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Park Y, Zhang Y, Chang H, Menon V. Short-term number sense training recapitulates long-term neurodevelopmental changes from childhood to adolescence. Dev Sci 2024; 27:e13524. [PMID: 38695515 PMCID: PMC11343340 DOI: 10.1111/desc.13524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 04/09/2024] [Accepted: 04/11/2024] [Indexed: 05/08/2024]
Abstract
Number sense is fundamental to the development of numerical problem-solving skills. In early childhood, children establish associations between non-symbolic (e.g., a set of dots) and symbolic (e.g., Arabic numerals) representations of quantity. The developmental estrangement theory proposes that the relationship between non-symbolic and symbolic representations of quantity evolves with age, with increased dissociation across development. Consistent with this theory, recent research suggests that cross-format neural representational similarity (NRS) between non-symbolic and symbolic quantities is correlated with arithmetic fluency in children but not in adolescents. However, it is not known if short-term training (STT) can induce similar changes as long-term development. In this study, children aged 7-10 years underwent a theoretically motivated 4-week number sense training. Using multivariate neural pattern analysis, we investigated whether short-term learning could modify the relation between cross-format NRS and arithmetic skills. Our results revealed a significant correlation between cross-format NRS and arithmetic fluency in distributed brain regions, including the parietal and prefrontal cortices, prior to training. However, this association was no longer observed after training, and multivariate predictive models confirmed these findings. Our findings provide evidence that intensive STT during early childhood can promote behavioral improvements and neural plasticity that resemble and recapitulate long-term neurodevelopmental changes that occur from childhood to adolescence. More generally, our study contributes to our understanding of the malleability of number sense and highlights the potential for targeted interventions to shape neurodevelopmental trajectories in early childhood. RESEARCH HIGHLIGHTS: We tested the hypothesis that short-term number sense training induces the dissociation of symbolic numbers from non-symbolic representations of quantity in children. We leveraged a theoretically motivated intervention and multivariate pattern analysis to determine training-induced neurocognitive changes in the relation between number sense and arithmetic problem-solving skills. Neural representational similarity between non-symbolic and symbolic quantity representations was correlated with arithmetic skills before training but not after training. Short-term training recapitulates long-term neurodevelopmental changes associated with numerical problem-solving from childhood to adolescence.
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Affiliation(s)
- Yunji Park
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
| | - Yuan Zhang
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
| | - Hyesang Chang
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
| | - Vinod Menon
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
- Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA
- Stanford Neuroscience Institute, Stanford, California, USA
- Symbolic Systems Program, Stanford University, Stanford, California, USA
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2
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Meisler SL, Kubota E, Grotheer M, Gabrieli JDE, Grill-Spector K. A practical guide for combining functional regions of interest and white matter bundles. Front Neurosci 2024; 18:1385847. [PMID: 39221005 PMCID: PMC11363198 DOI: 10.3389/fnins.2024.1385847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Accepted: 07/11/2024] [Indexed: 09/04/2024] Open
Abstract
Diffusion-weighted imaging (DWI) is the primary method to investigate macro- and microstructure of neural white matter in vivo. DWI can be used to identify and characterize individual-specific white matter bundles, enabling precise analyses on hypothesis-driven connections in the brain and bridging the relationships between brain structure, function, and behavior. However, cortical endpoints of bundles may span larger areas than what a researcher is interested in, challenging presumptions that bundles are specifically tied to certain brain functions. Functional MRI (fMRI) can be integrated to further refine bundles such that they are restricted to functionally-defined cortical regions. Analyzing properties of these Functional Sub-Bundles (FSuB) increases precision and interpretability of results when studying neural connections supporting specific tasks. Several parameters of DWI and fMRI analyses, ranging from data acquisition to processing, can impact the efficacy of integrating functional and diffusion MRI. Here, we discuss the applications of the FSuB approach, suggest best practices for acquiring and processing neuroimaging data towards this end, and introduce the FSuB-Extractor, a flexible open-source software for creating FSuBs. We demonstrate our processing code and the FSuB-Extractor on an openly-available dataset, the Natural Scenes Dataset.
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Affiliation(s)
- Steven L. Meisler
- Program in Speech and Hearing Bioscience and Technology, Harvard Medical School, Boston, MA, United States
- Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, United States
| | - Emily Kubota
- Department of Psychology, Stanford University, Stanford, CA, United States
| | - Mareike Grotheer
- Department of Psychology, Philipps-Universität Marburg, Marburg, Germany
- Center for Mind, Brain and Behavior – CMBB, Philipps-Universität Marburg and Justus-Liebig-Universität Giessen, Marburg, Germany
| | - John D. E. Gabrieli
- Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, United States
- McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, United States
| | - Kalanit Grill-Spector
- Department of Psychology, Stanford University, Stanford, CA, United States
- Wu Tsai Neurosciences Institute, Stanford University, Stanford, CA, United States
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3
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Vandecruys F, Vandermosten M, De Smedt B. The role of formal schooling in the development of children's reading and arithmetic white matter networks. Dev Sci 2024:e13557. [PMID: 39129483 DOI: 10.1111/desc.13557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 03/15/2024] [Accepted: 07/18/2024] [Indexed: 08/13/2024]
Abstract
Children's white matter development is driven by experience, yet it remains poorly understood how it is shaped by attending formal education. A small number of studies compared children before and after the start of formal schooling to understand this, yet they do not allow to separate maturational effects from schooling-related effects. A clever way to (quasi-)experimentally address this issue is the longitudinal school cut-off design, which compares children who are similar in age but differ in schooling (because they are born right before or after the cut-off date for school entry). We used for the first time such a longitudinal school cut-off design to experimentally investigate the effect of schooling on children's white matter networks. We compared "young" first graders (schooling group, n = 34; Mage = 68 months; 20 girls) and "old" preschoolers (non-schooling group, n = 33; Mage = 66 months; 18 girls) that were similar in age but differed in the amount of formal instruction they received. Our study revealed that changes in fractional anisotropy and mean diffusivity in five a priori selected white matter tracts during the transition from preschool to primary school were predominantly driven by age-related maturation. We did not find specific schooling effects on white matter, despite their strong presence for early reading and early arithmetic skills. The present study is the first to disentangle the effects of age-related maturation and schooling on white matter within a longitudinal cohort of 5-year-old preschoolers. RESEARCH HIGHLIGHTS: White matter tracts that have been associated with reading and arithmetic may be susceptible to experience-dependent neuroplasticity when children learn to read and calculate. This longitudinal study used the school cut-off design to isolate schooling-induced from coinciding maturational influences on children's white matter development. White matter changes during the transition from preschool to primary school are predominantly driven by age-related maturation and not by schooling effects. Strong effects of schooling on behavior were shown for early reading and early arithmetic, but not for verbal ability and spatial ability.
