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Chernyak Y, Henderson DR, Teh L, Powell AL, Hinton KE, Hage CA. Characterization of the Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) in Lung Transplant Candidates. J Clin Psychol Med Settings 2021; 29:137-149. [PMID: 34043137 DOI: 10.1007/s10880-021-09788-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2021] [Indexed: 01/27/2023]
Abstract
The SIPAT is a standardized measure for pre-transplant psychosocial evaluation. Previous SIPAT studies utilized a relatively small lung transplant sample and only included listed patients. This study characterized the SIPAT in 147 lung transplant candidates to better elucidate its utility. The average score corresponded to a minimally acceptable rating and nearly half of the patients had relative or absolute contraindications. Interstitial Lung Disease (ILD) patients scored more favorably than non-ILD patients (U = 7.69, p < .05). The Total (β = - .05, SE = .018, p < .01), Social Support Subscale (β = - .133, SE = .058, p < .05), and Psychosocial Stability and Psychopathology Subscale (β = - .103, SE = .040, p < .05) significantly predicted listing status. The SIPAT has a unique profile in lung transplant candidates and demonstrated utility for guiding transplant decisions. Future research should examine which lung transplant outcomes are significantly associated with SIPAT scores.
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Affiliation(s)
- Yelena Chernyak
- Department of Psychiatry, Indiana University School of Medicine, 355 W. 16th St, Indianapolis, IN, 46202, USA
| | - Danielle R Henderson
- Department of Psychiatry, Indiana University School of Medicine, 355 W. 16th St, Indianapolis, IN, 46202, USA
| | - Lisa Teh
- Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center, The Bronx, NY, USA
| | - Anna-Leigh Powell
- Department of Psychiatry, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
| | - Kendra E Hinton
- Department of Psychiatry, Indiana University School of Medicine, 355 W. 16th St, Indianapolis, IN, 46202, USA.
| | - Chadi A Hage
- Department of Pulmonary Critical Care and Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN, USA
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Zielinski MJ, Hinton KE, Bull CE. COVID-19 highlights the pitfalls of reliance on the carceral system as a response to addiction. J Subst Abuse Treat 2020; 122:108190. [PMID: 33221126 PMCID: PMC7855050 DOI: 10.1016/j.jsat.2020.108190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 09/11/2020] [Accepted: 10/26/2020] [Indexed: 11/30/2022]
Abstract
People who are incarcerated are likely to meet criteria for at least one substance use disorder and need access to treatment. Access to such interventions was limited prior to the COVID-19 pandemic and has almost certainly been restricted further due to implementation of procedures intended to stop the spread of the virus. In this brief commentary, we discuss how COVID-19 has revealed the already tenuous access that people who are incarcerated have to behavioral health services, and the pitfalls of reliance on the U.S. carceral system as a response to addiction.
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Affiliation(s)
- Melissa J Zielinski
- University of Arkansas for Medical Sciences, United States of America; University of Arkansas, Fayetteville, United States of America.
| | - Kendra E Hinton
- University of Arkansas for Medical Sciences, United States of America; Indiana University School of Medicine, United States of America
| | - Chelsey E Bull
- University of Central Arkansas, United States of America
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Lahey BB, Hinton KE, Meyer FC, Villalta-Gil V, Van Hulle CA, Applegate B, Yang X, Zald DH. Sex differences in associations of socioemotional dispositions measured in childhood and adolescence with brain white matter microstructure 12 years later. Personal Neurosci 2020; 3:e5. [PMID: 32524066 PMCID: PMC7253690 DOI: 10.1017/pen.2020.3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 11/22/2019] [Accepted: 02/09/2020] [Indexed: 01/10/2023]
Abstract
Predictive associations were estimated between socioemotional dispositions measured at 10-17 years using the Child and Adolescent Dispositions Scale (CADS) and future individual differences in white matter microstructure measured at 22-31 years of age. Participants were 410 twins (48.3% monozygotic) selected for later neuroimaging by oversampling on risk for psychopathology from a representative sample of child and adolescent twins. Controlling for demographic covariates and total intracranial volume (TICV), each CADS disposition (negative emotionality, prosociality, and daring) rated by one of the informants (parent or youth) significantly predicted global fractional anisotropy (FA) averaged across the major white matter tracts in brain in adulthood, but did so through significant interactions with sex after false discovery rate (FDR) correction. In females, each 1 SD difference in greater parent-rated prosociality was associated with 0.43 SD greater FA (p < 0.0008). In males, each 1 SD difference in greater parent-rated daring was associated with 0.24 SD lower FA (p < 0.0008), and each 1 SD difference in greater youth-rated negative emotionality was associated with 0.18 SD greater average FA (p < 0.0040). These findings suggest that CADS dispositions are associated with FA, but associations differ by sex. Exploratory analyses suggest that FA may mediate the associations between dispositions and psychopathology in some cases. These associations over 12 years could reflect enduring brain-behavior associations in spite of transactions with the environment, but could equally reflect processes in which dispositional differences in behavior influence the development of white matter. Future longitudinal studies are needed to resolve the causal nature of these sex-moderated associations.
