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| Publications of Michael D. De Bellis :chronological alphabetical combined listing:%% Journal Articles @article{fds354552, Author = {Zhao, Q and Sullivan, EV and Honnorat, N and Adeli, E and Podhajsky, S and De Bellis, MD and Voyvodic, J and Nooner, KB and Baker, FC and Colrain, IM and Tapert, SF and Brown, SA and Thompson, WK and Nagel, BJ and Clark, DB and Pfefferbaum, A and Pohl, KM}, Title = {Association of Heavy Drinking With Deviant Fiber Tract Development in Frontal Brain Systems in Adolescents.}, Journal = {Jama Psychiatry}, Volume = {78}, Number = {4}, Pages = {407-415}, Year = {2021}, Month = {April}, url = {http://dx.doi.org/10.1001/jamapsychiatry.2020.4064}, Abstract = {Importance: Maturation of white matter fiber systems subserves cognitive, behavioral, emotional, and motor development during adolescence. Hazardous drinking during this active neurodevelopmental period may alter the trajectory of white matter microstructural development, potentially increasing risk for developing alcohol-related dysfunction and alcohol use disorder in adulthood. Objective: To identify disrupted adolescent microstructural brain development linked to drinking onset and to assess whether the disruption is more pronounced in younger rather than older adolescents. Design, Setting, and Participants: This case-control study, conducted from January 13, 2013, to January 15, 2019, consisted of an analysis of 451 participants from the National Consortium on Alcohol and Neurodevelopment in Adolescence cohort. Participants were aged 12 to 21 years at baseline and had at least 2 usable magnetic resonance diffusion tensor imaging (DTI) scans and up to 5 examination visits spanning 4 years. Participants with a youth-adjusted Cahalan score of 0 were labeled as no-to-low drinkers; those with a score of greater than 1 for at least 2 consecutive visits were labeled as heavy drinkers. Exploratory analysis was conducted between no-to-low and heavy drinkers. A between-group analysis was conducted between age- and sex-matched youths, and a within-participant analysis was performed before and after drinking. Exposures: Self-reported alcohol consumption in the past year summarized by categorical drinking levels. Main Outcomes and Measures: Diffusion tensor imaging measurement of fractional anisotropy (FA) in the whole brain and fiber systems quantifying the developmental change of each participant as a slope. Results: Analysis of whole-brain FA of 451 adolescents included 291 (64.5%) no-to-low drinkers and 160 (35.5%) heavy drinkers who indicated the potential for a deleterious association of alcohol with microstructural development. Among the no-to-low drinkers, 142 (48.4%) were boys with mean (SD) age of 16.5 (2.2) years and 149 (51.2%) were girls with mean (SD) age of 16.5 (2.1) years and 192 (66.0%) were White participants. Among the heavy drinkers, 86 (53.8%) were boys with mean (SD) age of 20.1 (1.5) years and 74 (46.3%) were girls with mean (SD) age of 20.5 (2.0) years and 142 (88.8%) were White participants. A group analysis revealed FA reduction in heavy-drinking youth compared with age- and sex-matched controls (t154 = -2.7, P = .008). The slope of this reduction correlated with log of days of drinking since the baseline visit (r156 = -0.21, 2-tailed P = .008). A within-participant analysis contrasting developmental trajectories of youths before and after they initiated heavy drinking supported the prediction that drinking onset was associated with and potentially preceded disrupted white matter integrity. Age-alcohol interactions (t152 = 3.0, P = .004) observed for the FA slopes indicated that the alcohol-associated disruption was greater in younger than older adolescents and was most pronounced in the genu and body of the corpus callosum, regions known to continue developing throughout adolescence. Conclusions and Relevance: This case-control study of adolescents found a deleterious association of alcohol use with white matter microstructural integrity. These findings support the concept of heightened vulnerability to environmental agents, including alcohol, associated with attenuated development of major white matter tracts in early adolescence.}, Doi = {10.1001/jamapsychiatry.2020.4064}, Key = {fds354552} } @article{fds355635, Author = {Phillips, RD and De Bellis, MD and Brumback, T and Clausen, AN and Clarke-Rubright, EK and Haswell, CC and Morey, RA}, Title = {Volumetric trajectories of hippocampal subfields and amygdala nuclei influenced by adolescent alcohol use and lifetime trauma.}, Journal = {Translational Psychiatry}, Volume = {11}, Number = {1}, Pages = {154}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1038/s41398-021-01275-0}, Abstract = {Alcohol use and exposure to psychological trauma frequently co-occur in adolescence and share many risk factors. Both exposures have deleterious effects on the brain during this sensitive developmental period, particularly on the hippocampus and amygdala. However, very little is known about the individual and interactive effects of trauma and alcohol exposure and their specific effects on functionally distinct substructures within the adolescent hippocampus and amygdala. Adolescents from a large longitudinal sample (N = 803, 2684 scans, 51% female, and 75% White/Caucasian) ranging in age from 12 to 21 years were interviewed about exposure to traumatic events at their baseline evaluation. Assessments for alcohol use and structural magnetic resonance imaging scans were completed at baseline and repeated annually to examine neurodevelopmental trajectories. Hippocampal and amygdala subregions were segmented using Freesurfer v6.0 tools, followed by volumetric analysis with generalized additive mixed models. Longitudinal statistical models examined the effects of cumulative lifetime trauma measured at baseline and alcohol use measured annually on trajectories of hippocampal and amygdala subregions, while controlling for covariates known to impact brain development. Greater alcohol use, quantified using the Cahalan scale and measured annually, was associated with smaller whole hippocampus (β = -12.0, pFDR = 0.009) and left hippocampus tail volumes (β = -1.2, pFDR = 0.048), and larger right CA3 head (β = 0.4, pFDR = 0.027) and left subiculum (β = 0.7, pFDR = 0.046) volumes of the hippocampus. In the amygdala, greater alcohol use was associated with larger right basal nucleus volume (β = 1.3, pFDR = 0.040). The effect of traumatic life events measured at baseline was associated with larger right CA3 head volume (β = 1.3, pFDR = 0.041) in the hippocampus. We observed an interaction between baseline trauma and within-person age change where younger adolescents with greater trauma exposure at baseline had smaller left hippocampal subfield volumes in the subiculum (β = 0.3, pFDR = 0.029) and molecular layer HP head (β = 0.3, pFDR = 0.041). The interaction also revealed that older adolescents with greater trauma exposure at baseline had larger right amygdala nucleus volume in the paralaminar nucleus (β = 0.1, pFDR = 0.045), yet smaller whole amygdala volume overall (β = -3.7, pFDR = 0.003). Lastly, we observed an interaction between alcohol use and baseline trauma such that adolescents who reported greater alcohol use with greater baseline trauma showed smaller right hippocampal subfield volumes in the CA1 head (β = -1.1, pFDR = 0.011) and hippocampal head (β = -2.6, pFDR = 0.025), yet larger whole hippocampus volume overall (β = 10.0, pFDR = 0.032). Cumulative lifetime trauma measured at baseline and alcohol use measured annually interact to affect the volume and trajectory of hippocampal and amygdala substructures (measured via structural MRI annually), regions that are essential for emotion regulation and memory. Our findings demonstrate the value of examining these substructures and support the hypothesis that the amygdala and hippocampus are not homogeneous brain regions.}, Doi = {10.1038/s41398-021-01275-0}, Key = {fds355635} } @article{fds349934, Author = {Zhao, Q and Sullivan, EV and Műller-Oehring, EM and Honnorat, N and Adeli, E and Podhajsky, S and Baker, FC and Colrain, IM and Prouty, D and Tapert, SF and Brown, SA and Meloy, MJ and Brumback, T and Nagel, BJ and Morales, AM and Clark, DB and Luna, B and De Bellis, MD and Voyvodic, JT and Nooner, KB and Pfefferbaum, A and Pohl, KM}, Title = {Adolescent alcohol use disrupts functional neurodevelopment in sensation seeking girls.}, Journal = {Addict Biol}, Volume = {26}, Number = {2}, Pages = {e12914}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1111/adb.12914}, Abstract = {Exogenous causes, such as alcohol use, and endogenous factors, such as temperament and sex, can modulate developmental trajectories of adolescent neurofunctional maturation. We examined how these factors affect sexual dimorphism in brain functional networks in youth drinking below diagnostic threshold for alcohol use disorder (AUD). Based on the 3-year, annually acquired, longitudinal resting-state functional magnetic resonance imaging (MRI) data of 526 adolescents (12-21 years at baseline) from the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) cohort, developmental trajectories of 23 intrinsic functional networks (IFNs) were analyzed for (1) sexual dimorphism in 259 participants who were no-to-low drinkers throughout this period; (2) sex-alcohol interactions in two age- and sex-matched NCANDA subgroups (N = 76 each), half no-to-low, and half moderate-to-heavy drinkers; and (3) moderating effects of gender-specific alcohol dose effects and a multifactorial impulsivity measure on IFN connectivity in all NCANDA participants. Results showed that sex differences in no-to-low drinkers diminished with age in the inferior-occipital network, yet girls had weaker within-network connectivity than boys in six other networks. Effects of adolescent alcohol use were more pronounced in girls than boys in three IFNs. In particular, girls showed greater within-network connectivity in two motor networks with more alcohol consumption, and these effects were mediated by sensation-seeking only in girls. Our results implied that drinking might attenuate the naturally diminishing sexual differences by disrupting the maturation of network efficiency more severely in girls. The sex-alcohol-dose effect might explain why women are at higher risk of alcohol-related health and psychosocial consequences than men.}, Doi = {10.1111/adb.12914}, Key = {fds349934} } @article{fds349354, Author = {De Bellis, MD and Nooner, KB and Brumback, T and Clark, DB and Tapert, SF and Brown, SA}, Title = {Posttraumatic Stress Symptoms Predict Transition to Future Adolescent and Young Adult Moderate to Heavy Drinking in the NCANDA Sample.}, Journal = {Current Addiction Reports}, Volume = {7}, Number = {2}, Pages = {99-107}, Year = {2020}, Month = {June}, url = {http://dx.doi.org/10.1007/s40429-020-00303-1}, Abstract = {Purpose of study: Approximately two thirds of youth report experiencing or witnessing a trauma. It is not known whether trauma or the posttraumatic stress symptoms (PTSS) following trauma increases adolescent drinking risk. Recent findings: We described trauma experienced by the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) longitudinal sample (N=831) participants and examined drinking over 4 years. We hypothesize that more traumatic events and PTSS will predict transition to moderate/heavy drinking. Summary: 658 no/low drinkers at baseline were followed yearly for 4 years for transition to moderate/heavy drinking using logistic regression models. Youth were grouped by: No Trauma (n=257), Trauma (n= 348), and Trauma with PTSS (n=53). Those with Trauma and PTSS showed escalation to moderate/heavy drinking compared to the No Trauma group in follow-up years 2, 3, and 4. Number of traumatic events did not predict moderate/heavy drinking. Interventions targeting PTSS may prevent transition to moderate/heavy drinking.}, Doi = {10.1007/s40429-020-00303-1}, Key = {fds349354} } @article{fds349353, Author = {Silveira, S and Shah, R and Nooner, KB and Nagel, BJ and Tapert, SF and de Bellis, MD and Mishra, J}, Title = {Impact of Childhood Trauma on Executive Function in Adolescence-Mediating Functional Brain Networks and Prediction of High-Risk Drinking.