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Department/Unit:Child and Adolescent Psychiatry

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Recognition and treatment

Chapter by: Heppell, Patrick
in: Beyond PTSD : helping and healing teens exposed to trauma by Gerson, Ruth; Heppell, Patrick (Eds)
Washington, DC : American Psychiatric Association Publishing, [2019]
pp. ?-?
ISBN: 1615371109
CID: 3305682

Novelty and Novel Objects Increase c-Fos Immunoreactivity in Mossy Cells in the Mouse Dentate Gyrus

Bernstein, Hannah L; Lu, Yi-Ling; Botterill, Justin J; Scharfman, Helen E
The dentate gyrus (DG) and its primary cell type, the granule cell (GC), are thought to be critical to many cognitive functions. A major neuronal subtype of the DG is the hilar mossy cell (MC). MCs have been considered to play an important role in cognition, but in vivo studies to understand the activity of MCs during cognitive tasks are challenging because the experiments usually involve trauma to the overlying hippocampus or DG, which kills hilar neurons. In addition, restraint typically occurs, and MC activity is reduced by brief restraint stress. Social isolation often occurs and is potentially confounding. Therefore, we used c-fos protein expression to understand when MCs are active in vivo in socially housed adult C57BL/6 mice in their home cage. We focused on c-fos protein expression after animals explored novel objects, based on previous work which showed that MCs express c-fos protein readily in response to a novel housing location. Also, MCs are required for the training component of the novel object location task and novelty-encoding during a food-related task. GluR2/3 was used as a marker of MCs. The results showed that MC c-fos protein is greatly increased after exposure to novel objects, especially in ventral DG. We also found that novel objects produced higher c-fos levels than familiar objects. Interestingly, a small subset of neurons that did not express GluR2/3 also increased c-fos protein after novel object exposure. In contrast, GCs appeared relatively insensitive. The results support a growing appreciation of the role of the DG in novelty detection and novel object recognition, where hilar neurons and especially MCs are very sensitive.
PMCID:6732597
PMID: 31534449
ISSN: 1687-5443
CID: 4089392

The Effectiveness of Selective Serotonin Reuptake Inhibitors for Treatment of Obsessive-Compulsive Disorder in Adolescents and Children: A Systematic Review and Meta-Analysis

Kotapati, Vijaya Padma; Khan, Ali M; Dar, Sara; Begum, Gulshan; Bachu, Ramya; Adnan, Mahwish; Zubair, Aarij; Ahmed, Rizwan A
PMCID:6691487
PMID: 31447707
ISSN: 1664-0640
CID: 4969312

Language processing skills linked to FMR1 variation: A study of gaze-language coordination during rapid automatized naming among women with the FMR1 premutation

Nayar, Kritika; McKinney, Walker; Hogan, Abigail L; Martin, Gary E; La Valle, Chelsea; Sharp, Kevin; Berry-Kravis, Elizabeth; Norton, Elizabeth S; Gordon, Peter C; Losh, Molly
The FMR1 premutation (PM) is relatively common in the general population. Evidence suggests that PM carriers may exhibit subtle differences in specific cognitive and language abilities. This study examined potential mechanisms underlying such differences through the study of gaze and language coordination during a language processing task (rapid automatized naming; RAN) among female carriers of the FMR1 PM. RAN taps a complex set of underlying neuropsychological mechanisms, with breakdowns implicating processing disruptions in fundamental skills that support higher order language and executive functions, making RAN (and analysis of gaze/language coordination during RAN) a potentially powerful paradigm for revealing the phenotypic expression of the FMR1 PM. Forty-eight PM carriers and 56 controls completed RAN on an eye tracker, where they serially named arrays of numbers, letters, colors, and objects. Findings revealed a pattern of inefficient language processing in the PM group, including a greater number of eye fixations (namely, visual regressions) and reduced eye-voice span (i.e., the eyes' lead over the voice) relative to controls. Differences were driven by performance in the latter half of the RAN arrays, when working memory and processing load are the greatest, implicating executive skills. RAN deficits were associated with broader social-communicative difficulties among PM carriers, and with FMR1-related molecular genetic variation (higher CGG repeat length, lower activation ratio, and increased levels of the fragile X mental retardation protein; FMRP). Findings contribute to an understanding of the neurocognitive profile of PM carriers and indicate specific gene-behavior associations that implicate the role of the FMR1 gene in language-related processes.
PMCID:6660192
PMID: 31348790
ISSN: 1932-6203
CID: 5952722

