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Edgar EV, Richards A, Castagna PJ, Bloch MH, Crowley MJ. Post-event rumination and social anxiety: a systematic review and meta-analysis. J Psychiatr Res 2024; 173:87-97. [PMID: 38518572 PMCID: PMC11018455 DOI: 10.1016/j.jpsychires.2024.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 10/16/2023] [Revised: 02/03/2024] [Accepted: 03/12/2024] [Indexed: 03/24/2024]
Abstract
Post-event rumination, the extent to which one engages in persistent, detailed, and negative thinking following social situations, serves as a risk process in the pathophysiology of social anxiety. Although a substantial body of research has assessed post-event rumination and social anxiety, this literature has produced inconsistent results. We conducted a systematic review and meta-analysis to examine whether the magnitude of the association between post-event rumination and social anxiety varied as a function of questionnaire and/or task utilized. We included all studies reporting a correlation between post-event rumination and social anxiety symptomatology. Fisher's z correlation coefficients were calculated through random-effect meta-analyses. Results indicated a moderate association between post-event rumination and social anxiety symptomatology (r = 0.45, p < 0.001, 95%CI [0.40-0.50]). Subgroup meta-analyses indicated that the type of questionnaire used to assess post-event rumination (Q = 44.36, df = 3, p < 0.001) and social anxiety (Q = 26.44, df = 8, p < 0.001), as well as the task conducted prior to assessing post-event rumination (Q = 14.31, df = 2, p < 0.001), influenced the effect size. This study demonstrates a moderate relation between post-event rumination and social anxiety across the anxiety spectrum, illustrating the importance of treatments specifically targeting post-event rumination. Moreover, we highlight the importance of taking care when designing studies to explore relations between post-event rumination and social anxiety.
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Affiliation(s)
- Elizabeth V Edgar
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA.
| | - Ashlyn Richards
- Department of Psychology, Sewanee the University of the South, Sewanee, TN, USA
| | - Peter J Castagna
- Department of Psychology, The University of Alabama, Tuscaloosa, AL, USA
| | - Michael H Bloch
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
| | - Michael J Crowley
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
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Baddam SKR, Canapari CA, Van de Grift J, McGirr C, Nasser AY, Crowley MJ. Screening and Evaluation of Sleep Disturbances and Sleep Disorders in Children and Adolescents. Psychiatr Clin North Am 2024; 47:65-86. [PMID: 38302214 DOI: 10.1016/j.psc.2023.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Abstract
Sleep disturbances and sleep disorders are prevalent in children/adolescents and have a bidirectional relationship with pediatric medical and mental health disorders. Screening tools and mechanisms for the evaluation and treatment of sleep disturbances and sleep disorders in the pediatric mental health clinic are less well-known; hence, sleep disturbances and disorders are under-recognized in the pediatric clinics. We present specific, validated screening and evaluation tools to identify sleep disturbances and sleep disorders in children/adolescents. We offer guidance related to the use of consumer wearables for sleep assessments and use of sleep telemedicine in pediatric mental health and primary care clinics.
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Affiliation(s)
- Suman K R Baddam
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA.
| | - Craig A Canapari
- Pediatric Pulmonology, Allergy, Immunology & Sleep Medicine, PO Box 208064, New Haven, CT, 06520-8064, USA
| | - Jenna Van de Grift
- Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA
| | - Christopher McGirr
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA
| | | | - Michael J Crowley
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA
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Morie KP, Zhai ZW, Crowley MJ, Potenza MN, Mayes LC. Relationships Between Prenatal Cocaine Exposure, Cannabis-Use Onset and Emotional and Related Characteristics in Young/Emerging Adults. Subst Use Misuse 2024; 59:388-397. [PMID: 37964628 DOI: 10.1080/10826084.2023.2275558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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] [Indexed: 11/16/2023]
Abstract
Background: Exposure to substances in utero may have significant early-life consequences. Less is known about the effects in emerging adulthood, particularly regarding patterns of substance use and related characteristics.Objectives: In this study, we recruited emerging adults, followed since birth, who had been prenatally exposed, or not, to cocaine. Individuals reported on their cannabis, alcohol, and tobacco use, and measures of impulsivity, anhedonia, emotional regulation, and mental health were obtained. Comparisons were made between emerging adults with prenatal cocaine exposure and those without. Correlations were performed between psychological measures and substance use, and regression analyses were conducted to determine potential pathways by which such measures may relate to prenatal exposure or substance use.Results: Individuals with prenatal cocaine exposure (vs. those without) used cannabis at younger ages, reported greater cannabis-use severity, and demonstrated higher impulsivity, state anxiety, and alexithymia. Earlier age of onset of cannabis use was associated with higher impulsivity, state anxiety, alexithymia, and social and physical anhedonia. Cannabis-use age-of-onset mediated the relationship between prenatal cocaine-exposure status and state anxiety and between prenatal cocaine-exposure status and cannabis-use severity in emerging adulthood but not relationships between prenatal cocaine-exposure status and impulsivity or alexithymia in emerging adulthood. Findings suggest that adults with prenatal cocaine exposure may use cannabis at younger ages, which may relate to increased anxiety and more severe use.Conclusions: These findings suggest both mechanisms and possible intervention targets to improve mental health in emerging adults with prenatal cocaine exposure.
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Affiliation(s)
- Kristen P Morie
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Zu Wei Zhai
- Department of Neuroscience, Middlebury College, Middlebury, VT, USA
| | - Michael J Crowley
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Marc N Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
- Connecticut Council on Problem Gambling, Wethersfield, CT, USA
- Department of Neuroscience, Connecticut Mental Health Center, New Haven, CT, USA
- Department of Neuroscience, Yale School of Medicine, New Haven, CT, USA
| | - Linda C Mayes
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
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Kubala JM, Laursen KB, Schreiner R, Williams RM, van der Mijn JC, Crowley MJ, Mongan NP, Nanus DM, Heller DA, Gudas LJ. NDUFA4L2 reduces mitochondrial respiration resulting in defective lysosomal trafficking in clear cell renal cell carcinoma. Cancer Biol Ther 2023; 24:2170669. [PMID: 36722045 PMCID: PMC9897797 DOI: 10.1080/15384047.2023.2170669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 12/23/2022] [Indexed: 02/02/2023] Open
Abstract
In clear cell renal cell carcinoma (ccRCC), activation of hypoxic signaling induces NADH dehydrogenase (ubiquinone) 1 alpha subcomplex, 4-like 2 (NDUFA4L2) expression. Over 90% of ccRCCs exhibit overexpression of NDUFA4L2, which we previously showed contributes to ccRCC proliferation and survival. The function of NDUFA4L2 in ccRCC has not been fully elucidated. NDUFA4L2 was reported to reduce mitochondrial respiration via mitochondrial complex I inhibition. We found that NDUFA4L2 expression in human ccRCC cells increases the extracellular acidification rate, indicative of elevated glycolysis. Conversely, NDUFA4L2 expression in non-cancerous kidney epithelial cells decreases oxygen consumption rate while increasing extracellular acidification rate, suggesting that a Warburg-like effect is induced by NDUFA4L2 alone. We performed mass-spectrometry (MS)-based proteomics of NDUFA4L2 associated complexes. Comparing RCC4-P (parental) ccRCC cells with RCC4 in which NDUFA4L2 is knocked out by CRISPR-Cas9 (RCC4-KO-643), we identified 3,215 proteins enriched in the NDUFA4L2 immunoprecipitates. Among the top-ranking pathways were "Metabolic Reprogramming in Cancer" and "Glycolysis Activation in Cancer (Warburg Effect)." We also show that NDUFA4L2 enhances mitochondrial fragmentation, interacts with lysosomes, and increases mitochondrial-lysosomal associations, as assessed by high-resolution fluorescence microscopy and live cell imaging. We identified 161 lysosomal proteins, including Niemann-Pick Disease Type C Intracellular Cholesterol Transporters 1 and 2 (NPC1, NPC2), that are associated with NDUFA4L2 in RCC4-P cells. RCC4-P cells have larger and decreased numbers of lysosomes relative to RCC4 NDUFA4L2 knockout cells. These findings suggest that NDUFA4L2 regulates mitochondrial-lysosomal associations and potentially lysosomal size and abundance. Consequently, NDUFA4L2 may regulate not only mitochondrial, but also lysosomal functions in ccRCC.
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Affiliation(s)
- Jaclyn M. Kubala
- Department of Pharmacology, Weill Cornell Medicine, New York, NY, USA
- Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA
- Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA
| | | | - Ryan Schreiner
- Division of Regenerative Medicine Research, Department of Medicine, Weill Cornell Medicine, New York, NY, USA
| | - Ryan M. Williams
- Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA
- Department of Biomedical Engineering, the City College of New York, New York, NY, USA
| | | | - Michael J. Crowley
- Department of Physiology, Biophysics, and Systems Biology, Weill Cornell Medicine, New York, NY, USA
| | - Nigel P. Mongan
- Department of Pharmacology, Weill Cornell Medicine, New York, NY, USA
- Faculty of Medicine and Health Sciences, Center for Cancer Sciences, University of Nottingham, Sutton Bonington Campus, Loughborough, UK
| | - David M. Nanus
- Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA
- Division of Hematology and Medical Oncology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA
- Department of Urology; New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA
| | - Daniel A. Heller
- Department of Pharmacology, Weill Cornell Medicine, New York, NY, USA
- Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA
- Department of Physiology, Biophysics, and Systems Biology, Weill Cornell Medicine, New York, NY, USA
| | - Lorraine J. Gudas
- Department of Pharmacology, Weill Cornell Medicine, New York, NY, USA
- Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA
- Department of Urology; New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA
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Morand-Beaulieu S, Crowley MJ, Grantz H, Leckman JF, Sukhodolsky DG. Functional connectivity during tic suppression predicts reductions in vocal tics following behavior therapy in children with Tourette syndrome. Psychol Med 2023; 53:7857-7864. [PMID: 37485677 PMCID: PMC10755221 DOI: 10.1017/s0033291723001940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 01/25/2023] [Revised: 06/06/2023] [Accepted: 06/23/2023] [Indexed: 07/25/2023]
Abstract
BACKGROUND Comprehensive Behavioral Intervention for Tics (CBIT) is recommended as a first-line treatment for Tourette syndrome in children and adults. While there is strong evidence proving its efficacy, the mechanisms of reduction in tic severity during CBIT are still poorly understood. In a recent study, our group identified a functional brain network involved in tic suppression in children with TS. We reasoned that voluntary tic suppression and CBIT may share some mechanisms and thus we wanted to assess whether functional connectivity during tic suppression was associated with CBIT outcome. METHODS Thirty-two children with TS, aged 8 to 13 years old, participated in a randomized controlled trial of CBIT v. a treatment-as-usual control condition. EEG was recorded during tic suppression in all participants at baseline and endpoint. We used a source-reconstructed EEG connectivity pipeline to assess functional connectivity during tic suppression. RESULTS Functional connectivity during tic suppression did not change from baseline to endpoint. However, baseline tic suppression-related functional connectivity specifically predicted the decrease in vocal tic severity from baseline to endpoint in the CBIT group. Supplementary analyses revealed that the functional connectivity between the right superior frontal gyrus and the right angular gyrus was mainly driving this effect. CONCLUSIONS This study revealed that functional connectivity during tic suppression at baseline predicted reduction in vocal tic severity. These results suggest probable overlap between the mechanisms of voluntary tic suppression and those of behavior therapy for tics.
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Affiliation(s)
- Simon Morand-Beaulieu
- Department of Psychology, McGill University, Montreal, QC, Canada
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | | | - Heidi Grantz
- Department of Psychology, McGill University, Montreal, QC, Canada
| | - James F. Leckman
- Department of Psychology, McGill University, Montreal, QC, Canada
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Sandoval IK, Ngoh G, Wu J, Crowley MJ, Rutherford HJV. EEG coherence before and after giving birth. Brain Res 2023; 1816:148468. [PMID: 37336317 DOI: 10.1016/j.brainres.2023.148468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 05/26/2023] [Accepted: 06/16/2023] [Indexed: 06/21/2023]
Abstract
During pregnancy and the postpartum period, changes in brain volume and in motivational, sensory, cognitive, and emotional processes have been described. However, to date, longitudinal modifications of brain function have been understudied. To explore regional cortical coupling, in pregnancy and at 3 months postpartum, we analyzed resting-state electroencephalographic (EEG) coherence in the delta, theta, alpha1, alpha2, beta1, and beta2 frequency bands across frontal and parietal regions of the maternal brain (Fp1, Fp2, F3, F4, P3, and P4). We found that from pregnancy to the postpartum period, mothers showed less intrahemispheric EEG coherence between the frontal and parietal regions in the alpha1 and alpha2 bands, as well as greater interhemispheric EEG coherence between frontopolar regions in the beta2 band. These changes suggest decreased inhibition of neural circuits. These neurophysiological changes may represent an adaptive process characteristic of motherhood.
