Division of Development and Growth, Department of Paediatrics, Gynaecology and Obstetrics, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Neuro-X Institute, École polytechnique fédérale de Lausanne, Geneva, Switzerland.
Psychiatry Clin Neurosci. 2024 Jul;78(7):416-425. doi: 10.1111/pcn.13675. Epub 2024 May 17.
AIM: Adolescents born very preterm (VPT; <32 weeks of gestation) face an elevated risk of executive, behavioral, and socioemotional difficulties. Evidence suggests beneficial effects of mindfulness-based intervention (MBI) on these abilities. This study seeks to investigate the association between the effects of MBI on executive, behavioral, and socioemotional functioning and reliable changes in large-scale brain networks dynamics during rest in VPT young adolescents who completed an 8-week MBI program. METHODS: Neurobehavioral assessments and resting-state functional magnetic resonance imaging were performed before and after MBI in 32 VPT young adolescents. Neurobehavioral abilities in VPT participants were compared with full-term controls. In the VPT group, dynamic functional connectivity was extracted by using the innovation-driven coactivation patterns framework. The reliable change index was used to quantify change after MBI. A multivariate data-driven approach was used to explore associations between MBI-related changes on neurobehavioral measures and temporal brain dynamics. RESULTS: Compared with term-born controls, VPT adolescents showed reduced executive and socioemotional functioning before MBI. After MBI, a significant improvement was observed for all measures that were previously reduced in the VPT group. The increase in executive functioning, only, was associated with reliable changes in the duration of activation of large-scale brain networks, including frontolimbic, amygdala-hippocampus, dorsolateral prefrontal, and visual networks. CONCLUSION: The improvement in executive functioning after an MBI was associated with reliable changes in large-scale brain network dynamics during rest. These changes encompassed frontolimbic, amygdala-hippocampus, dorsolateral prefrontal, and visual networks that are related to different executive processes including self-regulation, attentional control, and attentional awareness of relevant sensory stimuli.
目的:极早产儿(VPT;<32 周妊娠)面临着执行功能、行为和社会情感困难的风险增加。有证据表明,基于正念的干预(MBI)对这些能力有有益的影响。本研究旨在探讨 VPT 年轻青少年在完成 8 周 MBI 计划后,MBI 对执行功能、行为和社会情感功能的影响与静息状态下大脑网络动力学的可靠变化之间的关联。
方法:在 MBI 前后对 32 名 VPT 年轻青少年进行神经行为评估和静息态功能磁共振成像。将 VPT 参与者的神经行为能力与足月对照组进行比较。在 VPT 组中,通过创新驱动的共同激活模式框架提取动态功能连接。使用可靠变化指数来量化 MBI 后的变化。使用多元数据驱动方法来探索 MBI 相关变化与神经行为测量值和时间大脑动力学之间的关联。
结果:与足月出生的对照组相比,VPT 青少年在 MBI 前表现出执行功能和社会情感功能下降。MBI 后,VPT 组所有先前降低的测量值均有显著改善。只有执行功能的增加与大脑网络激活持续时间的可靠变化相关,包括额眶额、杏仁核-海马体、背外侧前额叶和视觉网络。
结论:MBI 后执行功能的改善与静息状态下大脑网络动力学的可靠变化有关。这些变化包括额眶额、杏仁核-海马体、背外侧前额叶和视觉网络,这些网络与不同的执行过程有关,包括自我调节、注意力控制和对相关感觉刺激的注意力意识。
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