}, Journal = {Biol Psychiatry Cogn Neurosci Neuroimaging}, Volume = {5}, Number = {5}, Pages = {499-509}, Year = {2020}, Month = {May}, url = {http://dx.doi.org/10.1016/j.bpsc.2020.01.011}, Abstract = {BACKGROUND: Childhood trauma is known to impart risk for several adverse life outcomes. Yet, its impact during adolescent development is not well understood. We aimed to investigate the relationships among childhood trauma, functional brain connectivity, executive dysfunction (ED), and the development of high-risk drinking in adolescence. METHODS: Data from the National Consortium on Alcohol and Neurodevelopment in Adolescence (sample size = 392, 55% female) cohort were used. This included resting-state functional magnetic resonance imaging at baseline, childhood trauma and ED self-reports, and detailed interviews on alcohol and substance use collected at baseline and at 4 annual follow-ups. We used longitudinal regression analyses to confirm the relationship between childhood trauma and ED, identified the mediating functional brain network hubs, and used these linkages to predict future high-risk drinking in adolescence. RESULTS: Childhood trauma severity was significantly related to ED in all years. At baseline, distributed functional connectivity from hub regions in the bilateral dorsal anterior cingulate cortex, right anterior insula, right intraparietal sulcus, and bilateral pre- and postcentral gyri mediated the relationship between childhood trauma and ED. Furthermore, high-risk drinking in follow-up years 1-4 could be predicted with high accuracy from the trauma-affected functional brain networks that mediated ED at baseline, together with age, childhood trauma severity, and extent of ED. DISCUSSION: Functional brain networks, particularly from hub regions important for cognitive and sensorimotor control, explain the relationship between childhood trauma and ED and are important for predicting future high-risk drinking. These findings are relevant for the prognosis of alcohol use disorders.}, Doi = {10.1016/j.bpsc.2020.01.011}, Key = {fds349353} } @article{fds346908, Author = {Sullivan, EV and Brumback, T and Tapert, SF and Brown, SA and Baker, FC and Colrain, IM and Prouty, D and De Bellis, MD and Clark, DB and Nagel, BJ and Pohl, KM and Pfefferbaum, A}, Title = {Disturbed Cerebellar Growth Trajectories in Adolescents Who Initiate Alcohol Drinking.}, Journal = {Biological Psychiatry}, Volume = {87}, Number = {7}, Pages = {632-644}, Year = {2020}, Month = {April}, url = {http://dx.doi.org/10.1016/j.biopsych.2019.08.026}, Abstract = {<h4>Background</h4>The cerebellum is a target of alcoholism-related brain damage in adults, yet no study has prospectively tracked deviations from normal cerebellar growth trajectories in adolescents before and after initiating drinking.<h4>Methods</h4>Magnetic resonance imaging tracked developmental volume trajectories of 10 cerebellar lobule and vermis tissue constituents in 548 no/low drinking youths age 12 to 21 years at induction into this 5-site, NCANDA (National Consortium on Alcohol and NeuroDevelopment in Adolescence) study. Over the 3- to 4-year longitudinal examination yielding 2043 magnetic resonance imaging scans, 328 youths remained no/low drinkers, whereas 220 initiated substantial drinking after initial neuroimaging.<h4>Results</h4>Normal growth trajectories derived from no/low drinkers indicated that gray matter volumes of lobules V and VI, crus II, lobule VIIB, and lobule X declined faster with age in male youths than in female youths, whereas white matter volumes in crus I and crus II and lobules VIIIA and VIIIB expanded faster in female youths than in male youths; cerebrospinal fluid volume expanded faster in most cerebellar regions of male youths than female youths. Drinkers exhibited accelerated gray matter decline in anterior lobules and vermis, accelerated vermian white matter expansion, and accelerated cerebrospinal fluid volumes expansion of anterior lobules relative to youths who remained no/low drinkers. Analyses including both alcohol and marijuana did not support an independent role for marijuana in alcohol effects on cerebellar gray matter trajectories.<h4>Conclusions</h4>Alcohol use-related cerebellar growth trajectory differences from normal involved anterior lobules and vermis of youths who initiated substantial drinking. These regions are commonly affected in alcohol-dependent adults, raising the possibility that cerebellar structures affected by youthful drinking may be vulnerable to age-alcohol interactions in later adulthood.}, Doi = {10.1016/j.biopsych.2019.08.026}, Key = {fds346908} } @article{fds348441, Author = {Meiers, G and Nooner, K and De Bellis, MD and Debnath, R and Tang, A}, Title = {Alpha EEG asymmetry, childhood maltreatment, and problem behaviors: A pilot home-based study.}, Journal = {Child Abuse Negl}, Volume = {101}, Pages = {104358}, Year = {2020}, Month = {March}, url = {http://dx.doi.org/10.1016/j.chiabu.2020.104358}, Abstract = {BACKGROUND: Child maltreatment, trauma symptoms, and alpha electroencephalography (EEG) asymmetry have been linked to problem behaviors and alcohol use disorders. OBJECTIVE: The goal of this pilot study was to clarify the role of alpha EEG asymmetry in the relation of maltreatment and problem behaviors. It was hypothesized that adolescents with more maltreatment, trauma symptoms, and right alpha EEG asymmetry would have more problem behaviors and alcohol use. It was also hypothesized that alpha EEG asymmetry would moderate the association between maltreatment/trauma symptoms and problem behaviors. PARTICIPANTS AND SETTING: Participants were 52 adolescents aged 12-14 years. Resting-state alpha EEG asymmetry was measured in this home-based study as a potential moderator in the association of child maltreatment and trauma symptoms to problem behaviors including alcohol use. RESULTS: Child maltreatment reports and trauma symptoms were significantly associated with problem behaviors (β = 0.259, p = 0.037 and β = 0.594, p < 0.001, respectively). Trauma symptoms were associated with alcohol-use (Incidence Rate Ratio = 1.048, p = 0.032). Right alpha EEG asymmetry moderated the positive association of trauma symptoms and problem behaviors (β = -0.383, p = 0.024). However, this was not the case for left alpha EEG asymmetry. CONCLUSIONS: Neural correlates associated with individuals' affective-behavioral profiles may play a role in the susceptibility for problem behaviors among adolescents exposed to higher levels of childhood trauma. This could be useful in developing targeted assessments and interventions to prevent or treat these problems in adolescents.}, Doi = {10.1016/j.chiabu.2020.104358}, Key = {fds348441} } @article{fds350571, Author = {Nooner, KB and De Bellis, MD and Clark, DB and Thompson, WK and Brumback, T}, Title = {Longitudinal Impact of Life Events on Adolescent Binge Drinking in the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA).}, Journal = {Subst Use Misuse}, Volume = {55}, Number = {11}, Pages = {1846-1855}, Year = {2020}, url = {http://dx.doi.org/10.1080/10826084.2020.1768549}, Abstract = {Background: Life events experienced during adolescence are associated with risk and resilience to heavy episodic drinking (HED; i.e. binge drinking). The current study builds on prior research using latent class analysis (LCA) to examine heterogeneity in patterns of adolescent life events at baseline to HED over the course of three years (4 timepoints) as part of the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA). Methods: Life event classes were modeled using LCA that characterized NCANDA participants based upon their responses to the Life Events Questionnaire (N = 467, age: M = 14.98, SD = 1.69, 49.7% female). These baseline latent life event classes were then compared to HED at baseline and years 1, 2 and 3 using multinomial logistic regression. Results: At baseline, the LCA characterized four classes of adolescents based on endorsement of life events: negative-relational conflict (n = 65, 13.9%), negative-financial problems (n = 49, 10.5%), low life events (n = 130, 27.8%), and positive life events (n = 223, 47.8%). Life event trajectories differed for the negative life event classes compared to the other two classes, with greater odds of HED in the negative-financial problems class at year 1. Conclusion: The four latent classes derived from the life events of NCANDA youth yielded a characterization of adolescents that could aid in understanding HED over the subsequent three years, suggesting that everyday life events may inform adolescent binge drinking.}, Doi = {10.1080/10826084.2020.1768549}, Key = {fds350571} } @article{fds342433, Author = {De Bellis, MD and Morey, RA and Nooner, KB and Woolley, DP and Haswell, CC and Hooper, SR}, Title = {A Pilot Study of Neurocognitive Function and Brain Structures in Adolescents With Alcohol Use Disorders: Does Maltreatment History Matter?}, Journal = {Child Maltreat}, Volume = {24}, Number = {4}, Pages = {374-388}, Year = {2019}, Month = {November}, url = {http://dx.doi.org/10.1177/1077559518810525}, Abstract = {Neurocognitive and brain structural differences are associated with adolescent onset alcohol use disorders (AUDs). Maltreatment histories may contribute to current results. To examine these issues, healthy adolescents (n = 31), adolescents without maltreatment and AUD (AUD - MAL, n = 28), and adolescents with AUDs with maltreatment (AUD + MAL, n = 17) underwent comprehensive neurocognitive assessments and MRI structural scans. Controls performed significantly better than the two AUD groups in math and language. The AUD + MAL group performed significantly lower in sustained attention compared to the AUD - MAL and control groups and lower in reading compared to controls. The AUD + MAL group had larger left pars triangularis, a region of the inferior frontal gyrus, compared to the AUD-MAL and control groups, and smaller anterior corpus callosum volumes versus the AUD - MAL group. There were no group differences in other prefrontal cortex, amygdala, hippocampus, and parahippocampal volumes. The AUD + MAL group showed an inverse correlation between hippocampal volumes and age. AUD variables were associated with lower performance in fine-motor and executive function. Cannabis use variables were associated with lower performance in fine-motor, language, visual-spatial, memory, and executive function. Parahippocampal volumes positively correlated with abstinence. The preliminary results suggest adolescent AUD studies should consider examinations of maltreatment history, comorbid substance use disorders, and recovery during abstinence in their analyses.}, Doi = {10.1177/1077559518810525}, Key = {fds342433} } @article{fds347318, Author = {Morales, AM and Boyd, SJ and Mackiewicz Seghete and KL and Johnson, AJ and De Bellis, MD and Nagel, BJ}, Title = {Sex Differences in the Effect of Nucleus Accumbens Volume on Adolescent Drinking: The Mediating Role of Sensation Seeking in the NCANDA Sample.}, Journal = {Journal of Studies on Alcohol and Drugs}, Volume = {80}, Number = {6}, Pages = {594-601}, Year = {2019}, Month = {November}, url = {http://dx.doi.org/10.15288/jsad.2019.80.594}, Abstract = {<h4>Objective</h4>In adolescence, sensation seeking is associated with earlier onset of alcohol use, which is a risk factor for a variety of negative consequences later in life. Individual differences in sensation seeking are related to brain function in the nucleus accumbens (NAcc), a brain region that undergoes considerable structural development during adolescence. Therefore, the goal of this study was to determine whether NAcc volume in alcohol-naive adolescents was associated with future sensation seeking and alcohol use and whether these associations differed by sex.<h4>Method</h4>High-resolution magnetic resonance imaging was used to measure NAcc volume at baseline in 514 alcohol-naive adolescents (50.2% female) from the National Consortium on Alcohol & Neurodevelopment in Adolescence study. Direct effects of NAcc volume on adolescent drinking 2 years after baseline, and indirect effects mediated through sensation seeking 1 year after baseline, were assessed.