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Affiliation(s)
| | - Gwendolyn Ngoh
- Yale Child Study Center, Yale University, New Haven, CT, USA
| | - Jia Wu
- Yale Child Study Center, Yale University, New Haven, CT, USA
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Pratt EC, Lopez-Montes A, Volpe A, Crowley MJ, Carter LM, Mittal V, Pillarsetty N, Ponomarev V, Udías JM, Grimm J, Herraiz JL. Simultaneous quantitative imaging of two PET radiotracers via the detection of positron-electron annihilation and prompt gamma emissions. Nat Biomed Eng 2023; 7:1028-1039. [PMID: 37400715 PMCID: PMC10810307 DOI: 10.1038/s41551-023-01060-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 05/23/2023] [Indexed: 07/05/2023]
Abstract
In conventional positron emission tomography (PET), only one radiotracer can be imaged at a time, because all PET isotopes produce the same two 511 keV annihilation photons. Here we describe an image reconstruction method for the simultaneous in vivo imaging of two PET tracers and thereby the independent quantification of two molecular signals. This method of multiplexed PET imaging leverages the 350-700 keV range to maximize the capture of 511 keV annihilation photons and prompt γ-ray emission in the same energy window, hence eliminating the need for energy discrimination during reconstruction or for signal separation beforehand. We used multiplexed PET to track, in mice with subcutaneous tumours, the biodistributions of intravenously injected [124I]I-trametinib and 2-deoxy-2-[18F]fluoro-D-glucose, [124I]I-trametinib and its nanoparticle carrier [89Zr]Zr-ferumoxytol, and the prostate-specific membrane antigen (PSMA) and infused PSMA-targeted chimaeric antigen receptor T cells after the systemic administration of [68Ga]Ga-PSMA-11 and [124I]I. Multiplexed PET provides more information depth, gives new uses to prompt γ-ray-emitting isotopes, reduces radiation burden by omitting the need for an additional computed-tomography scan and can be implemented on preclinical and clinical systems without any modifications in hardware or image acquisition software.
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Affiliation(s)
- Edwin C Pratt
- Department of Pharmacology, Weill Cornell Graduate School, New York, NY, USA
- Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
- Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Alejandro Lopez-Montes
- Nuclear Physics Group, EMFTEL and IPARCOS, Complutense University of Madrid, Madrid, Spain
- Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Alessia Volpe
- Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Michael J Crowley
- Department of Cell and Developmental Biology, Weill Cornell Graduate School, New York, NY, USA
| | - Lukas M Carter
- Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Vivek Mittal
- Department of Cell and Developmental Biology, Weill Cornell Graduate School, New York, NY, USA
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, USA
- Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, USA
- Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, USA
| | | | - Vladimir Ponomarev
- Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
- Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Jose M Udías
- Nuclear Physics Group, EMFTEL and IPARCOS, Complutense University of Madrid, Madrid, Spain
- Instituto de Investigación Sanitaria Hospital Clínico San Carlos, Madrid, Spain
| | - Jan Grimm
- Department of Pharmacology, Weill Cornell Graduate School, New York, NY, USA.
- Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
- Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
| | - Joaquin L Herraiz
- Nuclear Physics Group, EMFTEL and IPARCOS, Complutense University of Madrid, Madrid, Spain.
- Instituto de Investigación Sanitaria Hospital Clínico San Carlos, Madrid, Spain.
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Castagna PJ, Waters AC, Edgar EV, Budagzad-Jacobson R, Crowley MJ. Catch the drift: Depressive symptoms track neural response during more efficient decision-making for negative self-referents. J Affect Disord Rep 2023; 13:100593. [PMID: 37396954 PMCID: PMC10310306 DOI: 10.1016/j.jadr.2023.100593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/04/2023] Open
Abstract
Background Adolescence is a time of heightened risk for developing depression and also a critical period for the development and integration of self-identity. Despite this, the relation between the neurophysiological correlates of self-referential processing and major depressive symptoms in youth is not well understood. Here, we leverage computational modeling of the self-referential encoding task (SRET) to identify behavioral moderators of the association between the posterior late positive potential (LPP), an event-related potential associated with emotion regulation, and youth self-reported symptoms of depression. Specifically, within a drift-diffusion framework, we evaluated whether the association between the posterior LPP and youth symptoms of major depression was moderated by drift rate, a parameter reflecting processing efficiency during self-evaluative decisions. Methods A sample of 106 adolescents, aged 12 to 17 (53% male; Mage = 14.49, SD = 1.70), completed the SRET with concurrent high-density electroencephalography and self-report measures of depression and anxiety. Results Findings indicated a significant moderation: for youth showing greater processing efficiency (drift rate) when responding to negative compared to positive words, larger posterior LPPs predicted greater depressive symptom severity. Limitations We relied on a community sample and our study was cross-sectional in nature. Future longitudinal work with clinically depressed youth would be beneficial. Conclusions Our results suggest a neurobehavioral model of adolescent depression wherein efficient processing of negative information co-occurs with increased demands on affective self-regulation. Our findings also have clinical relevance; youth's neurophysiological response (posterior LPP) and performance during the SRET may serve as a novel target for tracking treatment-related changes in one's self-identity.
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Affiliation(s)
- Peter J. Castagna
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, United States
| | - Allison C. Waters
- Nash Family Center for Advanced Circuit Therapeutics, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Elizabeth V. Edgar
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, United States
| | | | - Michael J. Crowley
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, United States
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Castagna PJ, Farahdel E, Potenza MN, Crowley MJ. The current state-of-the-art in pharmacotherapy for pediatric generalized anxiety disorder. Expert Opin Pharmacother 2023; 24:835-847. [PMID: 37074259 PMCID: PMC10197951 DOI: 10.1080/14656566.2023.2199921] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Accepted: 04/03/2023] [Indexed: 04/20/2023]
Abstract
INTRODUCTION Anxiety disorders are the most prevalent psychiatric disorders among youth. Among the various anxiety disorders, generalized anxiety disorder is particularly prevalent. Youth with GAD appear at elevated risk of developing other anxiety disorders, mood disorder, and substance use disorders. Functional outcomes of youth with GAD can be improved through early recognition and treatment, thus promoting better longer-term outcomes. AREAS COVERED The current article summarizes evidence-based state-of-the-art pharmacotherapy for pediatric GAD based on open-label, randomized, and controlled trials. Two electronic databases (PubMed and Scopus) were systematically searched in April 2022 for relevant publications. EXPERT OPINION The literature supports a combination of psychotherapy and pharmacotherapy as being associated with better outcomes when compared to mono-therapies. While longer-term follow-ups are limited, one such study does challenge this notion. Both selective serotonin reuptake inhibitors (SSRIs) and selective norepinephrine reuptake inhibitors (SNRIs) have been found across studies to have moderate effect sizes in the treatment of pediatric anxiety disorders. SSRIs continue to be a first-line intervention, whereas SNRIs may be considered a second-line treatment. While more evidence is needed, there are emerging data indicating that SSRIs are associated with a more rapid and greater reduction in anxiety symptoms when compared to SNRIs.
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Affiliation(s)
- Peter J. Castagna
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, 06511, USA
| | | | - Marc N. Potenza
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, 06511, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA
- Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA
- Connecticut Mental Health Center, New Haven, CT, 06519, USA
- Wu Tsai Institute, Yale University, New Haven CT, 06510, USA
- Department of Neuroscience, Yale University School of Medicine, New Haven, CT, 06511, US
| | - Michael J. Crowley
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, 06511, USA
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Markowitz GJ, Ban Y, Tavarez DA, Crowley MJ, Yoffe L, Martin MT, Sandoval TA, Gao D, Cubillos-Ruiz JR, McGraw TE, Altorki NK, Mittal V. Abstract 603: Deficiency of metabolic regulator PKM2 activates the pentose phosphate pathway to generate TCF1+ progenitor CD8+ T cells to improve checkpoint blockade. Cancer Res 2023. [DOI: 10.1158/1538-7445.am2023-603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Abstract
Abstract
Background: TCF1high progenitor CD8+ T cells have been shown to mediate the efficacy of PD-1 checkpoint blockade. However, the mechanisms that govern generation of TCF1high cells are poorly understood.
Methods: We sequenced bulk RNA from tumor-infiltrating lymphocytes to identify differentially expressed genes based on tumor progression. We utilized in vitro co-cultures of tumor-specific T cells tumor cells to examine differentiation, effector function, and metabolism of T cells with different genetic and pharmacologic manipulations by flow cytometry, metabolic flux analyses, and metabolomic profiling. We performed in vivo adoptive transfers of control and manipulated tumor-specific T cells into tumor-bearing mice from both a non-small cell lung cancer and a melanoma model to examine effects of genetic manipulation on differentiation and effector function, as well as determine tumor burden and overall mouse survival both in the treatment-naïve and anti-PD-1 treated contexts.
Results: RNA Sequencing demonstrated a metabolically active response in tumor-infiltrating CD8+ T cells isolated from large and late-stage tumors. Using a genetic screen targeting glycolytic enzymes up-regulated in tumor-infiltrating CD8+ T cells, we demonstrate that PKM2 deficiency (PKM2KO) enriched for TCF1high progenitor cells. Antigen-specific PKM2KO CD8+ T cells from draining lymph nodes and tumors exhibited a central memory-like phenotype with reduced effector cytokine production, increased CD44/CD62L expression, and increased TCF1 and Eomes in non-small cell lung cancer and melanoma. Adoptive transfer of PKM2KO CD8+ T cells in combination with PD-1 blockade impaired tumor growth and improved survival. PKM2KO CD8+ T cells showed reduced glycolytic flux and accumulation of glycolytic intermediates with concomitant increases in pentose phosphate pathway (PPP) metabolites. Importantly, small molecule agonism of PPP was sufficient to skew activated CD8+ T cells towards the TCF1high population, which combined with PD-1 blockade to impair tumor growth and improve survival.
Conclusions: Here we show that targeting glycolytic flux by deletion of pyruvate kinase muscle 2 (PKM2) results in elevated pentose phosphate pathway activity, leading to generation of an altered differentiation state responsive to PD-1 blockade. Our study demonstrates a novel metabolic reprogramming that contributes to a memory-like T cell state amenable to checkpoint blockade.
Citation Format: Geoffrey J. Markowitz, Yi Ban, Diamile A. Tavarez, Michael J. Crowley, Liron Yoffe, Mitchell T. Martin, Tito A. Sandoval, Dingcheng Gao, Juan R. Cubillos-Ruiz, Timothy E. McGraw, Nasser K. Altorki, Vivek Mittal. Deficiency of metabolic regulator PKM2 activates the pentose phosphate pathway to generate TCF1+ progenitor CD8+ T cells to improve checkpoint blockade [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 603.
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Affiliation(s)
| | - Yi Ban
- 1Weill Cornell Medicine, New York, NY
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Castagna PJ, Waters AC, Crowley MJ. Computational Modeling of Self-Referential Processing Reveals Domain General Associations with Adolescent Anxiety Symptoms. Res Child Adolesc Psychopathol 2023; 51:455-468. [PMID: 36580171 DOI: 10.1007/s10802-022-01012-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2022] [Indexed: 12/30/2022]
Abstract
What an adolescent thinks about themselves, commonly termed self-referential processing, has significant implications for youth long-term psychological well-being. Self-referential processing plays an important role in anticipatory and reactive processing in social contexts and contributes to symptoms of social anxiety. Previous work examining self-referential processing largely focuses on child and adolescent depression, relying on endorsement and reaction time for positive and negative self-describing adjectives in a self-referential encoding task (SRET). Here, we employ computational methods to interrogate the latent processes underlying choice reaction times to evaluate the fit of several drift-diffusion models of youth SRET performance. A sample of 106 adolescent, aged 12-17 (53% male; Mage = 14.49, SD = 1.70) completed the SRET and self-report measures of anxiety and depression. Our results support the utility of modeling the SRET, where the rate of evidence accumulation (i.e., drift rate) during negative self-referential processing was related to social anxiety above-and-beyond mean task performance. Our regression analyses indicated that youth efficiency in processing of self-referential views was domain general to anxiety, highlighting the importance of assessing both social and physiological anxiety symptoms when predicting SRET performance. The computational modeling results revealed that self-referential views are not uniquely related to depression-related constructs but also facets of anxiety.
