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Xu X, Buzzell GA, Bowers ME, Shuffrey LC, Leach SC, McSweeney M, Yoder L, Fifer WP, Myers MM, Elliott AJ, Fox NA, Morales S. Electrophysiological correlates of inhibitory control in children: Relations with prenatal maternal risk factors and child psychopathology. Dev Psychopathol 2024:1-14. [PMID: 38654404 DOI: 10.1017/s0954579424000816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
Inhibitory control plays an important role in children's cognitive and socioemotional development, including their psychopathology. It has been established that contextual factors such as socioeconomic status (SES) and parents' psychopathology are associated with children's inhibitory control. However, the relations between the neural correlates of inhibitory control and contextual factors have been rarely examined in longitudinal studies. In the present study, we used both event-related potential (ERP) components and time-frequency measures of inhibitory control to evaluate the neural pathways between contextual factors, including prenatal SES and maternal psychopathology, and children's behavioral and emotional problems in a large sample of children (N = 560; 51.75% females; Mage = 7.13 years; Rangeage = 4-11 years). Results showed that theta power, which was positively predicted by prenatal SES and was negatively related to children's externalizing problems, mediated the longitudinal and negative relation between them. ERP amplitudes and latencies did not mediate the longitudinal association between prenatal risk factors (i.e., prenatal SES and maternal psychopathology) and children's internalizing and externalizing problems. Our findings increase our understanding of the neural pathways linking early risk factors to children's psychopathology.
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Affiliation(s)
- Xiaoye Xu
- Department of Psychology, State University of New York at Cortland, Cortland, NY, USA
- Department of Psychology, University of Southern California, Los Angeles, CA, USA
| | - George A Buzzell
- Department of Psychology, Florida International University, Miami, FL, USA
- Center for Children and Families, Miami, FL, USA
| | - Maureen E Bowers
- Department of Human Development and Quantitative Methodology, The University of Maryland at College Park, College Park, MD, USA
| | - Lauren C Shuffrey
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Stephanie C Leach
- Department of Human Development and Quantitative Methodology, The University of Maryland at College Park, College Park, MD, USA
| | - Marco McSweeney
- Department of Human Development and Quantitative Methodology, The University of Maryland at College Park, College Park, MD, USA
| | - Lydia Yoder
- Department of Human Development and Quantitative Methodology, The University of Maryland at College Park, College Park, MD, USA
| | - William P Fifer
- Department of Psychiatry, Columbia University, New York, NY, USA
| | - Michael M Myers
- Department of Psychiatry, Columbia University, New York, NY, USA
| | - Amy J Elliott
- Avera Research Institute, Sioux Falls, SD, USA
- Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, SD, USA
| | - Nathan A Fox
- Department of Human Development and Quantitative Methodology, The University of Maryland at College Park, College Park, MD, USA
| | - Santiago Morales
- Department of Psychology, University of Southern California, Los Angeles, CA, USA
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Niu Y, Buzzell GA, Cosmoiu A, Fox NA, Nelson CA, Zeanah CH, Humphreys KL. Foster Care Leads to Lower Irritability Among Adolescents with a History of Early Psychosocial Deprivation. Res Child Adolesc Psychopathol 2024:10.1007/s10802-024-01193-x. [PMID: 38642277 DOI: 10.1007/s10802-024-01193-x] [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: 03/29/2024] [Indexed: 04/22/2024]
Abstract
Irritability reflects a propensity for frustration and anger, and is a transdiagnostic symptom of both externalizing and internalizing psychopathology. While early adverse experiences are associated with higher levels of irritability, experiences of early psychosocial deprivation and whether family-based placements can mitigate the impact on subsequent irritability, remain underexplored. The current study examined irritability in 107 16-year-olds with a history of institutional care from a randomized controlled trial of foster care as an alternative to institutional care and 49 community comparison children. At age 16 years, irritability was assessed using parent- and self-report forms of the Affective Reactivity Index. Compared to community adolescents, those with a history of institutional care exhibited significantly elevated irritability levels. Among those who experienced institutional care, those randomized to foster care had lower levels of irritability compared to participants randomized to the care-as-usual group, and this effect persists after controlling for baseline negative emotionality. These findings suggest a causal link between high-quality foster care and lower irritability following psychosocial deprivation. Additionally, longer duration in institutional care and non-family placement at age 16 years were associated with higher levels of irritability, highlighting the role of caregiving in explaining variation in irritability in adolescence. Policies that support long-term, high-quality family placements for children without regular caregivers should be prioritized.
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Affiliation(s)
- Yanbin Niu
- Department of Psychology & Human Development, Peabody College, Vanderbilt University, 230 Appleton Place, Nashville, TN, 37203, USA
| | - George A Buzzell
- Department of Psychology, Florida International University, Miami, FL, USA
| | - Ana Cosmoiu
- Department of Psychology and Cognitive Sciences, University of Bucharest, Bucharest, Romania
| | - Nathan A Fox
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park, MD, USA
| | - Charles A Nelson
- Boston Children's Hospital of Harvard Medical School, Boston, MA, USA
- Harvard Graduate School of Education, Cambridge, MA, USA
| | - Charles H Zeanah
- Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, LA, USA
| | - Kathryn L Humphreys
- Department of Psychology & Human Development, Peabody College, Vanderbilt University, 230 Appleton Place, Nashville, TN, 37203, USA.
