皮层扩张的地形组织是冲动性可分离维度的基础,对精神病理学具有强大的跨诊断意义。
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引用次数: 0
Claustrum volumes are lower in schizophrenia and mediate patients' attentional deficits. 精神分裂症患者的屏状体体积较低,可调节患者的注意力缺陷。
Pub Date : 2024-11-26 DOI: 10.1016/j.bpsc.2024.11.013
David Schinz, Antonia Neubauer, Rebecca Hippen, Julia Schulz, Hongwei Bran Li, Melissa Thalhammer, Benita Schmitz-Koep, Aurore Menegaux, Jil Wendt, Sevilay Ayyildiz, Felix Brandl, Josef Priller, Michael Uder, Claus Zimmer, M Dennis Hedderich, Christian Sorg

Background: While the last decade of extensive research revealed the prominent role of the claustrum for mammalian forebrain organization, i.e., widely distributed claustral-cortical circuits coordinate basic cognitive functions such as attention, it is poorly understood whether the claustrum is relevant for schizophrenia and related cognitive symptoms. We hypothesized firstly, that claustrum volumes are lower in schizophrenia and secondarily, that potentially lower volumes mediate patients' attention deficits.

Methods: Based on T1-weighted MRI, advanced automated claustrum segmentation, and attention symbol coding task (SCT) in 90 patients with schizophrenia and 96 healthy controls from two independent sites, the COBRE open-source database and MUNICH dataset, we compared total-intracranial-volume-normalized claustrum volumes and SCT scores across groups via ANCOVA and related variables via correlation and mediation analysis.

Results: Patients had lower claustrum volumes of about 13 % (p<0.001, Hedges g=0.63), which not only correlated with (r=0.24, p=0.014) but also mediated lower SCT scores (indirect effect ab = -1.30 ± 0.69; CI [-3.73; -1.04]). Results were not confounded by age, sex, global and claustrum-adjacent gray matter changes, scanner site, smoking, and medication.

Conclusions: Results demonstrate lower claustrum volumes that mediate patients' attention deficits in schizophrenia. Data indicate the claustrum as being relevant for schizophrenia pathophysiology and cognitive functioning.

背景:虽然近十年的广泛研究揭示了屏状体在哺乳动物前脑组织中的突出作用,即广泛分布的屏状体-皮层回路协调基本认知功能,如注意力,但对屏状体是否与精神分裂症及其相关认知症状有关尚不清楚。我们首先假设,精神分裂症患者的屏状核体积较低,其次,可能较低的体积调节了患者的注意力缺陷。方法:基于来自COBRE开源数据库和MUNICH数据集的90例精神分裂症患者和96名健康对照者的t1加权MRI、高级自动屏状体分割和注意符号编码任务(SCT),通过ANCOVA和相关变量通过相关和mediation分析比较各组脑内总体积归一化屏状体体积和SCT评分。结果:患者的屏状体体积降低约13%(结论:结果表明,屏状体体积降低介导了精神分裂症患者的注意力缺陷。数据表明屏状体与精神分裂症的病理生理和认知功能有关。
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引用次数: 0
Cortical hypoactivation of frontal areas modulate resting EEG microstates in children with ADHD. 额叶皮质低激活调节多动症儿童静息脑电图微状态。
Pub Date : 2024-11-26 DOI: 10.1016/j.bpsc.2024.11.012
Chaithanya Leon, Simran Kaur, Rajesh Sagar, Prashant Tayade, Ratna Sharma

Background: The present study examined EEG microstate alterations and their neural generators during resting state in children with ADHD to explore a potential state biomarker.

Methods: A total of seventy-six participants, thirty-eight each, combined type ADHD, and neurotypical children (NC) participated in the study. Five-minute resting (eyes open) 128 channel eeg data were acquired and two-minute clean EEG data were analyzed for microstates, its sources and connectivity in both the groups. Between groups comparisons were done for microstate parameters using modified k means clustering in Cartool software. Further, the cortical sources and functional connectivity of significant microstate maps were explored using LORETA software. Subsequently microstate parameters were correlated with the behavioral scores from Conner's parent rating scale.