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Affiliation(s)
- Peter J Castagna
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA.
| | - Allison C Waters
- Nash Family Center for Advanced Circuit Therapeutics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Michael J Crowley
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
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12
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Morand-Beaulieu S, Wu J, Mayes LC, Grantz H, Leckman JF, Crowley MJ, Sukhodolsky DG. Increased Alpha-Band Connectivity During Tic Suppression in Children With Tourette Syndrome Revealed by Source Electroencephalography Analyses. Biol Psychiatry Cogn Neurosci Neuroimaging 2023; 8:241-250. [PMID: 33991741 PMCID: PMC8589865 DOI: 10.1016/j.bpsc.2021.05.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/08/2021] [Accepted: 05/04/2021] [Indexed: 12/12/2022]
Abstract
BACKGROUND Tourette syndrome (TS) is a neurodevelopmental disorder involving chronic motor and phonic tics. Most individuals with TS can suppress their tics for at least a short period of time. Yet, the brain correlates of tic suppression are still poorly understood. METHODS In the current study, high-density electroencephalography was recorded during a resting-state and a tic suppression session in 72 children with TS. Functional connectivity between cortical regions was assessed in the alpha band (8-13 Hz) using an electroencephalography source connectivity method. Graph theory and network-based statistics were used to assess the global network topology and to identify brain regions showing increased connectivity during tic suppression. RESULTS Graph theoretical analyses revealed distinctive global network topology during tic suppression, relative to rest. Using network-based statistics, we found a subnetwork of increased connectivity during tic suppression (p < .001). That subnetwork encompassed many cortical areas, including the right superior frontal gyrus and the left precuneus, which are involved in the default mode network. We also found a condition-by-age interaction, suggesting age-mediated increases in connectivity during tic suppression. CONCLUSIONS These results suggest that children with TS suppress their tics through a brain circuit involving distributed cortical regions, many of which are part of the default mode network. Brain connectivity during tic suppression also increases as youths with TS mature. These results highlight a mechanism by which children with TS may control their tics, which could be relevant for future treatment studies.
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Affiliation(s)
| | - Jia Wu
- Child Study Center, Yale University School of Medicine, New Haven, Connecticut
| | - Linda C Mayes
- Child Study Center, Yale University School of Medicine, New Haven, Connecticut
| | - Heidi Grantz
- Child Study Center, Yale University School of Medicine, New Haven, Connecticut
| | - James F Leckman
- Child Study Center, Yale University School of Medicine, New Haven, Connecticut
| | - Michael J Crowley
- Child Study Center, Yale University School of Medicine, New Haven, Connecticut
| | - Denis G Sukhodolsky
- Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
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13
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Kronemer SI, Aksen M, Ding JZ, Ryu JH, Xin Q, Ding Z, Prince JS, Kwon H, Khalaf A, Forman S, Jin DS, Wang K, Chen K, Hu C, Agarwal A, Saberski E, Wafa SMA, Morgan OP, Wu J, Christison-Lagay KL, Hasulak N, Morrell M, Urban A, Todd Constable R, Pitts M, Mark Richardson R, Crowley MJ, Blumenfeld H. Human visual consciousness involves large scale cortical and subcortical networks independent of task report and eye movement activity. Nat Commun 2022; 13:7342. [PMID: 36446792 PMCID: PMC9707162 DOI: 10.1038/s41467-022-35117-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 11/17/2022] [Indexed: 11/30/2022] Open
Abstract
The full neural circuits of conscious perception remain unknown. Using a visual perception task, we directly recorded a subcortical thalamic awareness potential (TAP). We also developed a unique paradigm to classify perceived versus not perceived stimuli using eye measurements to remove confounding signals related to reporting on conscious experiences. Using fMRI, we discovered three major brain networks driving conscious visual perception independent of report: first, increases in signal detection regions in visual, fusiform cortex, and frontal eye fields; and in arousal/salience networks involving midbrain, thalamus, nucleus accumbens, anterior cingulate, and anterior insula; second, increases in frontoparietal attention and executive control networks and in the cerebellum; finally, decreases in the default mode network. These results were largely maintained after excluding eye movement-based fMRI changes. Our findings provide evidence that the neurophysiology of consciousness is complex even without overt report, involving multiple cortical and subcortical networks overlapping in space and time.
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Affiliation(s)
- Sharif I Kronemer
- Department of Neurology, Yale University, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
| | - Mark Aksen
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Julia Z Ding
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Jun Hwan Ryu
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Qilong Xin
- Department of Neurology, Yale University, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
| | - Zhaoxiong Ding
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Jacob S Prince
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Hunki Kwon
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Aya Khalaf
- Department of Neurology, Yale University, New Haven, CT, USA
- Biomedical Engineering and Systems, Faculty of Engineering, Cairo University, Giza, Egypt
| | - Sarit Forman
- Department of Neurology, Yale University, New Haven, CT, USA
| | - David S Jin
- Department of Neurology, Yale University, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
| | - Kevin Wang
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Kaylie Chen
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Claire Hu
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Akshar Agarwal
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Erik Saberski
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Syed Mohammad Adil Wafa
- Department of Neurology, Yale University, New Haven, CT, USA
- Child Study Center, Yale University, New Haven, CT, USA
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Owen P Morgan
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Jia Wu
- Child Study Center, Yale University, New Haven, CT, USA
| | | | | | | | | | - R Todd Constable
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
- Department of Neurosurgery, Yale University, New Haven, CT, USA
- Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, USA
| | | | - R Mark Richardson
- Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | | | - Hal Blumenfeld
- Department of Neurology, Yale University, New Haven, CT, USA.
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA.
- Department of Neurosurgery, Yale University, New Haven, CT, USA.
- Department of Neuroscience, Yale University, New Haven, CT, USA.
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14
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Lowell AF, Morie K, Potenza MN, Crowley MJ, Mayes LC. An intergenerational lifespan perspective on the neuroscience of prenatal substance exposure. Pharmacol Biochem Behav 2022; 219:173445. [PMID: 35970340 DOI: 10.1016/j.pbb.2022.173445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 01/09/2022] [Revised: 07/26/2022] [Accepted: 08/05/2022] [Indexed: 11/16/2022]
Abstract
Prenatal substance exposure has the potential to impact a variety of domains, with neurobiological effects that last throughout the lifespan. Different substances may impact the brain in both specific and diffuse ways; however, the aberrant neural outcomes following exposure tend to coalesce in three areas: (1) sensorimotor development; (2) arousal, motivation, and reward; and (3) executive functioning, impulse control, and emotion regulation. This manuscript represents a summary and update of a previous review (Morie et al., 2019). We organize this piece by domain and summarize data from published neuroimaging studies that examine the neural correlates of prenatal exposure across developmental stages. While the published neuroimaging literature in the area of prenatal exposure has a range of sampling concerns that may limit generalizability as well as longitudinal prediction, the findings to date do point to domains of interest warranting further study. With this caveat, we synthesize the extant findings to describe ways in which prenatal substance exposure is associated with developmental psychopathology and implicated in potentially aberrant behavioral patterns beginning in infancy and persisting through childhood, adolescence, adulthood, and even parenthood. We also examine how substance abuse may impact parenting behaviors that in turn influences infant and child behavior in ways that may be additive or obscure the direct teratological effects of prenatal exposure. Given this observation, we offer an additional intergenerational lens through which prenatal substance exposure should be studied.
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Affiliation(s)
- Amanda F Lowell
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
| | - Kristen Morie
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Marc N Potenza
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA
| | - Michael J Crowley
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Linda C Mayes
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
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15
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Morie KP, Crowley MJ, Mayes LC, Potenza MN. The process of emotion identification: Considerations for psychiatric disorders. J Psychiatr Res 2022; 148:264-274. [PMID: 35151218 PMCID: PMC8969204 DOI: 10.1016/j.jpsychires.2022.01.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 06/21/2021] [Revised: 12/07/2021] [Accepted: 01/26/2022] [Indexed: 11/28/2022]
Abstract
Emotional regulation is important for mental health and behavioral regulation. A relevant precursor to emotional regulation may involve identification of one's emotions. Here, we propose a model of seven components that may provide a foundation for emotion identification. These factors include baseline mood, monitoring, physiological responses, interoception, past personal experiences regarding emotions/metacognition, context, and labeling. We additionally examine how deficits in different components may contribute to the concept of alexithymia, which is defined by difficulty identifying and describing one's own emotions. Ultimately, we explore how the model may support a relationship between specific psychiatric disorders and alexithymia. The proposed model may help explain emotional identification impairment in multiple psychiatric disorders and guide future research and treatment development efforts.
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Affiliation(s)
- Kristen P Morie
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA.
| | - Michael J Crowley
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Linda C Mayes
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Marc N Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA; Connecticut Mental Health Center, New Haven, CT, 06519, USA; Department of Neuroscience, Yale School of Medicine, New Haven, CT, 06510, USA
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16
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Morand-Beaulieu S, Smith SD, Ibrahim K, Wu J, Leckman JF, Crowley MJ, Sukhodolsky DG. Electrophysiological signatures of inhibitory control in children with Tourette syndrome and attention-deficit/hyperactivity disorder. Cortex 2022; 147:157-168. [PMID: 35042055 PMCID: PMC8816877 DOI: 10.1016/j.cortex.2021.12.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [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: 06/21/2021] [Revised: 10/29/2021] [Accepted: 12/01/2021] [Indexed: 02/03/2023]
Abstract
Tourette syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD) frequently co-occur, especially in children. Reduced inhibitory control abilities have been suggested as a shared phenotype across both conditions but its neural underpinnings remain unclear. Here, we tested the behavioral and electrophysiological correlates of inhibitory control in children with TS, ADHD, TS+ADHD, and typically developing controls (TDC). One hundred and thirty-eight children, aged 7-14 years, performed a Go/NoGo task during dense-array EEG recording. The sample included four groups: children with TS only (n = 47), TS+ADHD (n = 32), ADHD only (n = 22), and matched TDC (n = 35). Brain activity was assessed with the means of frontal midline theta oscillations, as well as the N200 and P300 components of the event-related potentials. Our analyses revealed that both groups with TS did not differ from other groups in terms of behavioral performance, frontal midline theta oscillations, and event-related potentials. Children with ADHD-only had worse Go/NoGo task performance, decreased NoGo frontal midline theta power, and delayed N200 and P300 latencies, compared to typically developing controls. In the current study, we found that children with TS or TS+ADHD do not show differences in EEG during a Go/NoGo task compared to typically developing children. Our findings however suggest that children with ADHD-only have a distinct electrophysiological profile during the Go/NoGo task as indexed by reduced frontal midline theta power and delayed N200 and P300 latencies.
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Affiliation(s)
| | - Stephanie D. Smith
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA,School of Psychology, University of Southern Mississippi, Hattiesburg, MS, USA
| | - Karim Ibrahim
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Jia Wu
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - James F. Leckman
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Michael J. Crowley
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
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17
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Crowley MJ, van Noordt SJR, Castagna PJ, Vaca FE, Wu J, Lejuez CW, Mayes LC. Avoidance in Adolescence: The Balloon Risk Avoidance Task (BRAT). J Psychopathol Behav Assess 2021. [DOI: 10.1007/s10862-021-09928-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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18
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Topel S, van Noordt SJR, Willner CJ, Banz BC, Wu J, Castagna P, Kortink ED, van der Molen MJW, Crowley MJ. As they wait: Anticipatory neural response to evaluative peer feedback varies by pubertal status and social anxiety. Dev Cogn Neurosci 2021; 51:101004. [PMID: 34411955 PMCID: PMC8377527 DOI: 10.1016/j.dcn.2021.101004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 10/05/2020] [Revised: 08/09/2021] [Accepted: 08/10/2021] [Indexed: 11/20/2022] Open
Abstract
Adolescence is a developmental period characterized by substantial biological, neural, behavioral, and social changes. Learning to navigate the complex social world requires adaptive skills. Although anticipation of social situations can serve an adaptive function, providing opportunity to adjust behavior, socially anxious individuals may engage in maladaptive anticipatory processing. Importantly, elevated social anxiety often coincides with adolescence. This study investigated cortical electroencephalogram (EEG) responses during anticipation of evaluative feedback in 106 healthy adolescents aged 12–17 years. We examined differences in anticipatory event-related potentials (i.e., stimulus preceding negativity [SPN]) in relation to social anxiety levels and pubertal maturation. As expected, the right frontal SPN was more negative during feedback anticipation, particularly for adolescents with higher social anxiety and adolescents who were at a more advanced pubertal stage. Effects for the left posterior SPN were the opposite of those for the right frontal SPN consistent with a dipole. Anticipatory reactivity in adolescence was related to social anxiety symptom severity, especially in females, and pubertal maturation in a social evaluative situation. This study provides evidence for the development of social anticipatory processes in adolescence and potential mechanisms underlying maladaptive anticipation in social anxiety.