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Shner-Livne G, Buzzell GA, Fox NA, Shechner T. Induced error-related theta activity, not error-related negativity, predicts task performance as well as anxiety and worry during real-life stress in a youth sample. Psychophysiology 2024; 61:e14492. [PMID: 38073088 DOI: 10.1111/psyp.14492] [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: 12/18/2022] [Revised: 10/24/2023] [Accepted: 11/10/2023] [Indexed: 03/14/2024]
Abstract
OBJECTIVE The study examined differences between induced error-related theta activity (4-7 Hz) and error-related negativity (ERN) in youth and their unique associations with task performance as well as anxiety and worry during real-life stress a year later. We hypothesized that induced theta, but not the ERN, would predict task performance. We also hypothesized that induced theta would predict less anxiety and worries during situational stress a year later, while ERN would predict more anxiety and worries. METHOD Participants included 76 children aged 8-13 years who completed a flanker task while electroencephalogram (EEG) and behavioral data (t0 ) were collected. Approximately 1 year later (t1 ), during the first COVID-19 lockdown, 40 families from the original sample completed a battery of online questionnaires to assess the children's stress-related symptoms (anxiety, negative emotions and worries). We employed an analytical method that allowed us to differentiate between induced error-related theta and the evoked ERN. RESULTS Induced error-related theta, but not ERN, was associated with behavioral changes during the task, such as post-error speeding. Furthermore, induced error-related theta, but not ERN, was prospectively associated with less anxiety, worries, and fewer negative emotions a year later during COVID-19 lockdown. CONCLUSIONS Findings suggest ERN and error-related theta are dissociable processes reflecting error monitoring in youth. Specifically, induced error-related theta is more robustly associated with changes in behavior in the laboratory and with less anxiety and worries in real-world settings.
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Affiliation(s)
- Gil Shner-Livne
- School of Psychological Sciences and the Integrated Brain and Behavior Research Center, University of Haifa, Haifa, Israel
| | - George A Buzzell
- Department of Psychology and the Center for Children and Families, Florida International University, Miami, Florida, USA
| | - Nathan A Fox
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park, Maryland, USA
| | - Tomer Shechner
- School of Psychological Sciences and the Integrated Brain and Behavior Research Center, University of Haifa, Haifa, Israel
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Kavanaugh BC, Parade S, Seifer R, McLaughlin NCR, Tirrell E, Festa EK, Oberman LM, Novick AM, Carpenter LL, Tyrka AR. Childhood stress, gender, and cognitive control: Midline theta power. J Psychiatr Res 2024; 169:298-306. [PMID: 38070470 PMCID: PMC10997405 DOI: 10.1016/j.jpsychires.2023.11.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 08/24/2023] [Accepted: 11/28/2023] [Indexed: 01/15/2024]
Abstract
The emergence of psychiatric symptoms is a common consequence of childhood stress exposure. However, there are a dearth of reliable clinical hallmarks or physiological biomarkers to predict post-trauma symptom emergence. The objective of this study was to examine if childhood stressors and stress-related symptoms are associated with altered midline theta power (MTP) during cognitive control demands, and how these associations interact with gender and early adversity. N = 53 children (ages 9-13 years old) from a longitudinal study of children maltreated during early childhood and non-maltreated children participated in this study. EEG recorded neural activity during a Zoo-Themed Go/No-Go task. Stress-related symptoms, recent stressful events, and other adversity experiences were identified. MTP was analyzed with clinical variables in a series of follow-up analyses. The number of stressors in the past six months was negatively correlated with MTP in those with low preschool adversity, but not in those with high preschool adversity. MTP was higher in girls than in boys, and the associations of MTP with stressors and symptoms were moderated by gender. MTP was negatively associated with stressors in the past six months in girls, while in boys, MTP was associated with stress-related symptoms. Childhood stressful events were associated with reduced MTP during cognitive control demands, and this was finding was moderated by gender and early life adversity. These preliminary findings suggest that boys and girls may process stressful experiences in distinct ways, and preschool adversity may potentially blunt the interaction between current stress and neural dynamics. However, ongoing investigation is needed.
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Affiliation(s)
- Brian C Kavanaugh
- E. P. Bradley Hospital, United States; Department of Psychiatry & Human Behavior, Brown University, United States.