Emerging Temporal Lobe Dysfunction in People at Clinical High Risk for Psychosis

Allen, Paul; Moore, Holly; Corcoran, Cheryl M; Gilleen, James; Kozhuharova, Petya; Reichenberg, Avi; Malaspina, Dolores
Clinical high-risk (CHR) individuals have been increasingly utilized to investigate the prodromal phases of psychosis and progression to illness. Research has identified medial and lateral temporal lobe abnormalities in CHR individuals. Dysfunction in the medial temporal lobe, particularly the hippocampus, is linked to dysregulation of glutamate and dopamine via a hippocampal-striatal-midbrain network that may lead to aberrant signaling of salience underpinning the formation of delusions. Similarly, lateral temporal dysfunction may be linked to the disorganized speech and language impairments observed in the CHR stage. Here, we summarize the significance of these neurobiological findings in terms of emergent psychotic symptoms and conversion to psychosis in CHR populations. We propose key questions for future work with the aim to identify the neural mechanisms that underlie the development of psychosis.
PMCID:6526750
PMID: 31133894
ISSN: 1664-0640
CID: 3921322

Pharmacological interventions

Chapter by: Jummani, Rahil R; Shatkin, Jess P
in: Handbook of cognitive behavioral therapy for pediatric medical conditions by Friedberg, Robert D [Ed]; Paternostro, Jennifer K [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2019
pp. 151-169
ISBN: 978-3-030-21682-5
CID: 4630412

Plastic Changes in the White Matter Induced by Templestay, a 4-Day Intensive Mindfulness Meditation Program

Yoon, Youngwoo Bryan; Bae, Dahye; Kwak, Seoyeon; Hwang, Wu Jeong; Cho, Kang Ik K.; Lim, Kyung-Ok; Park, Hye Yoon; Lee, Tae Young; Kim, Sung Nyun; Kwon, Jun Soo
ISI:000503396800007
ISSN: 1868-8527
CID: 5345432

Beyond PTSD : helping and healing teens exposed to trauma

Gerson, Ruth; Heppell, Patrick
Washington, DC : American Psychiatric Association Publishing, [2019]
Extent: 1 v.
ISBN: 1615371109
CID: 3305532

Development of Threat Expression Following Infant Maltreatment: Infant and Adult Enhancement but Adolescent Attenuation

Junod, Anouchka; Opendak, Maya; LeDoux, Joseph E; Sullivan, Regina M
Early life maltreatment by the caregiver constitutes a major risk factor for the development of later-life psychopathologies, including fear-related pathologies. Here, we used an animal model of early life maltreatment induced by the Scarcity-Adversity Model of low bedding (LB) where the mother is given insufficient bedding for nest building while rat pups were postnatal days (PN) 8-12. To assess effects of maltreatment on the expression of threat-elicited defensive behaviors, animals underwent odor-shock threat conditioning at three developmental stages: late infancy (PN18), adolescence (PN45) or adulthood (>PN75) and tested the next day with odor only presentations (cue test). Results showed that in typically developing rats, the response to threat increases with maturation, although experience with maltreatment in early infancy produced enhanced responding to threat in infancy and adulthood, but a decrease in maltreated adolescents. To better understand the unique features of this decreased threat responding in adolescence, c-Fos expression was assessed within the amygdala and ventromedial prefrontal cortex (vmPFC) associated with the cued expression of threat learning. Fos counts across amygdala subregions were lower in LB rats compared to controls, while enhanced c-Fos expression was observed in the vmPFC prelimbic cortex (PL). Correlational analysis between freezing behavior and Fos revealed freezing levels were correlated with CeA in controls, although more global correlations were detected in LB-reared rats, including the BA, LA, and CeA. Functional connectivity analysis between brain regions showed that LB reared rats exhibited more diffuse interconnectivity across amygdala subnuclei, compared the more heterogeneous patterns observed in controls. In addition, functional connectivity between the IL and LA switched from positive to negative in abused adolescents. Overall, these results suggest that in adolescence, the unique developmental decrease in fear expression following trauma is associated with distinct changes in regional function and long-range connectivity, reminiscent of pathological brain function. These results suggest that early life maltreatment from the caregiver perturbs the developmental trajectory of threat-elicited behavior. Indeed, it is possible that this form of trauma, where the infant's safety signal or "safe haven" (the caregiver) is actually the source of the threat, produces distinct outcomes across development.
PMCID:6603125
PMID: 31293397
ISSN: 1662-5153
CID: 3976712

The heritability of fear conditioning as a model for anxiety disorder and treatment response [Meeting Abstract]

Purves, Kirstin; Krebs, Georgina; McGregor, Thomas; Constantinou, Elena; Lester, Kathryn; Barry, Tom; Treanor, Michael; Sun, Michael; Margraf, Juergen; Craske, Michelle; Breen, Gerome; Eley, Thalia
ISI:000494050500153
ISSN: 0001-8244
CID: 5238402