<h4>Results</h4>An indirect effect of NAcc volume on subsequent drinking through sensation seeking was significant for males, but not females. This effect was driven by a positive association between NAcc volume and sensation seeking observed in male, but not female, participants. A direct effect of NAcc volume on subsequent alcohol use was detected in females, but not males. In females, no association between NAcc volume and sensation seeking was detected, but NAcc volume was positively associated with future alcohol use.<h4>Conclusions</h4>These findings suggest that delayed structural maturation of the NAcc may be a risk factor for alcohol use in adolescence; however, the mechanism by which the structure of the NAcc confers risk differs by sex.}, Doi = {10.15288/jsad.2019.80.594}, Key = {fds347318} } @article{fds342387, Author = {De Bellis, MD and Nooner, KB and Scheid, JM and Cohen, JA}, Title = {Depression in Maltreated Children and Adolescents.}, Journal = {Child Adolesc Psychiatr Clin N Am}, Volume = {28}, Number = {3}, Pages = {289-302}, Year = {2019}, Month = {July}, url = {http://dx.doi.org/10.1016/j.chc.2019.02.002}, Abstract = {Maltreatment affects 9.1 to 17.1 of every 1000 US children and adolescents. Maltreated youth are at high risk for depression. Clinicians should screen young patients for maltreatment history. Depressed maltreated youth are at high risk for treatment resistance. Combination treatment with selective serotonin reuptake inhibitors and cognitive behavior therapy (CBT) with a trauma-informed approach should be considered for depressed maltreated youth. Behavioral management can be integrated with trauma-focused CBT to treat the externalizing disorders that commonly occur in maltreated depressed youth. If one approach is unsuccessful, a change to another medication or type of evidence-based psychotherapy or intervention is indicated.}, Doi = {10.1016/j.chc.2019.02.002}, Key = {fds342387} } @article{fds336066, Author = {Sun, D and Haswell, CC and Morey, RA and De Bellis, MD}, Title = {Brain structural covariance network centrality in maltreated youth with PTSD and in maltreated youth resilient to PTSD.}, Journal = {Dev Psychopathol}, Volume = {31}, Number = {2}, Pages = {557-571}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.1017/S0954579418000093}, Abstract = {Child maltreatment is a major cause of pediatric posttraumatic stress disorder (PTSD). Previous studies have not investigated potential differences in network architecture in maltreated youth with PTSD and those resilient to PTSD. High-resolution magnetic resonance imaging brain scans at 3 T were completed in maltreated youth with PTSD (n = 31), without PTSD (n = 32), and nonmaltreated controls (n = 57). Structural covariance network architecture was derived from between-subject intraregional correlations in measures of cortical thickness in 148 cortical regions (nodes). Interregional positive partial correlations controlling for demographic variables were assessed, and those correlations that exceeded specified thresholds constituted connections in cortical brain networks. Four measures of network centrality characterized topology, and the importance of cortical regions (nodes) within the network architecture were calculated for each group. Permutation testing and principle component analysis method were employed to calculate between-group differences. Principle component analysis is a methodological improvement to methods used in previous brain structural covariance network studies. Differences in centrality were observed between groups. Larger centrality was found in maltreated youth with PTSD in the right posterior cingulate cortex; smaller centrality was detected in the right inferior frontal cortex compared to youth resilient to PTSD and controls, demonstrating network characteristics unique to pediatric maltreatment-related PTSD. Larger centrality was detected in right frontal pole in maltreated youth resilient to PTSD compared to youth with PTSD and controls, demonstrating structural covariance network differences in youth resilience to PTSD following maltreatment. Smaller centrality was found in the left posterior cingulate cortex and in the right inferior frontal cortex in maltreated youth compared to controls, demonstrating attributes of structural covariance network topology that is unique to experiencing maltreatment. This work is the first to identify cortical thickness-based structural covariance network differences between maltreated youth with and without PTSD. We demonstrated network differences in both networks unique to maltreated youth with PTSD and those resilient to PTSD. The networks identified are important for the successful attainment of age-appropriate social cognition, attention, emotional processing, and inhibitory control. Our findings in maltreated youth with PTSD versus those without PTSD suggest vulnerability mechanisms for developing PTSD.}, Doi = {10.1017/S0954579418000093}, Key = {fds336066} } @article{fds340153, Author = {Peterson, ET and Kwon, D and Luna, B and Larsen, B and Prouty, D and De Bellis, MD and Voyvodic, J and Liu, C and Li, W and Pohl, KM and Sullivan, EV and Pfefferbaum, A}, Title = {Distribution of brain iron accrual in adolescence: Evidence from cross-sectional and longitudinal analysis.}, Journal = {Hum Brain Mapp}, Volume = {40}, Number = {5}, Pages = {1480-1495}, Year = {2019}, Month = {April}, url = {http://dx.doi.org/10.1002/hbm.24461}, Abstract = {To track iron accumulation and location in the brain across adolescence, we repurposed diffusion tensor imaging (DTI) and functional magnetic resonance imaging (fMRI) data acquired in 513 adolescents and validated iron estimates with quantitative susceptibility mapping (QSM) in 104 of these subjects. DTI and fMRI data were acquired longitudinally over 1 year in 245 male and 268 female, no-to-low alcohol-consuming adolescents (12-21 years at baseline) from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) study. Brain region average signal values were calculated for susceptibility to nonheme iron deposition: pallidum, putamen, dentate nucleus, red nucleus, and substantia nigra. To estimate nonheme iron, the corpus callosum signal (robust to iron effects) was divided by regional signals to generate estimated R2 (edwR2 for DTI) and R2 * (eR2 * for fMRI). Longitudinal iron deposition was measured using the normalized signal change across time for each subject. Validation using baseline QSM, derived from susceptibility-weighted imaging, was performed on 46 male and 58 female participants. Normalized iron deposition estimates from DTI and fMRI correlated with age in most regions; both estimates indicated less iron in boys than girls. QSM results correlated highly with DTI and fMRI results (adjusted R2 = 0.643 for DTI, 0.578 for fMRI). Cross-sectional and longitudinal analyses indicated an initial rapid increase in iron, notably in the putamen and red nucleus, that slowed with age. DTI and fMRI data can be repurposed for identifying regional brain iron deposition in developing adolescents as validated with high correspondence with QSM.}, Doi = {10.1002/hbm.24461}, Key = {fds340153} } @article{fds331438, Author = {Nooner, KB and Hooper, SR and De Bellis, MD}, Title = {An examination of sex differences on neurocognitive functioning and behavior problems in maltreated youth.}, Journal = {Psychol Trauma}, Volume = {10}, Number = {4}, Pages = {435-443}, Year = {2018}, Month = {July}, url = {http://dx.doi.org/10.1037/tra0000356}, Abstract = {OBJECTIVE: In the developmental traumatology model, the biological construct of sex is considered a moderator that may negatively influence child maltreatment sequelae including those pertaining to neurocognitive function. METHOD: This study examined sex-differences in neurocognitive function and behavior problems in maltreated boys (n = 42), maltreated girls (n = 56) versus nonmaltreated boys (n = 45) and girls (n = 59). Maltreated boys were hypothesized to have poorer neurocognitive functioning than maltreated girls, and nonmaltreated boys and girls, in all neurocognitive domains, particularly pertaining to executive function and attention. We also examined correlations between cognitive function and parent report of child behavior problems for maltreated and nonmaltreated children. RESULTS: Maltreated boys performed more poorly on measures of intelligence, attention, language, memory, executive function, and academic achievement in both reading and math than nonmaltreated boys. Maltreated boys did not perform more poorly on these cognitive measures or behavioral measures than maltreated girls, except for one memory measure. Maltreated girls performed more poorly on measures of intelligence, language, memory, executive function, and academic achievement than nonmaltreated girls. Maltreated girls with better visual-spatial skills had more internalizing and externalizing problems. Effect sizes for these sex differences ranged from small to large. CONCLUSIONS: Both maltreated boys and girls showed poorer cognitive function than their nonmaltreated sex-matched controls. Maltreated girls had subtle sparing of attention and short-term memory (STM). Understanding sex differences in neurocognitive functioning may have implications for designing large population studies of maltreated youth. (PsycINFO Database Record}, Doi = {10.1037/tra0000356}, Key = {fds331438} } @article{fds333815, Author = {Pfefferbaum, A and Kwon, D and Brumback, T and Thompson, WK and Cummins, K and Tapert, SF and Brown, SA and Colrain, IM and Baker, FC and Prouty, D and De Bellis, MD and Clark, DB and Nagel, BJ and Chu, W and Park, SH and Pohl, KM and Sullivan, EV}, Title = {Altered Brain Developmental Trajectories in Adolescents After Initiating Drinking.}, Journal = {The American Journal of Psychiatry}, Volume = {175}, Number = {4}, Pages = {370-380}, Year = {2018}, Month = {April}, url = {http://dx.doi.org/10.1176/appi.ajp.2017.17040469}, Abstract = {<h4>Objective</h4>The authors sought evidence for altered adolescent brain growth trajectory associated with moderate and heavy alcohol use in a large national, multisite, prospective study of adolescents before and after initiation of appreciable alcohol use.<h4>Method</h4>This study examined 483 adolescents (ages 12-21) before initiation of drinking and 1 and 2 years later. At the 2-year assessment, 356 participants continued to meet the study's no/low alcohol consumption entry criteria, 65 had initiated moderate drinking, and 62 had initiated heavy drinking. MRI was used to quantify regional cortical and white matter volumes. Percent change per year (slopes) in adolescents who continued to meet no/low criteria served as developmental control trajectories against which to compare those who initiated moderate or heavy drinking.<h4>Results</h4>In no/low drinkers, gray matter volume declined throughout adolescence and slowed in many regions in later adolescence. Complementing gray matter declines, white matter regions grew at faster rates at younger ages and slowed toward young adulthood. Youths who initiated heavy drinking exhibited an accelerated frontal cortical gray matter trajectory, divergent from the norm. Although significant effects on trajectories were not observed in moderate drinkers, their intermediate position between no/low and heavy drinkers suggests a dose effect. Neither marijuana co-use nor baseline volumes contributed significantly to the alcohol effect.<h4>Conclusions</h4>Initiation of drinking during adolescence, with or without marijuana co-use, disordered normal brain growth trajectories. Factors possibly contributing to abnormal cortical volume trajectories include peak consumption in the past year and family history of alcoholism.}, Doi = {10.1176/appi.ajp.2017.17040469}, Key = {fds333815} } @article{fds339770, Author = {Müller-Oehring, EM and Kwon, D and Nagel, BJ and Sullivan, EV and Chu, W and Rohlfing, T and Prouty, D and Nichols, BN and Poline, J-B and Tapert, SF and Brown, SA and Cummins, K and Brumback, T and Colrain, IM and Baker, FC and De Bellis, MD and Voyvodic, JT and Clark, DB and Pfefferbaum, A and Pohl, KM}, Title = {Influences of Age, Sex, and Moderate Alcohol Drinking on the Intrinsic Functional Architecture of Adolescent Brains.