Mueller Megan, Thompson Benjamin, Poppe Tanya, Alsweiler Jane, Gamble Greg, Jiang Yannan, Leung Myra, Tottman Anna C, Wouldes Trecia, Harding Jane E, Duerden Emma G
Applied Psychology, Faculty of Education, Western University, London N6G 1G7, Canada.
School of Optometry and Vision Science, University of Waterloo, Waterloo, Canada.
Cereb Cortex Commun. 2022 Jul 22;3(3):tgac028. doi: 10.1093/texcom/tgac028. eCollection 2022.
Children born very preterm can demonstrate social-cognitive impairments, which may result from limbic system dysfunction. Altered development of the subnuclei of the amygdala, stress-sensitive regions involved in emotional processing, may be key predictors of social-skill development. In a prospective cohort study, 7-year-old children born very preterm underwent neurodevelopmental testing and brain MRI. The Child Behavioral Checklist was used to assess social-emotional outcomes. Subnuclei volumes were extracted automatically from structural scans ( = 69) and functional connectivity ( = 66) was examined. General Linear Models were employed to examine the relationships between amygdala subnuclei volumes and functional connectivity values and social-emotional outcomes. Sex was a significant predictor of all social-emotional outcomes ( < 0.05), with boys having poorer social-emotional outcomes. Smaller right basal nuclei volumes ( = -0.043, = 0.014), smaller right cortical volumes ( = -0.242, = 0.02) and larger right central nuclei volumes ( = 0.85, = 0.049) were associated with increased social problems. Decreased connectivity strength between thalamic and amygdala networks and smaller right basal volumes were significant predictors of greater social problems (both, < 0.05), effects which were stronger in girls ( = 0.025). Dysregulated maturation of the amygdala subnuclei, along with altered connectivity strength in stress-sensitive regions, may reflect stress-induced dysfunction and can be predictive of social-emotional outcomes.
极早产儿出生后可能会出现社会认知障碍,这可能是由边缘系统功能障碍引起的。杏仁核亚核的发育改变,这些参与情绪处理的应激敏感区域,可能是社交技能发展的关键预测因素。在一项前瞻性队列研究中,对极早产儿出生的7岁儿童进行了神经发育测试和脑部MRI检查。使用儿童行为检查表评估社会情感结果。从结构扫描中自动提取亚核体积(n = 69)并检查功能连接性(n = 66)。采用一般线性模型来检验杏仁核亚核体积、功能连接值与社会情感结果之间的关系。性别是所有社会情感结果的重要预测因素(P < 0.05),男孩的社会情感结果较差。右侧基底核体积较小(β = -0.043,P = 0.014)、右侧皮质体积较小(β = -0.242,P = 0.02)和右侧中央核体积较大(β = 0.85,P = 0.049)与社会问题增加有关。丘脑和杏仁核网络之间的连接强度降低以及右侧基底体积较小是更大社会问题的重要预测因素(两者P < 0.05),这些影响在女孩中更强(P = 0.025)。杏仁核亚核的成熟失调,以及应激敏感区域连接强度的改变,可能反映了应激诱导的功能障碍,并可预测社会情感结果。
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