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Affiliation(s)
- Selin Topel
- Developmental and Educational Psychology, Institute of Psychology, Leiden University, the Netherlands; Clinical Psychology, Institute of Psychology, Leiden University, the Netherlands; Yale Child Study Center, Yale University, United States.
| | - Stefon J R van Noordt
- Department of Psychology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
| | | | - Barbara C Banz
- Department of Emergency Medicine, Yale University, United States
| | - Jia Wu
- Yale Child Study Center, Yale University, United States
| | | | - Elise D Kortink
- Developmental and Educational Psychology, Institute of Psychology, Leiden University, the Netherlands
| | - Melle J W van der Molen
- Developmental and Educational Psychology, Institute of Psychology, Leiden University, the Netherlands; Leiden Institute for Brain and Cognition, Leiden University, the Netherlands
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19
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Abstract
Previous work relies largely on the simple reaction time measures in inhibitory control tasks. The goal of the current study was to provide a better understanding the relationship between puberty, sex, and inhibitory control utilizing and contrasting two popular drift diffusion models. A sample of 103 adolescents (Mage = 14.49, SD = 1.69) self-reported their pubertal development and completed a flanker task. Utilizing Bayesian regressions, we found that the interaction between puberty and sex were significant predictors of the A/B parameter, conceptualized as the amount of information considered for a decision during the task.
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Affiliation(s)
- Peter J Castagna
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
| | - Michael J Crowley
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
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20
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Morie KP, Wu J, Potenza MN, Krishnan-Sarin S, Mayes LC, Hammond CJ, Crowley MJ. Daily cannabis use in adolescents who smoke tobacco is associated with altered late-stage feedback processing: A high-density electrical mapping study. J Psychiatr Res 2021; 139:82-90. [PMID: 34052575 PMCID: PMC8314801 DOI: 10.1016/j.jpsychires.2021.05.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 01/26/2021] [Revised: 04/15/2021] [Accepted: 05/20/2021] [Indexed: 10/21/2022]
Abstract
Impairments in feedback processing, often associated with risk-taking behavior, may have implications for development of substance abuse in adolescents. The most commonly used substances by adolescents include tobacco and cannabis, with some individuals using both substances, potentially heightening risk. Our objective was to examine feedback processing and impulsivity in adolescents who smoke cigarettes and use cannabis daily (N = 21), comparing them with adolescents who smoke cigarettes daily and use cannabis occasionally (N = 18) and non-smoking (N = 27) adolescents. To do this, the Balloon Analog Risk Task (BART) with concurrent EEG was used to measure risk-related feedback processing, and impulsivity was measured using the Barratt's impulsiveness scale (BIS-11). It was found that adolescent daily tobacco/cannabis smoking was associated with higher BIS-11 scores, shortened feedback-related-negativity (FRN) latencies and reduced P300 amplitudes. In addition, FRN latencies during win conditions were inversely associated with tobacco-use severity, indicated by scores on the Fagerstrom Test for Nicotine Dependence (FTND), and with BIS-11 scores. Adolescents with concurrent tobacco and cannabis use show altered feedback processing and higher impulsivity. Future work should disentangle whether the effect reflects risk, consequences of use or both.
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Affiliation(s)
- Kristen P Morie
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA.
| | - Jia Wu
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Marc N Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA; Connecticut Mental Health Center, New Haven, CT, 06519, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Suchitra Krishnan-Sarin
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA; Connecticut Mental Health Center, New Haven, CT, 06519, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Linda C Mayes
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA; Department of Pediatrics, Yale University School of Medicine, New Haven, CT, 06519, USA; Department of Psychology, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Christopher J Hammond
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA; Johns Hopkins School of Medicine, Baltimore, MD, 21218, USA
| | - Michael J Crowley
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
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21
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Shaw RJ, Yang Q, Barnes A, Hatch D, Crowley MJ, Vorderstrasse A, Vaughn J, Diane A, Lewinski AA, Jiang M, Stevenson J, Steinberg D. Self-monitoring diabetes with multiple mobile health devices. J Am Med Inform Assoc 2021; 27:667-676. [PMID: 32134447 DOI: 10.1093/jamia/ocaa007] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [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: 09/06/2019] [Revised: 01/09/2020] [Accepted: 01/15/2020] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE The purpose of this study was to examine the use of multiple mobile health technologies to generate and transmit data from diverse patients with type 2 diabetes mellitus (T2DM) in between clinic visits. We examined the data to identify patterns that describe characteristics of patients for clinical insights. METHODS We enrolled 60 adults with T2DM from a US healthcare system to participate in a 6-month longitudinal feasibility trial. Patient weight, physical activity, and blood glucose were self-monitored via devices provided at baseline. Patients also responded to biweekly medication adherence text message surveys. Data were aggregated in near real-time. Measures of feasibility assessing total engagement in device submissions and survey completion over the 6 months of observation were calculated. RESULTS It was feasible for participants from different socioeconomic, educational, and racial backgrounds to use and track relevant diabetes-related data from multiple mobile health devices for at least 6 months. Both the transmission and engagement of the data revealed notable patterns and varied by patient characteristics. DISCUSSION Using multiple mobile health tools allowed us to derive clinical insights from diverse patients with diabetes. The ubiquitous adoption of smartphones across racial, educational, and socioeconomic populations and the integration of data from mobile health devices into electronic health records present an opportunity to develop new models of care delivery for patients with T2DM that may promote equity as well.
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Affiliation(s)
- Ryan J Shaw
- School of Nursing, Duke University, Durham, North Carolina, USA.,Center for Applied Genomics & Precision Medicine, School of Medicine, Duke University, Durham, North Carolina, USA
| | - Q Yang
- School of Nursing, Duke University, Durham, North Carolina, USA
| | - A Barnes
- School of Nursing, Duke University, Durham, North Carolina, USA
| | - D Hatch
- School of Nursing, Duke University, Durham, North Carolina, USA
| | - M J Crowley
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.,Division of Endocrinology, Diabetes and Metabolism, Duke University School of Medicine, Durham, North Carolina, USA
| | - A Vorderstrasse
- College of Nursing, New York University, New York, New York, USA
| | - J Vaughn
- School of Nursing, Duke University, Durham, North Carolina, USA
| | - A Diane
- School of Nursing, Duke University, Durham, North Carolina, USA
| | - A A Lewinski
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA
| | - M Jiang
- Department of Biostatistics & Bioinformatics, School of Medicine, Duke University, Durham, North Carolina, USA
| | - J Stevenson
- School of Nursing, Duke University, Durham, North Carolina, USA
| | - D Steinberg
- School of Nursing, Duke University, Durham, North Carolina, USA
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22
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Parker TC, Crowley MJ, Naples AJ, Rolison MJ, Wu J, Trapani JA, McPartland JC. The N170 event-related potential reflects delayed neural response to faces when visual attention is directed to the eyes in youths with ASD. Autism Res 2021; 14:1347-1356. [PMID: 33749161 DOI: 10.1002/aur.2505] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 07/02/2020] [Revised: 03/10/2021] [Accepted: 03/11/2021] [Indexed: 11/10/2022]
Abstract
Atypical neural response to faces is thought to contribute to social deficits in autism spectrum disorder (ASD). Compared to typically developing (TD) controls, individuals with ASD exhibit delayed brain responses to upright faces at a face-sensitive event-related potential (ERP), the N170. Given observed differences in patterns of visual attention to faces, it is not known whether slowed neural processing may simply reflect atypical looking to faces. The present study manipulated visual attention to facial features to examine whether directed attention to the eyes normalizes N170 latency in ASD. ERPs were recorded in 30 children and adolescents with ASD as well as 26 TD children and adolescents. Results replicated prior findings of shorter N170 latency to the eye region of the face in TD individuals. In contrast, those with ASD did not demonstrate modulation of N170 latency by point of regard to the face. Group differences in latency were most pronounced when attention was directed to the eyes. Results suggest that well-replicated findings of N170 delays in ASD do not simply reflect atypical patterns of visual engagement with experimental stimuli. These findings add to a body of evidence indicating that N170 delays are a promising marker of atypical neural response to social information in ASD. LAY SUMMARY: This study looks at how children's and adolescents' brains respond when looking at different parts of a face. Typically developing children and adolescents processed eyes faster than other parts of the face, whereas this pattern was not seen in ASD. Children and adolescents with ASD processed eyes more slowly than typically developing children. These findings suggest that observed inefficiencies in face processing in ASD are not simply reflective of failure to attend to the eyes.
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Affiliation(s)
- Termara C Parker
- Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
| | - Michael J Crowley
- Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
| | - Adam J Naples
- Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
| | - Max J Rolison
- Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
| | - Jia Wu
- Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
| | - Julie A Trapani
- Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - James C McPartland
- Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
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23
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Hammond CJ, Wu J, Krishnan-Sarin S, Mayes LC, Potenza MN, Crowley MJ. Co-occurring tobacco and cannabis use in adolescents: Dissociable relationships with mediofrontal electrocortical activity during reward feedback processing. Neuroimage Clin 2021; 30:102592. [PMID: 33667977 PMCID: PMC7932890 DOI: 10.1016/j.nicl.2021.102592] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 07/13/2020] [Revised: 12/11/2020] [Accepted: 02/05/2021] [Indexed: 12/01/2022]
Abstract
Differences in corticostriatal neural activity during feedback processing of rewards and losses have been separately related to cannabis and tobacco use but remain understudied relative to co-use in adolescents. Using high-density EEG (128 electrode system, 1000 Hz sampling), we examined event-related potentials (ERPs) elicited by monetary reward, neutral, and loss feedback during performance on a non-learning four-choice guessing task in a sample of non-deprived daily-cigarette-smoking adolescents (n = 36) who used tobacco and cannabis regularly (TC adolescents), and non-smoking healthy control adolescents (HCs) (n = 29). Peak amplitudes and latencies of mediofrontal ERPs indexing feedback-related negativities (FRNs) were used as outcomes in repeated-measures ANOVAs. No differences in FRNs were observed between TC and HC adolescents. Within TC adolescents, cannabis-use and tobacco-use variables had distinct relationships with the FRN, with cannabis-related problem severity being positively correlated with FRN amplitude during reward feedback and tobacco-related problem severity being negatively correlated with FRN latency during non-loss feedback (i.e., reward and neutral). These findings suggest that co-occurring cannabis and tobacco use may have dissociable relationships with feedback processing relating to each drug and support an incentive salience model of addiction severity related to cannabis use in adolescents.
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Affiliation(s)
- Christopher J Hammond
- Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Behavioral Pharmacology Research Unit, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Child Study Center, Yale University School of Medicine, New Haven, CT, United States.
| | - Jia Wu
- Child Study Center, Yale University School of Medicine, New Haven, CT, United States
| | | | - Linda C Mayes
- Child Study Center, Yale University School of Medicine, New Haven, CT, United States
| | - Marc N Potenza
- Child Study Center, Yale University School of Medicine, New Haven, CT, United States; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States; Department of Neuroscience, Yale University, New Haven, CT, United States; Connecticut Council on Problem Gambling, Wethersfield, CT, United States; Connecticut Mental Health Center, New Haven, CT, United States
| | - Michael J Crowley
- Child Study Center, Yale University School of Medicine, New Haven, CT, United States; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
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24
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White LO, Bornemann B, Crowley MJ, Sticca F, Vrtička P, Stadelmann S, Otto Y, Klein AM, von Klitzing K. Exclusion Expected? Cardiac Slowing Upon Peer Exclusion Links Preschool Parent Representations to School-Age Peer Relationships. Child Dev 2021; 92:1274-1290. [PMID: 33399231 DOI: 10.1111/cdev.13494] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Attachment theory proposes that children's representations of interactions with caregivers guide information-processing about others, bridging interpersonal domains. In a longitudinal study (N = 165), preschoolers (Mage = 5.19 years) completed the MacArthur Story Stem Battery to assess parent representations. At school-age (Mage = 8.42 years), children played a virtual ballgame with peers who eventually excluded them to track event-related cardiac slowing, a physiological correlate of rejection, especially when unexpected. At both ages, parents and teachers reported on peer and emotional problems. During exclusion versus inclusion-related events, cardiac slowing was associated with greater positive parent representations and fewer emerging peer problems. Cardiac slowing served as a mediator between positive parent representations and peer problems, supporting a potential psychophysiological mechanism underlying the generalization of attachment-related representations to peer relationships.
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Affiliation(s)
| | | | | | | | - Pascal Vrtička
- Max Planck Institute for Human Cognitive and Brain Sciences.,University of Essex
| | | | | | - Annette M Klein
- University of Leipzig.,International Psychoanalytic University
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25
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Baddam SKR, Canapari CA, Van de Grift J, McGirr C, Nasser AY, Crowley MJ. Screening and Evaluation of Sleep Disturbances and Sleep Disorders in Children and Adolescents. Child Adolesc Psychiatr Clin N Am 2021; 30:65-84. [PMID: 33223069 DOI: 10.1016/j.chc.2020.09.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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] [Indexed: 12/15/2022]
Abstract
Sleep disturbances and sleep disorders are prevalent in children/adolescents and have a bidirectional relationship with pediatric medical and mental health disorders. Screening tools and mechanisms for the evaluation and treatment of sleep disturbances and sleep disorders in the pediatric mental health clinic are less well-known; hence, sleep disturbances and disorders are under-recognized in the pediatric clinics. We present specific, validated screening and evaluation tools to identify sleep disturbances and sleep disorders in children/adolescents. We offer guidance related to the use of consumer wearables for sleep assessments and use of sleep telemedicine in pediatric mental health and primary care clinics.
