1. Unraveling the Consequences of Childhood Maltreatment: Deviations From Typical Functional Neurodevelopment Mediate the Relationship Between Maltreatment History and Depressive Symptoms
- Author
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Nandita Vijayakumar, Sarah Whittle, Nicholas B. Allen, Divyangana Rakesh, Andrew Zalesky, and Clare Kelly
- Subjects
Adult ,Male ,Child abuse ,Adolescent ,Cognitive Neuroscience ,media_common.quotation_subject ,Poison control ,050105 experimental psychology ,Neglect ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Injury prevention ,medicine ,Humans ,0501 psychology and cognitive sciences ,Radiology, Nuclear Medicine and imaging ,Child Abuse ,Young adult ,Child ,Biological Psychiatry ,Default mode network ,media_common ,medicine.diagnostic_test ,Depression ,business.industry ,05 social sciences ,Magnetic Resonance Imaging ,Cross-Sectional Studies ,Female ,Neurology (clinical) ,Functional magnetic resonance imaging ,business ,030217 neurology & neurosurgery ,Clinical psychology ,Psychopathology - Abstract
Background Childhood maltreatment is associated with lifelong psychiatric sequelae. However, our understanding of neurobiological mechanisms responsible for this association is limited. Childhood maltreatment may confer risk for psychopathology by altering neurodevelopmental trajectories during childhood and adolescence. Longitudinal research, which is essential for examining this question, has been limited. Methods We investigated maltreatment-associated alterations in the development of neural circuitry. Associations between cumulative childhood maltreatment (assessed using a dimensional measure of abuse and neglect via the Childhood Trauma Questionnaire) and the longitudinal development of resting-state functional connectivity (rsFC) were examined in 130 community-residing adolescents. Functional magnetic resonance imaging data were acquired at age 16 (T1; mean ± SD age, 16.46 ± 0.52 years; 66 females) and age 19 (T2; mean follow-up period, 2.35 years; n = 90 with functional magnetic resonance imaging data at both time points). Results We found maltreatment to be associated with widespread longitudinal increases in rsFC, primarily between default mode, dorsal attention, and frontoparietal systems. We also found sex-dependent increased maltreatment-associated rsFC in male participants in salience and limbic circuits. Cross-sectional analyses revealed a shift in maltreatment-related rsFC alterations, which were localized to subcortical and sensory circuits at T1 and to frontal circuits at T2. Finally, longitudinal increases in rsFC connectivity mediated the relationship between childhood maltreatment and increased depressive symptoms. Conclusions To our knowledge, this is the first study to examine longitudinal maltreatment-related alterations in rsFC in adolescents. Our findings shed light on the neurodevelopmental consequences of childhood maltreatment and provide evidence for their role in risk for depression.
- Published
- 2021