Results: Among the microstate parameters examined, children with ADHD displayed significant difference (p<0.05) in time frames and time coverage of map B (decreased) and transition probability of map D (increased) respectively. Interestingly, source analysis of both microstate maps showed hypoactivation of frontal areas predominantly while functional connectivity showed hyperconnectivity between medial frontal gyrus and anterior cingulate gyrus (executive function area) for map B and hypoconnectivity between medial frontal gyrus and middle temporal gyrus (both are suggested to be part of DMN areas) for map D. Further CSD values of map B was found to be correlated with executive function scores of conners questionnaire.

Conclusion: EEG microstate features, alongside source and connectivity measures, could discern children with ADHD from neurotypical controls. The hypoactivation of predominantly frontal areas and its connectivity was found to determine microstate maps.

背景:本研究检测了多动症儿童静息状态下的脑电图微状态改变及其神经发生器,以探索一种潜在的状态生物标志物。方法:合并型ADHD和神经型儿童(NC)共76例,各38例。对两组5分钟静息(睁眼)128通道脑电数据和2分钟干净脑电数据进行微观状态、来源和连通性分析。在Cartool软件中使用改进的k均值聚类对组间微观状态参数进行比较。此外,利用LORETA软件对显著微状态图的皮层来源和功能连通性进行了研究。随后,微观状态参数与Conner父母评定量表的行为得分相关。结果:在检查的微状态参数中,ADHD儿童表现出显著差异(p)结论:脑电图微状态特征以及源性和连通性测量可以区分ADHD儿童和神经正常对照组。主要额叶区域的失活及其连通性被发现决定了微观状态图。
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引用次数: 0
Modulation of cerebellar-cortical connectivity induced by modafinil and its relationship with receptor and transporter expression. 莫达非尼对小脑-皮层连接性的调节及其与受体和转运体表达的关系
Pub Date : 2024-11-25 DOI: 10.1016/j.bpsc.2024.11.010
Stefano Delli Pizzi, Federica Tomaiuolo, Antonio Ferretti, Giovanna Bubbico, Valeria Onofrj, Stefania Della Penna, Carlo Sestieri, Stefano L Sensi

Background: Modafinil is primarily employed to treat narcolepsy but also as an off-label cognitive enhancer. Functional Magnetic Resonance Imaging (fMRI) studies indicate that modafinil modulates the connectivity of neocortical networks primarily involved in attention and executive functions. However, much less is known about the drug's effects on subcortical structures. Following preliminary findings, we evaluated modafinil's activity on the connectivity of distinct cerebellar regions with the neocortex. We assessed the spatial relationship of these effects with the expression of neurotransmitter receptors/transporters.

Methods: Patterns of resting-state fMRI (rs-fMRI) connectivity were estimated in 50 participants from scans acquired pre- and post-administration of a single (100 mg) dose of modafinil (n=25) or placebo (n=25). Using specific cerebellar regions as seeds for voxel-wise analyses, we examined modafinil's modulation on cerebellar-neocortical connectivity. Next, we conducted a quantitative evaluation of the spatial overlap between the modulation of cerebellar-neocortical connectivity and the expression of neurotransmitter receptors/transporters obtained by publicly available databases.

Results: Modafinil increased the connectivity of Crus I and Vermis IX with prefrontal regions. Crus I connectivity changes were associated with the expression of dopaminergic D2 receptors. The Vermis I-II showed enhanced coupling with the dorsal anterior cingulate cortex and matched the expression of histaminergic H3 receptors. The Vermis VII-VIII displayed increased connectivity with the visual cortex, an activity associated with dopaminergic and histaminergic neurotransmission.

Conclusion: Our study reveals modafinil's modulatory effects on cerebellar-neocortical connectivity. The modulation mainly involves Crus I and the Vermis and spatially overlaps the distribution of dopaminergic and histaminergic receptors and serotonin transporters.