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Affiliation(s)
- Suman K R Baddam
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA.
| | - Craig A Canapari
- Pediatric Pulmonology, Allergy, Immunology & Sleep Medicine, PO Box 208064, New Haven, CT, 06520-8064, USA
| | - Jenna Van de Grift
- Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA
| | - Christopher McGirr
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA
| | | | - Michael J Crowley
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA
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26
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Wu J, Pierart C, Chaplin TM, Hommer RE, Mayes LC, Crowley MJ. Getting to the heart of food craving with resting heart rate variability in adolescents. Appetite 2020; 155:104816. [PMID: 32768602 PMCID: PMC7508897 DOI: 10.1016/j.appet.2020.104816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 06/15/2020] [Accepted: 07/29/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND There is an epidemic of obesity in children and adolescents. Research into the self-regulatory factors that drive eating behavior is of critical importance. Food craving contributes to overeating and difficulty with weight loss and is strongly correlated with self-regulation. High-frequency heart rate variability (HF HRV) reflects parasympathetic activity and is positively associated with self-regulation. Few studies of HF HRV and food craving have been conducted in adolescents. The current study examined the association between HF HRV and food craving in a large-scale sample of healthy adolescents. METHOD Electrocardiogram (ECG) was recorded in 134 healthy adolescents aged 10-17 during a 7-min resting state. Participants also completed the Food Craving Questionnaire-Trait (FCQ-T). The relative power of HF HRV was calculated. Association between HF HRV and food craving was examined in the context of sex and age. Next, the relative significance of all food craving subscales was considered in relation to HF HRV. RESULTS HF HRV was inversely correlated with food craving, taking into account sex and age. Considering all the subscales of FCQ-T in relation to HF HRV, the "lack of control over eating" subscale accounted for the most significant variance. CONCLUSION This was the first study to evaluate resting HRV and eating behaviors in a large-scale adolescent sample. HF HRV was negatively associated with food craving, with lower HF HRV correlating with higher food craving, especially in the context of diminished control over eating. HF HRV could be a potential biomarker for food craving and food-related self-regulation capacity, and therefore may aid weight management interventions.
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Affiliation(s)
- Jia Wu
- Yale Child Study Center, Yale University, New Haven, CT, USA; Developmental Electrophysiology Laboratory, Yale University, New Haven, CT, USA.
| | - Camila Pierart
- Yale Child Study Center, Yale University, New Haven, CT, USA
| | | | | | - Linda C Mayes
- Yale Child Study Center, Yale University, New Haven, CT, USA; Developmental Electrophysiology Laboratory, Yale University, New Haven, CT, USA
| | - Michael J Crowley
- Yale Child Study Center, Yale University, New Haven, CT, USA; Developmental Electrophysiology Laboratory, Yale University, New Haven, CT, USA
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27
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Green W, Gao X, Li K, Banz BC, Wu J, Crowley MJ, Camenga DR, Vaca FE. The Association of Sleep Hygiene and Drowsiness with Adverse Driving Events in Emergency Medicine Residents. West J Emerg Med 2020; 21:219-224. [PMID: 33207169 PMCID: PMC7673877 DOI: 10.5811/westjem.2020.8.47357] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 08/21/2020] [Indexed: 01/19/2023] Open
Abstract
Introduction Prior research shows that physicians in training are at risk for drowsy driving following their clinical duties, which may put them in danger of experiencing adverse driving events. This study explores the relationship between sleepiness, overall sleep hygiene, level of training, and adverse driving events following an overnight shift in emergency medicine (EM) residents. Methods Throughout the 2018–2019 academic year, 50 EM residents from postgraduate years 1–4 completed self-administered surveys regarding their sleepiness before and after their drive home following an overnight shift, any adverse driving events that occurred during their drive home, and their overall sleep hygiene. Results Fifty out of a possible 57 residents completed the survey for a response rate of 87.7%. Sleepiness was significantly associated with adverse driving events (beta = 0.31; P < .001). Residents with high sleepiness levels reported significantly more adverse driving events. Residents reported significantly higher sleepiness levels after completing their drive home (mean = 7.04, standard deviation [SD] = 1.41) compared to sleepiness levels before driving home (mean = 5.58, SD = 1.81). Residency training level was significantly associated with adverse driving events (beta = −0.59, P < .01). Senior residents reported significantly fewer adverse driving events compared to junior residents. Conclusion Emergency physicians in training are at risk for drowsy driving-related motor vehicle crashes following overnight work shifts. Trainees of all levels underestimated their true degree of sleepiness prior to initiating their drive home, while junior residents were at higher risk for adverse driving events.
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Affiliation(s)
- Walter Green
- Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut
| | - Xiang Gao
- Colorado State University, Department of Health and Exercise Science, Fort Collins, Colorado
| | - Kaigang Li
- Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab).,Colorado State University, Department of Health and Exercise Science, Fort Collins, Colorado
| | - Barbara C Banz
- Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab).,Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut
| | - Jia Wu
- Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab).,Yale Child Study Center, New Haven, Connecticut
| | - Michael J Crowley
- Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab).,Yale Child Study Center, New Haven, Connecticut
| | - Deepa R Camenga
- Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab).,Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut
| | - Federico E Vaca
- Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab).,Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut.,Yale Child Study Center, New Haven, Connecticut
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28
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Banz BC, Wu J, Camenga DR, Mayes LC, Crowley MJ, Vaca FE. Brain-based limitations in attention and secondary task engagement during high-fidelity driving simulation among young adults. Neuroreport 2020; 31:619-623. [PMID: 32366810 DOI: 10.1097/wnr.0000000000001451] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Distracted driving remains a leading factor in fatal motor vehicle crashes, particularly in young drivers. Due to ongoing neuromaturation, attention capabilities are changing and improving throughout young adulthood. Here, we sought to bridge neuroscience with driving simulation by evaluating the effects of driving on attention processing through a selective auditory attention task. Participants (18-25 years old) engaged in an auditory attention task during LOAD (driving a high-fidelity simulator) and No-LOAD conditions (sitting in the parked simulator). For the auditory task, participants responded to a target auditory tone in a target ear. The event-related potential components, collected from frontal and posterior regions, P2 and P3, were used to evaluate attention processing across LOAD and No-LOAD conditions for attended and unattended stimuli. Data from 24 participants were evaluated in repeated measures ANOVAs, considering interactions between load and attention conditions for the P2 and P3 components of the cortical region. We observed a significant difference between response to attended and unattended stimuli for posterior P2 and P3 responses at the frontal and posterior midline sites. Comparing LOAD and No-LOAD conditions, there was a significant difference for P2 response at the posterior site and P3 response at the frontal site. A significant interaction between load and attended stimuli was found for P3 response at the posterior site. These data document differences in neural processing of auditory stimuli during high-fidelity simulated driving versus sitting parked in the simulator. Findings suggest the cognitive load of driving affects auditory attention.
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Affiliation(s)
- Barbara C Banz
- Department of Emergency Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale University School of Medicine
| | - Jia Wu
- Department of Child Study Center, Yale University School of Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, Connecticut, USA
| | - Deepa R Camenga
- Department of Emergency Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale University School of Medicine.,Department of Child Study Center, Yale University School of Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, Connecticut, USA
| | - Linda C Mayes
- Department of Child Study Center, Yale University School of Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, Connecticut, USA
| | - Michael J Crowley
- Department of Child Study Center, Yale University School of Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, Connecticut, USA
| | - Federico E Vaca
- Department of Emergency Medicine, Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale University School of Medicine
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29
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Ke T, Wu J, Willner CJ, Brown Z, Banz B, Van Noordt S, Waters AC, Crowley MJ. The glass is half empty: Negative self-appraisal bias and attenuated neural response to positive self-judgment in adolescence. Soc Neurosci 2019; 15:140-157. [PMID: 31760856 DOI: 10.1080/17470919.2019.1697744] [Citation(s) in RCA: 3] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Substantial changes in cognitive-affective self-referential processing occur during adolescence. We studied the behavioral and ERP correlates of self-evaluation in healthy male and female adolescents aged 12-17 (N = 109). Participants completed assessments of depression symptoms and puberty as well as a self-referential encoding task while 128-channel high-density EEG data were collected. Depression symptom severity was associated with increased endorsement of negative words and longer reaction times. In an extreme group analysis, a negative appraisal-bias subsample (n = 28) displayed decreased frontal P2 amplitudes to both positive and negative word stimuli, reflecting reduced early attentional processing and emotional salience. Compared to the positive appraisal-bias subsample (n = 27), the negative appraisal-bias subsample showed reduced LPP to positive words but not negative words, suggesting attenuated sustained processing of positive self-relevant stimuli. Findings are discussed in terms of neural processes associated with ERPs during negative versus positive self-appraisal bias, and developmental implications.
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Affiliation(s)
- Tianyuan Ke
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.,Psychology and Language Science, University College London, London, UK
| | - Jia Wu
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Cynthia J Willner
- Yale Center for Emotional Intelligence, Yale Child Study Center, New Haven, CT, USA
| | | | - Barbara Banz
- Yale Center for Emotional Intelligence, Yale Child Study Center, New Haven, CT, USA
| | - Stefon Van Noordt
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Allison C Waters
- Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Department of Neuroscience, New York, NY, USA
| | - Michael J Crowley
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
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30
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Lourenco AR, Ban Y, Crowley MJ, Lee SB, Ramchandani D, Du W, Elemento O, George JT, Jolly MK, Levine H, Sheng J, Wong ST, Altorki NK, Gao D. Differential Contributions of Pre- and Post-EMT Tumor Cells in Breast Cancer Metastasis. Cancer Res 2019; 80:163-169. [PMID: 31704888 DOI: 10.1158/0008-5472.can-19-1427] [Citation(s) in RCA: 52] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 09/04/2019] [Accepted: 10/22/2019] [Indexed: 12/12/2022]
Abstract
Metastases are responsible for the majority of breast cancer-associated deaths. The contribution of epithelial-to-mesenchymal transition (EMT) in the establishment of metastases is still controversial. To obtain in vivo evidence of EMT in metastasis, we established an EMT lineage tracing (Tri-PyMT) model, in which tumor cells undergoing EMT would irreversibly switch their fluorescent marker from RFP+ to GFP+ due to mesenchymal-specific Cre expression. Surprisingly, we found that lung metastases were predominantly derived from the epithelial compartment of breast tumors. However, concerns were raised on the fidelity and sensitivity of RFP-to-GFP switch of this model in reporting EMT of metastatic tumor cells. Here, we evaluated Tri-PyMT cells at the single-cell level using single-cell RNA-sequencing and found that the Tri-PyMT cells exhibited a spectrum of EMT phenotypes, with EMT-related genes concomitantly expressed with the activation of GFP. The fluorescent color switch in these cells precisely marked an unequivocal change in EMT status, defining the pre-EMT and post-EMT compartments within the tumor. Consistently, the pre-EMT cells played dominant roles in metastasis, while the post-EMT cells were supportive in promoting tumor invasion and angiogenesis. Importantly, the post-EMT (GFP+) cells in the Tri-PyMT model were not permanently committed to the mesenchymal phenotype; they were still capable of reverting to the epithelial phenotype and giving rise to secondary tumors, suggesting their persistent EMT plasticity. Our study addressed major concerns with the Tri-PyMT EMT lineage tracing model, which provides us with a powerful tool to investigate the dynamic EMT process in tumor biology. SIGNIFICANCE: These findings confirm the fidelity and sensitivity of the EMT lineage tracing (Tri-PyMT) model and highlight the differential contributions of pre- and post-EMT tumor cells in breast cancer metastasis.See related commentary by Bunz, p. 153.
