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强迫性与青少年目标导向控制和额眶部皮质功能连接的发展减少有关。

Compulsivity is linked to reduced adolescent development of goal-directed control and frontostriatal functional connectivity.

机构信息

Max Planck University College London Centre for Computational Psychiatry and Ageing Research, University College London, WC1 B5EH London, United Kingdom;

Wellcome Centre for Human Neuroimaging, University College London, WC1N 3AR London, United Kingdom.

出版信息

Proc Natl Acad Sci U S A. 2020 Oct 13;117(41):25911-25922. doi: 10.1073/pnas.1922273117. Epub 2020 Sep 28.

Abstract

A characteristic of adaptive behavior is its goal-directed nature. An ability to act in a goal-directed manner is progressively refined during development, but this refinement can be impacted by the emergence of psychiatric disorders. Disorders of compulsivity have been framed computationally as a deficit in model-based control, and have been linked also to abnormal frontostriatal connectivity. However, the developmental trajectory of model-based control, including an interplay between its maturation and an emergence of compulsivity, has not been characterized. Availing of a large sample of healthy adolescents ( = 569) aged 14 to 24 y, we show behaviorally that over the course of adolescence there is a within-person increase in model-based control, and this is more pronounced in younger participants. Using a bivariate latent change score model, we provide evidence that the presence of higher compulsivity traits is associated with an atypical profile of this developmental maturation in model-based control. Resting-state fMRI data from a subset of the behaviorally assessed subjects ( = 230) revealed that compulsivity is associated with a less pronounced change of within-subject developmental remodeling of functional connectivity, specifically between the striatum and a frontoparietal network. Thus, in an otherwise clinically healthy population sample, in early development, individual differences in compulsivity are linked to the developmental trajectory of model-based control and a remodeling of frontostriatal connectivity.

摘要

适应行为的一个特征是其目标导向性。以目标为导向的行为能力在发育过程中逐渐得到完善,但这种完善可能会受到精神障碍的出现的影响。强迫障碍在计算上被构成为基于模型的控制的缺陷,并且还与异常的额顶叶连接有关。然而,基于模型的控制的发展轨迹,包括其成熟和强迫出现之间的相互作用,尚未得到描述。利用一个包含 14 至 24 岁的大量健康青少年(= 569)的样本,我们从行为上表明,在青少年时期,基于模型的控制会在个体内部增加,并且在年龄较小的参与者中更为明显。使用双变量潜在变化评分模型,我们提供了证据表明,更高的强迫特质的存在与基于模型的控制的这种发育成熟的非典型模式相关。来自行为评估的受试者子集(= 230)的静息状态 fMRI 数据表明,强迫与功能连接的个体内部发育重塑的变化不明显相关,特别是在纹状体和额顶叶网络之间。因此,在其他临床健康人群样本中,在早期发育过程中,个体差异的强迫与基于模型的控制的发展轨迹和额纹状体连接的重塑有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4279/7568330/cdb15a773d80/pnas.1922273117fig01.jpg

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