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Department/Unit:Child and Adolescent Psychiatry

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Disseminating clinical and fiscal practices across the New York State behavioral healthcare system

Acri, Mary; Fuss, Ashley Ann; Quintero, Patricia; Hoagwood, Kimberly; McKay, Mary M; Cleek, Andrew
In order to facilitate the adoption of innovative practices in the mental health service system, providers require access to both new information and methodologies, and ongoing training, supervision and consultation. Technical Assistance centers have been proposed as a way to disseminate effective interventions through the provision of resources including information, ongoing training and consultation. The purpose of this study is to describe the New York State Technical Assistance Center's reach across the child public mental health service system and variations in characteristics of training activities, including dosage, content and method of format. Between 2011 and 2015, 460 (92.6%) of all New York State mental health clinics attended a training. The most highly attended events focused on business practices, followed by evidence-based treatments and clinic practices, and trauma-informed care. All were delivered via a webinar format, and were less than one day in duration. The behavioral health service system must be equipped to adapt to changing clinical and business practices in order to provide quality care and remain fiscally viable. New York State's TA center reached the majority of child mental health service providers across the state. Next steps are to closely examine the impact of TA supports upon adoption and sustained use of practices. Implications of these findings and additional future directions are presented.
PMID: 30887913
ISSN: 1541-034x
CID: 3734962

Relative Concentration of Brain Iron (rcFe) Derived from Standard Functional MRI [PrePrint]

Colcombe, Stan J; Milham, Michael P; MacKay-Brandt, Anna; Franco, Alex; Castellanos, FX; Craddock, R Cameron; Cloud, Jessica
ORIGINAL:0014347
ISSN: 2692-8205
CID: 4151782

Body odor disgust sensitivity is associated with prejudice towards a fictive group of immigrants

Zakrzewska, Marta; Olofsson, Jonas K; Lindholm, Torun; Blomkvist, Anna; Liuzza, Marco Tullio
Why are certain individuals persistent in opposing immigration? The behavioral immune system framework implies that a psychological mechanism, which adapted to detect and avoid pathogen threats, is also reflected in contemporary social attitudes. Moreover, prejudice towards outgroups might be partially driven by implicit pathogen concerns related to the perceived dissimilarity with these groups' hygiene and food preparation practices. Disgust, a universal core emotion supposedly evolved to avoid pathogen threats, as well as olfaction, both play a pivotal role in evoking disgust. In an online study (N = 800), we investigated whether individual differences in body odor disgust sensitivity (BODS) correlate with negative attitudes towards a fictive refugee group. The data analysis plan and hypotheses were preregistered. Results show that body odor disgust sensitivity is associated with xenophobia: BODS was positively associated with negative attitudes towards the fictive group. This relationship was partially mediated by perceived dissimilarities of the group in terms of hygiene and food preparation. Our finding suggests prejudice might be rooted in sensory mechanisms.
PMID: 30639587
ISSN: 1873-507x
CID: 3682102

Unique infant neurobiology produces distinctive trauma processing

Opendak, Maya; Sullivan, Regina M
Trauma experienced in early life has unique neurobehavioral outcomes related to later life psychiatric sequelae. Recent evidence has further highlighted the context of infant trauma as critical, with trauma experienced within species-atypical aberrations in caregiving quality as particularly detrimental. Using data from primarily rodent models, we review the literature on the interaction between trauma and attachment in early life, which highlights the role of the caregiver's presence in engagement of attachment brain circuitry and suppressing threat processing by the amygdala. Together these data suggest that infant trauma processing and its enduring effects are impacted by both the immaturity of brain areas for processing trauma and the unique functioning of the early-life brain, which is biased towards forming robust attachments regardless of the quality of care. Understanding the critical role of the caregiver in further altering early life brain processing of trauma is important for developing age-relevant treatment and interventions.
PMID: 30889546
ISSN: 1878-9307
CID: 3735022

Human olfactory-auditory integration requires phase synchrony between sensory cortices