背景:莫达非尼主要用于治疗嗜睡症,但也可作为标签外的认知增强剂。功能磁共振成像(fMRI)研究表明,莫达非尼能调节主要参与注意力和执行功能的新皮质网络的连接。然而,人们对这种药物对皮层下结构的影响却知之甚少。根据初步研究结果,我们评估了莫达非尼对不同小脑区域与新皮层连接的影响。我们评估了这些影响与神经递质受体/转运体表达的空间关系:方法:我们对50名参与者在服用单次(100毫克)莫达非尼(25人)或安慰剂(25人)前后获得的扫描结果进行了静息态fMRI(rs-fMRI)连通性模式估算。以特定的小脑区域为种子进行体素分析,我们研究了莫达非尼对小脑-皮层连通性的调节作用。接下来,我们对小脑-皮层连通性的调节与通过公开数据库获得的神经递质受体/转运体的表达之间的空间重叠进行了定量评估:莫达非尼增强了Crus I和Vermis IX与前额叶区域的连接。Crus I连接性的变化与多巴胺能D2受体的表达有关。Vermis I-II 显示与背侧前扣带回皮层的耦合增强,并与组胺能 H3 受体的表达相匹配。Vermis VII-VIII 显示与视觉皮层的连接性增强,这种活动与多巴胺能和组胺能神经传递有关:我们的研究揭示了莫达非尼对小脑-皮层连接的调节作用。结论:我们的研究揭示了莫达非尼对小脑-皮层连通性的调节作用,这种调节作用主要涉及Crus I和Vermis,并在空间上与多巴胺能受体、组胺能受体和5-羟色胺转运体的分布重叠。
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引用次数: 0
Social Buffering of PTSD: Longitudinal Effects and Neural Mediators. 创伤后应激障碍的社会缓冲:纵向效应和神经中介。
Pub Date : 2024-11-25 DOI: 10.1016/j.bpsc.2024.11.011
Justin L C Santos, Nathaniel G Harnett, Sanne J H van Rooij, Timothy D Ely, Tanja Jovanovic, Lauren A M Lebois, Francesca L Beaudoin, Xinming An, Thomas C Neylan, Sarah D Linnstaedt, Laura T Germine, Kenneth A Bollen, Scott L Rauch, John P Haran, Alan B Storrow, Christopher Lewandowski, Paul I Musey, Phyllis L Hendry, Sophia Sheikh, Christopher W Jones, Brittany E Punches, Jose L Pascual, Mark J Seamon, Erica Harris, Claire Pearson, David A Peak, Roland C Merchant, Robert M Domeier, Niels K Rathlev, Brian J O'Neil, Paulina Sergot, Leon D Sanchez, Steven E Bruce, Diego A Pizzagalli, Steven E Harte, Kerry J Ressler, Karestan C Koenen, Samuel A McLean, Jennifer S Stevens

Background: Post-traumatic stress disorder (PTSD) is a well characterized psychiatric disorder featuring changes in mood and arousal following traumatic events. Prior animal and human studies on social support in the peri-traumatic window demonstrate a buffering effect with regards to acute biological and psychological stress symptoms. Fewer studies have explored the magnitude and mechanism on how early, post-trauma social support can reduce longitudinal PTSD severity.

Methods: In this study we investigated the beneficial impact of social support on longitudinal PTSD symptoms, and probed brain regions sensitive to this buffering phenomenon, such as the amygdala and ventromedial prefrontal cortex. In the multi-site AURORA study, n=315 participants reported PTSD symptoms (PCL-5) and perceived emotional support (PROMIS) at 2-weeks, 8-weeks, 3-months, and 6-months post-ED visit. Additionally, neuroimaging data was collected at 2 weeks post trauma.

Results: We hypothesized that early, post-trauma social support would be linked with greater fractional anisotropic (FA) values in white matter tracts that have known connectivity between the amygdala and prefrontal cortex and would predict reduced neural reactivity to social threat cues in the amygdala. Interestingly, while we observed greater FA in the bilateral cingulum and bilateral uncinate fasciculus as a function of early post-trauma emotional support, we also identified greater threat reactivity in the precuneus/posterior cingulate, a component of the default mode network.

Conclusion: Our findings suggest that the neurocircuitry underlying the response to social threat cues are facilitated through broader pathways that involve the posterior hub of the default mode network.

