1. Altered Neural Processing of Threat-Related Information in Children and Adolescents Exposed to Violence: A Transdiagnostic Mechanism Contributing to the Emergence of Psychopathology
- Author
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Jessica L. Jenness, Kelly A. Sambrook, Margaret A. Sheridan, Natalie L. Colich, Katie A. McLaughlin, Adam Bryant Miller, and David G. Weissman
- Subjects
medicine.diagnostic_test ,05 social sciences ,Poison control ,Psychiatry and Mental health ,medicine.anatomical_structure ,Physical abuse ,Sexual abuse ,Superior frontal gyrus ,Developmental and Educational Psychology ,medicine ,Domestic violence ,0501 psychology and cognitive sciences ,Psychology ,Functional magnetic resonance imaging ,Anterior cingulate cortex ,050104 developmental & child psychology ,Clinical psychology ,Psychopathology - Abstract
Objective Exposure to violence in childhood is associated with increased risk for multiple forms of internalizing and externalizing psychopathology. We evaluated how exposure to violence in early life influences neural responses to neutral and threat-related stimuli in childhood and adolescence, developmental variation in these associations, and whether these neural response patterns convey transdiagnostic risk for psychopathology over time. Method Participants were 149 youths (75 female and 74 male), aged 8 to 17 years (mean = 12.8, SD = 2.63), who had experienced physical abuse, sexual abuse, or domestic violence (n = 76) or had never experienced violence (n = 73). Participants underwent functional magnetic resonance imaging scanning while passively viewing fearful, neutral, and scrambled faces presented rapidly in a block design without specific attentional demands. Internalizing and externalizing psychopathology were assessed concurrently with the scan and 2 years later and were used to compute a transdiagnostic general psychopathology factor (p factor). Results Exposure to violence was associated with reduced activation in the dorsal anterior cingulate cortex (dACC) and frontal pole (1,985 voxels, peak x, y, z = 6, 4, 40) when viewing fearful (versus scrambled) faces, and reduced activation in dorsomedial prefrontal cortex and superior frontal gyrus (1,970 voxels, peak x, y, z = 16, 64, 10) when viewing neutral faces, but not amygdala activation or connectivity. Lower dACC response to fearful faces predicted increase in the p factor 2 years later (B = −0.186, p = .031) and mediated the association of violence exposure with longitudinal increases in the p factor. Conclusion Reduced recruitment of the dACC—a region involved in salience processing, conflict monitoring, and cognitive control—in response to threat-related cues may convey increased transdiagnostic psychopathology risk in youths exposed to violence.
- Published
- 2020
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