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Department/Unit:Child and Adolescent Psychiatry

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Maternal Regulation of Pups' Cortical Activity: Role of Serotonergic Signaling

Courtiol, Emmanuelle; Wilson, Donald A; Shah, Relish; Sullivan, Regina M; Teixeira, Catia M
A developing brain shows intense reorganization and heightened neuronal plasticity allowing for environmental modulation of its development. During early life, maternal care is a key factor of this environment and defects in this care can derail adaptive brain development and may result in susceptibility to neuropsychiatric disorders. Nevertheless, the mechanisms by which those maternal interactions immediately impact the offspring's brain activity to initiate the pathway to pathology are not well understood. We do know that multiple neurotransmitter systems are involved, including the serotonergic system, a key neuromodulator involved in brain development and emotional regulation. We tested the importance of the serotonergic system and pups' immediate neural response to maternal presence using wireless electrophysiological recordings, a novel approach allowing us to record neural activity during pups' interactions with their mother. We found that maternal contact modulates the P10-P12 rat pups' anterior cingulate cortex (ACC) activity by notably increasing local-field potential (LFP) power in low-frequency bands. We demonstrated, by blocking serotonergic receptors, that this increase is mediated through 5-HT2 receptors (5-HT2Rs). Finally, we showed in isolated pups that enhancing serotonergic transmission, using a selective-serotonin-reuptake-inhibitor, is sufficient to enhance LFP power in low-frequency bands in a pattern similar to that observed when the mother is in the nest. Our results highlight a significant contribution of the serotonergic system in mediating changes of cortical activity in pups related to maternal presence.
PMCID:6071199
PMID: 30073196
ISSN: 2373-2822
CID: 3215452

Qualitative Analysis of Attitudes Toward Adult-Child Sexual Activity Among Minor-Attracted Persons

Spriggs, Sharron A; Cohen, Lisa J; Valencia, Ashley; S Zimri, Yaseen; Galynker, Igor I
This study uses qualitative methodology to explore narrative responses to a question regarding the harmful versus beneficial effects of adult-child sex on children. Data were gathered from a survey of self-identified minor-attracted persons (MAPs). Two hundred and sixty-seven survey participants provided narrative responses. Results indicated a significant amount of variability in perceptions of harm and of mitigating or aggravating factors. Understanding the subjective perspectives of MAPs, the range of their attitudes, and the issues that they identify as pertinent is critically important for clinical efficacy in the treatment of pedophilia.
PMID: 29741472
ISSN: 1521-0715
CID: 3215222

System change designed to increase safety and stabilization for traumatized children and families: Trauma systems therapy

Chapter by: Brown, Adam D; Hansen, Susan; Saxe, Glenn N
in: Trauma responsive child welfare systems by Strand, Virginia C [Ed]; Sprang, Ginny [Ed]
Cham, Switzerland: Springer International Publishing; Switzerland, 2018
pp. 87-104
ISBN: 978-3-319-64601-5
CID: 3213912

Barriers and facilitators to mental health screening efforts for families in pediatric primary care

Acri, Mary; Zhang, Shirley; Chomanczuk, Aminda H.; O'Brien, Kyle H.; De Zitella, Maria L. Mini; Scrofani, Paige R.; Velez, Laura; Garay, Elene; Sezer, Sara; Little, Virna; Cleek, Andrew; McKay, Mary M.
The purpose of this commentary was to describe the barriers and facilitators to mental health screening efforts for children between age 5 and 18 years within three primary care clinics in poverty-impacted communities as part of an integrated care model. Three screeners, two women and one male, participated in a screening effort between September and December 2015. Screeners were interviewed about their perceptions of barriers and facilitators to screening. Organizational, family, and screener-level factors were found to influence delivery of screenings to children. Given the benefits of screening in primary care settings, identifying barriers to these initiatives and ways to address them pre-emptively could potentially alter the developmental trajectory and outcomes of children at risk for serious mental health conditions.
ISI:000435395300002
ISSN: 1052-2158
CID: 3211762

