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Department/Unit:Child and Adolescent Psychiatry

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What's parenting got to do with it: emotional autonomy and brain and behavioral responses to emotional conflict in children and adolescents

Marusak, Hilary A; Thomason, Moriah E; Sala-Hamrick, Kelsey; Crespo, Laura; Rabinak, Christine A
Healthy parenting may be protective against the development of emotional psychopathology, particularly for children reared in stressful environments. Little is known, however, about the brain and behavioral mechanisms underlying this association, particularly during childhood and adolescence, when emotional disorders frequently emerge. Here, we demonstrate that psychological control, a parenting strategy known to limit socioemotional development in children, is associated with altered brain and behavioral responses to emotional conflict in 27 at-risk (urban, lower income) youth, ages 9-16. In particular, youth reporting higher parental psychological control demonstrated lower activity in the left anterior insula, a brain area involved in emotion conflict processing, and submitted faster but less accurate behavioral responses-possibly reflecting an avoidant pattern. Effects were not replicated for parental care, and did not generalize to an analogous nonemotional conflict task. We also find evidence that behavioral responses to emotional conflict bridge the previously reported link between parental overcontrol and anxiety in children. Effects of psychological control may reflect a parenting style that limits opportunities to practice self-regulation when faced with emotionally charged situations. Results support the notion that parenting strategies that facilitate appropriate amounts of socioemotional competence and autonomy in children may be protective against social and emotional difficulties.
PMID: 28913886
ISSN: 1467-7687
CID: 3149422

Developmental variation in regional brain iron and its relation to cognitive functions in childhood

Hect, Jasmine L; Daugherty, Ana M; Hermez, Klodia M; Thomason, Moriah E
Non-heme iron is a vital metabolic cofactor for many core processes of brain development including myelination, dendritogenesis, and neurotransmitter synthesis, and accumulates in the brain with age. However, little is known about development-related differences in brain iron and its association with emerging cognitive abilities during formative years. In this study, we estimated brain iron via R2* relaxometry in children ages 7-16 (N = 57; 38 females) and examined its relation to age-related differences in cognitive ability. As we hypothesized, age correlated positively with iron content in the hippocampus and across subregions of the basal ganglia. The magnitude of age differences in iron content differed between regions such that the largest effects were observed in basal ganglia subregions: globus pallidus, substantia nigra, caudate nucleus, and putamen, as compared to values obtained for the hippocampus and red nucleus. We did not observe sex or hemispheric differences in iron content. Notably, greater brain iron content was associated with both faster processing speed and higher general intelligence, and shared 21.4% of the age-related improvement in processing speed and 12.5% of the improvement in general intelligence. These results suggest that non-heme iron plays a central neurobiological role in the development of critical cognitive abilities during childhood.
PMID: 29894887
ISSN: 1878-9307
CID: 3149432

Hubs in the human fetal brain network

van den Heuvel, Marion I; Turk, Elise; Manning, Janessa H; Hect, Jasmine; Hernandez-Andrade, Edgar; Hassan, Sonia S; Romero, Roberto; van den Heuvel, Martijn P; Thomason, Moriah E
Advances in neuroimaging and network analyses have lead to discovery of highly connected regions, or hubs, in the connectional architecture of the human brain. Whether these hubs emerge in utero, has yet to be examined. The current study addresses this question and aims to determine the location of neural hubs in human fetuses. Fetal resting-state fMRI data (N = 105) was used to construct connectivity matrices for 197 discrete brain regions. We discovered that within the connectional functional organization of the human fetal brain key hubs are emerging. Consistent with prior reports in infants, visual and motor regions were identified as emerging hub areas, specifically in cerebellar areas. We also found evidence for network hubs in association cortex, including areas remarkably close to the adult fusiform facial and Wernicke areas. Functional significance of hub structure was confirmed by computationally deleting hub versus random nodes and observing that global efficiency decreased significantly more when hubs were removed (p < .001). Taken together, we conclude that both primary and association brain regions demonstrate centrality in network organization before birth. While fetal hubs may be important for facilitating network communication, they may also form potential points of vulnerability in fetal brain development.
PMCID:5963507
PMID: 29448128
ISSN: 1878-9307
CID: 3149272