| | - Stephanie Parade
- E. P. Bradley Hospital, United States; Department of Psychiatry & Human Behavior, Brown University, United States
| | - Ronald Seifer
- Frank Porter Graham Child Development Institute University of North Carolina at Chapel Hill, United States
| | - Nicole C R McLaughlin
- Department of Psychiatry & Human Behavior, Brown University, United States; Butler Hospital, United States
| | - Eric Tirrell
- Department of Psychiatry & Human Behavior, Brown University, United States; Butler Hospital, United States
| | - Elena K Festa
- Department of Department of Cognitive, Linguistic, and Psychological Sciences, Brown University, United States
| | | | - Andrew M Novick
- Department of Psychiatry, University of Colorado - Anschutz Medical Campus, United States
| | - Linda L Carpenter
- Department of Psychiatry & Human Behavior, Brown University, United States; Butler Hospital, United States
| | - Audrey R Tyrka
- Department of Psychiatry & Human Behavior, Brown University, United States; Butler Hospital, United States
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Debnath R, Troller-Renfree SV, Zeanah CH, Nelson CA, Fox NA. Effects of institutional rearing and foster care intervention on error monitoring and externalizing behaviors in adolescence. Dev Cogn Neurosci 2023; 63:101295. [PMID: 37690373 PMCID: PMC10507192 DOI: 10.1016/j.dcn.2023.101295] [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: 05/19/2023] [Revised: 09/04/2023] [Accepted: 09/04/2023] [Indexed: 09/12/2023] Open
Abstract
Children raised in institutions display deficits in error monitoring and increased psychopathology. Deficits in error monitoring might be a pathway for the emergence of psychopathology in previously institutionalized adolescents. Here we investigate the impact of early psychosocial deprivation and a foster care intervention on error monitoring and its association with internalizing and externalizing behavioral problems in adolescence A modified Flanker task assessed error monitoring in 16-year-old adolescents from the BEIP. The ERN and mid-frontal theta power were computed as indices of neural responses of error monitoring. Adolescents who experienced early institutional rearing and were subsequently placed into foster care showed comparable behavioral (RT, accuracy) and neural (ERN, theta power) measures of error monitoring to their never institutionalized peers; whereas adolescents who received care as usual showed both perturbed behavioral performance and neural responses. Longer duration of institutional care was associated with a reduction in mid-frontal theta power. The results further demonstrated a link between error monitoring as measured by ERN and mid-frontal theta and externalizing-ADHD behavioral problems in adolescents who continued receiving care as usual. The results highlight the long-term positive impact of early foster care placement and perturbations due to prolonged institutional care in neural responses of error monitoring.
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Affiliation(s)
- Ranjan Debnath
- Center for Psychiatry and Psychotherapy, Justus-Liebig University, Giessen, Germany.
| | | | | | - Charles A Nelson
- Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA; Harvard Graduate School of Education, Cambridge, MA, USA
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McDermott CL, Norton ES, Mackey AP. A systematic review of interventions to ameliorate the impact of adversity on brain development. Neurosci Biobehav Rev 2023; 153:105391. [PMID: 37708920 DOI: 10.1016/j.neubiorev.2023.105391] [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: 02/16/2023] [Revised: 06/13/2023] [Accepted: 09/10/2023] [Indexed: 09/16/2023]
Abstract
Adversity, including abuse, neglect, and poverty, impacts child brain development. However, the developing brain is highly plastic, and some of the impacts of childhood adversity may be mitigated by psychosocial interventions. The purpose of this review is to synthesize literature on neural outcomes of childhood interventions among individuals exposed to adversity. A systematic literature search identified 36 reports of 13 interventions. Overall, these studies provide evidence for experience-dependent plasticity in the developing brain. We synthesize studies in light of three themes. First, there was mixed evidence for a benefit of a younger age at intervention. Second, interventions tended to accelerate functional brain development, but the impact of interventions on the pace of structural brain development was less clear. Third, individual differences in intervention response were difficult to predict, in part due to small samples. However, there was significant variability in intervention type and timing, neuroimaging outcomes, and follow-up timing. Together, the studies reviewed here hold promise for the role of psychosocial interventions in ameliorating the neurodevelopmental consequences of childhood adversity.
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Affiliation(s)
- Cassidy L McDermott
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, United States.
| | - Elizabeth S Norton
- Department of Communication Sciences and Disorders, Department of Medical Social Sciences, and Institute for Innovations in Developmental Sciences, Northwestern University, Evanston, IL, United States
| | - Allyson P Mackey
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, United States
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Morales S, Bowers ME, Leach SC, Buzzell GA, McSweeney M, Yoder L, Fifer W, Elliott AJ, Fox NA. Development of auditory change-detection and attentional capture, and their relation to inhibitory control. Psychophysiology 2023; 60:e14211. [PMID: 36350009 PMCID: PMC10324628 DOI: 10.1111/psyp.14211] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 08/17/2022] [Accepted: 10/11/2022] [Indexed: 11/11/2022]
Abstract
EEG methods offer a promising approach to study the development of attention or attention-related processes such as change-detection and attentional capture. However, the development of these attention processes from early to middle childhood is not well understood. In the current study, we utilized a passive three-stimulus oddball paradigm to examine age-related changes in auditory change-detection and attentional capture in a large sample of children across childhood (N = 475; 249 female, 226 male; Mage = 6.71; SDage = 2.22; Rangeage = 4.01-11.5 years). Conventional ERP analyses revealed no age-related changes in change detection (mismatch negativity) and attentional capture (P3a) components, but we observed age-related reductions in late automatic processing of auditory change (late discriminative negativity). However, when utilizing time-frequency analyses, we observed developmental increases in frontocentral signal strength (power) and consistency (inter-trial phase synchrony) in delta and theta bands in response to novel sounds. Such frontocentral delta/theta responses have been linked in prior work to cognitive control. To further examine this possibility, we examined relations with inhibitory control. Results revealed that increased consistency in theta in response to novel sounds was related to improved inhibitory control. Together, our results advance our understanding of the development of attention in childhood. Moreover, they demonstrate the contributions of time-frequency approaches to studying neurocognitive development. Finally, our results highlight the utility of neuroimaging paradigms that have low cognitive and motor demands to study the development of psychological processes.