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Affiliation(s)
- Benjamin B. Lahey
- Department of Public Health Sciences, University of Chicago, Chicago, IL, USA
| | - Kendra E. Hinton
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, USA
| | | | | | - Carol A. Van Hulle
- School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Brooks Applegate
- Department of Educational Leadership, Research, and Technology, Western Michigan University, Kalamazoo, MI, USA
| | - Xiaochan Yang
- Department of Public Health Sciences, University of Chicago, Chicago, IL, USA
| | - David H. Zald
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, USA
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Hinton KE, Lahey BB, Villalta-Gil V, Meyer FAC, Burgess LL, Chodes LK, Applegate B, Van Hulle CA, Landman BA, Zald DH. White matter microstructure correlates of general and specific second-order factors of psychopathology. Neuroimage Clin 2019; 22:101705. [PMID: 30753960 PMCID: PMC6369105 DOI: 10.1016/j.nicl.2019.101705] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 01/29/2019] [Accepted: 01/31/2019] [Indexed: 12/11/2022]
Abstract
Increasing data indicate that prevalent forms of psychopathology can be organized into second-order dimensions based on their correlations, including a general factor of psychopathology that explains the common variance among all disorders and specific second-order externalizing and internalizing factors. Nevertheless, most existing studies on the neural correlates of psychopathology employ case-control designs that treat diagnoses as independent categories, ignoring the highly correlated nature of psychopathology. Thus, for instance, although perturbations in white matter microstructure have been identified across a range of mental disorders, nearly all such studies used case-control designs, leaving it unclear whether observed relations reflect disorder-specific characteristics or transdiagnostic associations. Using a representative sample of 410 young adult twins oversampled for psychopathology risk, we tested the hypothesis that some previously observed relations between white matter microstructure properties in major tracts and specific disorders are related to second-order factors of psychopathology. We examined fractional anisotropy (FA), radial diffusivity (RD), and axial diffusivity (AD). White matter correlates of all second-order factors were identified after controlling for multiple statistical tests, including the general factor (FA in the body of the corpus callosum), specific internalizing (AD in the fornix), and specific externalizing (AD in the splenium of the corpus callosum, sagittal stratum, anterior corona radiata, and internal capsule). These findings suggest that some features of white matter within specific tracts may be transdiagnostically associated multiple forms of psychopathology through second-order factors of psychopathology rather with than individual mental disorders.
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Affiliation(s)
- Kendra E Hinton
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States.