背景:创伤后应激障碍(PTSD创伤后应激障碍(PTSD)是一种特征明显的精神疾病,主要表现为创伤事件后情绪和唤醒的变化。之前有关创伤前社会支持的动物和人类研究表明,社会支持对急性生物和心理应激症状有缓冲作用。但较少有研究探讨创伤后早期社会支持如何减轻创伤后应激障碍纵向严重程度的程度和机制:在这项研究中,我们调查了社会支持对纵向创伤后应激障碍症状的有益影响,并探究了对这种缓冲现象敏感的大脑区域,如杏仁核和腹内侧前额叶皮层。在多站点 AURORA 研究中,约有 315 名参与者报告了创伤后应激障碍症状(PCL-5)和感知到的情感支持(PROMIS),时间分别为ED 访问后 2 周、8 周、3 个月和 6 个月。此外,我们还收集了创伤后 2 周的神经影像数据:我们假设,创伤后早期的社会支持将与杏仁核和前额叶皮层之间具有已知连接性的白质束中更大的分数各向异性(FA)值有关,并将预测杏仁核中神经对社会威胁线索的反应性降低。有趣的是,当我们观察到双侧扣带回和双侧钩状束的FA增加是创伤后早期情感支持的一种功能时,我们还发现默认模式网络的一个组成部分--楔前/扣带回的威胁反应性增加了:我们的研究结果表明,对社会威胁线索做出反应的神经回路是通过涉及默认模式网络后部枢纽的更广泛途径来促进的。
{"title":"Social Buffering of PTSD: Longitudinal Effects and Neural Mediators.","authors":"Justin L C Santos, Nathaniel G Harnett, Sanne J H van Rooij, Timothy D Ely, Tanja Jovanovic, Lauren A M Lebois, Francesca L Beaudoin, Xinming An, Thomas C Neylan, Sarah D Linnstaedt, Laura T Germine, Kenneth A Bollen, Scott L Rauch, John P Haran, Alan B Storrow, Christopher Lewandowski, Paul I Musey, Phyllis L Hendry, Sophia Sheikh, Christopher W Jones, Brittany E Punches, Jose L Pascual, Mark J Seamon, Erica Harris, Claire Pearson, David A Peak, Roland C Merchant, Robert M Domeier, Niels K Rathlev, Brian J O'Neil, Paulina Sergot, Leon D Sanchez, Steven E Bruce, Diego A Pizzagalli, Steven E Harte, Kerry J Ressler, Karestan C Koenen, Samuel A McLean, Jennifer S Stevens","doi":"10.1016/j.bpsc.2024.11.011","DOIUrl":"https://doi.org/10.1016/j.bpsc.2024.11.011","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic stress disorder (PTSD) is a well characterized psychiatric disorder featuring changes in mood and arousal following traumatic events. Prior animal and human studies on social support in the peri-traumatic window demonstrate a buffering effect with regards to acute biological and psychological stress symptoms. Fewer studies have explored the magnitude and mechanism on how early, post-trauma social support can reduce longitudinal PTSD severity.</p><p><strong>Methods: </strong>In this study we investigated the beneficial impact of social support on longitudinal PTSD symptoms, and probed brain regions sensitive to this buffering phenomenon, such as the amygdala and ventromedial prefrontal cortex. In the multi-site AURORA study, n=315 participants reported PTSD symptoms (PCL-5) and perceived emotional support (PROMIS) at 2-weeks, 8-weeks, 3-months, and 6-months post-ED visit. Additionally, neuroimaging data was collected at 2 weeks post trauma.</p><p><strong>Results: </strong>We hypothesized that early, post-trauma social support would be linked with greater fractional anisotropic (FA) values in white matter tracts that have known connectivity between the amygdala and prefrontal cortex and would predict reduced neural reactivity to social threat cues in the amygdala. Interestingly, while we observed greater FA in the bilateral cingulum and bilateral uncinate fasciculus as a function of early post-trauma emotional support, we also identified greater threat reactivity in the precuneus/posterior cingulate, a component of the default mode network.</p><p><strong>Conclusion: </strong>Our findings suggest that the neurocircuitry underlying the response to social threat cues are facilitated through broader pathways that involve the posterior hub of the default mode network.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Overview of Neurophenomenological Approaches to Meditation and Their Relevance to Clinical Research. 冥想的神经现象学方法及其与临床研究的相关性概述。
Pub Date : 2024-11-22 DOI: 10.1016/j.bpsc.2024.11.008
Antoine Lutz, Oussama Abdoun, Yair Dor-Ziderman, Fynn-Mathis Trautwein, Aviva Berkovich-Ohana