}, Journal = {Cerebral Cortex}, Volume = {28}, Number = {3}, Pages = {1049-1063}, Year = {2018}, Month = {March}, url = {http://dx.doi.org/10.1093/cercor/bhx014}, Abstract = {The transition from adolescent to adult cognition and emotional control requires neurodevelopmental maturation likely involving intrinsic functional networks (IFNs). Normal neurodevelopment may be vulnerable to disruption from environmental insult such as alcohol consumption commonly initiated during adolescence. To test potential disruption to IFN maturation, we used resting-state functional magnetic resonance imaging (rs-fMRI) in 581 no-to-low alcohol-consuming and 117 moderate-to-high-drinking youth. Functional seed-to-voxel connectivity analysis assessed age, sex, and moderate alcohol drinking on default-mode, executive-control, salience, reward, and emotion networks and tested cognitive and motor coordination correlates of network connectivity. Among no-to-low alcohol-consuming adolescents, executive-control frontolimbicstriatal connectivity was stronger in older than younger adolescents, particularly boys, and predicted better ability in balance, memory, and impulse control. Connectivity patterns in moderate-to-high-drinking youth were tested mainly in late adolescence when drinking was initiated. Implicated was the emotion network with attenuated connectivity to default-mode network regions. Our cross-sectional rs-fMRI findings from this large cohort of adolescents show sexual dimorphism in connectivity and suggest neurodevelopmental rewiring toward stronger and spatially more distributed executive-control networking in older than younger adolescents. Functional network rewiring in moderate-to-high-drinking adolescents may impede maturation of affective and self-reflection systems and obscure maturation of complex social and emotional behaviors.}, Doi = {10.1093/cercor/bhx014}, Key = {fds339770} } @article{fds330475, Author = {Sullivan, EV and Lane, B and Kwon, D and Meloy, MJ and Tapert, SF and Brown, SA and Colrain, IM and Baker, FC and De Bellis, MD and Clark, DB and Nagel, BJ and Pohl, KM and Pfefferbaum, A}, Title = {Structural brain anomalies in healthy adolescents in the NCANDA cohort: relation to neuropsychological test performance, sex, and ethnicity.}, Journal = {Brain Imaging and Behavior}, Volume = {11}, Number = {5}, Pages = {1302-1315}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1007/s11682-016-9634-2}, Abstract = {Structural MRI of volunteers deemed "normal" following clinical interview provides a window into normal brain developmental morphology but also reveals unexpected dysmorphology, commonly known as "incidental findings." Although unanticipated, these anatomical findings raise questions regarding possible treatment that could even ultimately require neurosurgical intervention, which itself carries significant risk but may not be indicated if the anomaly is nonprogressive or of no functional consequence. Neuroradiological readings of 833 structural MRI from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) cohort found an 11.8 % incidence of brain structural anomalies, represented proportionately across the five collection sites and ethnic groups. Anomalies included 26 mega cisterna magna, 15 subarachnoid cysts, 12 pineal cysts, 12 white matter dysmorphologies, 5 tonsillar ectopias, 5 prominent perivascular spaces, 5 gray matter heterotopias, 4 pituitary masses, 4 excessively large or asymmetrical ventricles, 4 cavum septum pellucidum, 3 developmental venous anomalies, 1 exceptionally large midsagittal vein, and single cases requiring clinical followup: cranio-cervical junction stenosis, parietal cortical mass, and Chiari I malformation. A case of possible demyelinating disorder (e.g., neuromyelitis optica or multiple sclerosis) newly emerged at the 1-year NCANDA followup, requiring clinical referral. Comparing test performance of the 98 anomalous cases with 619 anomaly-free no-to-low alcohol consuming adolescents revealed significantly lower scores on speed measures of attention and motor functions; these differences were not attributed to any one anomaly subgroup. Further, we devised an automated approach for quantifying posterior fossa CSF volumes for detection of mega cisterna magna, which represented 26.5 % of clinically identified anomalies. Automated quantification fit a Gaussian distribution with a rightward skew. Using a 3SD cut-off, quantification identified 22 of the 26 clinically-identified cases, indicating that cases with percent of CSF in the posterior-inferior-middle aspect of the posterior fossa ≥3SD merit further review, and support complementing clinical readings with objective quantitative analysis. Discovery of asymptomatic brain structural anomalies, even when no clinical action is indicated, can be disconcerting to the individual and responsible family members, raising a disclosure dilemma: refrain from relating the incidental findings to avoid unnecessary alarm or anxiety; or alternatively, relate the neuroradiological findings as "normal variants" to the study volunteers and family, thereby equipping them with knowledge for the future should they have the occasion for a brain scan following an illness or accident that the incidental findings predated the later event.}, Doi = {10.1007/s11682-016-9634-2}, Key = {fds330475} } @article{fds326501, Author = {Hasler, BP and Franzen, PL and de Zambotti, M and Prouty, D and Brown, SA and Tapert, SF and Pfefferbaum, A and Pohl, KM and Sullivan, EV and De Bellis, MD and Nagel, BJ and Baker, FC and Colrain, IM and Clark, DB}, Title = {Eveningness and Later Sleep Timing Are Associated with Greater Risk for Alcohol and Marijuana Use in Adolescence: Initial Findings from the National Consortium on Alcohol and Neurodevelopment in Adolescence Study.}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {41}, Number = {6}, Pages = {1154-1165}, Year = {2017}, Month = {June}, url = {http://dx.doi.org/10.1111/acer.13401}, Abstract = {<h4>Background</h4>Abundant cross-sectional evidence links eveningness (a preference for later sleep-wake timing) and increased alcohol and drug use among adolescents and young adults. However, longitudinal studies are needed to examine whether eveningness is a risk factor for subsequent alcohol and drug use, particularly during adolescence, which is marked by parallel peaks in eveningness and risk for the onset of alcohol use disorders. This study examined whether eveningness and other sleep characteristics were associated with concurrent or subsequent substance involvement in a longitudinal study of adolescents.<h4>Methods</h4>Participants were 729 adolescents (368 females; age 12 to 21 years) in the National Consortium on Alcohol and Neurodevelopment in Adolescence study. Associations between the sleep variables (circadian preference, sleep quality, daytime sleepiness, sleep timing, and sleep duration) and 3 categorical substance variables (at-risk alcohol use, alcohol bingeing, and past-year marijuana use [y/n]) were examined using ordinal and logistic regression with baseline age, sex, race, ethnicity, socioeconomic status, and psychiatric problems as covariates.<h4>Results</h4>At baseline, greater eveningness was associated with greater at-risk alcohol use, greater bingeing, and past-year use of marijuana. Later weekday and weekend bedtimes, but not weekday or weekend sleep duration, showed similar associations across the 3 substance outcomes at baseline. Greater baseline eveningness was also prospectively associated with greater bingeing and past-year use of marijuana at the 1-year follow-up, after covarying for baseline bingeing and marijuana use. Later baseline weekday and weekend bedtimes, and shorter baseline weekday sleep duration, were similarly associated with greater bingeing and past-year use of marijuana at the 1-year follow-up after covarying for baseline values.<h4>Conclusions</h4>Findings suggest that eveningness and sleep timing may be under recognized risk factors and future areas of intervention for adolescent involvement in alcohol and marijuana that should be considered along with other previously identified sleep factors such as insomnia and insufficient sleep.}, Doi = {10.1111/acer.13401}, Key = {fds326501} } @article{fds325128, Author = {Sullivan, EV and Brumback, T and Tapert, SF and Prouty, D and Fama, R and Thompson, WK and Brown, SA and Cummins, K and Colrain, IM and Baker, FC and Clark, DB and Chung, T and De Bellis, MD and Hooper, SR and Nagel, BJ and Nichols, BN and Chu, W and Kwon, D and Pohl, KM and Pfefferbaum, A}, Title = {Effects of prior testing lasting a full year in NCANDA adolescents: Contributions from age, sex, socioeconomic status, ethnicity, site, family history of alcohol or drug abuse, and baseline performance.}, Journal = {Dev Cogn Neurosci}, Volume = {24}, Pages = {72-83}, Year = {2017}, Month = {April}, url = {http://dx.doi.org/10.1016/j.dcn.2017.01.003}, Abstract = {Longitudinal study provides a robust method for tracking developmental trajectories. Yet inherent problems of retesting pose challenges in distinguishing biological developmental change from prior testing experience. We examined factors potentially influencing change scores on 16 neuropsychological test composites over 1year in 568 adolescents in the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) project. The twice-minus-once-tested method revealed that performance gain was mainly attributable to testing experience (practice) with little contribution from predicted developmental effects. Group mean practice slopes for 13 composites indicated that 60% to ∼100% variance was attributable to test experience; General Ability accuracy showed the least practice effect (29%). Lower baseline performance, especially in younger participants, was a strong predictor of greater gain. Contributions from age, sex, ethnicity, examination site, socioeconomic status, or family history of alcohol/substance abuse were nil to small, even where statistically significant. Recognizing that a substantial proportion of change in longitudinal testing, even over 1-year, is attributable to testing experience indicates caution against assuming that performance gain observed during periods of maturation necessarily reflects development. Estimates of testing experience, a form of learning, may be a relevant metric for detecting interim influences, such as alcohol use or traumatic episodes, on behavior.}, Doi = {10.1016/j.dcn.2017.01.003}, Key = {fds325128} } @article{fds330476, Author = {Stave, EA and De Bellis, MD and Hooper, SR and Woolley, DP and Chang, SK and Chen, SD}, Title = {Dimensions of Attention Associated With the Microstructure of Corona Radiata White Matter.}, Journal = {Journal of Child Neurology}, Volume = {32}, Number = {5}, Pages = {458-466}, Year = {2017}, Month = {April}, url = {http://dx.doi.org/10.1177/0883073816685652}, Abstract = {Mirsky proposed a model of attention that included these dimensions: focus/execute, sustain, stabilize, encode, and shift. The neural correlates of these dimensions were investigated within corona radiata subregions in healthy youth. Diffusion tensor imaging and neuropsychological assessments were conducted in 79 healthy, right-handed youth aged 4-17 years. Diffusion tensor imaging maps were analyzed using standardized parcellation methods. Partial Pearson correlations between neuropsychological standardized scores, representing these attention dimensions, and diffusion tensor imaging measures of corona radiata subregions were calculated after adjusting for gender and IQ. Significant correlations were found between the focus/execute, sustain, stabilize, and shift dimensions and imaging metrics in hypothesized corona radiata subregions. Results suggest that greater microstructural white matter integrity of the corona radiata is partly associated with attention across 4 attention dimensions. Findings suggest that white matter microstructure of the corona radiata is a neural correlate of several, but not all, attention dimensions.}, Doi = {10.1177/0883073816685652}, Key = {fds330476} } @article{fds326856, Author = {Sege, RD and Amaya-Jackson, L and AMERICAN ACADEMY OF PEDIATRICS Committee on Child Abuse and Neglect, Council on Foster Care and Adoption and Kinship Care and AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY Committee on Child Maltreatment and Violence and NATIONAL CENTER FOR CHILD TRAUMATIC STRESS}, Title = {Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment.}, Journal = {Pediatrics}, Volume = {139}, Number = {4}, Pages = {e20170100-e20170100}, Year = {2017}, Month = {April}, url = {http://dx.doi.org/10.1542/peds.2017-0100}, Abstract = {Children who have suffered early abuse or neglect may later present with significant health and behavior problems that may persist long after the abusive or neglectful environment has been remediated. Neurobiological research suggests that early maltreatment may result in an altered psychological and physiologic response to stressful stimuli, a response that deleteriously affects the child's subsequent development. Pediatricians can assist caregivers by helping them recognize the abused or neglected child's emotional and behavioral responses associated with child maltreatment and guide them in the use of positive parenting strategies, referring the children and families to evidence-based therapeutic treatment and mobilizing available community resources.}, Doi = {10.1542/peds.2017-0100}, Key = {fds326856} } @article{fds332915, Author = {Tervo-Clemmens, B and Quach, A and Luna, B and Foran, W and Chung, T and De Bellis, MD and Clark, DB}, Title = {Neural Correlates of Rewarded Response Inhibition in Youth at Risk for Problematic Alcohol Use.}, Journal = {Frontiers in Behavioral Neuroscience}, Volume = {11}, Pages = {205}, Year = {2017}, url = {http://dx.doi.org/10.3389/fnbeh.2017.00205}, Abstract = {Risk for substance use disorder (SUD) is associated with poor response inhibition and heightened reward sensitivity. During adolescence, incentives improve performance on response inhibition tasks and increase recruitment of cortical control areas (Geier et al., 2010) associated with SUD (Chung et al., 2011). However, it is unknown whether incentives moderate the relationship between response inhibition and trait-level psychopathology and personality features of substance use risk. We examined these associations in the current project using a rewarded antisaccade (AS) task (Geier et al., 2010) in youth at risk for substance use. Participants were 116 adolescents and young adults (ages 12-21) from the University of Pittsburgh site of the National Consortium on Adolescent Neurodevelopment and Alcohol [NCANDA] study, with neuroimaging data collected at baseline and 1 year follow up visits. Building upon previous work using this task in normative developmental samples (Geier et al., 2010) and adolescents with SUD (Chung et al., 2011), we examined both trial-wise BOLD responses and those associated with individual task-epochs (cue presentation, response preparation, and response) and associated them with multiple substance use risk factors (externalizing and internalizing psychopathology, family history of substance use, and trait impulsivity). Results showed that externalizing psychopathology and high levels of trait impulsivity (positive urgency, SUPPS-P) were associated with general decreases in antisaccade performance. Accompanying this main effect of poor performance, positive urgency was associated with reduced recruitment of the frontal eye fields (FEF) and inferior frontal gyrus (IFG) in both a priori regions of interest and at the voxelwise level. Consistent with previous work, monetary incentive improved antisaccade behavioral performance and was associated with increased activation in the striatum and cortical control areas. However, incentives did not moderate the association between response inhibition behavioral performance and any trait-level psychopathology and personality factor of substance use risk. Reward interactions were observed for BOLD responses at the task-epoch level, however, they were inconsistent across substance use risk types. The results from this study may suggest poor response inhibition and heightened reward sensitivity are not overlapping neurocognitive features of substance use risk. Alternatively, more subtle, common longitudinal processes might jointly explain reward sensitivity and response inhibition deficits in substance use risk.}, Doi = {10.3389/fnbeh.2017.00205}, Key = {fds332915} } @article{fds332916, Author = {Clark, DB and Chung, T and Martin, CS and Hasler, BP and Fitzgerald, DH and Luna, B and Brown, SA and Tapert, SF and Brumback, T and Cummins, K and Pfefferbaum, A and Sullivan, EV and Pohl, KM and Colrain, IM and Baker, FC and De Bellis, MD and Nooner, KB and Nagel, BJ}, Title = {Adolescent Executive Dysfunction in Daily Life: Relationships to Risks, Brain Structure and Substance Use.}, Journal = {Frontiers in Behavioral Neuroscience}, Volume = {11}, Pages = {223}, Year = {2017}, url = {http://dx.doi.org/10.3389/fnbeh.2017.00223}, Abstract = {During adolescence, problems reflecting cognitive, behavioral and affective dysregulation, such as inattention and emotional dyscontrol, have been observed to be associated with substance use disorder (SUD) risks and outcomes. Prior studies have typically been with small samples, and have typically not included comprehensive measurement of executive dysfunction domains. The relationships of executive dysfunction in daily life with performance based testing of cognitive skills and structural brain characteristics, thought to be the basis for executive functioning, have not been definitively determined. The aims of this study were to determine the relationships between executive dysfunction in daily life, measured by the Behavior Rating Inventory of Executive Function (BRIEF), cognitive skills and structural brain characteristics, and SUD risks, including a global SUD risk indicator, sleep quality, and risky alcohol and cannabis use. In addition to bivariate relationships, multivariate models were tested. The subjects (n = 817; ages 12 through 21) were participants in the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) study. The results indicated that executive dysfunction was significantly related to SUD risks, poor sleep quality, risky alcohol use and cannabis use, and was not significantly related to cognitive skills or structural brain characteristics. In multivariate models, the relationship between poor sleep quality and risky substance use was mediated by executive dysfunction. While these cross-sectional relationships need to be further examined in longitudinal analyses, the results suggest that poor sleep quality and executive dysfunction may be viable preventive intervention targets to reduce adolescent substance use.}, Doi = {10.3389/fnbeh.2017.00223}, Key = {fds332916} } @article{fds330201, Author = {Pfefferbaum, A and Rohlfing, T and Pohl, KM and Lane, B and Chu, W and Kwon, D and Nolan Nichols and B and Brown, SA and Tapert, SF and Cummins, K and Thompson, WK and Brumback, T and Meloy, MJ and Jernigan, TL and Dale, A and Colrain, IM and Baker, FC and Prouty, D and De Bellis, MD and Voyvodic, JT and Clark, DB and Luna, B and Chung, T and Nagel, BJ and Sullivan, EV}, Title = {Adolescent Development of Cortical and White Matter Structure in the NCANDA Sample: Role of Sex, Ethnicity, Puberty, and Alcohol Drinking.}, Journal = {Cerebral Cortex}, Volume = {26}, Number = {10}, Pages = {4101-4121}, Year = {2016}, Month = {October}, url = {http://dx.doi.org/10.1093/cercor/bhv205}, Abstract = {Brain structural development continues throughout adolescence, when experimentation with alcohol is often initiated. To parse contributions from biological and environmental factors on neurodevelopment, this study used baseline National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) magnetic resonance imaging (MRI) data, acquired in 674 adolescents meeting no/low alcohol or drug use criteria and 134 adolescents exceeding criteria. Spatial integrity of images across the 5 recruitment sites was assured by morphological scaling using Alzheimer's disease neuroimaging initiative phantom-derived volume scalar metrics. Clinical MRI readings identified structural anomalies in 11.4%. Cortical volume and thickness were smaller and white matter volumes were larger in older than in younger adolescents. Effects of sex (male > female) and ethnicity (majority > minority) were significant for volume and surface but minimal for cortical thickness. Adjusting volume and area for supratentorial volume attenuated or removed sex and ethnicity effects. That cortical thickness showed age-related decline and was unrelated to supratentorial volume is consistent with the radial unit hypothesis, suggesting a universal neural development characteristic robust to sex and ethnicity. Comparison of NCANDA with PING data revealed similar but flatter, age-related declines in cortical volumes and thickness. Smaller, thinner frontal, and temporal cortices in the exceeds-criteria than no/low-drinking group suggested untoward effects of excessive alcohol consumption on brain structural development.}, Doi = {10.1093/cercor/bhv205}, Key = {fds330201} } @article{fds330477, Author = {Sullivan, EV and Brumback, T and Tapert, SF and Fama, R and Prouty, D and Brown, SA and Cummins, K and Thompson, WK and Colrain, IM and Baker, FC and De Bellis, MD and Hooper, SR and Clark, DB and Chung, T and Nagel, BJ and Nichols, BN and Rohlfing, T and Chu, W and Pohl, KM and Pfefferbaum, A}, Title = {Cognitive, emotion control, and motor performance of adolescents in the NCANDA study: Contributions from alcohol consumption, age, sex, ethnicity, and family history of addiction.}, Journal = {Neuropsychology}, Volume = {30}, Number = {4}, Pages = {449-473}, Year = {2016}, Month = {May}, url = {http://dx.doi.org/10.1037/neu0000259}, Abstract = {OBJECTIVE: To investigate development of cognitive and motor functions in healthy adolescents and to explore whether hazardous drinking affects the normal developmental course of those functions. METHOD: Participants were 831 adolescents recruited across 5 United States sites of the National Consortium on Alcohol and NeuroDevelopment in Adolescence 692 met criteria for no/low alcohol exposure, and 139 exceeded drinking thresholds. Cross-sectional, baseline data were collected with computerized and traditional neuropsychological tests assessing 8 functional domains expressed as composite scores. General additive modeling evaluated factors potentially modulating performance (age, sex, ethnicity, socioeconomic status, and pubertal developmental stage). RESULTS: Older no/low-drinking participants achieved better scores than younger ones on 5 accuracy composites (general ability, abstraction, attention, emotion, and balance). Speeded responses for attention, motor speed, and general ability were sensitive to age and pubertal development. The exceeds-threshold group (accounting for age, sex, and other demographic factors) performed significantly below the no/low-drinking group on balance accuracy and on general ability, attention, episodic memory, emotion, and motor speed scores and showed evidence for faster speed at the expense of accuracy. Delay Discounting performance was consistent with poor impulse control in the younger no/low drinkers and in exceeds-threshold drinkers regardless of age. CONCLUSIONS: Higher achievement with older age and pubertal stage in general ability, abstraction, attention, emotion, and balance suggests continued functional development through adolescence, possibly supported by concurrently maturing frontal, limbic, and cerebellar brain systems. Determination of whether low scores by the exceeds-threshold group resulted from drinking or from other preexisting factors requires longitudinal study. (PsycINFO Database Record}, Doi = {10.1037/neu0000259}, Key = {fds330477} } @article{fds330202, Author = {Pohl, KM and Sullivan, EV and Rohlfing, T and Chu, W and Kwon, D and Nichols, BN and Zhang, Y and Brown, SA and Tapert, SF and Cummins, K and Thompson, WK and Brumback, T and Colrain, IM and Baker, FC and Prouty, D and De Bellis, MD and Voyvodic, JT and Clark, DB and Schirda, C and Nagel, BJ and Pfefferbaum, A}, Title = {Harmonizing DTI measurements across scanners to examine the development of white matter microstructure in 803 adolescents of the NCANDA study.