| | - Benjamin B Lahey
- Department of Public Health Sciences, University of Chicago, Chicago, IL, United States
| | - Victoria Villalta-Gil
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Francisco A C Meyer
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Leah L Burgess
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Laura K Chodes
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Brooks Applegate
- Department of Educational Leadership, Research and Technology, Western Michigan University, Kalamazoo, MI, United States
| | - Carol A Van Hulle
- Waisman Center, University of Wisconsin-Madison, Madison, WI, United States
| | - Bennett A Landman
- School of Engineering, Vanderbilt University, Nashville, TN, United States
| | - David H Zald
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
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Hinton KE, Lahey BB, Villalta-Gil V, Boyd BD, Yvernault BC, Werts KB, Plassard AJ, Applegate B, Woodward ND, Landman BA, Zald DH. Right Fronto-Subcortical White Matter Microstructure Predicts Cognitive Control Ability on the Go/No-go Task in a Community Sample. Front Hum Neurosci 2018; 12:127. [PMID: 29706875 PMCID: PMC5908979 DOI: 10.3389/fnhum.2018.00127] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Accepted: 03/19/2018] [Indexed: 01/27/2023] Open
Abstract
Go/no-go tasks are widely used to index cognitive control. This construct has been linked to white matter microstructure in a circuit connecting the right inferior frontal gyrus (IFG), subthalamic nucleus (STN), and pre-supplementary motor area. However, the specificity of this association has not been tested. A general factor of white matter has been identified that is related to processing speed. Given the strong processing speed component in successful performance on the go/no-go task, this general factor could contribute to task performance, but the general factor has often not been accounted for in past studies of cognitive control. Further, studies on cognitive control have generally employed small unrepresentative case-control designs. The present study examined the relationship between go/no-go performance and white matter microstructure in a large community sample of 378 subjects that included participants with a range of both clinical and subclinical nonpsychotic psychopathology. We found that white matter microstructure properties in the right IFG-STN tract significantly predicted task performance, and remained significant after controlling for dimensional psychopathology. The general factor of white matter only reached statistical significance when controlling for dimensional psychopathology. Although the IFG-STN and general factor tracts were highly correlated, when both were included in the model, only the IFG-STN remained a significant predictor of performance. Overall, these findings suggest that while a general factor of white matter can be identified in a young community sample, white matter microstructure properties in the right IFG-STN tract show a specific relationship to cognitive control. The findings highlight the importance of examining both specific and general correlates of cognition, especially in tasks with a speeded component.
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Affiliation(s)
- Kendra E Hinton
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Benjamin B Lahey
- Department of Public Health Sciences, University of Chicago, Chicago, IL, United States
| | - Victoria Villalta-Gil
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Brian D Boyd
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, United States
| | | | - Katherine B Werts
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
| | - Andrew J Plassard
- School of Engineering, Vanderbilt University, Nashville, TN, United States
| | - Brooks Applegate
- Department of Educational Leadership, Research and Technology, Western Michigan University, Kalamazoo, MI, United States
| | - Neil D Woodward
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, United States
| | - Bennett A Landman
- School of Engineering, Vanderbilt University, Nashville, TN, United States
| | - David H Zald
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN, United States
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6
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Villalta-Gil V, Hinton KE, Landman BA, Yvernault BC, Perkins SF, Katsantonis AS, Sellani CL, Lahey BB, Zald DH. Convergent individual differences in visual cortices, but not the amygdala across standard amygdalar fMRI probe tasks. Neuroimage 2016; 146:312-319. [PMID: 27894890 DOI: 10.1016/j.neuroimage.2016.11.038] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 10/14/2016] [Accepted: 11/14/2016] [Indexed: 11/30/2022] Open
Abstract
The amygdala (AMG) has been repeatedly implicated in the processing of threatening and negatively valenced stimuli and multiple fMRI paradigms have reported personality, genetic, and psychopathological associations with individual differences in AMG activation in these paradigms. Yet the interchangeability of activations in these probes has not been established, thus it remains unclear if we can interpret AMG responses on specific tasks as general markers of its reactivity. In this study we aimed to assess if different tasks that have been widely used within the Affective Neuroscience literature consistently recruit the AMG. METHOD Thirty-two young healthy subjects completed four fMRI tasks that have all been previously shown to probe the AMG during processing of threatening stimuli: the Threat Face Matching (TFM), the Cued Aversive Picture (CAP), the Aversive and Erotica Pictures (AEP) and the Screaming Lady paradigm (SLp) tasks. Contrasts testing response to aversive stimuli relative to baseline or neutral stimuli were generated and correlations between activations in the AMG were calculated across tasks were performed for ROIs of the AMG. RESULTS The TFM, CAP and AEP, but not the SLp, successfully recruit the AMG, among other brain regions, especially when contrasts were against baseline or nonsocial stimuli. Conjunction analysis across contrasts showed that visual cortices (VisCtx) were also consistently recruited. Correlation analysis between the extracted data for right and left AMG did not yield significant associations across tasks. By contrast, the extracted signal in VisCtx showed significant associations across tasks (range r=0.511-r=0.630). CONCLUSIONS Three of the four paradigms revealed significant AMG reactivity, but individual differences in the magnitudes of AMG reactivity were not correlated across paradigms. By contrast, VisCtx activation appears to be a better candidate than the AMG as a measure of individual differences with convergent validity across negative emotion processing paradigms.