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Affiliation(s)
- Santiago Morales
- Department of Psychology, University of Southern California
- Department of Human Development and Quantitative Methodology, The University of Maryland – College Park
| | - Maureen E. Bowers
- Department of Human Development and Quantitative Methodology, The University of Maryland – College Park
| | - Stephanie C. Leach
- Department of Human Development and Quantitative Methodology, The University of Maryland – College Park
| | - George A. Buzzell
- Department of Psychology, Florida International University
- Center for Children and Families, Miami, Florida
| | - Marco McSweeney
- Department of Human Development and Quantitative Methodology, The University of Maryland – College Park
| | - Lydia Yoder
- Department of Human Development and Quantitative Methodology, The University of Maryland – College Park
| | | | - Amy J. Elliott
- Avera Research Institute
- Department of Pediatrics, University of South Dakota School of Medicine
| | - Nathan A. Fox
- Department of Human Development and Quantitative Methodology, The University of Maryland – College Park
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Letkiewicz AM, Spring JD, Li LY, Weinberg A, Shankman SA. Childhood trauma predicts blunted error monitoring in adulthood: An event-related potential study. COGNITIVE, AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2023; 23:427-439. [PMID: 36653556 PMCID: PMC10065923 DOI: 10.3758/s13415-023-01061-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/02/2023] [Indexed: 01/20/2023]
Abstract
Abuse and neglect have detrimental consequences on emotional and cognitive functioning during childhood and adolescence, including error monitoring, which is a critical aspect of cognition that has been implicated in certain internalizing and externalizing psychopathologies. It is unclear, however, whether (a) childhood trauma has effects on error monitoring and, furthermore whether, (b) error monitoring mediates the relation between childhood trauma and psychopathology in adulthood. To this end, in a large sample of young adults (ages 18-30) who were oversampled for psychopathology (N = 390), the present study assessed relations between childhood trauma and error-related negativity (ERN), which is a widely used neurophysiological indicator of error monitoring. Cumulative childhood trauma predicted ERN blunting, as did two specific types of traumas: sexual abuse and emotional neglect. Furthermore, the ERN partially mediated the effects of cumulative childhood trauma and emotional neglect on externalizing-related symptoms. Future studies should further examine the relations between childhood trauma and error monitoring in adulthood, which can help to inform intervention approaches.
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Affiliation(s)
- Allison M Letkiewicz
- Department of Psychiatry and Behavioral Sciences, Northwestern University, 680 N. Lakeshore Drive, Suite 1520, Chicago, IL, 60611, USA.
| | - Justin D Spring
- Department of Psychiatry and Behavioral Sciences, Northwestern University, 680 N. Lakeshore Drive, Suite 1520, Chicago, IL, 60611, USA
| | - Lilian Y Li
- Department of Psychiatry and Behavioral Sciences, Northwestern University, 680 N. Lakeshore Drive, Suite 1520, Chicago, IL, 60611, USA
| | - Anna Weinberg
- Department of Psychology, McGill University, Montreal, QC, Canada
| | - Stewart A Shankman
- Department of Psychiatry and Behavioral Sciences, Northwestern University, 680 N. Lakeshore Drive, Suite 1520, Chicago, IL, 60611, USA
- Department of Psychology, Northwestern University, Chicago, IL, USA
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Chinn LK, Momotenko DA, Sukmanova AA, Ovchinnikova IV, Golovanova IV, Grigorenko EL. Effects of childhood institutionalization on semantic processing and its neural correlates persist into adolescence and adulthood. Cortex 2023; 161:93-115. [PMID: 36921375 DOI: 10.1016/j.cortex.2022.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 06/17/2022] [Accepted: 11/18/2022] [Indexed: 02/21/2023]
Abstract
Individuals raised in institutionalized care settings are more likely to demonstrate developmental deficits than those raised in biological families. One domain that is vulnerable to the impoverished environments characteristic of some institutionalized care facilities is language development. We used EEG to assess ERPs and source-localized event-related spectral perturbations (ERSPs) associated with semantic processing at different levels of picture-word conflict and low versus high word frequency. Additionally, we assessed behavioral language ability (a synonyms task) and IQ. Participants (N = 454) were adolescents and adults with a history of institutionalized care (N = 187) or raised in biological families (N = 267), both recruited from secondary educational settings to approximately match the groups on age and education. Results indicate that individuals with a history of institutionalization are less accurate at judging whether semantic information in a spoken word matches an image. Additionally, those with a history of institutionalization show reduced cognitive control of conflict and more reactive N400 ERPs and beta ERSPs when handling picture-word conflict, especially in the left hemisphere. Frontal theta is related to semantic and conflict processing; however, in this study it did not vary with institutionalization.
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Affiliation(s)
- Lisa K Chinn
- Department of Psychology & Texas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, TX, United States
| | - Darya A Momotenko
- Center for Cognitive Sciences, Sirius University of Science and Technology, Sochi, Russia; Laboratory of Translational Sciences of Human Development, Saint Petersburg State University, Saint Petersburg, Russia
| | - Anastasia A Sukmanova
- Laboratory of Translational Sciences of Human Development, Saint Petersburg State University, Saint Petersburg, Russia; Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, HSE University, Moscow, Russia
| | - Irina V Ovchinnikova
- Department of Psychology & Texas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, TX, United States; Center for Cognitive Sciences, Sirius University of Science and Technology, Sochi, Russia; Laboratory of Translational Sciences of Human Development, Saint Petersburg State University, Saint Petersburg, Russia
| | - Irina V Golovanova
- Center for Cognitive Sciences, Sirius University of Science and Technology, Sochi, Russia; Laboratory of Translational Sciences of Human Development, Saint Petersburg State University, Saint Petersburg, Russia
| | - Elena L Grigorenko
- Department of Psychology & Texas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, TX, United States; Center for Cognitive Sciences, Sirius University of Science and Technology, Sochi, Russia; Laboratory of Translational Sciences of Human Development, Saint Petersburg State University, Saint Petersburg, Russia; Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, United States; Child Study Center and Haskins Laboratories, Yale University, New Haven, CT, United States.