}, Journal = {Neuroimage}, Volume = {130}, Pages = {194-213}, Year = {2016}, Month = {April}, url = {http://dx.doi.org/10.1016/j.neuroimage.2016.01.061}, Abstract = {Neurodevelopment continues through adolescence, with notable maturation of white matter tracts comprising regional fiber systems progressing at different rates. To identify factors that could contribute to regional differences in white matter microstructure development, large samples of youth spanning adolescence to young adulthood are essential to parse these factors. Recruitment of adequate samples generally relies on multi-site consortia but comes with the challenge of merging data acquired on different platforms. In the current study, diffusion tensor imaging (DTI) data were acquired on GE and Siemens systems through the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA), a multi-site study designed to track the trajectories of regional brain development during a time of high risk for initiating alcohol consumption. This cross-sectional analysis reports baseline Tract-Based Spatial Statistic (TBSS) of regional fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (L1), and radial diffusivity (LT) from the five consortium sites on 671 adolescents who met no/low alcohol or drug consumption criteria and 132 adolescents with a history of exceeding consumption criteria. Harmonization of DTI metrics across manufacturers entailed the use of human-phantom data, acquired multiple times on each of three non-NCANDA participants at each site's MR system, to determine a manufacturer-specific correction factor. Application of the correction factor derived from human phantom data measured on MR systems from different manufacturers reduced the standard deviation of the DTI metrics for FA by almost a half, enabling harmonization of data that would have otherwise carried systematic error. Permutation testing supported the hypothesis of higher FA and lower diffusivity measures in older adolescents and indicated that, overall, the FA, MD, and L1 of the boys were higher than those of the girls, suggesting continued microstructural development notable in the boys. The contribution of demographic and clinical differences to DTI metrics was assessed with General Additive Models (GAM) testing for age, sex, and ethnicity differences in regional skeleton mean values. The results supported the primary study hypothesis that FA skeleton mean values in the no/low-drinking group were highest at different ages. When differences in intracranial volume were covaried, FA skeleton mean reached a maximum at younger ages in girls than boys and varied in magnitude with ethnicity. Our results, however, did not support the hypothesis that youth who exceeded exposure criteria would have lower FA or higher diffusivity measures than the no/low-drinking group; detecting the effects of excessive alcohol consumption during adolescence on DTI metrics may require longitudinal study.}, Doi = {10.1016/j.neuroimage.2016.01.061}, Key = {fds330202} } @article{fds321850, Author = {Morey, RA and Haswell, CC and Hooper, SR and De Bellis, MD}, Title = {Amygdala, Hippocampus, and Ventral Medial Prefrontal Cortex Volumes Differ in Maltreated Youth with and without Chronic Posttraumatic Stress Disorder.}, Journal = {Neuropsychopharmacology}, Volume = {41}, Number = {3}, Pages = {791-801}, Year = {2016}, Month = {February}, url = {http://dx.doi.org/10.1038/npp.2015.205}, Abstract = {Posttraumatic stress disorder (PTSD) is considered a disorder of recovery where individuals fail to learn and retain extinction of the traumatic fear response. In maltreated youth, PTSD is common, chronic, and associated with comorbidity. Studies of extinction-related structural volumes (amygdala, hippocampus, anterior cingulate cortex (ACC), and ventral medial prefrontal cortex (vmPFC)) and this stress diathesis, in maltreated youth were not previously investigated. In this cross-sectional study, neuroanatomical volumes associated with extinction in maltreated youth with PTSD (N=31), without PTSD (N=32), and in non-maltreated healthy volunteers (n=57) were examined using magnetic resonance imaging. Groups were sociodemographically similar. Participants underwent extensive assessments for strict inclusion/exclusion criteria and DSM-IV disorders. Maltreated youth with PTSD demonstrated decreased right vmPFC volumes compared with both maltreated youth without PTSD and non-maltreated controls. Maltreated youth without PTSD demonstrated larger left amygdala and right hippocampal volumes compared with maltreated youth with PTSD and non-maltreated control youth. PTSD symptoms inversely correlated with right and left hippocampal and left amygdala volumes. Confirmatory masked voxel base morphometry analyses demonstrated greater medial orbitofrontal cortex gray matter intensity in controls than maltreated youth with PTSD. Volumetric results were not influenced by psychopathology or maltreatment variables. We identified volumetric differences in extinction-related structures between maltreated youth with PTSD from those without PTSD. Alterations of the vmPFC may be one mechanism that mediates the pathway from PTSD to comorbidity. Further longitudinal work is needed to determine neurobiological factors related to chronic and persistent PTSD, and to PTSD resilience despite maltreatment.}, Doi = {10.1038/npp.2015.205}, Key = {fds321850} } @article{fds321851, Author = {De Bellis, MD and Hooper, SR and Chen, SD and Provenzale, JM and Boyd, BD and Glessner, CE and MacFall, JR and Payne, ME and Rybczynski, R and Woolley, DP}, Title = {Posterior structural brain volumes differ in maltreated youth with and without chronic posttraumatic stress disorder.}, Journal = {Dev Psychopathol}, Volume = {27}, Number = {4 Pt 2}, Pages = {1555-1576}, Year = {2015}, Month = {November}, url = {http://dx.doi.org/10.1017/S0954579415000942}, Abstract = {Magnetic resonance imaging studies of maltreated children with posttraumatic stress disorder (PTSD) suggest that maltreatment-related PTSD is associated with adverse brain development. Maltreated youth resilient to chronic PTSD were not previously investigated and may elucidate neuromechanisms of the stress diathesis that leads to resilience to chronic PTSD. In this cross-sectional study, anatomical volumetric and corpus callosum diffusion tensor imaging measures were examined using magnetic resonance imaging in maltreated youth with chronic PTSD (N = 38), without PTSD (N = 35), and nonmaltreated participants (n = 59). Groups were sociodemographically similar. Participants underwent assessments for strict inclusion/exclusion criteria and psychopathology. Maltreated youth with PTSD were psychobiologically different from maltreated youth without PTSD and nonmaltreated controls. Maltreated youth with PTSD had smaller posterior cerebral and cerebellar gray matter volumes than did maltreated youth without PTSD and nonmaltreated participants. Cerebral and cerebellar gray matter volumes inversely correlated with PTSD symptoms. Posterior corpus callosum microstructure in pediatric maltreatment-related PTSD differed compared to maltreated youth without PTSD and controls. The group differences remained significant when controlling for psychopathology, numbers of Axis I disorders, and trauma load. Alterations of these posterior brain structures may result from a shared trauma-related mechanism or an inherent vulnerability that mediates the pathway from chronic PTSD to comorbidity.}, Doi = {10.1017/S0954579415000942}, Key = {fds321851} } @article{fds322114, Author = {Brown, SA and Brumback, T and Tomlinson, K and Cummins, K and Thompson, WK and Nagel, BJ and De Bellis, MD and Hooper, SR and Clark, DB and Chung, T and Hasler, BP and Colrain, IM and Baker, FC and Prouty, D and Pfefferbaum, A and Sullivan, EV and Pohl, KM and Rohlfing, T and Nichols, BN and Chu, W and Tapert, SF}, Title = {The National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA): A Multisite Study of Adolescent Development and Substance Use.}, Journal = {Journal of Studies on Alcohol and Drugs}, Volume = {76}, Number = {6}, Pages = {895-908}, Year = {2015}, Month = {November}, url = {http://dx.doi.org/10.15288/jsad.2015.76.895}, Abstract = {<h4>Objective</h4>During adolescence, neurobiological maturation occurs concurrently with social and interpersonal changes, including the initiation of alcohol and other substance use. The National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) is designed to disentangle the complex relationships between onset, escalation, and desistance of alcohol use and changes in neurocognitive functioning and neuromaturation.<h4>Method</h4>A sample of 831 youth, ages 12-21 years, was recruited at five sites across the United States, oversampling those at risk for alcohol use problems. Most (83%) had limited or no history of alcohol or other drug use, and a smaller portion (17%) exceeded drinking thresholds. A comprehensive assessment of biological development, family background, psychiatric symptomatology, and neuropsychological functioning-in addition to anatomical, diffusion, and functional brain magnetic resonance imaging-was completed at baseline.<h4>Results</h4>The NCANDA sample of youth is nationally representative of sex and racial/ethnic groups. More than 50% have at least one risk characteristic for subsequent heavy drinking (e.g., family history, internalizing or externalizing symptoms). As expected, those who exceeded drinking thresholds (n = 139) differ from those who did not (n = 692) on identified factors associated with early alcohol use and problems.<h4>Conclusions</h4>NCANDA successfully recruited a large sample of adolescents and comprehensively assessed psychosocial functioning across multiple domains. Based on the sample's risk profile, NCANDA is well positioned to capture the transition into drinking and alcohol problems in a large portion of the cohort, as well as to help disentangle the associations between alcohol use, neurobiological maturation, and neurocognitive development and functioning.}, Doi = {10.15288/jsad.2015.76.895}, Key = {fds322114} } @article{fds271826, Author = {Urger, SE and De Bellis, MD and Hooper, SR and Woolley, DP and Chen, SD and Provenzale, J}, Title = {The superior longitudinal fasciculus in typically developing children and adolescents: diffusion tensor imaging and neuropsychological correlates.}, Journal = {J Child Neurol}, Volume = {30}, Number = {1}, Pages = {9-20}, Year = {2015}, Month = {January}, ISSN = {0883-0738}, url = {http://dx.doi.org/10.1177/0883073813520503}, Abstract = {The relationship between superior longitudinal fasciculus microstructural integrity and neuropsychological functions were examined in 49 healthy children (range: 5-17 years) using diffusion tensor imaging. Seven major cognitive domains (intelligence, fine-motor, attention, language, visual-spatial, memory, executive function) were assessed. Data analyses used correlational methods. After adjusting for age and gender, fractional anisotropy and axial diffusivity values in the superior longitudinal fasciculus were positively correlated with executive functions of set shifting, whereas left superior longitudinal fasciculus fractional anisotropy values correlated with attention and language. Apparent diffusion coefficient values in the left superior longitudinal fasciculus negatively correlated with inhibitory control. In the left arcuate fasciculus, fractional anisotropy correlated with IQ and attention, whereas radial diffusivity values negatively correlated with IQ, fine-motor skills, and expressive language. Findings from this study provide an examination of the relationship between superior longitudinal fasciculus integrity and children's neuropsychological abilities that can be useful in monitoring pediatric neurologic diseases.}, Doi = {10.1177/0883073813520503}, Key = {fds271826} } @article{fds271832, Author = {Li, W and Wu, B and Batrachenko, A and Bancroft-Wu, V and Morey, RA and Shashi, V and Langkammer, C and De Bellis, MD and Ropele, S and Song, AW and Liu, C}, Title = {Differential developmental trajectories of magnetic susceptibility in human brain gray and white matter over the lifespan.