Zhou, Guangyu; Lane, Gregory; Noto, Torben; Arabkheradmand, Ghazaleh; Gottfried, Jay A; Schuele, Stephan U; Rosenow, Joshua M; Olofsson, Jonas K; Wilson, Donald A; Zelano, Christina
Multisensory integration is particularly important in the human olfactory system, which is highly dependent on non-olfactory cues, yet its underlying neural mechanisms are not well understood. In this study, we use intracranial electroencephalography techniques to record neural activity in auditory and olfactory cortices during an auditory-olfactory matching task. Spoken cues evoke phase locking between low frequency oscillations in auditory and olfactory cortices prior to odor arrival. This phase synchrony occurs only when the participant's later response is correct. Furthermore, the phase of low frequency oscillations in both auditory and olfactory cortical areas couples to the amplitude of high-frequency oscillations in olfactory cortex during correct trials. These findings suggest that phase synchrony is a fundamental mechanism for integrating cross-modal odor processing and highlight an important role for primary olfactory cortical areas in multisensory integration with the olfactory system.
PMID: 30858379
ISSN: 2041-1723
CID: 3732972

Achieving olfactory expertise: Training for transfer in odor identification

Morquecho-Campos, Paulina; Larsson, Maria; Boesveldt, Sanne; Olofsson, Jonas K
Human olfactory function requires the identification of everyday odors. A characteristic feature of olfaction is that most people find it hard to identify and name common odors, and when odors are presented simultaneously in mixtures, performance is even further compromised. Few studies have systematically assessed how training might enhance identification of single odors and mixtures. This study compared how odor identification training with either single odors or binary mixtures affected identification performance, as well as transfer effects to untrained tasks and odors. Twenty-seven healthy participants (22 F; 28.0 ± 4.7 years old) completed identification training of 8 odors using a list of 16 veridical names. The study included 8 training sessions, as well as pre-test and post-test evaluations. Results suggest notable effects of learning, as well as transfer to novel tasks and odors. Overall, training with single odors led to slightly better results than the binary mixture condition, suggesting that in novices, odor identification may be facilitated via consolidation of single odor objects, before learning to dissociate binary mixtures. Overall, odor identification may be trained to generate transfer of learning, although transfer effects were observed in both training methods. Our work suggests that odor identification abilities, while often limited, are highly trainable.
PMID: 30715223
ISSN: 1464-3553
CID: 3683932

Pubertal influences on neural activation during risky decision-making in youth with ADHD and disruptive behavior disorders

Dir, Allyson L; Hummer, Tom A; Aalsma, Matthew C; Hulvershorn, Leslie A
OBJECTIVE:Risk-taking during adolescence is a leading cause of mortality; Neuroscience research examining pubertal effects on decision-making is needed to better inform interventions, particularly among youth with attention-deficit/hyperactivity (ADHD) and disruptive behavior disorders (DBD), who are particularly prone to risky decision-making. We examined effects of pubertal development on risky decision-making and neural activation during decision-making among youth with ADHD/DBDs. METHOD/METHODS:Forty-six 11-12-year-olds (29.4% girls; 54.9% white; Tanner M(SD) = 2.08(1.32)) who met DSM-5 criteria for ADHD/DBD completed the Balloon Analog Risk Task (BART) during fMRI scanning. We examined effects of Tanner stage, sex, and age on risky decision-making (mean wager at which individuals stopped balloon inflation) and neural activation in the middle frontal gyrus and the ventral striatum during the choice and outcome phases of decision-making. RESULTS:Those in earlier pubertal stages made riskier decisions during the BART compared to those in later Tanner stages (β=-0.62, p =  .02). Later pubertal stage was associated with greater activation in the left middle frontal gyrus (β=0.61, p = .03) during the choice phase and in the right ventral striatum in response to rewards (β=0.59, p = .03). CONCLUSION/CONCLUSIONS:Youth with ADHD/DBD in later stages of puberty, regardless of age, show greater ventral striatal activation in response to rewards.
PMID: 30889545
ISSN: 1878-9307
CID: 3748952

Getting by in New York City: Bonding, Bridging and Linking Capital in Poverty-Impacted Neighborhoods