There is a renewed interest in taking phenomenology seriously in consciousness research, contemporary psychiatry, and neurocomputation. The neurophenomenology research program, pioneered by Varela, rigorously examines subjective experience using first-person methodologies, inspired by phenomenology and contemplative practices. This review explores recent advancements in neurophenomenological approaches, particularly their application to meditation practices and potential clinical research translations. First, we examine innovative multidimensional phenomenological assessment tools designed to capture subtle, dynamic shifts in experiential content and structures of consciousness during meditation. These experience sampling approaches enable shedding new light on the mechanisms and dynamic trajectories of meditation practice and retreat. Second, we highlight how empirical studies in neurophenomenology leverage the expertise of experienced meditators to deconstruct aversive and self-related processes, providing detailed first-person reports that guide researchers in identifying novel behavioral and neurodynamic markers associated with pain regulation, self-dissolution, and acceptance of mortality. Finally, we discuss a recent framework, deep computational neurophenomenology, that updates the theoretical ambitions of neurophenomenology to naturalize phenomenology. This framework uses the formalism of deep parametric active inference, where parametric depth refers to a property of generative models that can form beliefs about the parameters of their own modeling process. Collectively, these methodological innovations, centered around rigorous first-person investigation, highlight the potential of epistemologically beneficial mutual constraints among phenomenological, computational, and neurophysiological domains. This could contribute to an integrated understanding of the biological basis of mental illness, its treatment, and its tight connections to the lived experience of the patient.

在意识研究、当代精神病学和神经计算领域,人们对认真对待现象学重新产生了兴趣。由瓦雷拉(1996 年)开创的神经现象学研究项目,在现象学和冥想实践的启发下,采用第一人称方法对主观体验进行了严格研究。本综述探讨了神经现象学方法的最新进展,特别是其在冥想实践中的应用和潜在的临床研究转化。我们首先研究创新的多维现象学评估工具,这些工具旨在捕捉冥想过程中体验内容和意识结构的微妙、动态变化。这些经验取样方法为冥想练习和闭关的机制和动态轨迹提供了新的视角。其次,我们强调神经现象学的实证研究如何利用经验丰富的冥想者的专业知识来解构厌恶和自我相关过程,提供详细的第一人称报告,指导研究人员识别与疼痛调节、自我解脱和接受死亡相关的新型行为和神经动态标记。最后,我们将讨论一个最新的框架--深度计算神经现象学,它更新了神经现象学的理论抱负,将现象学 "自然化"(瓦雷拉,1997 年)。该框架采用了深度参数主动推理的形式主义,其中参数深度指的是生成模型的一种属性,它可以形成对自身建模过程参数的信念。总之,这些以严格的第一人称调查为核心的方法论创新,凸显了现象学、计算和神经生理学领域之间在认识论上有益的相互制约的潜力。这将有助于综合理解精神疾病的生物学基础、治疗方法及其与患者生活体验的紧密联系。
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引用次数: 0
Revisiting Resting-State Functional Connectivity of the Amygdala and Subgenual Anterior Cingulate Cortex in Adolescents and Adults With Depression. 重新审视抑郁青少年和成人的杏仁核和扣带回下源前皮层的静息状态功能连接。
Pub Date : 2024-11-19 DOI: 10.1016/j.bpsc.2024.11.004
Shijia Fan, Yuxi Wang, Yin Wang, Yinyin Zang

Background: Adolescent depression is a growing public health concern, and neuroimaging offers a promising approach to its pathology. We focused on the functional connectivity of the amygdala and subgenual anterior cingulate cortex (sgACC), which is theoretically important in major depressive disorder (MDD), but empirical evidence has remained inconsistent. This discrepancy is likely due to the limited statistical power of small sample sizes.

Methods: We rigorously examined sgACC-amygdala connectivity in adolescents and adults with depression using data from the Healthy Brain Network (n = 321; 170 female), the ABCD (Adolescent Brain Cognitive Development) Study (n = 141; 56 female), the Boston Adolescent Neuroimaging of Depression and Anxiety study (n = 108; 75 female), and the REST-meta-MDD project (n = 1436; 880 female). Linear mixed models, Bayesian factor analyses, and meta-analysis were used to assess connectivity.

