Northwestern University, Department of Psychiatry and Behavioral Sciences, Chicago, IL, USA.
Northwestern University, Department of Medical Social Sciences, Chicago, IL, USA; Northwestern University, Department of Pediatrics, Chicago, IL, USA; Northwestern University, Institute for Innovations in Developmental Sciences, Chicago, IL, USA.
J Psychiatr Res. 2024 Oct;178:405-413. doi: 10.1016/j.jpsychires.2024.08.038. Epub 2024 Aug 27.
: Mental health disorders are among the leading causes of disability in childhood and adolescence. Notably, mental health disorders commonly co-occur, indicating that critical mechanisms may relate to multiple forms of psychopathology. One potential transdiagnostic mechanism that has been examined in youth is inhibitory control. However, previous neuroimaging research on inhibitory control in youth has typically not examined transdiagnostic symptom dimensions or used computational modeling to quantify subcomponent processes that affect inhibition.
: In the present study, a diverse sample of preadolescents who were oversampled for psychopathology risk (N = 86, ages 8–12) completed a Go/No-Go task during an fMRI scan. Parents completed a series of questionnaires that were used to capture externalizing and internalizing symptom dimensions. Drift-diffusion modeling (DDM) was applied to preadolescents’ task behavior, and model parameters were linked with neural activation using two contrasts: successful inhibition and failed inhibition.
: During successful inhibition, bilateral inferior temporal gyrus (ITG) activation was related to non-decision time, and ITG activation was associated with externalizing and internalizing symptoms. During failed inhibition, insula and putamen activation were associated with drift rates, as well as with internalizing symptoms, independent of externalizing symptoms.
: Results indicate that distinct cognitive processes are related to broader psychopathology symptom dimensions in preadolescents. Future studies should assess relations among computational parameters and clinical risk in youth, which may reveal important prevention and/or intervention targets.
精神健康障碍是儿童和青少年残疾的主要原因之一。值得注意的是,精神健康障碍通常同时发生,这表明关键机制可能与多种精神病理学形式有关。在年轻人中,一个被研究过的潜在跨诊断机制是抑制控制。然而,以前关于年轻人抑制控制的神经影像学研究通常没有检查跨诊断症状维度,也没有使用计算模型来量化影响抑制的子成分过程。
在本研究中,一个具有多种精神病理风险的青少年样本(N = 86,年龄 8-12 岁)在 fMRI 扫描期间完成了 Go/No-Go 任务。父母完成了一系列问卷,用于捕捉外显和内隐症状维度。漂移扩散模型(DDM)被应用于青少年的任务行为,并且使用两个对比来将模型参数与神经激活联系起来:成功抑制和失败抑制。
在成功抑制期间,双侧颞下回(ITG)激活与非决策时间有关,ITG 激活与外显和内隐症状有关。在失败抑制期间,岛叶和壳核的激活与漂移率有关,并且与内隐症状有关,而与外显症状无关。
结果表明,在青少年中,不同的认知过程与更广泛的精神病理学症状维度有关。未来的研究应该评估计算参数与年轻人临床风险之间的关系,这可能揭示重要的预防和/或干预目标。