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10
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Wade M, McLaughlin KA, Buzzell GA, Fox NA, Zeanah CH, Nelson CA. Family-based care buffers the stress sensitizing effect of early deprivation on executive functioning difficulties in adolescence. Child Dev 2023; 94:e43-e56. [PMID: 36254858 PMCID: PMC9828738 DOI: 10.1111/cdev.13863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
We examined whether family care following early-life deprivation buffered the association between stressful life events (SLEs) and executive functioning (EF) in adolescence. In early childhood, 136 institutionally reared children were randomly assigned to foster care or care-as-usual; 72 never-institutionalized children served as a comparison group. At age 16 years, adolescents (n = 143; 54% female; 67.1% Romanian) self-reported recent SLEs, completed a battery of memory and EF tasks, and completed a go/nogo task in which mediofrontal theta power (MFTP) was measured using electroencephalogram. More independent SLEs predicted lower EF and more dependent SLEs predicted lower MFTP, but only among adolescents with prolonged early deprivation. Findings provide preliminary evidence that family care following early deprivation may facilitate resilience against stress during adolescence on EF.
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Affiliation(s)
- Mark Wade
- Department of Applied Psychology and Human Development, University of Toronto
| | | | | | - Nathan A. Fox
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park
| | - Charles H. Zeanah
- Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine
| | - Charles A. Nelson
- Boston Children’s Hospital of Harvard Medical School
- Harvard Graduate School of Education
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11
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Wade M, Parsons J, Humphreys KL, McLaughlin KA, Sheridan MA, Zeanah CH, Nelson CA, Fox NA. The Bucharest Early Intervention Project: Adolescent mental health and adaptation following early deprivation. CHILD DEVELOPMENT PERSPECTIVES 2022; 16:157-164. [PMID: 36247832 PMCID: PMC9555391 DOI: 10.1111/cdep.12462] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Over the last 20 years, we have learned much about the extent to which early-life deprivation affects the mental health of children and adolescents. This body of evidence comes predominantly from studies of children raised in institutional care. The Bucharest Early Intervention Project (BEIP) is the only randomized controlled trial designed to evaluate whether the transition to family-based foster care early in development can ameliorate the long-term impact of institutional deprivation on psychopathology during vulnerable developmental windows such as adolescence. In this review, we detail the extent to which early deprivation affects mental health during this period, the capacity of family-based care to facilitate recovery from early deprivation, and the mechanisms underpinning these effects spanning social-emotional, cognitive, stress, and neurobiological domains. We end by discussing the implications and directions for the BEIP and other studies of youth raised in institutions.
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Affiliation(s)
- Mark Wade
- University of Toronto, Toronto, Ontario, Canada
| | - Jill Parsons
- Williams College, Williamstown, Massachusetts, USA
| | | | | | | | | | - Charles A. Nelson
- Harvard Graduate School of Education, Boston Children’s Hospital of Harvard Medical School, Boston, Massachusetts, USA
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Wade M, Wright L, Finegold KE. The effects of early life adversity on children's mental health and cognitive functioning. Transl Psychiatry 2022; 12:244. [PMID: 35688817 PMCID: PMC9187770 DOI: 10.1038/s41398-022-02001-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 05/18/2022] [Accepted: 05/26/2022] [Indexed: 11/09/2022] Open
Abstract
Emerging evidence suggests that partially distinct mechanisms may underlie the association between different dimensions of early life adversity (ELA) and psychopathology in children and adolescents. While there is minimal evidence that different types of ELA are associated with specific psychopathology outcomes, there are partially unique cognitive and socioemotional consequences of specific dimensions of ELA that increase transdiagnostic risk of mental health problems across the internalizing and externalizing spectra. The current review provides an overview of recent findings examining the cognitive (e.g., language, executive function), socioemotional (e.g., attention bias, emotion regulation), and mental health correlates of ELA along the dimensions of threat/harshness, deprivation, and unpredictability. We underscore similarities and differences in the mechanisms connecting different dimensions of ELA to particular mental health outcomes, and identify gaps and future directions that may help to clarify inconsistencies in the literature. This review focuses on childhood and adolescence, periods of exquisite neurobiological change and sensitivity to the environment. The utility of dimensional models of ELA in better understanding the mechanistic pathways towards the expression of psychopathology is discussed, with the review supporting the value of such models in better understanding the developmental sequelae associated with ELA. Integration of dimensional models of ELA with existing models focused on psychiatric classification and biobehavioral mechanisms may advance our understanding of the etiology, phenomenology, and treatment of mental health difficulties in children and youth.