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Affiliation(s)
- Floor Vandecruys
- Parenting and Special Education Research Unit, KU Leuven, Belgium
- Leuven Brain Institute, KU Leuven, Belgium
| | - Maaike Vandermosten
- Leuven Brain Institute, KU Leuven, Belgium
- Experimental ORL, Department of Neurosciences, KU Leuven, Belgium
| | - Bert De Smedt
- Parenting and Special Education Research Unit, KU Leuven, Belgium
- Leuven Brain Institute, KU Leuven, Belgium
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4
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Whittle S, Zhang L, Rakesh D. Environmental and neurodevelopmental contributors to youth mental illness. Neuropsychopharmacology 2024:10.1038/s41386-024-01926-y. [PMID: 39030435 DOI: 10.1038/s41386-024-01926-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 06/03/2024] [Accepted: 07/09/2024] [Indexed: 07/21/2024]
Abstract
While a myriad of factors likely contribute to the development of mental illness in young people, the social environment (including early adverse experiences) in concert with neurodevelopmental alterations is undeniably important. A number of influential theories make predictions about how and why neurodevelopmental alterations may mediate or moderate the effects of the social environment on the emergence of mental illness. Here, we discuss current evidence supporting each of these theories. Although this area of research is rapidly growing, the body of evidence is still relatively limited. However, there exist some consistent findings, including increased striatal reactivity during positive affective processing and larger hippocampal volumes being associated with increased vulnerability or susceptibility to the effects of social environments on internalizing symptoms. Limited longitudinal work has investigated neurodevelopmental mechanisms linking the social environment with mental health. Drawing from human research and insights from animal studies, we propose an integrated mediation-moderation model and outline future research directions to advance the field.
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Affiliation(s)
- Sarah Whittle
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
- Orygen, Parkville, VIC, Australia.
| | - Lu Zhang
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| | - Divyangana Rakesh
- Neuroimaging Department, Institute of Psychology, Psychiatry & Neuroscience, King's College London, London, UK
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Robert S, Granovetter MC, Patterson C, Behrmann M. Hemispheric functional organization, as revealed by naturalistic neuroimaging, in pediatric epilepsy patients with cortical resections. Proc Natl Acad Sci U S A 2024; 121:e2317458121. [PMID: 38950362 PMCID: PMC11252739 DOI: 10.1073/pnas.2317458121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 05/14/2024] [Indexed: 07/03/2024] Open
Abstract
Functional changes in the pediatric brain following neural injuries attest to remarkable feats of plasticity. Investigations of the neurobiological mechanisms that underlie this plasticity have largely focused on activation in the penumbra of the lesion or in contralesional, homotopic regions. Here, we adopt a whole-brain approach to evaluate the plasticity of the cortex in patients with large unilateral cortical resections due to drug-resistant childhood epilepsy. We compared the functional connectivity (FC) in patients' preserved hemisphere with the corresponding hemisphere of matched controls as they viewed and listened to a movie excerpt in a functional magnetic resonance imaging (fMRI) scanner. The preserved hemisphere was segmented into 180 and 200 parcels using two different anatomical atlases. We calculated all pairwise multivariate statistical dependencies between parcels, or parcel edges, and between 22 and 7 larger-scale functional networks, or network edges, aggregated from the smaller parcel edges. Both the left and right hemisphere-preserved patient groups had widespread reductions in FC relative to matched controls, particularly for within-network edges. A case series analysis further uncovered subclusters of patients with distinctive edgewise changes relative to controls, illustrating individual postoperative connectivity profiles. The large-scale differences in networks of the preserved hemisphere potentially reflect plasticity in the service of maintained and/or retained cognitive function.