Results: Our analyses revealed that sgACC-amygdala connectivity in adolescents with MDD was comparable to that in healthy control individuals, whereas adults with recurrent MDD exhibited reduced connectivity. Resampling analysis demonstrated that small sample sizes (i.e., n < 30 MDD cases) tend to inflate effects, potentially leading to misinterpretations.

Conclusions: These findings clarify the state of sgACC-amygdala connectivity in MDD and underscore the importance of refining neurocognitive models separately for adolescents and adults. The study also highlights the necessity for large-scale replication studies to ensure robust and reliable findings.

背景:青少年抑郁症是一个日益严重的公共健康问题,而神经影像学为研究其病理提供了一种很有前景的方法。我们重点研究了杏仁核和扣带下前皮层(sgACC)的功能连接,理论上这对重度抑郁障碍(MDD)很重要,但实证证据仍不一致。这种差异可能是由于小样本量的统计能力有限造成的:我们利用健康大脑网络(Healthy Brain Network,人数=321;170名女性)、青少年大脑认知发展研究(Adolescent Brain Cognitive Development study,人数=141;56名女性)、波士顿青少年抑郁和焦虑神经影像研究(Boston Adolescent Neuroimaging of Depression and Anxiety study,人数=108;75名女性)以及REST-meta-MDD项目(REST-meta-MDD project,人数=1436;880名女性)的数据,对抑郁症青少年和成人的sgACC-杏仁核连通性进行了严格研究。我们采用线性混合模型、贝叶斯因子分析和荟萃分析来评估连接性:我们的分析表明,青少年MDD患者的sgACC-杏仁核连通性与健康对照组相当,而成人复发性MDD患者的连通性则有所降低。重采样分析表明,小样本量(即n结论:这些研究结果澄清了多发性硬化症患者的sgACC-杏仁核连通性状况,并强调了针对青少年和成人分别完善神经认知模型的重要性。该研究还强调了进行大规模重复研究的必要性,以确保研究结果的稳健性和可靠性。
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引用次数: 0
Multimodal brain age indicators of internalising problems in early adolescence: A longitudinal investigation. 青少年早期内化问题的多模态脑龄指标:纵向调查
Pub Date : 2024-11-18 DOI: 10.1016/j.bpsc.2024.11.003
Niamh MacSweeney, Dani Beck, Lucy Whitmore, Kathryn L Mills, Lars T Westlye, Tilmann von Soest, Lia Ferschmann, Christian K Tamnes

Background: Adolescence is a time of increased risk for the onset of internalising problems, particularly in females. However, how individual differences in brain maturation relate to the increased vulnerability for internalising problems in adolescence remains poorly understood due to a scarcity of longitudinal studies.

Methods: Using Adolescent Brain Cognitive Development (ABCD) Study data, we examined longitudinal associations between multimodal brain age and youth internalising problems. Brain age models were trained, validated, and tested independently on T1-weighted (T1; N=9523), diffusion tensor (DTI; N=8834), and resting-state functional (rs-fMRI; N=8233) MRI data at baseline (Mage= 9.9 years) and 2-year follow-up (Mage= 11.9 years). Self-reported internalising problems were measured at 3-year follow-up (Mage= 12.9 years) using the Brief Problem Monitor.

Results: Latent change score models demonstrated that although brain age gap (BAG) at baseline was not related to later internalising problems, an increase in BAG between timepoints was positively associated with internalising problems at 3-year follow-up in females but not males. This association between an increasing BAG and higher internalising problems was observed in the T1 (β = 0.067, SE = 0.050, pFDR = 0.020) and rs-fMRI β = 0.090, SE = 0.025, pFDR = 0.007) models but not DTI (β=-0.002, SE=0.053, pFDR = 0.932), and remained significant when accounting for earlier internalising problems.

Conclusions: A greater increase in BAG in early adolescence may reflect the heightened vulnerability shown by female youth to internalising problems. Longitudinal research is necessary to understand if this increasing BAG signifies accelerated brain development and its relationship to the trajectory of internalising problems throughout adolescence.