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Affiliation(s)
- Ana Rita Lourenco
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York
| | - Yi Ban
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York
| | - Michael J Crowley
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York.,Weill Cornell Graduate School of Medical Sciences, Weill Cornell Medicine, New York, New York
| | - Sharrell B Lee
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York
| | - Divya Ramchandani
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York
| | - Wei Du
- Department of Physiology and Biophysics, Weill Cornell Medicine, New York, New York
| | - Olivier Elemento
- Department of Physiology and Biophysics, Weill Cornell Medicine, New York, New York
| | - Jason T George
- Center for Theoretical Biological Physics, Department of Bioengineering, Rice University, Houston, Texas.,Medical Scientist Training Program, Baylor College of Medicine, Houston, Texas
| | - Mohit Kumar Jolly
- Center for Theoretical Biological Physics, Department of Bioengineering, Rice University, Houston, Texas.,Centre for BioSystems Science and Engineering, Indian Institute of Science, Bangalore, India
| | - Herbert Levine
- Center for Theoretical Biological Physics, Department of Bioengineering, Rice University, Houston, Texas
| | - Jianting Sheng
- Bioinformatics and Biostatistics Cores, Houston Methodist Cancer Center, Houston Methodist Hospital, Houston Texas.,TT & WF Chao Center for BRAIN, Houston Methodist Hospital, Houston Texas
| | - Stephen T Wong
- Bioinformatics and Biostatistics Cores, Houston Methodist Cancer Center, Houston Methodist Hospital, Houston Texas.,TT & WF Chao Center for BRAIN, Houston Methodist Hospital, Houston Texas.,Department of Radiology, Weill Cornell Medicine, New York, New York.,Methodist Cancer Center, Houston Methodist Hospital, Houston, Texas
| | - Nasser K Altorki
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York
| | - Dingcheng Gao
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York. .,Neuberger Berman Lung Cancer Center, Weill Cornell Medicine, New York, New York.,Department of Cell and Developmental Biology, Weill Cornell Medicine, New York, New York
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31
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Davidson CA, Willner CJ, van Noordt SJR, Banz BC, Wu J, Kenney JG, Johannesen JK, Crowley MJ. One-Month Stability of Cyberball Post-Exclusion Ostracism Distress in Adolescents. J Psychopathol Behav Assess 2019; 41:400-408. [PMID: 32042218 PMCID: PMC7010318 DOI: 10.1007/s10862-019-09723-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
We examined one-month reliability, internal consistency, and validity of ostracism distress (Need Threat Scale) to simulated social exclusion during Cyberball. Thirty adolescents (13-18 yrs.) completed the Cyberball task, ostracism distress ratings, and measures of related clinical symptoms, repeated over one month. Need Threat Scale ratings of ostracism distress showed adequate test-retest reliability and internal consistency at both occasions. Construct validity was demonstrated via relationships with closely related constructs of anxiety, anxiety sensitivity, and emotion dysregulation, and weaker associations with more distal constructs of state paranoia and subclinical psychosis-like experiences. While ratings of ostracism distress and anxiety were significantly attenuated at retest, most participants continued to experience post-Cyberball ostracism distress at one-month follow-up, which indicates that the social exclusion induction of Cyberball persisted despite participants' familiarity with the paradigm. Overall, results suggest that the primary construct of ostracism distress is preserved over repeated administration of Cyberball, with reliability sufficient for usage in longitudinal research. These findings have important implications for translating this laboratory simulation of social distress into developmental and clinical intervention studies.
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Affiliation(s)
- Charlie A. Davidson
- Department of Clinical Psychology, Mercer University College of Health Professions, 2930 Flowers Rd. S., Rm. 466, Atlanta, GA 30341, USA
| | - Cynthia J. Willner
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | | | - Barbara C. Banz
- Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA
| | - Jia Wu
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Joshua G. Kenney
- Psychology Service, VA Connecticut Healthcare System, 116-B, 950 Campbell Ave, West Haven, CT 06516, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Jason K. Johannesen
- Psychology Service, VA Connecticut Healthcare System, 116-B, 950 Campbell Ave, West Haven, CT 06516, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Michael J. Crowley
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
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32
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Morie KP, Wu J, Landi N, Potenza MN, Mayes LC, Crowley MJ. Oscillatory Dynamics of Feedback Processing in Adolescents with Prenatal Cocaine Exposure. Dev Neuropsychol 2019; 44:429-442. [PMID: 31353953 PMCID: PMC6690776 DOI: 10.1080/87565641.2019.1645143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Revised: 07/01/2019] [Accepted: 07/06/2019] [Indexed: 12/31/2022]
Abstract
Prenatal cocaine exposure (PCE) has ramifications for feedback processing. Measuring neural oscillatory dynamics (during electroencephalography) provides insight into the time signatures and neural processes of feedback processing in adolescents with PCE. We measured spectral power in alpha and theta frequency bands while 49 adolescents with PCE and 34 non-drug exposed (NDE) performed a task with win/no-win feedback. Compared to NDE individuals, those with PCE showed reduced alpha power and increased theta power in response to no-win feedback. These findings suggest altered reactivity in PCE adolescents.
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Affiliation(s)
- Kristen P. Morie
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Jia Wu
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Nicole Landi
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
- Haskins Laboratories, New Haven, CT 06519, USA
| | - Marc N. Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
- Connecticut Mental Health Center, New Haven, CT, 06519, USA
- Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA
- Department of Neuroscience, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Linda C. Mayes
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
- Department of Pediatrics, Yale University School of Medicine, New Haven, CT, 06519, USA
- Department of Psychology, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Michael J. Crowley
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
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Wu J, Phillip TM, Doretto V, van Noordt S, Chaplin TM, Hommer RE, Mayes LC, Crowley MJ. An inactive control of the 'Trier Social Stress Test' for Youth 10-17 years: Neuroendocrine, cardiac, and subjective responses. Psychoneuroendocrinology 2019; 104:152-164. [PMID: 30849721 PMCID: PMC6488376 DOI: 10.1016/j.psyneuen.2019.02.027] [Citation(s) in RCA: 4] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 02/27/2019] [Accepted: 02/28/2019] [Indexed: 01/19/2023]
Abstract
The Trier Social Stress Test for children (TSST-C) adapted from TSST is one of the most commonly used laboratory paradigms for investigating the effects of stress on cognitive, affective and physiological responses in children and adolescents. Considering that laboratory procedures generate a significant amount of stress to children and adolescents, even in the absence of a stress paradigm, it is important to validate TSST-C against an inactive control condition in which the stress components were absent. Using a randomized design, we tested an inactive control condition, which replaced the TSST-C with a benign video clip (nature scenes viewed while standing), thus removing the stress associated components of the TSST-C. Eighty-eight youth between the ages of 10 and 17 years were randomly assigned to complete the TSST-C or the Inactive Control (IC). Subjective anxiety rating, salivary cortisol, systolic and diastolic blood pressure, and heart rate were collected at eight time points. Subjects in the Inactive Control condition showed no significant changes in blood pressure and heart rate, and decreased anxiety rating and salivary cortisol level throughout the study. Subjects in the stress condition (TSST-C) showed increased anxiety ratings, salivary cortisol, systolic and diastolic blood pressure, and heart rate immediately following TSST-C stress induction. Our findings validated that the TSST-C induced a systemic stress response, and that the Inactive Control can be a promising standardized control condition for the TSST-C and a tool for future psychobiological research. Our results also showed that anxiety reactivity decreased with age while HR reactivity increased with age. Cortisol reactivity did not fall in a linear relationship with age but rather via a quadratic curve, suggesting the mid-age adolescents had the highest cortisol responses to stress compared to their younger and older peers, potentially due to a dual factor of pubertal development and self-control and emotion regulation capacity.
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Affiliation(s)
- Jia Wu
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, United States; Developmental Electrophysiology Laboratory, Yale Child Study Center, New Haven, CT, United States.
| | | | - Victoria Doretto
- Department of Psychiatry, School of Medicine, University of
Sao Paulo, Brasil
| | - Stefon van Noordt
- Yale Child Study Center, Yale School of Medicine, New
Haven, CT,Developmental Electrophysiology Laboratory, Yale Child
Study Center, New Haven, CT,Montreal Neurological Institute, McGill University,
Montreal, Quebec, Canada
| | - Tara M. Chaplin
- Department of Psychology, George Mason University, Fairfax,
VA
| | - Rebecca E. Hommer
- Genetic Epidemiology Branch, National Institute of Mental
Health, National Institutes of Health, Bethesda, MD
| | - Linda C. Mayes
- Yale Child Study Center, Yale School of Medicine, New
Haven, CT,Developmental Electrophysiology Laboratory, Yale Child
Study Center, New Haven, CT
| | - Michael J. Crowley
- Yale Child Study Center, Yale School of Medicine, New
Haven, CT,Program for Anxiety Disorders, Yale Child Study Center, New
Haven, CT,Developmental Electrophysiology Laboratory, Yale Child
Study Center, New Haven, CT
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Morie KP, Crowley MJ, Mayes LC, Potenza MN. Prenatal drug exposure from infancy through emerging adulthood: Results from neuroimaging. Drug Alcohol Depend 2019; 198:39-53. [PMID: 30878766 PMCID: PMC6688747 DOI: 10.1016/j.drugalcdep.2019.01.032] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 01/15/2019] [Accepted: 01/15/2019] [Indexed: 11/28/2022]
Abstract
Prenatal drug exposure may have important repercussions across the lifespan for cognition and behavior. While alcohol is a recognized teratogen, the influences of other substances may also be substantial. The neural underpinnings of the influences of prenatal drug exposure have been examined using longitudinal approaches and multiple imaging techniques. Here we review the existing literature on the neural correlates of prenatal drug exposure. We focused the review on studies that have employed functional neuroimaging and electroencephalography and on substances other than alcohol. We also framed the review through the lens of four developmental life stages (infancy, childhood, adolescence and emerging adulthood). We included papers that have examined any drug use, including tobacco, opiates, cocaine, marijuana, methamphetamines, or polysubstance use. Data suggest that prenatal drug exposure has long-lasting, deleterious influences on cognition and reward processing in infancy and childhood that persist into adolescence and emerging adulthood and may underlie some behavioral tendencies, such as increased externalizing and risk-taking behaviors, seen in these groups.
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Affiliation(s)
- Kristen P. Morie
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA,Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA,Corresponding author at: Department of Psychiatry, Yale University School of Medicine, 300 George St., #901, New Haven, CT, 06510, USA. (K.P. Morie)
| | - Michael J. Crowley
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA,Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA
| | - Linda C. Mayes
- Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA,Department of Pediatrics, Yale University School of Medicine, New Haven, CT, 06510, USA,Department of Psychology, Yale University, New Haven, CT, 06511, USA
| | - Marc N. Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA,Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA,Department of Neuroscience, Yale University School of Medicine, New Haven, CT, 06510, USA,Connecticut Mental Health Center, New Haven, CT, 06519, USA,Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA
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Márquez C, Nicolini H, Crowley MJ, Solís-Vivanco R. Early processing (N170) of infant faces in mothers of children with autism spectrum disorder and its association with maternal sensitivity. Autism Res 2019; 12:744-758. [PMID: 30973210 DOI: 10.1002/aur.2102] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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: 07/24/2018] [Revised: 03/19/2019] [Accepted: 03/21/2019] [Indexed: 11/09/2022]
Abstract
Individuals with autism spectrum disorder (ASD) exhibit impaired adult facial processing, as shown by the N170 event-related potential. However, few studies explore such processing in mothers of children with ASD, and none has assessed the early processing of infant faces in these women. Moreover, whether processing of infant facial expressions in mothers of children with ASD is related to their response to their child's needs (maternal sensitivity [MS]) remains unknown. This study explored the N170 related to infant faces in a group of mothers of children with ASD (MA) and a reference group of mothers of children without ASD. For both emotional (crying, smiling) and neutral expressions, the MA group exhibited larger amplitudes of N170 in the right hemisphere, while the reference group showed similar interhemispheric amplitudes. This lateralization effect within the MA group was not present for nonfaces and was stronger in the mothers with higher MS. We propose that mothers of ASD children use specialized perceptual resources to process infant faces, and this specialization is mediated by MS. Our findings suggest that having an ASD child modulates mothers' early neurophysiological responsiveness to infant cues. Whether this modulation represents a biological marker or a response given by experience remains to be explored. Autism Research 2019, 12: 744-758. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: When mothers of children with autism spectrum disorder (ASD) see baby faces expressing emotions, they show a right-sided electrical response in the brain. This lateralization was stronger in mothers who were more sensitive to their children's needs. We conclude that having a child with ASD and being more attuned to their behavior generates a specialized pattern of brain activity when processing infant faces. Whether this pattern is biological or given by experience remains to be explored.