NAA10-related syndrome

Wu, Yiyang; Lyon, Gholson J
NAA10-related syndrome is an X-linked condition with a broad spectrum of findings ranging from a severe phenotype in males with p.Ser37Pro in NAA10, originally described as Ogden syndrome, to the milder NAA10-related intellectual disability found with different variants in both males and females. Although developmental impairments/intellectual disability may be the presenting feature (and in some cases the only finding), many individuals have additional cardiovascular, growth, and dysmorphic findings that vary in type and severity. Therefore, this set of disorders has substantial phenotypic variability and, as such, should be referred to more broadly as NAA10-related syndrome. NAA10 encodes an enzyme NAA10 that is certainly involved in the amino-terminal acetylation of proteins, alongside other proposed functions for this same protein. The mechanistic basis for how variants in NAA10 lead to the various phenotypes in humans is an active area of investigation, some of which will be reviewed herein.
PMCID:6063861
PMID: 30054457
ISSN: 2092-6413
CID: 3206672

β-Adrenergic enhancement of neuronal excitability in the lateral amygdala is developmentally gated

Fink, Ann E; LeDoux, Joseph E
Noradrenergic signaling in the amygdala is important for processing threats and other emotionally salient stimuli, and β-adrenergic receptor activation is known to enhance neuronal spiking in the lateral amygdala (LA) of juvenile animals. Nevertheless, intracellular recordings have not yet been conducted to determine the effect of β-adrenergic receptor activation on spike properties in the adult LA, despite the potential significance of developmental changes between adolescence and adulthood. Here we demonstrate that the β-adrenergic agonist isoproterenol (15 μM) enhances spike frequency in dorsal LA principal neurons of juvenile male C57BL/6 mice and fails to do so in strain- and sex-matched adults. Furthermore, we find that the age-dependent effect of isoproterenol on spike frequency is occluded by the GABAA receptor blocker picrotoxin (75 μM), suggesting that β-adrenergic receptors downregulate tonic inhibition specifically in juvenile animals. These findings indicate a significant shift during adolescence in the cellular mechanisms of β-adrenergic modulation in the amygdala. NEW & NOTEWORTHY β-Adrenergic receptors (β-ARs) in amygdala are important in processing emotionally salient stimuli. Most cellular recordings have examined juvenile animals, while behavioral data are often obtained from adults. We replicate findings showing that β-ARs enhance spiking of principal cells in the lateral amygdala of juveniles, but we fail to find this in adults. These findings have notable scientific and clinical implications regarding the noradrenergic modulation of threat processing, alterations of which underlie fear and anxiety disorders.
PMCID:6008094
PMID: 29361666
ISSN: 1522-1598
CID: 3202482

The subjective experience of emotion: a fearful view

LeDoux, Joseph E.; Hofmann, Stefan G.
We argue that subjective emotional experience, the feeling, is the essence of an emotion, and that objective manifestations in behavior and in body or brain physiology are, at best, indirect indicators of these inner experiences. As a result, the most direct way to assess conscious emotional feelings is through verbal self-report. This creates a methodological barrier to studies of conscious feelings in animals. While the behavioral and physiological responses are not "˜emotions,"™ they contribute to emotions indirectly, and sometimes profoundly. Whether non-verbal animals have emotional experiences is a difficult, maybe impossible, question to answer in the positive or negative. But because behavioral and physiological responses are important contributors to emotions, and the circuits underlying these are highly conserved, studies of animals have an important role in understanding how emotions are expressed and regulated in the brain. Conflation of circuits that directly give rise to conscious emotional feelings with circuits that indirectly influences these conscious feelings has hampered progress in efforts to understand emotions, and also to understand and to develop treatments for emotional disorders. Recognition of differences in these circuits will allow research in animals to have a lasting impact on understanding of human emotions as research goes forward.
SCOPUS:85034094718
ISSN: 2352-1546
CID: 3202422

Assessment of the impact of shared brain imaging data on the scientific literature