背景:青春期是内化问题发病风险增加的时期,尤其是女性。然而,由于缺乏纵向研究,人们对大脑成熟过程中的个体差异与青春期内化问题易发性之间的关系仍然知之甚少:方法:我们利用青少年脑认知发展(ABCD)研究数据,研究了多模态脑年龄与青少年内化问题之间的纵向联系。在基线(Mage=9.9岁)和2年随访(Mage=11.9岁)时,对T1加权(T1;N=9523)、弥散张量(DTI;N=8834)和静息态功能(rs-fMRI;N=8233)磁共振成像数据对脑年龄模型进行了独立训练、验证和测试。在 3 年随访(年龄= 12.9 岁)期间,使用简明问题监测表测量了自我报告的内化问题:潜在变化得分模型显示,虽然基线时的脑龄差距(BAG)与后来的内化问题无关,但在3年的随访中,女性脑龄差距的增加与内化问题呈正相关,而男性则不然。在T1(β=0.067,SE=0.050,pFDR=0.020)和rs-fMRI(β=0.090,SE=0.025,pFDR=0.007)模型中观察到了BAG增加与内化问题增加之间的关系,但在DTI(β=-0.002,SE=0.053,pFDR=0.932)模型中没有观察到这种关系:结论:BAG在青春期早期增幅较大,这可能反映出女性青少年更容易出现内化问题。有必要进行纵向研究,以了解 BAG 的增加是否意味着大脑发育的加速,及其与整个青春期内化问题轨迹的关系。
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引用次数: 0
Hypoactivation of the Ventromedial Frontal Cortex in Major Depressive Disorder: A Magnetoencephalography Study of the Reward Positivity. 重度抑郁症患者腹内侧额叶皮层激活不足:奖励积极性的 MEG 研究。
Pub Date : 2024-11-17 DOI: 10.1016/j.bpsc.2024.11.002
Christopher J H Pirrung, Garima Singh, Jeremy Hogeveen, Davin Quinn, James F Cavanagh

Background: The reward positivity (RewP) is a sensitive and specific electrophysiological marker of reward receipt. These characteristics make it a compelling candidate marker of dysfunctional reward processing in major depressive disorder. We previously proposed that the RewP is a temporal nexus for multiple dimensions of reward value and that a diminished RewP in depression might only reflect a deficit in some of these features. Specifically, we predicted a diminished ventromedial contribution in depression in the context of maintained reward learning.

Methods: We collected magnetoencephalography recordings of reward receipt in 43 individuals with major depressive disorder (35 female) and 38 healthy control individuals (21 female). Magnetoencephalography allows effective source estimation due to the absence of volume conduction that compromises electroencephalographic recordings.

Results: The magnetoencephalography RewP analog was generated by a broad set of cortical areas, but only right ventromedial and right ventral temporal areas were diminished in major depressive disorder. These areas correlated with a principal component of anhedonia derived from multiple questionnaires. Compellingly, Brodmann area 25 was the frontal region with the largest representation in both of these effects.

Conclusions: These findings not only advance our understanding underlying the computation of the RewP, but are also consistent with findings from other types of functional source imaging in depression, as well as from deep brain stimulation treatments. Together, these discoveries suggest that the RewP may be a valuable marker for objective assessment of reward affect and its disruption in anhedonia.

背景奖赏阳性(Reward Positivity,RewP)是一种敏感而特异的奖赏接收电生理学标记。这些特点使其成为重度抑郁症(MDD)中奖赏处理功能障碍的一个令人信服的候选标记。我们以前曾提出,RewP 是奖赏价值多个维度的时间联系,而抑郁症患者 RewP 的减弱可能只反映了其中某些特征的缺陷。具体来说,我们预测在保持奖赏学习的情况下,抑郁症患者的腹内侧贡献会减少:我们收集了 43 名 MDD 患者(35 名女性)和 38 名健康对照组患者(21 名女性)的脑磁图(MEG)记录。由于没有影响脑电图记录的体积传导,MEG 可以有效地估计奖赏源:结果:MEG RewP 模拟由一系列广泛的皮质区域产生,但 MDD 患者只有右侧腹内侧和右侧腹颞部区域减弱。这些区域与从多种问卷调查中得出的失乐症主成分相关。令人信服的是,在这两种效应中,BA25是具有最大代表性的额叶区域:这些发现不仅加深了我们对 RewP 计算的理解,还与其他类型的抑郁症功能源成像以及脑深部刺激治疗的研究结果相吻合。这些发现共同表明,RewP 可能是客观评估奖赏情感及其在失乐症中的破坏的一个有价值的标记。
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引用次数: 0
Reconfiguration of functional brain network organization and dynamics with changing cognitive demands in children with attention-deficit/hyperactivity disorder. 随着注意力缺陷/多动障碍儿童认知需求的变化,大脑功能网络组织和动态的重新配置。
Pub Date : 2024-11-17 DOI: 10.1016/j.bpsc.2024.11.006
Cleanthis Michael, Mackenzie E Mitchell, Arianna D Cascone, Nicholas D Fogleman, Keri S Rosch, Sarah A Cutts, James J Pekar, Olaf Sporns, Stewart H Mostofsky, Jessica R Cohen