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Affiliation(s)
- Carla Márquez
- School of Psychology, Universidad Nacional Autónoma de México, Mexico City, Mexico.,Neuropsychology Department, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico.,Neuropsychiatric and Neurodegenerative Diseases Laboratory, Instituto Nacional de Medicina Genómica, Mexico City, Mexico
| | - Humberto Nicolini
- Neuropsychiatric and Neurodegenerative Diseases Laboratory, Instituto Nacional de Medicina Genómica, Mexico City, Mexico
| | | | - Rodolfo Solís-Vivanco
- School of Psychology, Universidad Nacional Autónoma de México, Mexico City, Mexico.,Neuropsychology Department, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico
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36
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Tang A, Lahat A, Crowley MJ, Wu J, Schmidt LA. Neurodevelopmental differences to social exclusion: An event-related neural oscillation study of children, adolescents, and adults. Emotion 2019; 19:520-532. [DOI: 10.1037/emo0000456] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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37
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Antwi P, Atac E, Ryu JH, Arencibia CA, Tomatsu S, Saleem N, Wu J, Crowley MJ, Banz B, Vaca FE, Krestel H, Blumenfeld H. Driving status of patients with generalized spike-wave on EEG but no clinical seizures. Epilepsy Behav 2019; 92:5-13. [PMID: 30580109 PMCID: PMC6433503 DOI: 10.1016/j.yebeh.2018.11.031] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [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: 06/20/2018] [Revised: 11/21/2018] [Accepted: 11/21/2018] [Indexed: 01/31/2023]
Abstract
Generalized spike-wave discharges (SWDs) are the hallmark of generalized epilepsy on the electroencephalogram (EEG). In clinically obvious cases, generalized SWDs produce myoclonic, atonic/tonic, or absence seizures with brief episodes of staring and behavioral unresponsiveness. However, some generalized SWDs have no obvious behavioral effects. A serious challenge arises when patients with no clinical seizures request driving privileges and licensure, yet their EEG shows generalized SWD. Specialized behavioral testing has demonstrated prolonged reaction times or missed responses during SWD, which may present a driving hazard even when patients or family members do not notice any deficits. On the other hand, some SWDs are truly asymptomatic in which case driving privileges should not be restricted. Clinicians often decide on driving privileges based on SWD duration or other EEG features. However, there are currently no empirically-validated guidelines for distinguishing generalized SWDs that are "safe" versus "unsafe" for driving. Here, we review the clinical presentation of generalized SWD and recent work investigating mechanisms of behavioral impairment during SWD with implications for driving safety. As a future approach, computational analysis of large sets of EEG data during simulated driving utilizing machine learning could lead to powerful methods to classify generalized SWD as safe vs. unsafe. This may ultimately provide more objective EEG criteria to guide decisions on driving safety in people with epilepsy.
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Affiliation(s)
- Prince Antwi
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA
| | - Ece Atac
- Faculty of Medicine, Hacettepe University, Sihhiye, Ankara 06100, Turkey
| | - Jun Hwan Ryu
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA
| | | | - Shiori Tomatsu
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA
| | - Neehan Saleem
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA
| | - Jia Wu
- Department of Child Study Center, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, CT, USA
| | - Michael J Crowley
- Department of Child Study Center, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, CT, USA
| | - Barbara Banz
- Department of Emergency Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, CT, USA
| | - Federico E Vaca
- Department of Emergency Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Department of Child Study Center, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Yale Developmental Neurocognitive Driving Simulation Research Center, New Haven, CT, USA
| | - Heinz Krestel
- Department of Neurology, Bern University Hospital, and University of Bern, Bern, Switzerland
| | - Hal Blumenfeld
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Department of Neuroscience, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; Department of Neurosurgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA.
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38
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Affiliation(s)
- Tianyuan Ke
- Yale Child Study Centre, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Jia Wu
- Yale Center for Emotional Intelligence, New Haven, Connecticut, USA
| | | | - Zachariah Brown
- Department of Psychology, Wheaton College, Norton, Massachusetts, USA
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39
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Rutherford HJ, Crowley MJ, Gao L, Francis B, Schultheis A, Mayes LC. Prenatal neural responses to infant faces predict postpartum reflective functioning. Infant Behav Dev 2018; 53:43-48. [DOI: 10.1016/j.infbeh.2018.09.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 08/19/2018] [Accepted: 09/12/2018] [Indexed: 10/28/2022]
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40
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Brennan GM, Crowley MJ, Wu J, Mayes LC, Baskin-Sommers AR. Neural processing of social exclusion in individuals with psychopathic traits: Links to anger and aggression. Psychiatry Res 2018; 268:263-271. [PMID: 30071390 DOI: 10.1016/j.psychres.2018.07.024] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [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: 04/05/2018] [Revised: 06/22/2018] [Accepted: 07/16/2018] [Indexed: 01/07/2023]
Abstract
Psychopathy is a cluster of personality traits associated with high rates of aggression. While research on psychopathic traits largely focuses on neurobiological factors implicated in aggression, other research suggests that contextual factors, such as social exclusion, also contribute to promoting aggression. Yet, the relationships among psychopathic traits, neural processing of exclusion, and aggression remain unknown. A sample of 76 adolescents and young adults completed Cyberball, a task involving conditions of social inclusion, ambiguous exclusion, and unambiguous exclusion. During Cyberball, a slow wave (SW) event-related potential (an index of elaborative processing) and self-reported anger were measured. Additionally, acts of real-world aggression were assessed. Results indicated that as psychopathic traits increased, SW during ambiguous exclusion also increased, but SW during inclusion decreased. However, the combination of smaller SW during ambiguous exclusion and higher psychopathic traits predicted heightened anger following Cyberball and more frequent real-world aggression. This response to social exclusion among individuals with elevated psychopathic traits may represent an unreflective, reactive style that exacerbates anger and aggression in certain contexts. These data suggest that neurobiological dysfunction in elaborative processing is related to psychopathic traits, and social context comprises another important influence on the aggression of individuals with elevated psychopathic traits.
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Affiliation(s)
- Grace M Brennan
- Department of Psychology, Yale University, P.O. Box 208205, New Haven, CT 06520, USA.
| | - Michael J Crowley
- Yale Child Study Center, Yale University School of Medicine, P.O. Box 207900, 230 South Frontage Road, New Haven, CT 06520, USA.
| | - Jia Wu
- Yale Child Study Center, Yale University School of Medicine, P.O. Box 207900, 230 South Frontage Road, New Haven, CT 06520, USA.
| | - Linda C Mayes
- Yale Child Study Center, Yale University School of Medicine, P.O. Box 207900, 230 South Frontage Road, New Haven, CT 06520, USA.
| | - Arielle R Baskin-Sommers
- Department of Psychology, Yale University, P.O. Box 208205, New Haven, CT 06520, USA; Yale Child Study Center, Yale University School of Medicine, P.O. Box 207900, 230 South Frontage Road, New Haven, CT 06520, USA.
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41
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Hopwood CJ, Harrison AL, Amole M, Girard JM, Wright AGC, Thomas KM, Sadler P, Ansell EB, Chaplin TM, Morey LC, Crowley MJ, Emily Durbin C, Kashy DA. Properties of the Continuous Assessment of Interpersonal Dynamics Across Sex, Level of Familiarity, and Interpersonal Conflict. Assessment 2018; 27:40-56. [PMID: 30221975 DOI: 10.1177/1073191118798916] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The Continuous Assessment of Interpersonal Dynamics (CAID) is a method in which trained observers continuously code the dominance and warmth of individuals who interact with one another in dyads. This method has significant promise for assessing dynamic interpersonal processes. The purpose of this study was to examine the impact of individual sex, dyadic familiarity, and situational conflict on patterns of interpersonal warmth, dominance, and complementarity as assessed via CAID. We used six samples with 603 dyads, including two samples of unacquainted mixed-sex undergraduates interacting in a collaborative task, two samples of couples interacting in both collaborative and conflict tasks, and two samples of mothers and children interacting in both collaborative and conflict tasks. Complementarity effects were robust across all samples, and individuals tended to be relatively warm and dominant. Results from multilevel models indicated that women were slightly warmer than men, whereas there were no sex differences in dominance. Unfamiliar dyads and dyads interacting in more collaborative tasks were relatively warmer, more submissive, and more complementary on warmth but less complementary on dominance. These findings speak to the utility of the CAID method for assessing interpersonal dynamics and provide norms for researchers who use the method for different types of samples and applications.
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Affiliation(s)
| | | | | | | | | | | | - Pamela Sadler
- Wilfrid Laurier University, Waterloo, Ontario, Canada
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42
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Lipschutz R, Bick J, Nguyen V, Lee M, Leng L, Grigorenko E, Bucala R, Mayes LC, Crowley MJ. Macrophage migration inhibitory factor (MIF) gene is associated with adolescents' cortisol reactivity and anxiety. Psychoneuroendocrinology 2018; 95:170-178. [PMID: 29870971 DOI: 10.1016/j.psyneuen.2018.05.033] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 04/01/2018] [Revised: 05/23/2018] [Accepted: 05/24/2018] [Indexed: 12/19/2022]
Abstract
Emerging evidence points to interactions between inflammatory markers and stress reactivity in predicting mental health risk, but underlying mechanisms are not well understood. Macrophage Migration Inhibitory Factor (MIF) is a pleiotropic cytokine involved in inflammatory signaling and Hypothalamus Pituitary Adrenal (HPA) axis stress-response, and has recently been identified as a candidate biomarker for depression and anxiety risk. We examined polymorphic variations of the MIF gene in association with baseline MIF levels, HPA axis reactivity, and self-reported anxiety responses to a social stressor in 74 adolescents, ages 10-14 years. Genotyping was performed for two polymorphisms, the -794 CATT5-8 tetranucleotide repeat and the -173*G/C single nucleotide polymorphism (SNP). Youth carrying the MIF-173*C and CATT7 alleles displayed attenuated cortisol reactivity when compared with non-carriers. Children with the CATT7-173*C haplotype displayed lower cortisol reactivity to the stressor compared to those without this haplotype. Additionally, the CATT5-173*C and CATT6-173*C haplotypes were associated with lower self-reported anxiety ratings across the stressor. Results extend prior work pointing to the influence of MIF signaling on neuroendocrine response to stress and suggest a potential pathophysiological pathway underlying risk for stress-related physical and mental health disorders. To our knowledge, these are the first data showing associations between the MIF gene, HPA axis reactivity, and anxiety symptoms during adolescence.
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Affiliation(s)
- Rebecca Lipschutz
- Department of Psychology, University of Houston, Houston, TX, United States
| | - Johanna Bick
- Department of Psychology, University of Houston, Houston, TX, United States.
| | - Victoria Nguyen
- Child Study Center, Yale School of Medicine, New Haven, CT, United States
| | - Maria Lee
- Child Study Center, Yale School of Medicine, New Haven, CT, United States
| | - Lin Leng
- Department of Internal Medicine, Rheumatology, Yale School of Medicine, New Haven, CT, United States
| | - Elena Grigorenko
- Department of Psychology, University of Houston, Houston, TX, United States; Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, United States
| | - Richard Bucala
- Department of Internal Medicine, Rheumatology, Yale School of Medicine, New Haven, CT, United States
| | - Linda C Mayes
- Child Study Center, Yale School of Medicine, New Haven, CT, United States
| | - Michael J Crowley
- Child Study Center, Yale School of Medicine, New Haven, CT, United States
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43
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van Noordt SJ, Wu J, Thomas C, Schlund MW, Mayes LC, Crowley MJ. Medial frontal theta dissociates unsuccessful from successful avoidance and is modulated by lack of perseverance. Brain Res 2018; 1694:29-37. [DOI: 10.1016/j.brainres.2018.04.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Revised: 04/08/2018] [Accepted: 04/18/2018] [Indexed: 01/01/2023]
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44
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Crowley MJ, Nicholls SS, McCarthy D, Greatorex K, Wu J, Mayes LC. Innovations in practice: group mindfulness for adolescent anxiety - results of an open trial. Child Adolesc Ment Health 2018; 23:130-133. [PMID: 32677331 DOI: 10.1111/camh.12214] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [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] [Accepted: 12/19/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Group Mindfulness Therapy (GMT) is a program tailored for adolescents that targets anxiety with mindfulness skills including present moment awareness, mindfulness in everyday life (breathing, eating, walking), body scan, loving-kindness, and self-acceptance. Youth with anxiety may benefit from mindfulness exercises precisely because they learn to redirect their mind, and presumably their attention, away from wandering in the direction of worry and negative self-appraisals and toward greater acceptance of internal states. This open trial assessed the feasibility and initial effectiveness of GMT in a school setting. METHOD Twelve 6th and 7th grade adolescents with elevated anxiety [Screen for Child Anxiety Disorders (SCARED) ≥ 30] participated in GMT after school. Youth completed measures of anxiety and perceived stress and their parents completed measures of internalizing and externalizing behavior problems at pretreatment and posttreatment. We hypothesized that GMT would significantly reduce youth anxiety and stress. RESULTS Significant improvements were observed in anxiety, internalizing, stress, and attention, with effect sizes ranging from .88 to 1.34. CONCLUSIONS We demonstrate that GMT is feasible and acceptable to adolescents presenting with anxiety as a primary concern. We provide further support for the use of a mindfulness-based intervention for anxiety reduction. The group format suggests a cost-effective way to deliver services in a school setting.