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Affiliation(s)
- Sophia Robert
- Department of Psychology, Carnegie Mellon University, Pittsburgh, PA15213
- The Center for the Neural Basis of Cognition, Carnegie Mellon University, Pittsburgh, PA15213
| | - Michael C. Granovetter
- Department of Psychology, Carnegie Mellon University, Pittsburgh, PA15213
- The Center for the Neural Basis of Cognition, Carnegie Mellon University, Pittsburgh, PA15213
- School of Medicine, University of Pittsburgh, Pittsburgh, PA15213
| | - Christina Patterson
- Department of Pediatrics, Division of Child Neurology, University of Pittsburgh, Pittsburgh, PA15213
| | - Marlene Behrmann
- Department of Psychology, Carnegie Mellon University, Pittsburgh, PA15213
- The Center for the Neural Basis of Cognition, Carnegie Mellon University, Pittsburgh, PA15213
- Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA15219
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6
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Moppert S, Mercado E. Contributions of dysfunctional plasticity mechanisms to the development of atypical perceptual processing. Dev Psychobiol 2024; 66:e22504. [PMID: 38837411 DOI: 10.1002/dev.22504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 03/04/2024] [Accepted: 05/11/2024] [Indexed: 06/07/2024]
Abstract
Experimental studies of sensory plasticity during development in birds and mammals have highlighted the importance of sensory experiences for the construction and refinement of functional neural circuits. We discuss how dysregulation of experience-dependent brain plasticity can lead to abnormal perceptual representations that may contribute to heterogeneous deficits symptomatic of several neurodevelopmental disorders. We focus on alterations of somatosensory processing and the dynamic reorganization of cortical synaptic networks that occurs during early perceptual development. We also discuss the idea that the heterogeneity of strengths and weaknesses observed in children with neurodevelopmental disorders may be a direct consequence of altered plasticity mechanisms during early development. Treating the heterogeneity of perceptual developmental trajectories as a phenomenon worthy of study rather than as an experimental confound that should be overcome may be key to developing interventions that better account for the complex developmental trajectories experienced by modern humans.
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Affiliation(s)
- Stacy Moppert
- Department of Psychology, University at Buffalo, The State University of New York, Buffalo, New York, USA
| | - Eduardo Mercado
- Department of Psychology, University at Buffalo, The State University of New York, Buffalo, New York, USA
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7
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Yan J, Wen W, Song J, Liu A, Lorenzo-Blanco E, Shen Y, Zhang M, Kim SY. Understanding adjustment profiles among Mexican-origin adolescents over time: A focus on cultural risk and resilience factors. Child Dev 2024. [PMID: 38818954 DOI: 10.1111/cdev.14119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2024]
Abstract
This study used a three-wave longitudinal dataset to: identify adjustment profiles of U.S. Mexican-origin adolescents based on their physical, academic, and psychosocial health adjustment; track adjustment profile changes throughout adolescence; and examine the associations between cultural stressors, family obligation, and adjustment profile membership over time. Participants were 604 Mexican-origin adolescents (54% female, Mage = 12.41, SD = 0.97) in Texas (Wave 1: 2012-2015; Wave 2: 2013-2016; Wave 3: 2017-2020). Three concurrent profiles (Well-adjusted, Moderate, and Poorly-adjusted) emerged at each wave, whereas three transition profiles (Improved, Stable well-adjusted, and Overall poorly-adjusted) were identified across three waves. The results suggest that cultural stressors pose risks for Mexican-origin adolescents' adjustment, and family obligation values play a protective role in these associations.
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Affiliation(s)
- Jinjin Yan
- Psychology Department, Fordham University, New York City, New York, USA
| | - Wen Wen
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
| | - Jiaxiu Song
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
| | - Angelina Liu
- University of Texas at Austin, Austin, Texas, USA
| | | | - Yishan Shen
- Texas State University, San Marcos, Texas, USA
| | - Minyu Zhang
- Latino Research Institute, University of Texas at Austin, Austin, Texas, USA
| | - Su Yeong Kim
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
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8
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Maitra R, Lemmers-Jansen ILJ, Vooren M, Vanes L, Szentgyorgyi T, Crisp C, Mouchlianitis E, Shergill SS. Understanding the mechanisms underlying cognitive control in psychosis. Psychol Med 2024:1-10. [PMID: 38780379 DOI: 10.1017/s0033291724001119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
BACKGROUND Cognitive control (CC) involves a top-down mechanism to flexibly respond to complex stimuli and is impaired in schizophrenia. METHODS This study investigated the impact of increasing complexity of CC processing in 140 subjects with psychosis and 39 healthy adults, with assessments of behavioral performance, neural regions of interest and symptom severity. RESULTS The lowest level of CC (Stroop task) was impaired in all patients; the intermediate level of CC (Faces task) with explicit emotional information was most impaired in patients with first episode psychosis. Patients showed activation of distinct neural CC and reward networks, but iterative learning based on the higher-order of CC during the trust game, was most impaired in chronic schizophrenia. Subjects with first episode psychosis, and patients with lower symptom load, demonstrate flexibility of the CC network to facilitate learning, which appeared compromised in the more chronic stages of schizophrenia. CONCLUSION These data suggest optimal windows for opportunities to introduce therapeutic interventions to improve CC.
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Affiliation(s)
- R Maitra
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Tavistock and Portman NHS Foundation Trust, London, UK
| | - I L J Lemmers-Jansen
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
- Institute for Brain and Behavior Amsterdam (iBBA), Amsterdam, Netherlands
| | - M Vooren
- Faculty of Behavioural and Movement Sciences, Educational Studies, Section Methods and Statistics, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
- LEARN! Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
- Amsterdam Center for Learning Analytics (ACLA), Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Lucy Vanes
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Timea Szentgyorgyi
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Charlotte Crisp
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- School of Psychological Science, University of Bristol, Bristol, UK
| | - Elias Mouchlianitis
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Department of Psychology, University of East London, London, UK
| | - S S Shergill
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Kent and Medway Medical School, University of Kent, Canterbury, UK
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Meredith WJ, Silvers JA. Experience-dependent neurodevelopment of self-regulation in adolescence. Dev Cogn Neurosci 2024; 66:101356. [PMID: 38364507 PMCID: PMC10878838 DOI: 10.1016/j.dcn.2024.101356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 12/18/2023] [Accepted: 02/06/2024] [Indexed: 02/18/2024] Open
Abstract
Adolescence is a period of rapid biobehavioral change, characterized in part by increased neural maturation and sensitivity to one's environment. In this review, we aim to demonstrate that self-regulation skills are tuned by adolescents' social, cultural, and socioeconomic contexts. We discuss adjacent literatures that demonstrate the importance of experience-dependent learning for adolescent development: environmental contextual influences and training paradigms that aim to improve regulation skills. We first highlight changes in prominent limbic and cortical regions-like the amygdala and medial prefrontal cortex-as well as structural and functional connectivity between these areas that are associated with adolescents' regulation skills. Next, we consider how puberty, the hallmark developmental milestone in adolescence, helps instantiate these biobehavioral adaptations. We then survey the existing literature demonstrating the ways in which cultural, socioeconomic, and interpersonal contexts drive behavioral and neural adaptation for self-regulation. Finally, we highlight promising results from regulation training paradigms that suggest training may be especially efficacious for adolescent samples. In our conclusion, we highlight some exciting frontiers in human self-regulation research as well as recommendations for improving the methodological implementation of developmental neuroimaging studies and training paradigms.
