Reward- and threat-related neural function associated with risk and presence of depression in adolescents: a study using a composite risk score in Brazil.


Journal

Journal of child psychology and psychiatry, and allied disciplines
ISSN: 1469-7610
Titre abrégé: J Child Psychol Psychiatry
Pays: England
ID NLM: 0375361

Informations de publication

Date de publication:
05 2022
Historique:
accepted: 22 06 2021
pubmed: 8 8 2021
medline: 23 4 2022
entrez: 7 8 2021
Statut: ppublish

Résumé

Neuroimaging studies on adolescents at risk for depression have relied on a single risk factor and focused on adolescents in high-income countries. Using a composite risk score, this study aims to examine neural activity and connectivity associated with risk and presence of depression in adolescents in Brazil. Depression risk was defined with the Identifying Depression Early in Adolescence Risk Score (IDEA-RS), calculated using a prognostic model that included 11 socio-demographic risk factors. Adolescents recruited from schools in Porto Alegre were classified into a low-risk (i.e., low IDEA-RS and no lifetime depression), high-risk (i.e., high IDEA-RS and no lifetime depression), or clinically depressed group (i.e., high IDEA-RS and depression diagnosis). One hundred fifty adolescents underwent a functional MRI scan while completing a reward-related gambling and a threat-related face-matching task. We compared group differences in activity and connectivity of the ventral striatum (VS) and amygdala during the gambling and face-matching tasks, respectively, and group differences in whole-brain neural activity. Although there was no group difference in reward-related VS or threat-related amygdala activity, the depressed group showed elevated VS activity to punishment relative to high-risk adolescents. The whole-brain analysis found reduced reward-related activity in the lateral prefrontal cortex of patients and high-risk adolescents compared with low-risk adolescents. Compared with low-risk adolescents, high-risk and depressed adolescents showed reduced threat-related left amygdala connectivity with thalamus, superior temporal gyrus, inferior parietal gyrus, precentral gyrus, and supplementary motor area. We identified neural correlates associated with risk and presence of depression in a well-characterized sample of adolescents. These findings enhance knowledge of the neurobiological underpinnings of risk and presence of depression in Brazil. Future longitudinal studies are needed to examine whether the observed neural patterns of high-risk adolescents predict the development of depression.

Sections du résumé

BACKGROUND
Neuroimaging studies on adolescents at risk for depression have relied on a single risk factor and focused on adolescents in high-income countries. Using a composite risk score, this study aims to examine neural activity and connectivity associated with risk and presence of depression in adolescents in Brazil.
METHODS
Depression risk was defined with the Identifying Depression Early in Adolescence Risk Score (IDEA-RS), calculated using a prognostic model that included 11 socio-demographic risk factors. Adolescents recruited from schools in Porto Alegre were classified into a low-risk (i.e., low IDEA-RS and no lifetime depression), high-risk (i.e., high IDEA-RS and no lifetime depression), or clinically depressed group (i.e., high IDEA-RS and depression diagnosis). One hundred fifty adolescents underwent a functional MRI scan while completing a reward-related gambling and a threat-related face-matching task. We compared group differences in activity and connectivity of the ventral striatum (VS) and amygdala during the gambling and face-matching tasks, respectively, and group differences in whole-brain neural activity.
RESULTS
Although there was no group difference in reward-related VS or threat-related amygdala activity, the depressed group showed elevated VS activity to punishment relative to high-risk adolescents. The whole-brain analysis found reduced reward-related activity in the lateral prefrontal cortex of patients and high-risk adolescents compared with low-risk adolescents. Compared with low-risk adolescents, high-risk and depressed adolescents showed reduced threat-related left amygdala connectivity with thalamus, superior temporal gyrus, inferior parietal gyrus, precentral gyrus, and supplementary motor area.
CONCLUSIONS
We identified neural correlates associated with risk and presence of depression in a well-characterized sample of adolescents. These findings enhance knowledge of the neurobiological underpinnings of risk and presence of depression in Brazil. Future longitudinal studies are needed to examine whether the observed neural patterns of high-risk adolescents predict the development of depression.

Identifiants

pubmed: 34363203
doi: 10.1111/jcpp.13496
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

579-590

Subventions

Organisme : National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London
Organisme : Maudsley NHS Foundation Trust and King's College London
Organisme : UK Medical Research Council
ID : MC_PC_MR/R019460/1
Organisme : MQ
ID : MQBF/1 IDEA
Organisme : Conselho Nacional de Desenvolvimento Científico e Tecnológico
ID : 445828/2014-5
Organisme : Conselho Nacional de Desenvolvimento Científico e Tecnológico
ID : 477129/2012-9
Organisme : Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
ID : 17/2551-0001009-4
Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
ID : 62/2014
Organisme : Academy of Medical Sciences
ID : GCRFNG\100281
Pays : United Kingdom

Informations de copyright

© 2021 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.

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Auteurs

Leehyun Yoon (L)

Department of Human Ecology, University of California Davis, Davis, CA, USA.

Fernanda Rohrsetzer (F)

Child and Adolescent Psychiatry Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Lucas Battel (L)

Child and Adolescent Psychiatry Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Department of Medicine, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA.

Mauricio Anés (M)

Division of Medical Physics and Radioprotection, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Pedro H Manfro (PH)

Child and Adolescent Psychiatry Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Luis A Rohde (LA)

Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
ADHD and Developmental Psychiatry Programs, Hospital de Clínicas de Porte Alegre, Porto Alegre, Brazil.
Institute of Developmental Psychiatry for Children and Adolescents, Porto Alegre, Brazil.

Anna Viduani (A)

Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Zuzanna Zajkowska (Z)

Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Valeria Mondelli (V)

Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College London, London, UK.

Christian Kieling (C)

Child and Adolescent Psychiatry Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Johnna R Swartz (JR)

Department of Human Ecology, University of California Davis, Davis, CA, USA.

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