Cortical thinning in preschoolers with maladaptive guilt.


Journal

Psychiatry research. Neuroimaging
ISSN: 1872-7506
Titre abrégé: Psychiatry Res Neuroimaging
Pays: Netherlands
ID NLM: 101723001

Informations de publication

Date de publication:
30 11 2020
Historique:
received: 13 08 2019
revised: 13 09 2020
accepted: 15 09 2020
pubmed: 13 10 2020
medline: 1 3 2022
entrez: 12 10 2020
Statut: ppublish

Résumé

Maladaptive guilt is a central symptom of preschool-onset depression associated with severe psychopathology in adolescence and adulthood. Although studies have found that maladaptive guilt is associated with structural alterations in the anterior insula (AI) and dorsomedial prefrontal cortex (dmPFC) in middle childhood and adolescence, no study has examined structural neural correlates of maladaptive guilt in preschool, when this symptom first emerges. This study examined a pooled sample of 3-to 6-year-old children (N = 76; 40.8% female) from two studies, both which used the same type of magnetic resonance imaging scanner and conducted diagnostic interviews for depression that included clinician ratings of whether children met criteria for maladaptive guilt. Preschoolers with maladaptive guilt displayed significantly thinner dmPFC than children without this symptom. Neither children's depressive severity nor their vegetative or other emotional symptoms of depression were associated with dmPFC thickness, suggesting that dmPFC thinning is specific to maladaptive guilt. Neither AI gray matter volume or thickness nor dmPFC gray matter volume differed between children with and without maladaptive guilt. This study is the first to identify a structural biomarker for a specific depressive symptom in preschool. Findings may inform neurobiological models of the development of depression and aid in detection of this symptom.

Identifiants

pubmed: 33045581
pii: S0925-4927(20)30167-0
doi: 10.1016/j.pscychresns.2020.111195
pmc: PMC9245198
mid: NIHMS1780424
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

111195

Subventions

Organisme : NIMH NIH HHS
ID : R01 MH098454
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH100019
Pays : United States

Informations de copyright

Copyright © 2020. Published by Elsevier B.V.

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Auteurs

Meghan Rose Donohue (MR)

Department of Psychiatry, Washington University School of Medicine, 4444 Forest Park Avenue, Suite 2500, 63110 St. Louis, MO, USA. Electronic address: rdonohue@wustl.edu.

Rebecca Tillman (R)

Department of Psychiatry, Washington University School of Medicine, 4444 Forest Park Avenue, Suite 2500, 63110 St. Louis, MO, USA.

Deanna M Barch (DM)

Department of Psychiatry, Washington University School of Medicine, 4444 Forest Park Avenue, Suite 2500, 63110 St. Louis, MO, USA; Department of Psychology, Washington University, St. Louis, MO, USA.

Joan Luby (J)

Department of Psychiatry, Washington University School of Medicine, 4444 Forest Park Avenue, Suite 2500, 63110 St. Louis, MO, USA.

Michael S Gaffrey (MS)

Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.

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Classifications MeSH