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Affiliation(s)
- Wesley J Meredith
- Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Los Angeles, CA, USA.
| | - Jennifer A Silvers
- Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Los Angeles, CA, USA
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Di Stadio A, De Luca P, Ippolito V, Vedova P, Garofalo S, Turchetta R, Ferlito S, della Volpe A. Comparative Analysis of Intellectual Quotient in Developmental Population with Severe Hearing Loss: Hearing Aids vs. Cochlear Implant Users. Life (Basel) 2023; 14:12. [PMID: 38276261 PMCID: PMC10820146 DOI: 10.3390/life14010012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 12/09/2023] [Accepted: 12/19/2023] [Indexed: 01/27/2024] Open
Abstract
The development of language, memory and intellectual functions is linked to normal hearing and correct sounds interpretation. Hearing loss (HL), especially in its severe form, negatively affects the development of these functions. This prospective study aimed at comparing the Intelligent Quotients (IQ) of children with cochlear implants (CI) with the ones of people wearing hearing aids (HA) after one year of hearing rehabilitation. 21 subjects with severe/profound bilateral hearing loss (deafness) were included in this study. Eleven children with congenital profound HL underwent CI and ten children with moderate to severe HL (congenital and acquired) were rehabilitated by HA. Children's IQs were assessed at enrolment (T0) and 12 months after hearing aids/CI use plus speech therapy. Statistical analyses were performed to analyze the data within and between groups. Comparison of IQs showed no statistically significant differences between CI and HA none at T0 and T1. The subtests showed lower scores in verbal comprehension and process speed index in patients treated with HA when compared to CI. This study showed that auditory rehabilitation can support the normal development of cognitive function in children between six and eight years of age. The use of the correct hearing aids based on the patient's hearing thresholds is important to maximize the rehabilitation outcomes. Due to the small sample size, although stratified for age, our results must be considered preliminary and further analyses on larger samples are needed to confirm our data.
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Affiliation(s)
- Arianna Di Stadio
- GF Ingrassia Department, University of Catania, 95121 Catania, Italy;
| | - Pietro De Luca
- Otolaryngology Department, Isola Tiberina—Gemelli Isola Hospital, 00186 Rome, Italy; (P.D.L.); (A.d.V.)
| | - Valentina Ippolito
- ENT Department, Pediatric CI Regional Referral Centre, Santobono-Pausilipon Children’s Hospital of Naples, 80129 Naples, Italy; (V.I.); (S.G.)
| | - Paola Vedova
- Neuropsychiatric Department, Santobono-Pausillipon Hospital, 80129 Naples, Italy;
| | - Sabina Garofalo
- ENT Department, Pediatric CI Regional Referral Centre, Santobono-Pausilipon Children’s Hospital of Naples, 80129 Naples, Italy; (V.I.); (S.G.)
| | - Rosaria Turchetta
- Pediatric Audiology Unit, Organ of Sense Department, University La Sapienza of Rome, 00185 Rome, Italy;
| | - Salvatore Ferlito
- GF Ingrassia Department, University of Catania, 95121 Catania, Italy;
| | - Antonio della Volpe
- Otolaryngology Department, Isola Tiberina—Gemelli Isola Hospital, 00186 Rome, Italy; (P.D.L.); (A.d.V.)
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11
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Wang K, Li X, Wang X, Hommel B, Xia X, Qiu J, Fu Y, Zhou Z. In vivo analyses reveal hippocampal subfield volume reductions in adolescents with schizophrenia, but not with major depressive disorder. J Psychiatr Res 2023; 165:56-63. [PMID: 37459779 DOI: 10.1016/j.jpsychires.2023.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 05/25/2023] [Accepted: 07/10/2023] [Indexed: 09/03/2023]
Abstract
BACKGROUND Adult studies have reported atypicalities in the hippocampus and subfields in patients with schizophrenia (SCZ) and major depressive disorder (MDD). Both affective and psychotic disorders typically onset in adolescence, when human brain develops rapidly and shows increased susceptibility to adverse environments. However, few in vivo studies have investigated whether hippocampus subfield abnormalities occur in adolescence and whether they differ between SCZ and MDD cases. METHODS We recruited 150 adolescents (49 SCZ patients, 67 MDD patients, and 34 healthy controls) and obtained their structural images. We used FreeSurfer to automatically segment hippocampus into 12 subfields and analyzed subfield volumetric differences between groups by analysis of covariance, covarying for age, sex, and intracranial volume. Composite measures by summing subfield volumes were further compared across groups and analyzed in relation to clinical characteristic. RESULTS SCZ adolescents showed significant volume reductions in subfields of CA1, molecular layer, subiculum, parasubiculum, dentate gyrus and CA4 than healthy controls, and almost significant reductions, as compared to the MDD group, in left molecular layer, dentate gyrus, CA2/3 and CA4. Composite analyses showed smaller volumes in SCZ group than in healthy controls in all bilateral composite measures, and reduced volumes in comparison to MDD group in all left composite measures only. CONCLUSIONS SCZ adolescents exhibited both hippocampal subfield and composite volumes reduction, and also showed greater magnitude of deviance than those diagnosed with MDD, particularly in core CA regions. These results indicate a hippocampal disease process, suggesting a potential intervention marker of early psychotic patients and risk youths.