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Affiliation(s)
- Victoria Villalta-Gil
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN 37240, USA.
| | - Kendra E Hinton
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN 37240, USA
| | - Bennett A Landman
- School of Engineering, Vanderbilt University. Nashville, TN 37240, USA
| | | | - Scott F Perkins
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN 37240, USA
| | - Allison S Katsantonis
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN 37240, USA
| | - Courtney L Sellani
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN 37240, USA
| | - Benjamin B Lahey
- Department of Public Health Sciences, University of Chicago, Chicago, IL 60637, USA
| | - David H Zald
- Department of Psychological Sciences, Vanderbilt University, Nashville, TN 37240, USA
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7
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Deveney CM, Hommer RE, Reeves E, Stringaris A, Hinton KE, Haring CT, Vidal-Ribas P, Towbin K, Brotman MA, Leibenluft E. A prospective study of severe irritability in youths: 2- and 4-year follow-up. Depress Anxiety 2015; 32:364-72. [PMID: 25504765 PMCID: PMC10530700 DOI: 10.1002/da.22336] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2014] [Revised: 10/30/2014] [Accepted: 10/31/2014] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Severe, chronic irritability is receiving increased research attention, and is the cardinal symptom of a new diagnostic category, disruptive mood dysregulation disorder (DMDD). Although data from epidemiological community samples suggest that childhood chronic irritability predicts unipolar depression and anxiety in adulthood, whether these symptoms are stable and cause ongoing clinical impairment is unknown. The present study presents 4-year prospective and longitudinal diagnostic and impairment data on a clinical sample of children selected for symptoms of severe irritability (operationalized as severe mood dysregulation [SMD]). METHODS Youth meeting criteria for SMD (n = 200) were evaluated at baseline using standard diagnostic methods. Two-year (n = 78) and 4-year (n = 46) follow-up diagnostic and clinical impairment ratings collected at 6-month intervals were completed with those youths enrolled in the study for a sufficient time. RESULTS Although the number of youth meeting strict categorical SMD criteria declined over time (49 and 40% at 2 and 4 years, respectively), many individuals not meeting full criteria continued to display clinically significant irritability symptoms (2 years: 42%; 4 years: 37%). Impairment due to these irritability symptoms remained consistently in the moderate range on the Clinical Global Impressions Scale. CONCLUSIONS By the 4-year follow-up, only 40% of youths meet strict SMD criteria; however, most continue to display clinically impairing symptoms and significant impairment warranting psychiatric treatment. These findings provide evidence for the course of irritability, with implications for DMDD. Future research with populations meeting DMDD criteria and followed through the ages of high risk for psychiatric diagnoses is necessary.