Lukasiewicz, Karolina; Bahar, Ozge Sensoy; Ali, Samira; Gopalan, Priya; Parker, Gary; Hawkins, Robert; McKay, Mary; Walker, Robert
A lack or low level of social capital is associated with negative outcomes for communities impacted by poverty. However, less is known about how different types of social capital operate on the ground in poverty-impacted urban neighborhoods. This article explores the ways in which bonding, bridging, and linking capital manifest among residents of two poverty-impacted neighborhoods in New York City. Findings of the study reveal that urban neighborhood characteristics, more than individual-level factors, compromise the ability to develop and utilize the leveraging role of bridging and linking capital. Lack of safety resulted in limited trust, and involvement in community life limit bonding capital. Opportunities for bridging are restricted by the socioeconomically homogenous and spatially segregated nature of the communities. Linking capital is undermined by the lack of resources in the neighborhoods. These structural barriers prevent communities from breaking the cycle of poverty and should be explicitly targeted when developing interventions focused on building social capital.
SCOPUS:85062324582
ISSN: 1535-6841
CID: 4403542

Physiological significance of R-fMRI indices: Can functional metrics differentiate structural lesions (brain tumors)?

Fan, Zhen; Chen, Xiao; Qi, Zeng-Xin; Li, Le; Lu, Bin; Jiang, Cong-Lin; Zhu, Ren-Qing; Yan, Chao-Gan; Chen, Liang
Resting-state functional MRI (R-fMRI) research has recently entered the era of "big data", however, few studies have provided a rigorous validation of the physiological underpinnings of R-fMRI indices. Although studies have reported that various neuropsychiatric disorders exhibit abnormalities in R-fMRI measures, these "biomarkers" have not been validated in differentiating structural lesions (brain tumors) as a concept proof. We enrolled 60 patients with intracranial tumors located in the unilateral cranialcavity and 60 matched normal controls to test whether R-fMRI indices can differentiate tumors, which represents a prerequisite for adapting such indices as biomarkers for neuropsychiatric disorders. Common R-fMRI indices of tumors and their counterpart control regions, which were defined as the contralateral normal areas (for amplitude of low frequency fluctuations (ALFF), fractional ALFF (fALFF), regional homogeneity (ReHo) and degree centrality (DC)) and ipsilateral regions surrounding the tumors (for voxel-mirrored homotopic connectivity (VMHC)), were comprehensively assessed. According to robust paired t-tests with a Bonferroni correction, only VMHC (Fisher's r-to-z transformed) could successfully differentiate substantial tumors from their counterpart normal regions in patients. Furthermore, ALFF and DC were not able to differentiate tumor from normal unless Z-standardization was employed. To validate the lower power of the between-subject design compared to the within-subject design, each metric was calculated in a matched control group, and robust two-sample t-tests were used to compare the patient tumors and the normal controls at the same place. Similarly, only VMHC succeeded in differentiating significant differences between tumors and the sham tumor areas of normal controls. This study tested the premise of R-fMRI biomarkers for differentiating lesions, and brings a new understanding to physical significance of the Z-standardization.
PMID: 30878611
ISSN: 2213-1582
CID: 3734742

He said, she said: Autism spectrum diagnosis and gender differentially affect relationships between executive functions and social communication

Chouinard, Brea; Gallagher, Louise; Kelly, Clare
Autism spectrum disorder is characterized by difficulties with social communication, with a preponderance in males. Evidence supports a relationship between metacognitive executive functions (e.g. planning, working memory) and social communication in autism spectrum disorder, yet relationships with specific metacognitive executive functions and how gender alters the expression of these relationships require further study. We used multiple regression to examine relationships between informant-based measures of metacognitive executive function and social communication in intellectually able (IQ ⩾ 85) female ( n = 111; mean age = 10.2 ± 2.8; 31 autism spectrum disorder) and male youth ( n = 310; mean age = 10.5 ± 1.9; 146 autism spectrum disorder) with and without autism spectrum disorder from the Autism Brain Imaging Data Exchange-II database. Executive function-social communication relationships were different in females and males with autism spectrum disorder. Relationships between the entire metacognitive index and social communication were stronger in males with autism spectrum disorder than without; this pattern was also observed for metacognitive sub-indices 'monitor' and 'working memory'. These patterns were not observed in females. Relationships between executive function and social communication appear different for female and male youth with an autism spectrum disorder diagnosis. To better understand the nature of metacognitive contributions to social communication in autism spectrum disorder, future work should investigate the co-development of monitoring, working memory and social communication, while taking gender into account.
PMID: 30823851
ISSN: 1461-7005
CID: 3698782