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Affiliation(s)
- Kangcheng Wang
- School of Psychology, Shandong Normal University, Jinan, 250358, China; Shandong Mental Health Center, Shandong University, Jinan, 250014, China
| | - Xingyan Li
- School of Psychology, Shandong Normal University, Jinan, 250358, China
| | - Xiaotong Wang
- School of Psychology, Shandong Normal University, Jinan, 250358, China
| | - Bernhard Hommel
- School of Psychology, Shandong Normal University, Jinan, 250358, China
| | - Xiaodi Xia
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
| | - Jiang Qiu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Yixiao Fu
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
| | - Zheyi Zhou
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100875, China.
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12
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Settimo C, De Cola MC, Pironti E, Muratore R, Giambò FM, Alito A, Tresoldi M, La Fauci M, De Domenico C, Tripodi E, Impallomeni C, Quartarone A, Cucinotta F. Virtual Reality Technology to Enhance Conventional Rehabilitation Program: Results of a Single-Blind, Randomized, Controlled Pilot Study in Patients with Global Developmental Delay. J Clin Med 2023; 12:4962. [PMID: 37568364 PMCID: PMC10419390 DOI: 10.3390/jcm12154962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 07/24/2023] [Accepted: 07/24/2023] [Indexed: 08/13/2023] Open
Abstract
Global developmental delay (GDD) is a complex disorder that requires multimodal treatment involving different developmental skills. The objective of this single-blind, randomized, controlled pilot study is to evaluate the feasibility and effectiveness of conventional rehabilitation programs integrated with the BTs-Nirvana virtual reality system. Patients with GDD aged 12 to 66 months were enrolled and treated for a 48-session cycle. Patients were randomized into two groups, (1) conventional treatment and (2) conventional treatment supplemented with the use of BTs-Nirvana, in a 1:1 ratio. Before and after treatments, areas of global development were tested with the Griffiths-III Mental Developmental Scale and the clinical indicator of global improvement were measured with the Clinical Global Impressions-Improvement (CGI-I). Feasibility was confirmed by the high retention rate. The experimental group presented a significantly improvement in General Quotient (GQ) after treatment (GQ, p = 0.02), and the effect of the two treatments was significantly different in both the GQ (t =2.44; p = 0.02) and the Foundations of Learning subscale (t =3.66; p < 0.01). The overall improvement was also confirmed by the CGI-I (p = 0.03). According to these preliminary data, virtual reality can be considered a useful complementary tool to boost the effectiveness of conventional therapy in children with GDD.
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Affiliation(s)
- Carmela Settimo
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Maria Cristina De Cola
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Erica Pironti
- Woman-Child Department, Unit of Child Neurology and Psychiatry, Policlinico Riuniti Foggia, 71122 Foggia, Italy;
| | - Rosalia Muratore
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Fabio Mauro Giambò
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Angelo Alito
- Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, 98122 Messina, Italy;
| | - Maria Tresoldi
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Margherita La Fauci
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Carmela De Domenico
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Emanuela Tripodi
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Caterina Impallomeni
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Angelo Quartarone
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
| | - Francesca Cucinotta
- IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy; (M.C.D.C.); (R.M.); (F.M.G.); (M.T.); (M.L.F.); (C.D.D.); (E.T.); (C.I.); (A.Q.); (F.C.)
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13
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Rivi V, Rigillo G, Toscano Y, Benatti C, Blom JMC. Narrative Review of the Complex Interaction between Pain and Trauma in Children: A Focus on Biological Memory, Preclinical Data, and Epigenetic Processes. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1217. [PMID: 37508714 PMCID: PMC10378710 DOI: 10.3390/children10071217] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 07/07/2023] [Accepted: 07/11/2023] [Indexed: 07/30/2023]
Abstract
The incidence and collective impact of early adverse experiences, trauma, and pain continue to increase. This underscores the urgent need for translational efforts between clinical and preclinical research to better understand the underlying mechanisms and develop effective therapeutic approaches. As our understanding of these issues improves from studies in children and adolescents, we can create more precise preclinical models and ultimately translate our findings back to clinical practice. A multidisciplinary approach is essential for addressing the complex and wide-ranging effects of these experiences on individuals and society. This narrative review aims to (1) define pain and trauma experiences in childhood and adolescents, (2) discuss the relationship between pain and trauma, (3) consider the role of biological memory, (4) decipher the relationship between pain and trauma using preclinical data, and (5) examine the role of the environment by introducing the importance of epigenetic processes. The ultimate scope is to better understand the wide-ranging effects of trauma, abuse, and chronic pain on children and adolescents, how they occur, and how to prevent or mitigate their effects and develop effective treatment strategies that address both the underlying causes and the associated physiological and psychological effects.
