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年龄与青少年期酒精使用障碍家族风险对功能连接的关联。

Association Between Age and Familial Risk for Alcoholism on Functional Connectivity in Adolescence.

机构信息

University of Iowa, Iowa City.

University of Iowa, Iowa City.

出版信息

J Am Acad Child Adolesc Psychiatry. 2019 Jul;58(7):692-701. doi: 10.1016/j.jaac.2018.12.008. Epub 2019 Feb 14.

Abstract

OBJECTIVE

Youth with a family history of alcohol use disorder (family history positive [FHP]) are at increased risk for developing maladaptive substance use relative to family history negative (FHN) peers. Building on earlier studies demonstrating morphological differences and distinct patterns of neural activation in FHP, the purpose of the present study was to investigate differential intrinsic functional connectivity among brain networks indexing premorbid risk of developing alcohol use disorder (AUD).

METHOD

The current study examined intrinsic functional connectivity using resting state functional magnetic resonance imaging in 191 adolescents 13 to 18 years of age with and without family history of AUD via independent component analysis, a method enabling data-driven investigation of internetwork and intranetwork connectivity among brain regions at rest.

RESULTS

Analyses revealed significantly lower intranetwork connectivity in FHP compared to FHN participants between the dorsal premotor cortex and other sensorimotor network regions. Reduced intranetwork connectivity in this region was further correlated with the number of biological family members with AUD and mood disorders. Robust differences were also evident in internetwork connectivity as a function of age. However, there was no evidence for family history by age interactions.

CONCLUSION

Intra- but not internetwork connectivity appears to differentiate FHP and FHN adolescents, whereas age differences within adolescence are marked by differences in internetwork connectivity.

摘要

目的

有酗酒家族史的年轻人(家族史阳性[FHP])相对于家族史阴性(FHN)同龄人,发展为适应不良物质使用的风险增加。基于先前的研究表明 FHP 存在形态学差异和不同的神经激活模式,本研究旨在调查与发展为酒精使用障碍(AUD)的先天风险相关的脑网络之间的差异内在功能连接。

方法

本研究通过独立成分分析,使用静息状态功能磁共振成像对 191 名 13 至 18 岁的青少年进行了内在功能连接研究,这些青少年有或没有 AUD 的家族史,这是一种能够在静息状态下对脑区之间的网络间和网络内连接进行数据驱动研究的方法。

结果

分析显示,与 FHN 参与者相比,FHP 参与者的背侧运动前皮质与其他感觉运动网络区域之间的网络内连接显著降低。该区域的网络内连接减少与 AUD 和心境障碍的生物家族成员数量相关。作为年龄函数的网络间连接也存在明显差异。然而,没有证据表明家族史与年龄有相互作用。

结论

似乎只有网络内连接可以区分 FHP 和 FHN 青少年,而青少年时期的年龄差异则以网络间连接的差异为特征。

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