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Association Between Aggression and Differential Functional Activity of Neural Regions Implicated in Retaliation - 27/06/23

Doi : 10.1016/j.jaac.2023.01.021 
Avantika Mathur, PhD a, Johannah Bashford-Largo, MEd, PLMHP a, Jaimie Elowsky, BS a, Ru Zhang, PhD a, Matthew Dobbertin, DO a, Patrick M. Tyler, PhD b, Sahil Bajaj, PhD a, Karina S. Blair, PhD a, R. James R. Blair, PhD c,
a Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska 
b Translational Research Center, Boys Town, Nebraska 
c Child and Adolescent Mental Health Center Research Center, Genthofte Hospital, Hellerup, Denmark 

Correspondence to James Blair, PhD, Region Hovedstadens Psykiatri, Børne-og Ungdomspsykiatrisk Center, Forskningsenheden, Gentofte, Hospitalsvej 3A, 1. sal, 2900 Hellerup, DenmarkRegion Hovedstadens PsykiatriBørne-og Ungdomspsykiatrisk CenterForskningsenhedenGentofte, Hospitalsvej 3A, 1. salHellerup2900Denmark

Abstract

Objective

The goal of the current study was to determine the extent to which atypical neural responsiveness during retaliation is associated with observed aggression in youth in residential care.

Method

This functional magnetic resonance imaging study involved 83 adolescents (56 male and 27 female; mean age, 16.18 years) in residential care performing a retaliation task. Of the 83 adolescents, 42 displayed aggressive behavior within the first 3 months of residential care, whereas 41 did not. During the retaliation task, participants were offered either fair or unfair divisions of $20 pots (allocation phase) and could either accept the offer or reject it, and, by spending $1, $2, or $3, punish the partner (retaliation phase).

Results

The study’s main findings were that aggressive adolescent showed the following: reduced down-regulation of activity within regions involved in representing the expected value of choice options (left ventromedial prefrontal cortex and left posterior cingulate cortex) as a function of offer unfairness and retaliation level; and reduced recruitment of regions implicated in response control (right inferior frontal gyrus and bilateral anterior insular cortex) and associated fronto-parietal regions as a function of retaliation level. The aggressive adolescents were also significantly more likely to have been aggressive prior to residential care and showed a strong trend for increased retaliation on the task.

Conclusion

We suggest that individuals with a greater propensity for aggression show reduced representation of the negative consequences of retaliation and associated reduced recruitment of regions potentially involved in over-ruling these negative consequences to engage in retaliation.

Diversity & Inclusion Statement

We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure sex balance in the selection of non-human subjects. We actively worked to promote sex and gender balance in our author group. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. While citing references scientifically relevant for this work, we also actively worked to promote sex and gender balance in our reference list. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group.

Le texte complet de cet article est disponible en PDF.

Key words : aggression, retaliation, fMRI, expected value, response control


Plan


 This work was supported by Boys Town National Research Hospital. This research was in part supported by the National Institute of Mental Health under award number K22-MH109558 (RJRB). The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
 The Boys Town National Research Hospital institutional review board approved this study. A doctoral level researcher or a member of the clinical research team obtained written informed consent and assent. In all cases, youth had the right to decline participation at any time before or during the study. The datasets during and/or analyzed during the current study available from the corresponding author on reasonable request.
 This study was presented as a poster at the Society for Neuroscience Annual Meeting; November 8-11, 2021; Virtual.
 Author Contributions
AM, JRB, PT, and KSB were principally involved in study design. RZ, JB, JE, and MD were critically involved in aspects of data collection. AM, SB, and JRB were involved in data analysis. AM was principally involved in writing the manuscript. RZ, JB, JE, MD, PT, SB, KSB, and JRB provided critical comments. All authors read and approved the final manuscript.
 Disclosure: Dr. Blair has received grant or research support from NIMH and NIDA. Drs. Mathur, Zhang, Dobbertin, Tyler, Bajaj, and K. Blair and Mss. Bashford-Largo and Elowsky have reported no biomedical financial interests or potential conflicts of interest.


© 2023  American Academy of Child and Adolescent Psychiatry. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 62 - N° 7

P. 805-815 - juillet 2023 Retour au numéro
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