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Affiliation(s)
- Veronica Rivi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
| | - Giovanna Rigillo
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
| | - Ylenia Toscano
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
| | - Cristina Benatti
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
- Centre of Neuroscience and Neurotechnology, University of Modena and Reggio Emilia, 41125 Modena, Italy
| | - Johanna Maria Catharina Blom
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
- Centre of Neuroscience and Neurotechnology, University of Modena and Reggio Emilia, 41125 Modena, Italy
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14
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Norup M, Nielsen AL, Bjørndal JR, Wiegel P, Spedden ME, Lundbye-Jensen J. Effects of dynamic and isometric motor practice on position control, force control and corticomuscular coherence in preadolescent children. Hum Mov Sci 2023; 90:103114. [PMID: 37354890 DOI: 10.1016/j.humov.2023.103114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 04/11/2023] [Accepted: 06/01/2023] [Indexed: 06/26/2023]
Abstract
In this study, we investigated the effects of motor practice with an emphasis on either position or force control on motor performance, motor accuracy and variability in preadolescent children. Furthermore, we investigated corticomuscular coherence and potential changes following motor practice. We designed a setup allowing discrete wrist flexions of the non-dominant hand and tested motor accuracy and variability when the task was to generate specific movement endpoints (15-75 deg) or force levels (5-25% MVC). All participants were tested in both tasks at baseline and post motor practice without augmented feedback on performance. Following baseline assessment, participants (44 children aged 9-11 years) were randomly assigned to either position (PC) or force control (FC) motor practice or a resting control group (CON). The PC and FC groups performed four blocks of 40 trials motor practice with augmented feedback on performance. Following practice, improvements in movement accuracy were significantly greater in the PC group compared to the FC and CON groups (p < 0.001). None of the groups displayed changes in force task performance indicating no benefits of force control motor practice and low transfer between tasks (p-values:0.08-0.45). Corticomuscular coherence (C4-FCR) was demonstrated during the hold phase in both tasks with no difference between tasks. Corticomuscular coherence did not change from baseline to post practice in any group. Our findings demonstrate that preadolescent children improve position control following dynamic accuracy motor practice. Contrary to previous findings in adults, preadolescent children displayed smaller or no improvements in force control following isometric motor practice, low transfer between tasks and no changes in corticomuscular coherence.
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Affiliation(s)
- Malene Norup
- Movement & Neuroscience, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark; Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, Faculty of Health, University College Copenhagen, Denmark.
| | - August Lomholt Nielsen
- Movement & Neuroscience, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - Jonas Rud Bjørndal
- Movement & Neuroscience, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - Patrick Wiegel
- Movement & Neuroscience, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - Meaghan Elizabeth Spedden
- Movement & Neuroscience, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark; Wellcome Centre for Human Neuroimaging, Queen Square Institute of Neurology, University College London, United Kingdom
| | - Jesper Lundbye-Jensen
- Movement & Neuroscience, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
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15
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Green R, Meredith LR, Mewton L, Squeglia LM. Adolescent Neurodevelopment Within the Context of Impulsivity and Substance Use. CURRENT ADDICTION REPORTS 2023; 10:166-177. [PMID: 38009082 PMCID: PMC10671920 DOI: 10.1007/s40429-023-00485-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2023] [Indexed: 11/28/2023]
Abstract
Purpose of Review The aim of the present review is to provide an update on recent studies examining adolescent neurodevelopment in the context of impulsivity and substance use. We provide a review of the neurodevelopmental changes in brain structure and function related to impulsivity, substance use, and their intersection. Recent Findings When examining brain structure, smaller gray matter volume coupled with lower white matter integrity is associated with greater impulsivity across three components: trait impulsivity, choice impulsivity, and response inhibition. Altered functional connectivity in networks including the inhibitory control network and reward processing network confers risk for greater impulsivity and substance use. Summary Across brain structure and function, there is evidence to suggest that overlapping areas involved in the rise in impulsivity during adolescence contribute to early substance use initiation and escalation. These overlapping neurodevelopmental correlates have promising implications for prevention and early intervention efforts for adolescent substance use.
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Affiliation(s)
- ReJoyce Green
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - Lindsay R. Meredith
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA
| | - Louise Mewton
- Matilda Centre for Mental Health and Substance Use, University of Sydney, Sydney, NSW, Australia
| | - Lindsay M. Squeglia
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
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16
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Guardia T, Mazloum-Farzaghi N, Olsen RK, Tsvetanov KA, Campbell KL. Associative memory is more strongly predicted by age-related differences in the prefrontal cortex than medial temporal lobes. NEUROIMAGE: REPORTS 2023. [DOI: 10.1016/j.ynirp.2023.100168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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17
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Cognitive and plastic recurrent neural network clock model for the judgment of time and its variations. Sci Rep 2023; 13:3852. [PMID: 36890223 PMCID: PMC9995505 DOI: 10.1038/s41598-023-30894-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 03/02/2023] [Indexed: 03/10/2023] Open
Abstract
The aim of this study in the field of computational neurosciences was to simulate and predict inter-individual variability in time judgements with different neuropsychological properties. We propose and test a Simple Recurrent Neural Network-based clock model that is able to account for inter-individual variability in time judgment by adding four new components into the clock system: the first relates to the plasticity of the neural system, the second to the attention allocated to time, the third to the memory of duration, and the fourth to the learning of duration by iteration. A simulation with this model explored its fit with participants' time estimates in a temporal reproduction task undertaken by both children and adults, whose varied cognitive abilities were assessed with neuropsychological tests. The simulation successfully predicted 90% of temporal errors. Our Cognitive and Plastic RNN-Clock model (CP-RNN-Clock), that takes into account the interference arising from a clock system grounded in cognition, was thus validated.