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Affiliation(s)
- Mark Wade
- Department of Applied Psychology and Human Development, University of Toronto, Toronto, ON, Canada.
| | - Liam Wright
- grid.17063.330000 0001 2157 2938Department of Applied Psychology and Human Development, University of Toronto, Toronto, ON Canada
| | - Katherine E. Finegold
- grid.17063.330000 0001 2157 2938Department of Applied Psychology and Human Development, University of Toronto, Toronto, ON Canada
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Buzzell GA, Niu Y, Aviyente S, Bernat E. A Practical Introduction to EEG Time-Frequency Principal Components Analysis (TF-PCA). Dev Cogn Neurosci 2022; 55:101114. [PMID: 35636345 PMCID: PMC9156873 DOI: 10.1016/j.dcn.2022.101114] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Revised: 04/14/2022] [Accepted: 05/10/2022] [Indexed: 11/22/2022] Open
Abstract
This EEG methods tutorial provides both a conceptual and practical introduction to a promising data reduction approach for time-frequency representations of EEG data: Time-Frequency Principal Components Analysis (TF-PCA). Briefly, the unique value of TF-PCA is that it provides a data-reduction approach that does not rely on strong a priori constraints regarding the specific timing or frequency boundaries for an effect of interest. Given that the time-frequency characteristics of various neurocognitive process are known to change across development, the TF-PCA approach is thus particularly well suited for the analysis of developmental TF data. This tutorial provides the background knowledge, theory, and practical information needed to allow individuals with basic EEG experience to begin applying the TF-PCA approach to their own data. Crucially, this tutorial article is accompanied by a companion GitHub repository that contains example code, data, and a step-by-step guide of how to perform TF-PCA: https://github.com/NDCLab/tfpca-tutorial. Although this tutorial is framed in terms of the utility of TF-PCA for developmental data, the theory, protocols and code covered in this tutorial article and companion GitHub repository can be applied more broadly across populations of interest.
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Affiliation(s)
- George A Buzzell
- Florida International University and the Center for Children and Families, Miami, FL, USA.
| | - Yanbin Niu
- Michigan State University, East Lansing, MI, USA
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14
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Morales S, Bowers ME. Time-frequency analysis methods and their application in developmental EEG data. Dev Cogn Neurosci 2022; 54:101067. [PMID: 35065418 PMCID: PMC8784307 DOI: 10.1016/j.dcn.2022.101067] [Citation(s) in RCA: 36] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 10/31/2021] [Accepted: 01/13/2022] [Indexed: 11/29/2022] Open
Abstract
EEG provides a rich measure of brain activity that can be characterized as neuronal oscillations. However, most developmental EEG work to date has focused on analyzing EEG data as Event-Related Potentials (ERPs) or power based on the Fourier transform. While these measures have been productive, they do not leverage all the information contained within the EEG signal. Namely, ERP analyses ignore non-phase-locked signals and Fourier-based power analyses ignore temporal information. Time-frequency analyses can better characterize the oscillations contained in the EEG data. By separating power and phase information across different frequencies, time-frequency measures provide a closer interpretation of the neurophysiological mechanisms, facilitate translation across neurophysiology disciplines, and capture processes not observed by ERP or Fourier-based analyses (e.g., connectivity). Despite their unique contributions, a literature review of this journal reveals that time-frequency analyses of EEG are yet to be embraced by the developmental cognitive neuroscience field. This manuscript presents a conceptual introduction to time-frequency analyses for developmental researchers. To facilitate the use of time-frequency analyses, we include a tutorial of accessible scripts, based on Cohen (2014), to calculate time-frequency power (signal strength), inter-trial phase synchrony (signal consistency), and two types of phase-based connectivity (inter-channel phase synchrony and weighted phase lag index).
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Affiliation(s)
- Santiago Morales
- Department of Human Development and Quantitative Methodology, University of Maryland - College Park, USA; Neuroscience and Cognitive Science Program, University of Maryland - College Park, USA; Department of Psychology, University of Southern California, USA.
| | - Maureen E Bowers
- Department of Human Development and Quantitative Methodology, University of Maryland - College Park, USA; Neuroscience and Cognitive Science Program, University of Maryland - College Park, USA
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15
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Morales S, Bowers ME, Leach SC, Buzzell GA, Fifer W, Elliott AJ, Fox NA. Time-frequency dynamics of error monitoring in childhood: An EEG study. Dev Psychobiol 2022; 64:e22215. [PMID: 35312050 PMCID: PMC9203655 DOI: 10.1002/dev.22215] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 10/25/2021] [Accepted: 10/26/2021] [Indexed: 12/17/2022]
Abstract
Error monitoring allows individuals to monitor and adapt their behavior by detecting errors. Error monitoring is thought to develop throughout childhood and adolescence. However, most of this evidence comes from studies in late childhood and adolescence utilizing event-related potentials (ERPs). The current study utilizes time-frequency (TF) and connectivity analyses to provide a comprehensive examination of age-related changes in error-monitoring processes across early childhood (N = 326; 50.9% females; 4-9 years). ERP analyses indicated the presence of the error-related negativity (ERN) and error positivity (Pe) across all ages. Results showed no error-specific age-related changes in the ERN and the Pe. However, TF analyses suggested error-related frontocentral responses in delta and theta signal strength (power), delta consistency (intertrial phase synchrony), and delta synchrony (interchannel phase synchrony) between frontrocentral and frontolateral clusters-all of which increased with age. Additionally, the current study examines the reliability and effect size estimates of the ERP and TF measures. For most measures, more trials were needed to achieve acceptable reliability than what is commonly used in the psychophysiological literature. Resources to facilitate the measurement and reporting of reliability are provided. Overall, findings highlight the utility of TF analyses and provide useful information for future studies examining the development of error monitoring.