Milham, Michael P; Craddock, R Cameron; Son, Jake J; Fleischmann, Michael; Clucas, Jon; Xu, Helen; Koo, Bonhwang; Krishnakumar, Anirudh; Biswal, Bharat B; Castellanos, F Xavier; Colcombe, Stan; Di Martino, Adriana; Zuo, Xi-Nian; Klein, Arno
Data sharing is increasingly recommended as a means of accelerating science by facilitating collaboration, transparency, and reproducibility. While few oppose data sharing philosophically, a range of barriers deter most researchers from implementing it in practice. To justify the significant effort required for sharing data, funding agencies, institutions, and investigators need clear evidence of benefit. Here, using the International Neuroimaging Data-sharing Initiative, we present a case study that provides direct evidence of the impact of open sharing on brain imaging data use and resulting peer-reviewed publications. We demonstrate that openly shared data can increase the scale of scientific studies conducted by data contributors, and can recruit scientists from a broader range of disciplines. These findings dispel the myth that scientific findings using shared data cannot be published in high-impact journals, suggest the transformative power of data sharing for accelerating science, and underscore the need for implementing data sharing universally.
PMCID:6053414
PMID: 30026557
ISSN: 2041-1723
CID: 3201922

Meditation-based therapies for attention-deficit/hyperactivity disorder in children, adolescents and adults: a systematic review and meta-analysis

Zhang, Junhua; Díaz-Román, Amparo; Cortese, Samuele
BACKGROUND:The efficacy of meditation-based therapies for attention deficit/hyperactivity disorder (ADHD) across the lifespan remains uncertain. OBJECTIVE:To conduct a systematic review and meta-analysis of randomised controlled trials (RCTs) assessing the efficacy of meditation-based therapies for ADHD core symptoms and associated neuropsychological dysfunctions in children/adolescents or adults with ADHD. METHODS:statistics. Publication (small studies) bias was assessed with funnel plots and the Egger's test. Studies were evaluated with the Cochrane risk of bias (RoB) tool. Analyses were conducted using Comprehensive Meta-Analysis. FINDINGS/RESULTS:81.81%). No significant effects were found on neuropsychological measures of inattention and inhibition in children/adolescents. In adults, significant effects were detected on working memory and inhibition, although these results were based on a small number of studies (n=3). 57% and 43% of the studies in children/adolescents were rated at overall unclear and high risk of bias, respectively. In adults, 33% and 67% of the studies were deemed at overall unclear and high risk of bias, respectively. No evidence of publication bias was found. CONCLUSIONS:Despite statistically significant effects on ADHD combined core symptoms, due to paucity of RCTs, heterogeneity across studies and lack of studies at low risk of bias, there is insufficient methodologically sound evidence to support meditation-based therapies for ADHD. TRIAL REGISTRATION NUMBER/BACKGROUND:PROSPERO 2018 [CRD42018096156].
PMID: 29991532
ISSN: 1468-960x
CID: 3199882

Background Odors Modulate N170 ERP Component and Perception of Emotional Facial Stimuli

Syrjänen, Elmeri; Wiens, Stefan; Fischer, Håkan; Zakrzewska, Marta; Wartel, Andreas; Larsson, Maria; Olofsson, Jonas K
Successful social interaction relies on the accurate decoding of other peoples' emotional signals, and their contextual integration. However, little is known about how contextual odors may lead to modulation of cortical processing in response to facial expressions. We investigated how unpleasant and pleasant contextual background odors affected emotion perception and cortical event-related potential (ERP) responses to pictures of faces expressing happy, neutral and disgusted facial expressions. Faces were, regardless of expression, rated more positively in the pleasant odor condition and more negatively in the unpleasant odor condition. Faces were overall rated as more emotionally arousing in the presence of an odor, irrespective of its valence. Contextual odors also interacted with facial expressions, such that happy faces were rated as especially non-arousing in the unpleasant odor condition. The early, face-sensitive N170 ERP component also displayed an interaction effect. Here, disgusted faces were affected by the odor context such that the N170 revealed a relatively larger negativity in the context of a pleasant odor compared with an unpleasant odor. There were no odor effects on the responses to faces in other measured ERP components (P1, VPP, P2, and LPP). These results suggest that odors bias socioemotional perception early stages of the visual processing stream. However, effects may vary across emotional expressions and measurements.
PMCID:6029154
PMID: 29997539
ISSN: 1664-1078
CID: 3200052