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Task–Rest Reconfiguration Efficiency of the Reward Network Across Adolescence and Its Association With Early Life Stress and Depressive Symptoms - 29/01/25

Doi : 10.1016/j.jaac.2024.04.018 
Yoonji Lee, PhD Candidate a, , Justin P. Yuan, PhD Candidate a, Anderson M. Winkler, MD, DPhil b, Katharina Kircanski, PhD c, Daniel S. Pine, MD c, Ian H. Gotlib, PhD a
a Stanford University, Stanford, California 
b University of Texas Rio Grande Valley, Brownsville, Texas 
c National Institute of Mental Health, Bethesda, Maryland 

Correspondence to Yoonji Lee, Department of Psychology, Stanford University, 450 Jane Stanford Way, Stanford, CA 94305Department of PsychologyStanford University450 Jane Stanford WayStanfordCA94305

Abstract

Objective

Adolescents face significant changes in many domains of their daily lives that require them to flexibly adapt to changing environmental demands. To shift efficiently among various goals, adolescents must reconfigure their brains, disengaging from previous tasks and engaging in new activities.

Method

To examine this reconfiguration, we obtained resting-state and task-based functional magnetic resonance imaging (fMRI) scans in a community sample of 164 youths. We assessed the similarity of functional connectivity (FC) of the reward network between resting state and a reward-processing state, indexing the degree of reward network reconfiguration required to meet task demands. Given research documenting relations among reward network function, early life stress (ELS), and adolescent depression, we examined the association of reconfiguration efficiency with age across adolescence, the moderating effect of ELS on this association, and the relation between reconfiguration efficiency and depressive symptoms.

Results

We found that older adolescents showed greater reconfiguration efficiency than younger adolescents and, furthermore, that this age-related association was moderated by the experience of ELS.

Conclusion

These findings suggest that reconfiguration efficiency of the reward network increases over adolescence, a developmental pattern that is attenuated in adolescents exposed to severe ELS. In addition, even after controlling for the effects of age and exposure to ELS, adolescents with higher levels of depressive symptoms exhibited greater reconfiguration efficiency, suggesting that they have brain states at rest that are more strongly optimized for reward processing than do asymptomatic youth.

Plain language summary

Adolescents face significant changes in many domains of their lives which requires them to flexibly adapt and reconfigure their brains to disengage from previous tasks and engage in new activities. In this study of a sample of 164 youth aged 9 to 20, the authors found an age-related increase in the reconfiguration efficiency of the reward network, which was pronounced in older adolescents exposed to severe early life stress. In addition, the study findings indicate that adolescents with higher levels of depressive symptoms showed greater reconfiguration efficiency, suggesting that their brains may be more optimized for processing rewards even at rest compared to their peers without any symptoms.

Diversity & Inclusion Statement

We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. 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. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science.

Il testo completo di questo articolo è disponibile in PDF.

Key words : adolescence, reward, depression, early life stress, functional connectivity


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 This research was supported by the National Institutes of Health (NIH; R37MH101495 to IHG), the Stanford Institute for Research in the Social Sciences (IRiSS), the National Science Foundation Graduate Research Fellowship Program (NSF GRFP) (to JPY), and the Stanford Psychology Norman Anderson Fund (to YL and JPY). Drs. Pine and Kircanski are supported by the NIMH Intramural Research Program.
 The research was performed with permission from the Stanford Institutional Review Board.
 Consent has been provided for descriptions of specific patient information.
 Dr. Winkler served as the statistical expert for this research.
 Disclosure: Drs. Winkler, Kircanski, Pine, and Gotlib and Messrs. Lee and Yuan have reported no biomedical financial interests or potential conflicts of interest.


© 2024  American Academy of Child and Adolescent Psychiatry. Tutti i diritti riservati.
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