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18
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Kageyama I, Yamada H, Munetsuna E, Yamazaki M, Ando Y, Mizuno G, Fujii R, Nouchi Y, Wakasugi T, Sakakibara T, Teshigawara A, Ishikawa H, Shimono Y, Suzuki K, Hashimoto S, Ohashi K. Differential effects of excess high-fructose corn syrup on the DNA methylation of hippocampal neurotrophic factor in childhood and adolescence. PLoS One 2022; 17:e0270144. [PMID: 35714129 PMCID: PMC9205497 DOI: 10.1371/journal.pone.0270144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 06/03/2022] [Indexed: 11/17/2022] Open
Abstract
Consumption of fructose-containing beverages such as high-fructose corn syrup (HFCS) is increasing, raising concerns about the negative effects of excessive fructose intake. A recent report indicated that excess HFCS intake impairs hippocampal function. In this study, we focused on neurotrophic factors (NFs) in the hippocampus from the viewpoint of epigenetics to clarify the adverse effects of fructose. We analyzed the effects of HFCS intake on hippocampal function in three age categories: childhood and adolescence (postnatal day (PD) 21–60), young adulthood (PD60-100), and late adulthood (PD100-140). For the experiments, male Sprague-Dawley rats were divided into three age categories, the control group was received distilled water and the HFCS group was received 20% HFCS solution for 40 days in each period. We analyzed mRNA and protein levels for qPCR and western blotting, respectively, of a hippocampal NF, brain-derived neurotrophic factor (Bdnf). HFCS consumption reduced hippocampal Bdnf mRNA and protein expressions in childhood and adolescence. Moreover, pyrosequencing assays revealed increased DNA methylation at the Bdnf promoter in childhood and adolescence. This Bdnf levels reduction may be due to hypermethylation of the promoter regions. It should be noted that this phenomenon was observed only in childhood and adolescence fructose consumption. Our results indicate that the sensitivity of the hippocampus to fructose may vary with age. This study provides insight into the adverse effects of excessive HFCS consumption on the hippocampus in children.
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Affiliation(s)
- Itsuki Kageyama
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Hiroya Yamada
- Department of Hygiene, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
- * E-mail:
| | - Eiji Munetsuna
- Department of Biochemistry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
| | - Mirai Yamazaki
- Department of Medical Technology, Kagawa Prefectural University of Health Sciences, Takamatsu, Kagawa, Japan
| | - Yoshitaka Ando
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Genki Mizuno
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Ryosuke Fujii
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Yuki Nouchi
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Takuya Wakasugi
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Tomohide Sakakibara
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Atsushi Teshigawara
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Hiroaki Ishikawa
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Yohei Shimono
- Department of Biochemistry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
| | - Koji Suzuki
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
| | - Shuji Hashimoto
- Department of Hygiene, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
| | - Koji Ohashi
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Aichi, Japan
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19
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Galderisi A, Perilongo G, Caprio S, Da Dalt L, Di Salvo G, Gatta M, Giaquinto C, Rizzuto R, Robb A, Sly PD, Simonelli A, Staiano A, Vettor R, Baraldi E. Pediatric Preventive Care in Middle-High Resource Countries-The Padova Chart for Health in Children. Front Pediatr 2022; 10:803323. [PMID: 35498805 PMCID: PMC9047691 DOI: 10.3389/fped.2022.803323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 02/14/2022] [Indexed: 12/01/2022] Open
Abstract
Importance The Padova Chart for Health in Children (PCHC) aims to gather the evidence of healthcare promotion and protection for chidren and adolescents (i.e., aged <18 y) into a single document in order to guide families, healthcare providers and social actors on healthy choices. No more than 2% of Europeans and North Americans aged <30 y have a healthy lifestyle. This, together with metabolic and brain plasticity during childhood, creates the ideal opportunity to implement preventive strategies. Guided interventions promoting healthy lifestyle in children and families therefore have a key role in abating the unprecedented pandemic of non-communicable diseases (NCDs) in adulthood. Observations The PCHC is divided into four sections: nutrition, cardiovascular health, respiratory health, and mental and social health. Each section is structured in an ALICE approach (assessment, lobbying, intervention, call-for-action, evaluation): assessment of necessity, describing relevance to healthcare; lobbying to identify those who can effect the proposed interventions; interventions involving family, school and peers; a call-for-action to define priorities among the proposed interventions; and objective evaluation measures that can be applied on a population basis. Conclusions and Relevance Interventions promoting health in childhood require joint action from multiple institutional, local and family representatives, with the shared goal of promoting health across the entire age group. These lifestyle interventions have the potential to change the lifetime risk trajectory for NCDs.
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Affiliation(s)
- Alfonso Galderisi
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
| | - Giorgio Perilongo
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
| | - Sonia Caprio
- Department of Pediatrics, Yale University, New Haven, CT, United States
| | - Liviana Da Dalt
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
| | - Giovanni Di Salvo
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
| | - Michela Gatta
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
| | - Carlo Giaquinto
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
| | - Rosario Rizzuto
- Department of Biomedical Sciences, University of Padua, Padua, Italy
| | - Adelaide Robb
- Division of Psychiatry and Behavioral Sciences, Children's National Hospital, Washington, DC, United States
| | - Peter David Sly
- Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, Brisbane, QLD, Australia
| | - Alessandra Simonelli
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Annamaria Staiano
- Department of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy
| | - Roberto Vettor
- Department of Medicine, University Hospital of Padova, Padova, Italy
| | - Eugenio Baraldi
- Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy
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20
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Abdelrahman Y, Bennington M, Huberts J, Sebt S, Talwar N, Cauwenberghs G. Sensory Substitution for Tactile Feedback in Upper Limb Prostheses. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:7519-7525. [PMID: 34892832 DOI: 10.1109/embc46164.2021.9629539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Present commercially available prosthetic devices fall short when it comes to providing users with accurate and non-invasive tactile feedback from their artificial limb, leading to more difficult control and leaving many at a heightened risk of device rejection. Current methods of simulating hand sensation in patients affected by upper limb loss are either invasive and expensive, or otherwise sub-optimal in their feedback mechanism. Here we propose, build, and implement a novel device for tactile feedback in upper limb prostheses. The device consists of an adaptable tactile sensing glove that can be applied to existing artificial limbs and an audio feedback system that leverages the plasticity of the brain to communicate touch to the user through sensory substitution. This device aims to take advantage of the existing pathways between auditory and tactile sensory regions in the brain by mapping force magnitude and location from the integrated force sensors on the gloves to specific volume and frequency, respectively. The device was successfully manufactured for proof of concept, and further testing with prosthetic users will aim to assess the efficacy of the device and identify potential modifications for use in research and commercialization.
