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Department/Unit:Child and Adolescent Psychiatry

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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

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

Trauma, Delinquency, and Antisocial Personality [Meeting Abstract]

Cox, Lara J; Subedi, Bipin Raj; Marsh, Akeem N; Cabrera, Jennifer; Linick, Jessica; Stewart, Altha J
ORIGINAL:0012611
ISSN: n/a
CID: 3131782

Untold New Beginnings: Adult Hippocampal Neurogenesis and Alzheimer's Disease

Teixeira, Catia M; Pallas-Bazarra, Noemí; Bolós, Marta; Terreros-Roncal, Julia; Ávila, Jesús; Llorens-Martín, María
Neurogenesis occurs in a limited number of brain regions during adulthood. Of these, the hippocampus has attracted great interest due to its involvement in memory processing. Moreover, both the hippocampus and the main area that innervates this structure, namely the entorhinal cortex, show remarkable atrophy in patients with Alzheimer's disease (AD). Adult hippocampal neurogenesis is a process that continuously gives rise to newborn granule neurons in the dentate gyrus. These cells coexist with developmentally generated granule neurons in this structure, and both cooperative and competition phenomena regulate the communication between these two types of cells. Importantly, it has been revealed that GSK-3β and tau proteins, which are two of the main players driving AD pathology, are cornerstones of adult hippocampal neurogenesis regulation. We have shown that alterations either promoting or impeding the actions of these two proteins have detrimental effects on the structural plasticity of granule neurons. Of note, these impairments occur both under basal conditions and in response to detrimental and neuroprotective stimuli. Thus, in order to achieve the full effectiveness of future therapies for AD, we propose that attention be turned toward identifying the pathological and physiological actions of the proteins involved in the pathogenesis of this condition.
PMID: 29562522
ISSN: 1875-8908
CID: 4625492

Comorbid Normal Pressure Hydrocephalus with Parkinsonism: A Clinical Challenge and Call for Awareness

Cucca, A; Biagioni, M C; Sharma, K; Golomb, J; Gilbert, R M; Di Rocco, A; Fleisher, J E
Idiopathic normal pressure hydrocephalus (iNPH) is the most common cause of hydrocephalus in adults. The diagnosis may be challenging, requiring collaborative efforts between different specialists. According to the International Society for Hydrocephalus and Cerebrospinal Fluid Disorders, iNPH should be considered in the differential of any unexplained gait failure with insidious onset. Recognizing iNPH can be even more difficult in the presence of comorbid neurologic disorders. Among these, idiopathic Parkinson's disease (PD) is one of the major neurologic causes of gait dysfunction in the elderly. Both conditions have their peak prevalence between the 6th and the 7th decade. Importantly, postural instability and gait dysfunction are core clinical features in both iNPH and PD. Therefore, diagnosing iNPH where diagnostic criteria of PD have been met represents an additional clinical challenge. Here, we report a patient with parkinsonism initially consistent with PD who subsequently displayed rapidly progressive postural instability and gait dysfunction leading to the diagnosis of concomitant iNPH. In the following sections, we will review the clinical features of iNPH, as well as the overlapping and discriminating features when degenerative parkinsonism is in the differential diagnosis. Understanding and recognizing the potential for concomitant disease are critical when treating both conditions.
PMCID:5828340
PMID: 29610690
ISSN: 2090-6668
CID: 3025292

Assessing "Clutter" and Related Constructs with a Non-White, Urban Sample

Prohaska, Vincent; Celestino, Denise; Dangleben, Tiffany; Sanchez, Pamela; Sandoval, Alana
ISI:000433203900004
ISSN: 1046-1310
CID: 5842342

Addressing Comorbidities When Treating Anxious Youth

Palitz, Sophie A; Carper, Matthew M; Kagan, Elana R; Aggarwal, Richa; Frank, E. Hannah; Davis, Jordan P; Kendall, Philip C
ORIGINAL:0014673
ISSN: 2379-4933
CID: 4521372

Process Factors Associated with Improved Outcomes in CBT for Anxious Youth: Therapeutic Content, Alliance, and Therapist Actions

Crawford, Erika A.; Frank, Hannah E.; Palitz, Sophie A.; Davis, Jordan P.; Kendall, Philip C.
ISI:000427590800006
ISSN: 0147-5916
CID: 4520282

Brain entropy and human intelligence: A resting-state fMRI study

Saxe, Glenn N; Calderone, Daniel; Morales, Leah J
Human intelligence comprises comprehension of and reasoning about an infinitely variable external environment. A brain capable of large variability in neural configurations, or states, will more easily understand and predict variable external events. Entropy measures the variety of configurations possible within a system, and recently the concept of brain entropy has been defined as the number of neural states a given brain can access. This study investigates the relationship between human intelligence and brain entropy, to determine whether neural variability as reflected in neuroimaging signals carries information about intellectual ability. We hypothesize that intelligence will be positively associated with entropy in a sample of 892 healthy adults, using resting-state fMRI. Intelligence is measured with the Shipley Vocabulary and WASI Matrix Reasoning tests. Brain entropy was positively associated with intelligence. This relation was most strongly observed in the prefrontal cortex, inferior temporal lobes, and cerebellum. This relationship between high brain entropy and high intelligence indicates an essential role for entropy in brain functioning. It demonstrates that access to variable neural states predicts complex behavioral performance, and specifically shows that entropy derived from neuroimaging signals at rest carries information about intellectual capacity. Future work in this area may elucidate the links between brain entropy in both resting and active states and various forms of intelligence. This insight has the potential to provide predictive information about adaptive behavior and to delineate the subdivisions and nature of intelligence based on entropic patterns.
PMCID:5809019
PMID: 29432427
ISSN: 1932-6203
CID: 2957842

Individual and Neighborhood Stressors, Sleep Problems, and Symptoms of Anxiety and Depression Among Latino Youth

Rubens, Sonia L; Gudino, Omar G; Fite, Paula J; Grande, Jessica M
Limited research has examined the relation between exposure to stressors and internalizing symptoms among Latino adolescents, including factors that account for this relation. This study examined whether sleep played a role in the relation between exposure to neighborhood- (i.e., neighborhood disadvantage) and individual-level (i.e., negative life events) stressors and symptoms of anxiety and depression among a sample of 144 low-income, Latino adolescents (54% males, mean age = 16.25, SD = 1.46) attending a charter high school in a large, Midwestern city. The bias corrected bootstrap method was used to evaluate indirect effects. Significant findings indicated an indirect effect via sleep problems in the link between negative life events and anxiety. Alternative models were also explored. Results suggest that sleep problems are important to consider for interventions among Latino youth, particularly those exposed to neighborhood and individual stressors, as this may also have implications for reducing internalizing symptoms among this population. (PsycINFO Database Record
PMID: 27977282
ISSN: 1939-0025
CID: 2625302