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Affiliation(s)
- Christen M Deveney
- Department of Psychology, Wellesley College, Wellesley, Massachusetts, USA
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Plassard AJ, Hinton KE, Venkatraman V, Gonzalez C, Resnick SM, Landman BA. Evaluation of Atlas-Based White Matter Segmentation with Eve. Proc SPIE Int Soc Opt Eng 2015; 9413. [PMID: 25914503 DOI: 10.1117/12.2081613] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Multi-atlas labeling has come in wide spread use for whole brain labeling on magnetic resonance imaging. Recent challenges have shown that leading techniques are near (or at) human expert reproducibility for cortical gray matter labels. However, these approaches tend to treat white matter as essentially homogeneous (as white matter exhibits isointense signal on structural MRI). The state-of-the-art for white matter atlas is the single-subject Johns Hopkins Eve atlas. Numerous approaches have attempted to use tractography and/or orientation information to identify homologous white matter structures across subjects. Despite success with large tracts, these approaches have been plagued by difficulties in with subtle differences in course, low signal to noise, and complex structural relationships for smaller tracts. Here, we investigate use of atlas-based labeling to propagate the Eve atlas to unlabeled datasets. We evaluate single atlas labeling and multi-atlas labeling using synthetic atlases derived from the single manually labeled atlas. On 5 representative tracts for 10 subjects, we demonstrate that (1) single atlas labeling generally provides segmentations within 2mm mean surface distance, (2) morphologically constraining DTI labels within structural MRI white matter reduces variability, and (3) multi-atlas labeling did not improve accuracy. These efforts present a preliminary indication that single atlas labels with correction is reasonable, but caution should be applied. To purse multi-atlas labeling and more fully characterize overall performance, more labeled datasets would be necessary.
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Affiliation(s)
| | | | - Vijay Venkatraman
- National Institute on Aging, National Institute of Health, Bethesda, MD, USA 20892
| | - Christopher Gonzalez
- National Institute on Aging, National Institute of Health, Bethesda, MD, USA 20892
| | - Susan M Resnick
- National Institute on Aging, National Institute of Health, Bethesda, MD, USA 20892
| | - Bennett A Landman
- Computer Science, Vanderbilt University, Nashville, TN, USA 37235 ; Electrical Engineering, Vanderbilt University, Nashville, TN, USA 37235
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Brotman MA, Deveney CM, Thomas LA, Hinton KE, Yi JY, Pine DS, Leibenluft E. Parametric modulation of neural activity during face emotion processing in unaffected youth at familial risk for bipolar disorder. Bipolar Disord 2014; 16:756-63. [PMID: 24617738 PMCID: PMC4162856 DOI: 10.1111/bdi.12193] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2013] [Accepted: 01/10/2014] [Indexed: 12/30/2022]
Abstract
OBJECTIVES Both patients with pediatric bipolar disorder (BD) and unaffected youth at familial risk (AR) for the illness show impairments in face emotion labeling. Few studies, however, have examined brain regions engaged in AR youth when processing emotional faces. Moreover, studies have yet to explore neural responsiveness to subtle changes in face emotion in AR youth. METHODS Sixty-four unrelated youth, including 20 patients with BD, 15 unaffected AR youth, and 29 healthy comparisons (HC), completed functional magnetic resonance imaging. Neutral faces were morphed with angry or happy faces in 25% intervals. In specific phases of the task, youth alternatively made explicit (hostility) or implicit (nose width) ratings of the faces. The slope of blood oxygenated level-dependent activity was calculated across neutral to angry and neutral to happy face stimuli. RESULTS Behaviorally, both subjects with BD (p ≤ 0.001) and AR youth (p ≤ 0.05) rated faces as less hostile relative to HC. Consistent with this, in response to increasing anger on the face, patients with BD and AR youth showed decreased modulation in the amygdala and inferior frontal gyrus (IFG; BA 46) compared to HC (all p ≤ 0.05). Amygdala dysfunction was present across both implicit and explicit rating conditions, but IFG modulation deficits were specific to the explicit condition. With increasing happiness, AR youth showed aberrant modulation in the IFG, which was also sensitive to task demands (all p ≤ 0.05). CONCLUSIONS Decreased amygdala and IFG modulation in patients with BD and AR youth may be pathophysiological risk markers for BD, and may underlie the social cognition and face emotion labeling deficits observed in BD and AR youth.
