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Fronto-Limbic Connectivity as a Predictor of Improvement in Nonsuicidal Self-Injury in Adolescents Following Psychotherapy.

Identifieur interne : 000863 ( Main/Exploration ); précédent : 000862

Fronto-Limbic Connectivity as a Predictor of Improvement in Nonsuicidal Self-Injury in Adolescents Following Psychotherapy.

Auteurs : Pilar Santamarina-Perez [Espagne] ; Soledad Romero [Espagne] ; Iria Mendez [Espagne] ; Sara M. Leslie [États-Unis] ; Mary M. Packer [États-Unis] ; Gisela Sugranyes [Espagne] ; Marisol Picado [Espagne] ; Elena Font [Espagne] ; Elena Moreno [Espagne] ; Esteve Martinez [Espagne] ; Astrid Morer [Espagne] ; Miguel Romero [Espagne] ; Manpreet K. Singh [États-Unis]

Source :

RBID : pubmed:31225733

Descripteurs français

English descriptors

Abstract

Objectives: Key neurobiological factors contribute to vulnerability to nonsuicidal self-injury (NSSI) among adolescents and how they respond to treatment targeted to reduce such behaviors. This study aims to examine differences in intrinsic functional connectivity between adolescents with NSSI and healthy controls (HCs) and to identify baseline connectivity markers that predict improvements in NSSI after psychotherapy. Methods: Adolescents aged 12-17 (n = 24) with repetitive NSSI along with demographically similar HCs (n = 16) underwent resting-state functional MRI scanning after which patients received up to 4 months of psychological treatment. A seed-based approach was used to examine baseline between-group differences in intrinsic functional connectivity of the amygdala and the medial prefrontal cortex (mPFC). Further analyses examined the associations between intrinsic functional connectivity at baseline and improvement in NSSI after psychological treatment. Results: Compared with HCs, adolescents with NSSI showed significantly reduced connectivity between the amygdala and the anterior cingulate cortex, subcallosal cortex, and paracingulate gyrus, as well as between the amygdala and a cluster encompassing the right planum temporale and right insula. Adolescents with NSSI, compared with HCs, also showed reduced connectivity between the mPFC and two clusters: one located in the precentral and postcentral gyri and another in the left insula. After treatment, 50% of patients reported fewer NSSI episodes compared to baseline, which was considered as improvement. Stronger negative amygdala-prefrontal connectivity was associated with greater posttreatment improvement in NSSI. Conclusions: Adolescents with NSSI may have aberrant amygdala and mPFC connectivity compared with HCs. Furthermore, stronger baseline negative amygdala-prefrontal connectivity may predict greater improvement in NSSI after psychological intervention. Given that no prior study has used resting-state functional connectivity to predict response to psychological treatment in adolescents with NSSI, replication of these findings is needed.

DOI: 10.1089/cap.2018.0152
PubMed: 31225733


Affiliations:


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</author>
<author>
<name sortKey="Singh, Manpreet K" sort="Singh, Manpreet K" uniqKey="Singh M" first="Manpreet K" last="Singh">Manpreet K. Singh</name>
<affiliation wicri:level="2">
<nlm:affiliation>3Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.</nlm:affiliation>
<country>États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>3Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of child and adolescent psychopharmacology</title>
<idno type="eISSN">1557-8992</idno>
<imprint>
<date when="2019" type="published">2019</date>
</imprint>
</series>
</biblStruct>
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<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent (MeSH)</term>
<term>Brain (diagnostic imaging)</term>
<term>COVID-19 (drug therapy)</term>
<term>Child (MeSH)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Female (MeSH)</term>
<term>Frontal Lobe (diagnostic imaging)</term>
<term>Humans (MeSH)</term>
<term>Limbic System (diagnostic imaging)</term>
<term>Magnetic Resonance Imaging (MeSH)</term>
<term>Male (MeSH)</term>
<term>Psychotherapy (methods)</term>
<term>Self-Injurious Behavior (prevention & control)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent (MeSH)</term>
<term>Comportement auto-agressif (prévention et contrôle)</term>
<term>Encéphale (imagerie diagnostique)</term>
<term>Enfant (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Imagerie par résonance magnétique (MeSH)</term>
<term>Infections à coronavirus (traitement médicamenteux)</term>
<term>Lobe frontal (imagerie diagnostique)</term>
<term>Mâle (MeSH)</term>
<term>Psychothérapie (méthodes)</term>
<term>Système limbique (imagerie diagnostique)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Brain</term>
<term>Frontal Lobe</term>
<term>Limbic System</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>COVID-19</term>
<term>Coronavirus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Encéphale</term>
<term>Lobe frontal</term>
<term>Système limbique</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Psychotherapy</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Psychothérapie</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Self-Injurious Behavior</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Comportement auto-agressif</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Infections à coronavirus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Mâle</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">
<b>
<i>Objectives:</i>
</b>
Key neurobiological factors contribute to vulnerability to nonsuicidal self-injury (NSSI) among adolescents and how they respond to treatment targeted to reduce such behaviors. This study aims to examine differences in intrinsic functional connectivity between adolescents with NSSI and healthy controls (HCs) and to identify baseline connectivity markers that predict improvements in NSSI after psychotherapy.
<b>
<i>Methods:</i>
</b>
Adolescents aged 12-17 (
<i>n</i>
 = 24) with repetitive NSSI along with demographically similar HCs (
<i>n</i>
 = 16) underwent resting-state functional MRI scanning after which patients received up to 4 months of psychological treatment. A seed-based approach was used to examine baseline between-group differences in intrinsic functional connectivity of the amygdala and the medial prefrontal cortex (mPFC). Further analyses examined the associations between intrinsic functional connectivity at baseline and improvement in NSSI after psychological treatment.
<b>
<i>Results:</i>
</b>
Compared with HCs, adolescents with NSSI showed significantly reduced connectivity between the amygdala and the anterior cingulate cortex, subcallosal cortex, and paracingulate gyrus, as well as between the amygdala and a cluster encompassing the right planum temporale and right insula. Adolescents with NSSI, compared with HCs, also showed reduced connectivity between the mPFC and two clusters: one located in the precentral and postcentral gyri and another in the left insula. After treatment, 50% of patients reported fewer NSSI episodes compared to baseline, which was considered as improvement. Stronger negative amygdala-prefrontal connectivity was associated with greater posttreatment improvement in NSSI.
<b>
<i>Conclusions:</i>
</b>
Adolescents with NSSI may have aberrant amygdala and mPFC connectivity compared with HCs. Furthermore, stronger baseline negative amygdala-prefrontal connectivity may predict greater improvement in NSSI after psychological intervention. Given that no prior study has used resting-state functional connectivity to predict response to psychological treatment in adolescents with NSSI, replication of these findings is needed.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">31225733</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>07</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1557-8992</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>29</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2019</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>Journal of child and adolescent psychopharmacology</Title>
<ISOAbbreviation>J Child Adolesc Psychopharmacol</ISOAbbreviation>
</Journal>
<ArticleTitle>Fronto-Limbic Connectivity as a Predictor of Improvement in Nonsuicidal Self-Injury in Adolescents Following Psychotherapy.</ArticleTitle>
<Pagination>
<MedlinePgn>456-465</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/cap.2018.0152</ELocationID>
<Abstract>
<AbstractText>
<b>
<i>Objectives:</i>
</b>
Key neurobiological factors contribute to vulnerability to nonsuicidal self-injury (NSSI) among adolescents and how they respond to treatment targeted to reduce such behaviors. This study aims to examine differences in intrinsic functional connectivity between adolescents with NSSI and healthy controls (HCs) and to identify baseline connectivity markers that predict improvements in NSSI after psychotherapy.
<b>
<i>Methods:</i>
</b>
Adolescents aged 12-17 (
<i>n</i>
 = 24) with repetitive NSSI along with demographically similar HCs (
<i>n</i>
 = 16) underwent resting-state functional MRI scanning after which patients received up to 4 months of psychological treatment. A seed-based approach was used to examine baseline between-group differences in intrinsic functional connectivity of the amygdala and the medial prefrontal cortex (mPFC). Further analyses examined the associations between intrinsic functional connectivity at baseline and improvement in NSSI after psychological treatment.
<b>
<i>Results:</i>
</b>
Compared with HCs, adolescents with NSSI showed significantly reduced connectivity between the amygdala and the anterior cingulate cortex, subcallosal cortex, and paracingulate gyrus, as well as between the amygdala and a cluster encompassing the right planum temporale and right insula. Adolescents with NSSI, compared with HCs, also showed reduced connectivity between the mPFC and two clusters: one located in the precentral and postcentral gyri and another in the left insula. After treatment, 50% of patients reported fewer NSSI episodes compared to baseline, which was considered as improvement. Stronger negative amygdala-prefrontal connectivity was associated with greater posttreatment improvement in NSSI.
<b>
<i>Conclusions:</i>
</b>
Adolescents with NSSI may have aberrant amygdala and mPFC connectivity compared with HCs. Furthermore, stronger baseline negative amygdala-prefrontal connectivity may predict greater improvement in NSSI after psychological intervention. Given that no prior study has used resting-state functional connectivity to predict response to psychological treatment in adolescents with NSSI, replication of these findings is needed.</AbstractText>
</Abstract>
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<LastName>Santamarina-Perez</LastName>
<ForeName>Pilar</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>1Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neurosciences, Hospital Clinic, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Romero</LastName>
<ForeName>Soledad</ForeName>
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<AffiliationInfo>
<Affiliation>1Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neurosciences, Hospital Clinic, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>2Biomedical Research Networking Centre Consortium (CIBERSAM), Madrid, Spain.</Affiliation>
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<LastName>Leslie</LastName>
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</AffiliationInfo>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>2Biomedical Research Networking Centre Consortium (CIBERSAM), Madrid, Spain.</Affiliation>
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<AffiliationInfo>
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<LastName>Font</LastName>
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<LastName>Martinez</LastName>
<ForeName>Esteve</ForeName>
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</AffiliationInfo>
</Author>
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<LastName>Singh</LastName>
<ForeName>Manpreet K</ForeName>
<Initials>MK</Initials>
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<Affiliation>3Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.</Affiliation>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">NSSI</Keyword>
<Keyword MajorTopicYN="Y">amygdala</Keyword>
<Keyword MajorTopicYN="Y">brain connectivity</Keyword>
<Keyword MajorTopicYN="Y">medial prefrontal cortex</Keyword>
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<Keyword MajorTopicYN="Y">resting state</Keyword>
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<Hour>6</Hour>
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