Socioeconomic disadvantage and altered corticostriatal circuitry in urban youth

Marshall, Narcis A; Marusak, Hilary A; Sala-Hamrick, Kelsey J; Crespo, Laura M; Rabinak, Christine A; Thomason, Moriah E
Socioeconomic disadvantage (SED) experienced in early life is linked to a range of risk behaviors and diseases. Neuroimaging research indicates that this association is mediated by functional changes in corticostriatal reward systems that modulate goal-directed behavior, reward evaluation, and affective processing. Existing research has focused largely on adults and within-household measures as an index of SED, despite evidence that broader community-level SED (e.g., neighborhood poverty levels) has significant and sometimes distinct effects on development and health outcomes. Here, we test effects of both household- and community-level SED on resting-state functional connectivity (rsFC) of the ventral striatum (VS) in 100 racially and economically diverse children and adolescents (ages 6-17). We observed unique effects of household income and community SED on VS circuitry such that higher community SED was associated with reduced rsFC between the VS and an anterior region of the medial prefrontal cortex (mPFC), whereas lower household income was associated with increased rsFC between the VS and the cerebellum, inferior temporal lobe, and lateral prefrontal cortex. Lower VS-mPFC rsFC was also associated with higher self-reported anxiety symptomology, and rsFC mediated the link between community SED and anxiety. These results indicate unique effects of community-level SED on corticostriatal reward circuitry that can be detected in early life, which carries implications for future interventions and targeted therapies. In addition, our findings raise intriguing questions about the distinct pathways through which specific sources of SED can affect brain and emotional development.
PMCID:5895487
PMID: 29359526
ISSN: 1097-0193
CID: 3149262

Structured Spontaneity: Building Circuits in the Human Prenatal Brain

Thomason, Moriah E
Early brain activity is crucial for neurogenesis and the development of brain networks. However, it has been challenging to localize regions in the developing human brain that contribute to spontaneous waves of neuronal activity. Recently, Arichi and colleagues reported that the temporal and heteromodal insular cortices have a central role in propagating these neural instructional signals.
PMCID:5886024
PMID: 29224852
ISSN: 1878-108x
CID: 3149252

Transgender Adolescents and the Gender-Affirming Interventions: Pubertal Suppression, Hormones, Surgery, and Other Pharmacological Interventions

Chapter by: Busa, Samantha M; Leibowitz, Scott; Janssen, Aron
in: Affirmative Mental Health Care for Transgender and Gender Diverse Youth : A Clinical Guide by Janssen, Aron; Leibowitz, Scott (Eds)
Cham, Switzerland : Springer, 2018
pp. 49-62
ISBN: 9783319783062
CID: 3143582

Determinants of Hair Manganese, Lead, Cadmium and Arsenic Levels in Environmentally Exposed Children

Jursa, Thomas; Stein, Cheryl R; Smith, Donald R
Biomarkers of environmental metal exposure in children are important for elucidating exposure and health risk. While exposure biomarkers for As, Cd, and Pb are relatively well defined, there are not yet well-validated biomarkers of Mn exposure. Here, we measured hair Mn, Pb, Cd, and As levels in children from the Mid-Ohio Valley to determine within and between-subject predictors of hair metal levels. Occipital scalp hair was collected in 2009-2010 from 222 children aged 6-12 years (169 female, 53 male) participating in a study of chemical exposure and neurodevelopment in an industrial region of the Mid-Ohio Valley. Hair samples from females were divided into three two centimeter segments, while males provided a single segment. Hair was cleaned and processed in a trace metal clean laboratory, and analyzed for As, Cd, Mn, and Pb by magnetic sector inductively coupled plasma mass spectrometry. Hair Mn and Pb levels were comparable (median 0.11 and 0.15 µg/g, respectively) and were ~10-fold higher than hair Cd and As levels (0.007 and 0.018 µg/g, respectively). Hair metal levels were higher in males compared to females, and varied by ~100-1000-fold between all subjects, and substantially less (<40-70%) between segments within female subjects. Hair Mn, Pb, and Cd, but not As levels systematically increased by ~40-70% from the proximal to distal hair segments of females. There was a significant effect of season of hair sample collection on hair Mn, Pb, and Cd, but not As levels. Finally, hair metal levels reported here are ~2 to >10-fold lower than levels reported in other studies in children, most likely because of more rigorous hair cleaning methodology used in the present study, leading to lower levels of unresolved exogenous metal contamination of hair.
PMCID:6027252
PMID: 29565296
ISSN: 2305-6304
CID: 3143312

Gender Dysphoria and Autism Spectrum Disorders

Chapter by: Janssen, Aron
in: Affirmative Mental Health Care for Transgender and Gender Diverse Youth : A Clinical Guide by Janssen, Aron; Leibowitz, Scott (Eds)
Cham, Switzerland : Springer, 2018
pp. 121-128
ISBN: 9783319783062
CID: 3143612

Affirming and Gender-Informed Assessment of Gender Diverse and/or Transgender Youth Across Development

Chapter by: Leibowitz, Scott; Janssen, Aron
in: Affirmative Mental Health Care for Transgender and Gender Diverse Youth : A Clinical Guide by Janssen, Aron; Leibowitz, Scott (Eds)
Cham, Switzerland : Springer, 2018
pp. 1-29
ISBN: 9783319783062
CID: 3143602

Affirmative Mental Health Care for Transgender and Gender Diverse Youth : A Clinical Guide

Janssen, Aron; Leibowitz, Scott
Cham, Switzerland : Springer, 2018
Extent: 1 v.
ISBN: 9783319783062
CID: 3143592