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Affiliation(s)
- Michael J Crowley
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA.,Yale Child Study Center Program for Anxiety Disorders, New Haven, CT, USA
| | - Sarah S Nicholls
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
| | - Deborah McCarthy
- Division of Occupational Therapy, American International College, Springfield, MA, USA
| | - Kate Greatorex
- Regional Andover, Hebron, Marlborough (RHAM) Middle School, Hebron, CT, USA
| | - Jia Wu
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
| | - Linda C Mayes
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
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45
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Rutherford HJV, Byrne SP, Crowley MJ, Bornstein J, Bridgett DJ, Mayes LC. Executive Functioning Predicts Reflective Functioning in Mothers. J Child Fam Stud 2018; 27:944-952. [PMID: 29937678 PMCID: PMC6007034 DOI: 10.1007/s10826-017-0928-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Parental reflective functioning (PRF) describes a parent's capacity for considering both their own and their child's thoughts, feelings, and behaviors, which can help parents to guide interactions with children. Given the cognitive demands of keeping infants in mind whilst caregiving, we examined the association between aspects of executive function (i.e., working memory and set-shifting) and PRF (employing the Parental Reflective Functioning Questionnaire) in recent mothers. In Study 1 (N=50), we found that better working memory was associated with higher levels of maternal interest and curiosity in their child's feelings. In Study 2 (N=68), we found that visual working memory and set-shifting capacity were also associated with higher levels of maternal interest and curiosity in their child's thoughts and feelings. Our results provide preliminary support for the association between executive processes and maternal reflective functioning. The implications of these findings and important future directions are discussed, including advancing our understanding of executive processes and PRF to support the broader family system.
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46
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Morie KP, Wu J, Landi N, Potenza MN, Mayes LC, Crowley MJ. Feedback processing in adolescents with prenatal cocaine exposure: an electrophysiological investigation. Dev Neuropsychol 2018; 43:183-197. [PMID: 29461102 DOI: 10.1080/87565641.2018.1439945] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Impaired cognitive control is a consequence of cocaine exposure. Difficulty with feedback processing may underlie this impairment. We examined neural correlates of feedback processing using event-related potentials (ERPs) in 49 prenatally cocaine-exposed (PCE) and 34 nondrug exposed (NDE) adolescents. Adolescents performed a reward-feedback task with win/no-win feedback in a chance-based task. We investigated amplitude and latency of the feedback-related negativity (FRN) and P300 ERP components and source-based estimates elicited during feedback processing. PCE adolescents had smaller P300 amplitudes for no-win feedback, and source analysis in the P300 time window revealed differences between groups localized to the dorsal anterior cingulate cortex.
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Affiliation(s)
- Kristen P Morie
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.,d Department of Psychiatry, Child Study Center , Yale University School of Medicine , New Haven , CT , USA
| | - Jia Wu
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.,d Department of Psychiatry, Child Study Center , Yale University School of Medicine , New Haven , CT , USA
| | - Nicole Landi
- d Department of Psychiatry, Child Study Center , Yale University School of Medicine , New Haven , CT , USA.,g Haskins Laboratories , New Haven , CT , USA
| | - Marc N Potenza
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.,b National Center on Addictions and Substance Abuse , Yale University School of Medicine , New Haven , CT , USA.,c Department of Psychology , University of Maryland , College Park , MD , USA.,d Department of Psychiatry, Child Study Center , Yale University School of Medicine , New Haven , CT , USA.,e Department of Neuroscience , Yale University School of Medicine , New Haven , CT , USA.,f Department of Psychiatry, Connecticut Mental Health Center , New Haven , CT , USA
| | - Linda C Mayes
- c Department of Psychology , University of Maryland , College Park , MD , USA.,d Department of Psychiatry, Child Study Center , Yale University School of Medicine , New Haven , CT , USA
| | - Michael J Crowley
- a Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.,d Department of Psychiatry, Child Study Center , Yale University School of Medicine , New Haven , CT , USA
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Wu J, Willner CJ, Hill C, Fearon P, Mayes LC, Crowley MJ. Emotional eating and instructed food-cue processing in adolescents: An ERP study. Biol Psychol 2018; 132:27-36. [PMID: 29097149 PMCID: PMC5801158 DOI: 10.1016/j.biopsycho.2017.10.012] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Revised: 10/29/2017] [Accepted: 10/29/2017] [Indexed: 10/18/2022]
Abstract
We examined the P3 (250-500ms) and Late Positive Potential (LPP; 500-2000ms) event-related potentials (ERPs) to food vs. nonfood cues among adolescents reporting on emotional eating (EE) behavior. Eighty-six adolescents 10-17 years old were tested using an instructed food versus nonfood cue viewing task (imagine food taste) during high-density EEG recording. Self-report data showed that EE increased with age in girls, but not in boys. Both P3 and LPP amplitudes were greater for food vs. nonfood cues (food-cue bias). Exploratory analyses revealed that, during the LPP time period, greater EE was associated with a more positive food-cue bias in the fronto-central region. This heightened fronto-central food-cue bias LPP is in line with a more activated prefrontal attention system. The results suggest that adolescents with higher EE may engage more top-down cognitive resources to regulate their automatic emotional response to food cues, and/or they may exhibit greater reward network activation to food cues than do adolescents with lower EE, even in the absence of an emotional mood induction.
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Affiliation(s)
- Jia Wu
- Yale Child Study Center, Yale School of Medicine, New Haven, CT
| | | | - Claire Hill
- School of Psychology & Clinical Language Sciences, University of Reading, UK
| | - Pasco Fearon
- Division of Psychology & Language Sciences, University College London, UK
| | - Linda C. Mayes
- Yale Child Study Center, Yale School of Medicine, New Haven, CT
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Landi N, Avery T, Crowley MJ, Wu J, Mayes L. Prenatal Cocaine Exposure Impacts Language and Reading Into Late Adolescence: Behavioral and ERP Evidence. Dev Neuropsychol 2017; 42:369-386. [PMID: 28949778 DOI: 10.1080/87565641.2017.1362698] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Extant research documents impaired language among children with prenatal cocaine exposure (PCE) relative to nondrug exposed (NDE) children, suggesting that cocaine alters development of neurobiological systems that support language. The current study examines behavioral and neural (electrophysiological) indices of language function in older adolescents. Specifically, we compare performance of PCE (N = 59) and NDE (N = 51) adolescents on a battery of cognitive and linguistic assessments that tap word reading, reading comprehension, semantic and grammatical processing, and IQ. In addition, we examine event related potential (ERP) responses in in a subset of these children across three experimental tasks that examine word level phonological processing (rhyme priming), word level semantic processing (semantic priming), and sentence level semantic processing (semantic anomaly). Findings reveal deficits across a number of reading and language assessments, after controlling for socioeconomic status and exposure to other substances. Additionally, ERP data reveal atypical orthography to phonology mapping (reduced N1/P2 response) and atypical rhyme and semantic processing (N400 response). These findings suggest that PCE continues to impact language and reading skills into the late teenage years.
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Affiliation(s)
- Nicole Landi
- a Psychological Sciences , University of Connecticut , Storrs , Connecticut.,b Haskins Laboratories , New Haven , Connecticut
| | - Trey Avery
- b Haskins Laboratories , New Haven , Connecticut
| | | | - Jia Wu
- c Yale Child Study Center , New Haven , Connecticut
| | - Linda Mayes
- c Yale Child Study Center , New Haven , Connecticut
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White LO, Ising M, von Klitzing K, Sierau S, Michel A, Klein AM, Müller-Myhsok B, Uhr M, Crowley MJ, Kirschbaum C, Stalder T. Commentary: The importance of exploring dose-dependent, subtype-specific, and age-related effects of maltreatment on the HPA axis and the mediating link to psychopathology. A response to Fisher (2017). J Child Psychol Psychiatry 2017; 58:1011-1013. [PMID: 28836675 DOI: 10.1111/jcpp.12770] [Citation(s) in RCA: 2] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/07/2017] [Indexed: 01/10/2023]
Abstract
We greatly appreciate Dr. Fisher's commentary that provides an excellent backdrop and well-considered perspective on our findings. We agree that our results mesh well with previous work documenting hypocortisolism among youth who experienced early adversity, especially neglect. Moreover, as also perceptively noted by Dr. Fisher, our cross-sectional data provide support for the notion that hypocortisolism is not simply a transient phenomenon, but, rather, a persistent pattern characterizing maltreated youth. Specifically, the consistency of the between group effect (from age 9.69 onwards) on a multimonth index of cumulative cortisol and the dose-dependent gradient of cortisol secretion within the maltreated group, which was related to the number of subtypes and the length of exposure to maltreatment, lend weight to this view.
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Affiliation(s)
- Lars O White
- Department of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany
| | - Marcus Ising
- Max Planck Institute of Psychiatry, Munich, Germany
| | - Kai von Klitzing
- Department of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany
| | - Susan Sierau
- Department of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany
| | - Andrea Michel
- Department of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.,Department of Developmental Psychology, University of Jena, Jena, Germany
| | - Annette M Klein
- Department of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany
| | - Bertram Müller-Myhsok
- Max Planck Institute of Psychiatry, Munich, Germany.,Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.,Institute of Translational Medicine, University of Liverpool, Liverpool, UK
| | - Manfred Uhr
- Max Planck Institute of Psychiatry, Munich, Germany
| | - Michael J Crowley
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | | | - Tobias Stalder
- Institute of Psychology, TU Dresden, Dresden, Germany.,Clinical Psychology, University of Siegen, Siegen, Germany
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White LO, Ising M, von Klitzing K, Sierau S, Michel A, Klein AM, Andreas A, Keil J, Resch L, Müller-Myhsok B, Uhr M, Gausche R, Manly JT, Crowley MJ, Kirschbaum C, Stalder T. Reduced hair cortisol after maltreatment mediates externalizing symptoms in middle childhood and adolescence. J Child Psychol Psychiatry 2017; 58:998-1007. [PMID: 28244601 PMCID: PMC5570647 DOI: 10.1111/jcpp.12700] [Citation(s) in RCA: 71] [Impact Index Per Article: 10.1] [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] [Accepted: 12/06/2016] [Indexed: 12/29/2022]
Abstract
BACKGROUND The enduring impact of childhood maltreatment on biological systems and ensuing psychopathology remains incompletely understood. Long-term effects of stress may be reflected in cumulative cortisol secretion over several months, which is now quantifiable via hair cortisol concentrations (HCC). We conducted a first comprehensive investigation utilizing the potential of hair cortisol analysis in a large sample of maltreated and nonmaltreated children and adolescents. METHOD Participants included 537 children and adolescents (3-16 years; 272 females) with maltreatment (n = 245) or without maltreatment histories (n = 292). Maltreated subjects were recruited from child protection services (CPS; n = 95), youth psychiatric services (n = 56), and the community (n = 94). Maltreatment was coded using the Maltreatment Classification System drawing on caregiver interviews and complemented with CPS records. Caregivers and teachers reported on child mental health. HCC were assessed in the first 3 cm hair segment. RESULTS Analyses uniformly supported that maltreatment coincides with a gradual and dose-dependent reduction in HCC from 9 to 10 years onwards relative to nonmaltreated controls. This pattern emerged consistently from both group comparisons between maltreated and nonmaltreated subjects (27.6% HCC reduction in maltreated 9-16-year-olds) and dimensional analyses within maltreated subjects, with lower HCC related to greater maltreatment chronicity and number of subtypes. Moreover, both group comparisons and dimensional analyses within maltreated youth revealed that relative HCC reduction mediates the effect of maltreatment on externalizing symptoms. CONCLUSIONS From middle childhood onwards, maltreatment coincides with a relative reduction in cortisol secretion, which, in turn, may predispose to externalizing symptoms.
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Affiliation(s)
- Lars O. White
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany,Corresponding Author:
| | - Marcus Ising
- Max Planck Institute of Psychiatry, Munich, Germany
| | - Kai von Klitzing
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany
| | - Susan Sierau
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany
| | - Andrea Michel
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany, Department of Developmental Psychology, University of Jena, Germany
| | - Annette M. Klein
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany
| | - Anna Andreas
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany
| | - Jan Keil
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany
| | - Leonhard Resch
- Department of Child and Adolescent Psychiatry, University of Leipzig, Germany
| | - Bertram Müller-Myhsok
- Max Planck Institute of Psychiatry, Munich, Germany, Munich Cluster for Systems Neurology (SyNergy), Germany, Institute of Translational Medicine, University of Liverpool, UK
| | - Manfred Uhr
- Max Planck Institute of Psychiatry, Munich, Germany
| | | | - Jody T. Manly
- Mt. Hope Family Center, University of Rochester, NY, USA
| | - Michael J. Crowley
- Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | | | - Tobias Stalder
- Institute of Psychology, TU Dresden, Germany, Clinical Psychology, University of Siegen, Siegen, Germany
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