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Affiliation(s)
- Santiago Morales
- Department of Human Development and Quantitative Methodology, The University of Maryland, College Park, MD, USA
- Department of Psychology, University of Southern California, CA USA
| | - Maureen E. Bowers
- Department of Human Development and Quantitative Methodology, The University of Maryland, College Park, MD, USA
| | - Stephanie C. Leach
- Department of Human Development and Quantitative Methodology, The University of Maryland, College Park, MD, USA
| | | | - William Fifer
- Department of Psychiatry, Columbia University, New York, NY USA
| | - Amy J. Elliott
- Avera Research Institute, Sioux Falls, SD USA
- Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, SD USA
| | - Nathan A. Fox
- Department of Human Development and Quantitative Methodology, The University of Maryland, College Park, MD, USA
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16
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van Noordt S, Heffer T, Willoughby T. A developmental examination of medial frontal theta dynamics and inhibitory control. Neuroimage 2021; 246:118765. [PMID: 34875380 DOI: 10.1016/j.neuroimage.2021.118765] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 11/19/2021] [Accepted: 11/24/2021] [Indexed: 12/11/2022] Open
Abstract
Medial frontal theta-band oscillations are a robust marker of action-outcome monitoring. In a large developmental sample (n = 432, 9-16 years), we examined whether phase and non-phase locked medial frontal theta power were related to inhibitory control among children and adolescents. Our results showed that the well-established increase in medial frontal theta power during inhibitory control was captured largely by non-phase locked dynamics, which partially mediated the positive effect of age on task performance. A person-centered approach also revealed latent classes of individuals based on their multivariate theta power dynamics (phase locked/non-phase locked, GO/NOGO). The class of individuals showing low phase locked and high non-phase locked medial frontal theta were significantly older, had better inhibitory control, scored higher on measures of general cognitive function, and were more efficient in their behavioural responses. The functional significance of phase and non-phase locked theta dynamics, and their potential changes, could have important implications for action-outcome monitoring and cognitive function in both typical and atypical development, as well as related psychopathology .
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Affiliation(s)
- Stefon van Noordt
- Department of Psychology, Mount Saint Vincent University, Halifax, NS, Canada; Department of Psychology, Brock University, St. Catharines, Ontario, Canada.
| | - Taylor Heffer
- Department of Psychology, Brock University, St. Catharines, Ontario, Canada
| | - Teena Willoughby
- Department of Psychology, Brock University, St. Catharines, Ontario, Canada
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17
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Jensen SKG, Xie W, Kumar S, Haque R, Petri WA, Nelson CA. Associations of socioeconomic and other environmental factors with early brain development in Bangladeshi infants and children. Dev Cogn Neurosci 2021; 50:100981. [PMID: 34198217 PMCID: PMC8254021 DOI: 10.1016/j.dcn.2021.100981] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 06/04/2021] [Accepted: 06/17/2021] [Indexed: 01/25/2023] Open
Abstract
Research from high-income countries shows that experiences impact neural development. We examine EEG in relation to wealth and psychosocial factors in 6 and 36-month-olds from Bangladesh. Wealth and maternal stress is associated with EEG oscillations in 36-month-olds. Neither wealth nor maternal stress is associated with EEG oscillations in 6-month-olds. Environmental influences on EEG may emerge between 6 and 36 months of age.
Studies of infants growing up in high-income countries reveal developmental changes in electroencephalography (EEG) power whereby socioeconomic factors - specifically, low SES and low income - are associated with lower EEG power in infants aged newborn to nine months. In the current paper we explore relationships of spectral EEG power across three regions (frontal, central, and parietal) and four frequency bands (theta, alpha, beta, and gamma) with socioeconomic and psychosocial factors in a cohort of n = 160 6-month-old infants and n = 187 36-month-old children living in Dhaka, Bangladesh. Household wealth is assessed as a multi-dimensional composite score encompassing income, assets, and housing materials. Psychosocial factors include maternal perceived stress and family caregiving activities. Among the 6-month-old infants we do not observe any association of household wealth or psychosocial factors with EEG power. Among the 36-month-old children, we find that household wealth is negatively associated absolute power in the beta and gamma bands across frontal, central, and parietal electrodes. We also find that higher reports of maternal perceived stress are associated with more absolute theta power in frontal and central regions in the 36-month-old children. The finding of a negative relationship of household wealth with beta and gamma power in 36-month-old children differs from findings previously observed in infants in high-income countries. Overall, findings suggest that children’s environment continues to influence the development of EEG oscillations and provide support for the utility of EEG to quantify developmental effects of early life experiences on neural functional outcomes in low income countries.
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Affiliation(s)
- Sarah K G Jensen
- Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Boston College School of Social Work, Boston College, MA, USA
| | - Wanze Xie
- Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA
| | - Swapna Kumar
- Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA
| | | | - William A Petri
- University of Virginia, Infectious Diseases & International Health, Charlottesville, VA, USA
| | - Charles A Nelson
- Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Harvard Graduate School of Education, Cambridge, MA, USA.
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18
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Lynch SJ, Sunderland M, Newton NC, Chapman C. A systematic review of transdiagnostic risk and protective factors for general and specific psychopathology in young people. Clin Psychol Rev 2021; 87:102036. [PMID: 33992846 DOI: 10.1016/j.cpr.2021.102036] [Citation(s) in RCA: 55] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 04/30/2021] [Accepted: 05/05/2021] [Indexed: 12/12/2022]
Abstract
A large body of research has emerged over the last decade examining empirical models of general and specific psychopathology, which take into account comorbidity among psychiatric disorders and enable investigation of risk and protective factors that are common across disorders. This systematic review presents findings from studies of empirical models of psychopathology and transdiagnostic risk and protective factors for psychopathology among young people (10-24 years). PsycInfo, Medline and EMBASE were searched from inception to November 2020, and 41 studies were identified that examined at least one risk or protective factor in relation to broad, empirically derived, psychopathology outcomes. Results revealed several biological (executive functioning deficits, earlier pubertal timing, genetic risk for ADHD and schizophrenia, reduced gray matter volume), socio-environmental (stressful life events, maternal depression) and psychological (low effortful control, high neuroticism, negative affectivity) transdiagnostic risk factors for broad psychopathology outcomes, including general psychopathology, internalising and externalising. Methodological complexities are discussed and recommendations for future studies of empirical models of psychopathology are presented. These results contribute to a growing body of support for transdiagnostic approaches to prevention and intervention for psychiatric disorders and highlight several promising avenues for future research.