Background: The pathophysiology of attention-deficit/hyperactivity disorder (ADHD) is characterized by atypical brain network organization and dynamics. Although functional brain networks adaptively reconfigure across cognitive contexts, previous studies have largely focused on network dysfunction during the resting-state. This preliminary study examined how functional brain network organization and dynamics flexibly reconfigure across rest and two cognitive control tasks with different cognitive demands in 30 children with ADHD and 36 typically developing (TD) children (8-12 years).

Methods: We leveraged graph theoretical analyses to interrogate the segregation (modularity, within-module degree) and integration (global efficiency, node dissociation index) of fronto-parietal, cingulo-opercular/salience, default mode, somatomotor, and visual networks. We also conducted edge timeseries analyses to quantify connectivity dynamics within and between these networks.

Results: Across resting and task-based states, children with ADHD demonstrated significantly lower whole-graph modularity and greater node dissociation index between default mode and visual networks. Further, a significant task-by-diagnosis interaction was observed for fronto-parietal network within-module degree, which decreased from rest to task in children with ADHD but increased in TD children. Finally, children with ADHD displayed significantly more dynamic connectivity within and across cingulo-opercular/salience, default mode, and somatomotor networks, especially during task performance. Exploratory analyses revealed associations between network dynamics, cognitive performance, and ADHD symptoms.

Conclusions: By integrating static and dynamic network analyses across changing cognitive demands, this study provides novel insight into how context-specific, context-general, and timescale-dependent network connectivity is altered in children with ADHD. Our findings highlight the involvement and clinical relevance of both association and sensory/motor systems in ADHD.

背景:注意力缺陷/多动障碍(ADHD)的病理生理学特征是不典型的大脑网络组织和动态。虽然大脑功能网络在不同的认知环境中会适应性地重新配置,但以往的研究主要集中于静息状态下的网络功能障碍。这项初步研究考察了30名多动症儿童和36名发育典型(TD)儿童(8-12岁)在休息状态和两项认知要求不同的认知控制任务中大脑功能网络组织和动态是如何灵活重组的:方法:我们利用图论分析来研究前顶叶网络、丘脑/大脑皮层网络、默认模式网络、躯体运动网络和视觉网络的分离(模块化、模块内程度)和整合(全局效率、节点解离指数)。我们还进行了边缘时序分析,以量化这些网络内部和之间的连接动态:结果:在静息状态和基于任务的状态下,多动症儿童的默认模式网络和视觉网络之间的全图模块化程度明显较低,节点解离指数较高。此外,在前顶叶网络的模块内程度方面,观察到了明显的任务与诊断之间的交互作用,多动症儿童的模块内程度从静息状态到任务状态都有所下降,而TD儿童则有所上升。最后,多动症儿童在脑盖/脑髓、默认模式和躯体运动网络内部和之间的动态连通性明显更高,尤其是在完成任务时。探索性分析揭示了网络动态性、认知表现和多动症症状之间的关联:通过在不断变化的认知需求中整合静态和动态网络分析,本研究为了解多动症儿童的特定情境、一般情境和时间刻度依赖性网络连通性如何发生改变提供了新的视角。我们的研究结果凸显了联想和感觉/运动系统在多动症中的参与性和临床相关性。
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引用次数: 0
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Biological psychiatry. Cognitive neuroscience and neuroimaging
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