}, Journal = {Hum Brain Mapp}, Volume = {35}, Number = {6}, Pages = {2698-2713}, Year = {2014}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24038837}, Abstract = {As indicated by several recent studies, magnetic susceptibility of the brain is influenced mainly by myelin in the white matter and by iron deposits in the deep nuclei. Myelination and iron deposition in the brain evolve both spatially and temporally. This evolution reflects an important characteristic of normal brain development and ageing. In this study, we assessed the changes of regional susceptibility in the human brain in vivo by examining the developmental and ageing process from 1 to 83 years of age. The evolution of magnetic susceptibility over this lifespan was found to display differential trajectories between the gray and the white matter. In both cortical and subcortical white matter, an initial decrease followed by a subsequent increase in magnetic susceptibility was observed, which could be fitted by a Poisson curve. In the gray matter, including the cortical gray matter and the iron-rich deep nuclei, magnetic susceptibility displayed a monotonic increase that can be described by an exponential growth. The rate of change varied according to functional and anatomical regions of the brain. For the brain nuclei, the age-related changes of susceptibility were in good agreement with the findings from R2* measurement. Our results suggest that magnetic susceptibility may provide valuable information regarding the spatial and temporal patterns of brain myelination and iron deposition during brain maturation and ageing.}, Doi = {10.1002/hbm.22360}, Key = {fds271832} } @article{fds271825, Author = {Crozier, JC and Wang, L and Huettel, SA and De Bellis, MD}, Title = {Neural correlates of cognitive and affective processing in maltreated youth with posttraumatic stress symptoms: does gender matter?}, Journal = {Dev Psychopathol}, Volume = {26}, Number = {2}, Pages = {491-513}, Year = {2014}, Month = {May}, ISSN = {0954-5794}, url = {http://dx.doi.org/10.1017/S095457941400008X}, Abstract = {We investigated the relationship of gender to cognitive and affective processing in maltreated youth with posttraumatic stress disorder symptoms using functional magnetic resonance imaging. Maltreated (N = 29, 13 females, 16 males) and nonmaltreated participants (N = 45, 26 females, 19 males) performed an emotional oddball task that involved detection of targets with fear or scrambled face distractors. Results were moderated by gender. During the executive component of this task, left precuneus/posterior middle cingulate hypoactivation to fear versus calm or scrambled face targets were seen in maltreated versus control males and may represent dysfunction and less resilience in attentional networks. Maltreated males also showed decreased activation in the inferior frontal gyrus compared to control males. No differences were found in females. Posterior cingulate activations positively correlated with posttraumatic stress disorder symptoms. While viewing fear faces, maltreated females exhibited decreased activity in the dorsomedial prefrontal cortex and cerebellum I-VI, whereas maltreated males exhibited increased activity in the left hippocampus, fusiform cortex, right cerebellar crus I, and visual cortex compared to their same-gender controls. Gender by maltreatment effects were not attributable to demographic, clinical, or maltreatment parameters. Maltreated girls and boys exhibited distinct patterns of neural activations during executive and affective processing, a new finding in the maltreatment literature.}, Doi = {10.1017/S095457941400008X}, Key = {fds271825} } @article{fds271823, Author = {De Bellis, MD and Zisk, A}, Title = {The biological effects of childhood trauma.}, Journal = {Child and Adolescent Psychiatric Clinics of North America}, Volume = {23}, Number = {2}, Pages = {185-vii}, Year = {2014}, Month = {April}, ISSN = {1056-4993}, url = {http://dx.doi.org/10.1016/j.chc.2014.01.002}, Abstract = {Trauma in childhood is a psychosocial, medical, and public policy problem with serious consequences for its victims and for society. Chronic interpersonal violence in children is common worldwide. Developmental traumatology, the systemic investigation of the psychiatric and psychobiological effects of chronic overwhelming stress on the developing child, provides a framework and principles when empirically examining the neurobiological effects of pediatric trauma. This article focuses on peer-reviewed literature on the neurobiological sequelae of childhood trauma in children and in adults with histories of childhood trauma.}, Doi = {10.1016/j.chc.2014.01.002}, Key = {fds271823} } @article{fds271824, Author = {Hooper, SR and Woolley, D and De Bellis, MD}, Title = {Intellectual, neurocognitive, and academic achievement in abstinent adolescents with cannabis use disorder.}, Journal = {Psychopharmacology}, Volume = {231}, Number = {8}, Pages = {1467-1477}, Year = {2014}, Month = {April}, ISSN = {0033-3158}, url = {http://dx.doi.org/10.1007/s00213-014-3463-z}, Abstract = {<h4>Rationale</h4>The active component of cannabis, delta-9 tetrahydrocannabinol (THC), has a long half-life and widespread neurocognitive effects. There are inconsistent reports of neurocognitive deficits in adults and adolescents with cannabis use disorders (CUD), particularly after a period of abstinence.<h4>Objectives</h4>This study aims to examine neurocognitive measures (IQ, academic achievement, attention, memory, executive functions) in abstinent adolescents with CUD, while controlling for demographic, psychopathology, and poly-substance confounders.<h4>Methods</h4>We investigated neurocognitive performance in three groups: adolescents with CUD after successful first treatment and in full remission (n = 33); controls with psychiatric disorders without substance use disorder history (n = 37); and healthy adolescents (n = 43).<h4>Results</h4>Adolescents with psychiatric disorders, regardless of CUD status, performed significantly worse than the healthy adolescents in academic achievement. No group differences were seen in IQ, attention, memory, or executive functions. Lower academic achievement was positively associated with younger age of CUD onset, regular cannabis use, and maximum daily use. In the CUD group, lifetime nicotine use episodes were negatively associated with IQ. Lower overall neurocognitive function was associated with younger age of onset of regular cannabis use and relapse within the 1 year follow-up.<h4>Conclusions</h4>Verifiably, abstinent adolescents with CUD history did not differ from the two comparison groups, suggesting that previously reported neurocognitive deficits may be related to other factors, including residual drug effects, preexisting cognitive deficits, concurrent use of other substances (e.g., nicotine), or psychopathology. Adolescents with CUD may not be vulnerable to THC neuropsychological deficits once they achieve remission from all drugs for at least 30 days.}, Doi = {10.1007/s00213-014-3463-z}, Key = {fds271824} } @article{fds271834, Author = {De Bellis, MD and Wang, L and Bergman, SR and Yaxley, RH and Hooper, SR and Huettel, SA}, Title = {Neural mechanisms of risky decision-making and reward response in adolescent onset cannabis use disorder.}, Journal = {Drug Alcohol Depend}, Volume = {133}, Number = {1}, Pages = {134-145}, Year = {2013}, Month = {November}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23773952}, Abstract = {BACKGROUND: Neural mechanisms of decision-making and reward response in adolescent cannabis use disorder (CUD) are underexplored. METHODS: Three groups of male adolescents were studied: CUD in full remission (n=15); controls with psychopathology without substance use disorder history (n=23); and healthy controls (n=18). We investigated neural processing of decision-making and reward under conditions of varying risk and uncertainty with the Decision-Reward Uncertainty Task while participants were scanned using functional magnetic resonance imaging. RESULTS: Abstinent adolescents with CUD compared to controls with psychopathology showed hyperactivation in one cluster that spanned left superior parietal lobule/left lateral occipital cortex/precuneus while making risky decisions that involved uncertainty, and hypoactivation in left orbitofrontal cortex to rewarded outcomes compared to no-reward after making risky decisions. Post hoc region of interest analyses revealed that both control groups significantly differed from the CUD group (but not from each other) during both the decision-making and reward outcome phase of the Decision-Reward Uncertainty Task. In the CUD group, orbitofrontal activations to reward significantly and negatively correlated with total number of individual drug classes the CUD patients experimented with prior to treatment. CUD duration significantly and negatively correlated with orbitofrontal activations to no-reward. CONCLUSIONS: The adolescent CUD group demonstrated distinctly different activation patterns during risky decision-making and reward processing (after risky decision-making) compared to both the controls with psychopathology and healthy control groups. These findings suggest that neural differences in risky decision-making and reward processes are present in adolescent addiction, persist after remission from first CUD treatment, and may contribute to vulnerability for adolescent addiction.}, Doi = {10.1016/j.drugalcdep.2013.05.020}, Key = {fds271834} } @article{fds271833, Author = {De Bellis, MD and Woolley, DP and Hooper, SR}, Title = {Neuropsychological findings in pediatric maltreatment: relationship of PTSD, dissociative symptoms, and abuse/neglect indices to neurocognitive outcomes.}, Journal = {Child Maltreatment}, Volume = {18}, Number = {3}, Pages = {171-183}, Year = {2013}, Month = {August}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23886642}, Abstract = {Maltreated (n = 38), maltreated + posttraumatic stress disorder (PTSD; n = 60), and control youth (n = 104) underwent comprehensive neuropsychological testing. The two maltreated groups performed significantly lower on IQ, academic achievement, and nearly all of the neurocognitive domains than controls. Maltreated + PTSD performed significantly worse than maltreated youth without PTSD on a task in the visuospatial domain that assessed higher order visuoconstructive abilities. No group differences were evident on the fine motor domain. PTSD diagnosis duration negatively correlated with the visuospatial, and dissociation negatively correlated with the attention domain. Cumulative lifetime maltreatment types experienced negatively correlated with academic achievement. Sexual abuse negatively correlated with language and memory functions after controlling for other maltreatment types. These data support the adverse effects of maltreatment on neuropsychological functions in youth and suggest that all child protective services identified youth should be comprehensively examined for the integrity of their neuropsychological functioning and academic skills, regardless of the presence or absence of mental health symptoms.}, Doi = {10.1177/1077559513497420}, Key = {fds271833} } @article{fds271829, Author = {Urger, E and Debellis, MD and Hooper, SR and Woolley, DP and Chen, S and Provenzale, JM}, Title = {Influence of analysis technique on measurement of diffusion tensor imaging parameters.}, Journal = {Ajr. American Journal of Roentgenology}, Volume = {200}, Number = {5}, Pages = {W510-W517}, Year = {2013}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23617518}, Abstract = {OBJECTIVE: We compared results from various methods of analysis of diffusion tensor imaging (DTI) data from a single dataset consisting of 10 healthy adolescents. SUBJECTS AND METHODS: All subjects were imaged on a single 3-T MRI system (single-shot echo-planar imaging pulse sequence; b value, 1000 s/mm(2)). We measured fractional anisotropy (FA), apparent diffusion coefficient (ADC), and axial and radial diffusivity values using 64-pixel rectangular regions of interest (ROIs) in the right side, midline, and left side of the central portion of the splenium of the corpus callosum for fixed (i.e., at same sites in all subjects) and targeted (i.e., at sites of highest FA values) locations. We compared results with those obtained using 64-pixel oval ROIs and 100-pixel rectangular ROIs in the same locations. Finally, we compared results from ROI-based methods and from tractography. All comparisons used the Wilcoxon signed rank test and the intraclass correlation of individual values. RESULTS: Compared to tractography, the average of mean ROI-based values was significantly higher for fixed (approximately 14%) and targeted (approximately 39%) FA values and was significantly lower for ADC (approximately 16%) and radial diffusivity (approximately 38%) values. For solely ROI-based comparisons, statistically significant differences were found in the following comparisons: 64- versus 100-pixel ROI, oval versus rectangular ROI, targeted FA left of midline versus mean targeted FA value, and targeted ROI right of midline versus mean targeted FA value. CONCLUSION: Markedly different values were obtained when using either ROI- or tractography-based techniques or ROI analysis techniques that differ only relatively slightly.