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Affiliation(s)
- Samantha J Lynch
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia.
| | - Matthew Sunderland
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia
| | - Nicola C Newton
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia
| | - Cath Chapman
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia
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19
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Wu J, Liu Y, Fang H, Qin S, Nils K, Duan H. The Relationship Between Childhood Stress and Distinct Stages of Dynamic Behavior Monitoring in Adults: Neural and Behavioral Correlates. Soc Cogn Affect Neurosci 2021; 16:937-949. [PMID: 33830244 PMCID: PMC8421694 DOI: 10.1093/scan/nsab041] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 02/23/2021] [Accepted: 04/08/2021] [Indexed: 11/13/2022] Open
Abstract
Childhood adversity is a major risk factor for emotional and cognitive disorders later in adulthood. Behavior monitoring, one of the most important components of cognitive control, plays a crucial role in flexible interaction with the environment. Here, we test a novel conceptual model discriminating between two distinct dimensions of childhood adversity (i.e., deprivation and threat) and examine their relations to dynamic stages of behavior monitoring. Sixty young healthy adults participated in this study using event-related potentials (ERPs) and the dynamic stages of behavior monitoring including response inhibition, error detection, and post-error adjustments were investigated in a classical Go/NoGo task. Multiple regression analyses revealed that participants with higher severity of childhood adversity recruited more controlled attention, as indicated by larger (more negative) conflict detection-related NoGo-N2 amplitudes and larger (more negative) error detection-related ERN amplitudes. Higher severity of childhood abuse (an indicator of threat) was related to smaller (less positive) error appraisal-related Pe amplitudes on the neural level and subsequently lower post-error accuracy on the behavioral level. These results suggested that prefrontal-supported controlled attention is influenced by universal adversity in childhood while the error-related behavioral adjustment is mainly affected by childhood abuse, indicating the dimensions of deprivation and threat are at least partially distinct.
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Affiliation(s)
- Jianhui Wu
- Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, 518060 China.,Shenzhen Institute of Neuroscience, Shenzhen 518057, China
| | - Yutong Liu
- Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, 518060 China
| | - Huihua Fang
- Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, 518060 China
| | - Shaozheng Qin
- State Key Laboratory of Cognitive Neuroscience and Learning & McGovern Institute for Brain Research at Beijing Normal University, Beijing, China
| | - Kohn Nils
- Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Kapittelweg 29, 6525 EN Nijmegen, The Netherlands
| | - Hongxia Duan
- Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, 518060 China.,Shenzhen Institute of Neuroscience, Shenzhen 518057, China.,Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Kapittelweg 29, 6525 EN Nijmegen, The Netherlands
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20
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Suor JH, Granros M, Kujawa A, Fitzgerald KD, Monk CS, Phan KL, Burkhouse KL. The moderating role of externalizing problems on the association between anxiety and the error-related negativity in youth. Dev Psychobiol 2020; 63:782-792. [PMID: 32743851 DOI: 10.1002/dev.22023] [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: 04/06/2020] [Revised: 06/19/2020] [Accepted: 07/07/2020] [Indexed: 11/11/2022]
Abstract
The error-related negativity (ERN) is an event-related potential that reflects error monitoring. Enhanced ERN indicates sensitivity to performance errors and is a correlate of anxiety disorders. In contrast, youth with externalizing problems exhibit a reduced ERN, suggesting decreased error monitoring. Anxiety and externalizing problems commonly co-occur in youth, but no studies have tested how comorbidity might modulate the ERN. In a sample of youth (N = 46, ages 7-19) with and without anxiety disorders, this preliminary study examined the interactive effect of anxiety and externalizing problems on ERN. Results suggest that externalizing problems moderate the relation between anxiety symptoms and ERN in youth. Anxious youth with less externalizing problems exhibited enhanced ERN response to errors. Conversely, anxious youth with greater externalizing problems demonstrated diminished ERN in response to errors. The regions of significance and proportion affected tests indicated that the moderating the effect of externalizing problems was only significant for youth with anxiety disorders. Findings suggest that enhanced neural error sensitivity could be a specific neurophysiological marker for anxiety disorders, whereas anxious individuals with comorbid externalizing problems demonstrate reduced error monitoring, similar to those with primary externalizing pathology. Results underscore the utility of examining neural correlates of pediatric anxiety comorbidity subtypes.
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Affiliation(s)
- Jennifer H Suor
- Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA
| | - Maria Granros
- Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.,Department of Psychology, University of Illinois at Chicago, Chicago, IL, USA
| | - Autumn Kujawa
- Department of Psychology & Human Development, Vanderbilt University, Nashville, TN, USA
| | - Kate D Fitzgerald
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | | | - K Luan Phan
- Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.,Department of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA
| | - Katie L Burkhouse
- Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA
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