青春期奖赏网络的任务-休息重构效率及其与早期生活压力和抑郁症状的关系

Yoonji Lee, Justin P Yuan, Anderson M Winkler, Katharina Kircanski, Daniel S Pine, Ian H Gotlib
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引用次数: 0

摘要

目的:青少年在日常生活的许多领域都面临着重大变化,这就要求他们灵活地适应不断变化的环境需求。为了在各种目标之间有效转换,青少年必须重新配置他们的大脑,从以前的任务中脱离出来,参与新的活动:为了研究这种重新配置,我们对 164 名青少年进行了静息状态和任务型 fMRI 扫描。我们评估了静息状态与奖赏处理状态之间奖赏网络功能连接(FC)的相似性,以反映为满足任务要求而进行的奖赏网络重构的程度。鉴于有研究表明奖赏网络功能、早期生活压力(ELS)和青少年抑郁之间存在关系,我们研究了整个青少年时期重新配置效率与年龄的关系、ELS对这种关系的调节作用以及重新配置效率与抑郁症状之间的关系:结果:我们发现,年龄较大的青少年比年龄较小的青少年表现出更高的重新配置效率,而且,这种与年龄有关的关联会受到 ELS 经验的调节:这些研究结果表明,奖赏网络的重新配置效率会随着青春期的增长而提高,而这种发展模式在遭受严重 ELS 的青少年中会减弱。此外,即使控制了年龄和ELS暴露的影响,抑郁症状较严重的青少年也表现出更高的重构效率,这表明与无症状的青少年相比,他们的大脑状态在休息时更有利于奖赏处理。
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Task-Rest Reconfiguration Efficiency of the Reward Network Across Adolescence and Its Association With Early Life Stress and Depressive Symptoms.

Objective: Adolescents face significant changes in many domains of their daily lives that require them to flexibly adapt to changing environmental demands. To shift efficiently among various goals, adolescents must reconfigure their brains, disengaging from previous tasks and engaging in new activities.

Method: To examine this reconfiguration, we obtained resting-state and task-based functional magnetic resonance imaging (fMRI) scans in a community sample of 164 youths. We assessed the similarity of functional connectivity (FC) of the reward network between resting state and a reward-processing state, indexing the degree of reward network reconfiguration required to meet task demands. Given research documenting relations among reward network function, early life stress (ELS), and adolescent depression, we examined the association of reconfiguration efficiency with age across adolescence, the moderating effect of ELS on this association, and the relation between reconfiguration efficiency and depressive symptoms.

Results: We found that older adolescents showed greater reconfiguration efficiency than younger adolescents and, furthermore, that this age-related association was moderated by the experience of ELS.

Conclusion: These findings suggest that reconfiguration efficiency of the reward network increases over adolescence, a developmental pattern that is attenuated in adolescents exposed to severe ELS. In addition, even after controlling for the effects of age and exposure to ELS, adolescents with higher levels of depressive symptoms exhibited greater reconfiguration efficiency, suggesting that they have brain states at rest that are more strongly optimized for reward processing than do asymptomatic youth.

Diversity & inclusion statement: We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science.

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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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