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21
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Baba S, Kondo K, Yoshitomi A, Kanemaru A, Nakaya M, Yamasoba T. Efficacy of Mirror Biofeedback Rehabilitation on Synkinesis in Acute Stage Facial Palsy in Children. Otol Neurotol 2021; 42:e936-e941. [PMID: 33741820 DOI: 10.1097/mao.0000000000003144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To evaluate the efficacy of mirror biofeedback rehabilitation for synkinesis in severe acute facial paralysis in children. METHODS Eight pediatric patients with facial paralysis with an initial electroneurography (ENoG) value less than 10% who underwent mirror biofeedback rehabilitation (the child-rehabilitation group) were enrolled. Seven infants (under age 2 yr) who were unable to undergo rehabilitation (the infant-and-toddler control group) and adult patients (n = 13, range, 33-56 yr) who underwent rehabilitation (the adult-rehabilitation group) comprised the control groups. All the patients enrolled were baseline House-Brackmann (H-B) grade VI at onset. The patients began daily facial biofeedback rehabilitation using a mirror at the first sign of muscle contraction on the affected side and were instructed to keep their eyes symmetrically open using a mirror during mouth movements. The training was continued for 12 months after the onset of facial paralysis. The degree of oral-ocular synkinesis was evaluated by the degree of asymmetry in eye opening width during mouth movements. The synkinesis index was calculated as a percentage of the interpalpebral space width ([normal side - affected side]/normal side). Statistical analyses used non-parametric tests (the Kruskal-Wallis test and Steel-Dwass posthoc test). RESULTS The synkinesis index was significantly lower in the child-rehabilitation group than in the infant-and-toddler control group or the adult-rehabilitation group (p < 0.001). CONCLUSION Children who underwent mirror biofeedback rehabilitation had less synkinesis than the infant-and-toddler control group, suggesting that mirror biofeedback rehabilitation is more effective in preventing the exacerbation of synkinesis in children.
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Affiliation(s)
- Shintaro Baba
- Department of Otolaryngology, Tokyo Metropolitan Children's Medical Center
- Department of Otolaryngology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Kenji Kondo
- Department of Otolaryngology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Ai Yoshitomi
- Department of Otolaryngology, Tokyo Metropolitan Children's Medical Center
| | - Asako Kanemaru
- Department of Otolaryngology, Tokyo Metropolitan Children's Medical Center
| | - Muneo Nakaya
- Department of Otolaryngology, Tokyo Metropolitan Tama Medical Center
| | - Tatsuya Yamasoba
- Department of Otolaryngology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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22
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Zacharopoulos G, Sella F, Cohen Kadosh K, Hartwright C, Emir U, Cohen Kadosh R. Predicting learning and achievement using GABA and glutamate concentrations in human development. PLoS Biol 2021; 19:e3001325. [PMID: 34292934 PMCID: PMC8297926 DOI: 10.1371/journal.pbio.3001325] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Accepted: 06/15/2021] [Indexed: 11/25/2022] Open
Abstract
Previous research has highlighted the role of glutamate and gamma-aminobutyric acid (GABA) in learning and plasticity. What is currently unknown is how this knowledge translates to real-life complex cognitive abilities that emerge slowly and how the link between these neurotransmitters and human learning and plasticity is shaped by development. While some have suggested a generic role of glutamate and GABA in learning and plasticity, others have hypothesized that their involvement shapes sensitive periods during development. Here we used a cross-sectional longitudinal design with 255 individuals (spanning primary school to university) to show that glutamate and GABA in the intraparietal sulcus explain unique variance both in current and future mathematical achievement (approximately 1.5 years). Furthermore, our findings reveal a dynamic and dissociable role of GABA and glutamate in predicting learning, which is reversed during development, and therefore provide novel implications for models of learning and plasticity during childhood and adulthood.
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Affiliation(s)
- George Zacharopoulos
- Department of Experimental Psychology, University of Oxford, United Kingdom
- Department of Psychology, Swansea University, United Kingdom
| | - Francesco Sella
- Department of Experimental Psychology, University of Oxford, United Kingdom
- Centre for Mathematical Cognition, Loughborough University, United Kingdom
| | - Kathrin Cohen Kadosh
- Department of Experimental Psychology, University of Oxford, United Kingdom
- School of Psychology, University of Surrey, Guildford, United Kingdom
| | - Charlotte Hartwright
- Department of Experimental Psychology, University of Oxford, United Kingdom
- School of Psychology, Aston University, United Kingdom
| | - Uzay Emir
- Department of Experimental Psychology, University of Oxford, United Kingdom
- School of Health Sciences, College of Health and Human Sciences, Purdue University, United States of America
| | - Roi Cohen Kadosh
- Department of Experimental Psychology, University of Oxford, United Kingdom
- School of Psychology, University of Surrey, Guildford, United Kingdom
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