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Affiliation(s)
- Melissa A Brotman
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD
| | - Christen M Deveney
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD,Department of Psychology, Wellesley College, Wellesley, MA
| | - Laura A Thomas
- War Related Illness and Injury Study Center, Veterans Affairs Medical Center, Washington, D.C
| | - Kendra E Hinton
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD,Department of Psychology, Vanderbilt University, Nashville, TN, USA
| | - Jennifer Y Yi
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD
| | - Daniel S Pine
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD
| | - Ellen Leibenluft
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD
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10
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Deveney CM, Brotman MA, Thomas LA, Hinton KE, Muhrer EM, Reynolds RC, Adleman NE, Zarate CA, Pine DS, Leibenluft E. Neural response during explicit and implicit face processing varies developmentally in bipolar disorder. Soc Cogn Affect Neurosci 2014; 9:1984-92. [PMID: 24493839 DOI: 10.1093/scan/nsu014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Both children and adults with bipolar disorder (BD) exhibit face emotion labeling deficits and neural circuitry dysfunction in response to emotional faces. However, few studies have compared these groups directly to distinguish effects of age and diagnosis. Such studies are important to begin to elucidate the developmental trajectory of BD and facilitate its diagnosis, prevention and treatment. This functional magnetic resonance imaging study compares 41 individuals with BD (19 children; 22 adults) and 44 age-matched healthy individuals (25 children; 19 adults) when making explicit or implicit judgments about angry or happy face morphs across a range of emotion intensity. Linear trend analyses revealed that BD patients, irrespective of age, failed to recruit the amygdala in response to increasing angry face. This finding was no longer significant when the group was restricted to euthymic youth or those without comorbid attention deficit hyperactivity disorder although this may reflect low statistical power. Deficits in subgenual anterior cingulate modulation were observed in both patient groups but were related to implicit processing for child patients and explicit processing for adult patients. Abnormalities in face emotion labeling and the circuitry mediating it may be biomarkers of BD that are present across development.
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Affiliation(s)
- Christen M Deveney
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Melissa A Brotman
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Laura A Thomas
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Kendra E Hinton
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Eli M Muhrer
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Richard C Reynolds
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Nancy E Adleman
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Carlos A Zarate
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Daniel S Pine
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Ellen Leibenluft
- Emotion and Development Branch, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, Section on the Neurobiology and Treatment of Mood Disorders, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA, and Scientific and Statistical Computing Core, Department of Health and Human Services, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
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Thomas LA, Kim P, Bones BL, Hinton KE, Milch HS, Reynolds RC, Adleman NE, Marsh AA, Blair RJR, Pine DS, Leibenluft E. Elevated amygdala responses to emotional faces in youths with chronic irritability or bipolar disorder. Neuroimage Clin 2013; 2:637-645. [PMID: 23977455 PMCID: PMC3746996 DOI: 10.1016/j.nicl.2013.04.007] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
A major controversy in child psychiatry is whether bipolar disorder (BD) presents in children as severe, non-episodic irritability (operationalized here as severe mood dysregulation, SMD), rather than with manic episodes as in adults. Both classic, episodic BD and SMD are severe mood disorders characterized by deficits in processing emotional stimuli. Neuroimaging techniques can be used to test whether the pathophysiology mediating these deficits are similar across the two phenotypes. Amygdala dysfunction during face emotion processing is well-documented in BD, but little is known about amygdala dysfunction in chronically irritable youth. We compared neural activation in SMD (n = 19), BD (n = 19), and healthy volunteer (HV; n = 15) youths during an implicit face-emotion processing task with angry, fearful and neutral expressions. In the right amygdala, both SMD and BD exhibited greater activity across all expressions than HV. However, SMD and BD differed from each other and HV in posterior cingulate cortex, posterior insula, and inferior parietal lobe. In these regions, only SMD showed deactivation in response to fearful expressions, whereas only BD showed deactivation in response to angry expressions. Thus, during implicit face emotion processing, youth with BD and those with SMD exhibit similar amygdala dysfunction but different abnormalities in regions involved in information monitoring and integration. Youths with severe mood dysregulation (SMD), bipolar disorder (BD), controls. Implicit face-emotion processing fMRI task with angry, fearful, neutral emotions. In R amygdala, SMD and BD had greater activity across all expressions vs controls. In whole brain analysis SMD had decreased, BD increased activity vs. other groups.
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Affiliation(s)
- Laura A Thomas
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland ; National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland
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