}, Doi = {10.2214/AJR.12.9650}, Key = {fds271829} } @article{fds351030, Author = {Marcus Jenkins and JV and Woolley, DP and Hooper, SR and De Bellis, MD}, Title = {Direct and Indirect Effects of Brain Volume, Socioeconomic Status and Family Stress on Child IQ.}, Journal = {Journal of Child and Adolescent Behavior}, Volume = {1}, Number = {2}, Year = {2013}, Month = {April}, url = {http://dx.doi.org/10.4172/2375-4494.1000107}, Abstract = {11 BACKGROUND: A large literature documents the detrimental effects of socioeconomic disparities on intelligence and neuropsychological development. Researchers typically measure environmental factors such as socioeconomic status (SES), using income, parent's occupation and education. However, SES is more complex, and this complexity may influence neuropsychological outcomes. 12 METHODS: This studyused principal components analysis to reduce 14 SES and 28 family stress indicators into their core dimensions (e.g. community and educational capital, financial resources, marital conflict). Core dimensions were used in path analyses to examine their relationships with parent IQ and cerebral volume (white matter, grey matter and total brain volume), to predict child IQ in a sample of typically developing children. 13 RESULTS: Parent IQ affected child IQ directly and indirectly through community and educational capital, demonstrating how environmental factors interact with familial factors in neuro-development. There were no intervening effects of cerebral white matter, grey matter, or total brain volume. 14 CONCLUSIONS: Findings may suggest that improving community resources can foster the intellectual development of children.}, Doi = {10.4172/2375-4494.1000107}, Key = {fds351030} } @article{fds271893, Author = {De Bellis, MD and Hooper, SR}, Title = {Neural substrates for processing task-irrelevant emotional distracters in maltreated adolescents with depressive disorders: a pilot study.}, Journal = {Journal of Traumatic Stress}, Volume = {25}, Number = {2}, Pages = {198-202}, Year = {2012}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22522735}, Abstract = {In this pilot study, neural systems related to cognitive and emotional processing were examined using event-related functional magnetic resonance imaging in 5 maltreated youth with depressive disorders and 11 nonmaltreated healthy participants. Subjects underwent an emotional oddball task, where they detected infrequent ovals (targets) within a continual stream of phase-scrambled images (standards). Sad and neutral images were intermittently presented as task-irrelevant distracters. The maltreated youth revealed significantly decreased activation in the left middle frontal gyrus and right precentral gyrus to target stimuli and significantly increased activation to sad stimuli in bilateral amygdala, left subgenual cingulate, left inferior frontal gyrus, and right middle temporal cortex compared to nonmaltreated subjects. Additionally, the maltreated youth showed significantly decreased activation to both attentional targets and sad distracters in the left posterior middle frontal gyrus compared to nonmaltreated subjects. In this exploratory study of dorsal control and ventral emotional circuits, we found that maltreated youth with distress disorders demonstrated dysfunction of neural systems related to cognitive control and emotional processing.}, Doi = {10.1002/jts.21682}, Key = {fds271893} } @article{fds271891, Author = {Xie, Y and Chen, YA and De Bellis, MD}, Title = {The relationship of age, gender, and IQ with the brainstem and thalamus in healthy children and adolescents: a magnetic resonance imaging volumetric study.}, Journal = {Journal of Child Neurology}, Volume = {27}, Number = {3}, Pages = {325-331}, Year = {2012}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21954432}, Abstract = {In healthy children, there is a paucity of information on the growth of the brainstem and thalamus measured anatomically magnetic resonance imaging. The relations of age, gender, and age by gender with brainstem and thalamus volumes were analyzed from magnetic resonance brain images of 122 healthy children and adolescents (62 males, 60 females; ages 4 to 17). Results showed that age is a significant predictor of brainstem and thalamus volumes. The volume of the brainstem increases with age, while thalamus volume declines with age. The volume of the right thalamus is significantly larger than that of the left in both genders, with greater rightward asymmetry and greater thalamus to grey matter ratio in females. Males have larger brainstems, but these differences are not significant when covarying for cerebral volume. Larger thalami were associated with higher Verbal IQ. These normative pediatric data are of value to researchers who study these regions in neurodevelopmental disorders.}, Doi = {10.1177/0883073811419260}, Key = {fds271891} } @article{fds351031, Author = {Spratt, EG and Friedenberg, SL and Swenson, CC and Larosa, A and De Bellis, MD and Macias, MM and Summer, AP and Hulsey, TC and Runyan, DK and Brady, KT}, Title = {The Effects of Early Neglect on Cognitive, Language, and Behavioral Functioning in Childhood.}, Journal = {Psychology (Irvine, Calif.)}, Volume = {3}, Number = {2}, Pages = {175-182}, Year = {2012}, Month = {February}, url = {http://dx.doi.org/10.4236/psych.2012.32026}, Abstract = {OBJECTIVES: Few studies have explored the impact of different types of neglect on children's development. Measures of cognition, language, behavior, and parenting stress were used to explore differences between children experiencing various forms of neglect, as well as to compare children with and without a history of early neglect. METHODS: Children, ages 3 to 10 years with a history of familial neglect (USN), were compared to children with a history of institutional rearing (IA) and children without a history of neglect using the Differential Abilities Scale, Test of Early Language Development, Child Behavior Checklist, and Parenting Stress Index. Factors predicting child functioning were also explored. RESULTS: Compared with youth that were not neglected, children with a history of USN and IA demonstrated lower cognitive and language scores and more behavioral problems. Both internalizing and externalizing behavior problems were most common in the USN group. Externalizing behavior problems predicted parenting stress. Higher IQ could be predicted by language scores and an absence of externalizing behavior problems. When comparing the two neglect groups, shorter time spent in a stable environment, lower scores on language skills, and the presence of externalizing behavior predicted lower IQ. CONCLUSION: These findings emphasize the importance of early stable, permanent placement of children who have been in neglectful and pre-adoptive international settings. While an enriching environment may promote resilience, children who have experienced early neglect are vulnerable to cognitive, language and behavioral deficits and neurodevelopmental and behavioral evaluations are required to identify those in need of intervention.}, Doi = {10.4236/psych.2012.32026}, Key = {fds351031} } @article{fds271831, Author = {Crozier, JC and Van Voorhees and EE and Hooper, SR and De Bellis, MD}, Title = {Effects of abuse and neglect on brain development}, Pages = {516-525}, Publisher = {Elsevier}, Year = {2011}, Month = {December}, url = {http://dx.doi.org/10.1016/B978-1-4160-6393-3.00054-3}, Doi = {10.1016/B978-1-4160-6393-3.00054-3}, Key = {fds271831} } @article{fds271889, Author = {Moon, W-J and Provenzale, JM and Sarikaya, B and Ihn, YK and Morlese, J and Chen, S and DeBellis, MD}, Title = {Diffusion-tensor imaging assessment of white matter maturation in childhood and adolescence.}, Journal = {Ajr. American Journal of Roentgenology}, Volume = {197}, Number = {3}, Pages = {704-712}, Year = {2011}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21862815}, Abstract = {OBJECTIVE: The purpose of this study was to test a first hypothesis that fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values continue to change in late childhood and adolescence and a second hypothesis that less mature white matter (WM) regions have a higher rate of change than WM regions that are relatively more mature. SUBJECTS AND METHODS: Eighty-seven healthy children (50 girls, 37 boys; mean age, 11.2 ± 3.6 years; range, 4.2-17.7 years) underwent six-direction diffusion-tensor imaging with a 3-T MRI system. Three neuroradiologists independently drew regions of interest in 10 WM regions and measured FA and ADC values. To test the first hypothesis, we correlated these values with subject age by linear regression analysis (p < 0.05). To test the second hypothesis, we determined whether regions with lower FA and higher ADC in the 4- to 7-year old group had a higher slope of FA increase and ADC decrease over the entire age range. For this assessment, we used linear regression analysis (p < 0.05) and curve fitting. RESULTS: In the test of the first hypothesis, increases in FA with age were noted in all WM regions and were statistically significant in six regions. Decreases in ADC values with age were noted in all brain regions except the genu of the corpus callosum. In all other regions except the splenium of the corpus callosum, the decreases were statistically significant. In the test of the second hypothesis, the relation between FA in the 4- to 7-year-old subjects and the FA increase in the entire sample was best described with a linear equation. The rate of age-related FA increase tended to be greater with lower initial FA (r = -0.384, p = 0.271). The relation between ADC in the 4- to 7-year-old subjects and ADC decrease in the entire population was best described with a second-order equation. The rate of age-related ADC decrease tended to be greater with higher initial ADC (r = 0.846, p = 0.001). For ADC values of 100 or less at age 4-7 years, the rate of ADC change with age tended to be decrease as initial ADC increased. CONCLUSION: In general, both hypotheses were verified. Overall, FA values continue to increase and ADC values continue to decrease during childhood and adolescence. The most rapid changes were found in WM regions that were least mature in the first few years of the study period.}, Doi = {10.2214/AJR.10.6382}, Key = {fds271889} } @article{fds271892, Author = {De Bellis, MD and Spratt, EG and Hooper, SR}, Title = {Neurodevelopmental biology associated with childhood sexual abuse.}, Journal = {J Child Sex Abus}, Volume = {20}, Number = {5}, Pages = {548-587}, Year = {2011}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21970646}, Abstract = {Child maltreatment appears to be the single most preventable cause of mental illness and behavioral dysfunction in the United States. Few published studies examine the developmental and the psychobiological consequences of sexual abuse. There are multiple mechanisms through which sexual abuse can cause post-traumatic stress disorder, activate biological stress response systems, and contribute to adverse brain development. This article will critically review the psychiatric problems associated with maltreatment and the emerging biologic stress system research with a special emphasis on what is known about victimization by sexual abuse.}, Doi = {10.1080/10538712.2011.607753}, Key = {fds271892} } @article{fds271890, Author = {Holt, RL and Provenzale, JM and Veerapandiyan, A and Moon, W-J and De Bellis, MD and Leonard, S and Gallentine, WB and Grant, GA and Egger, H and Song, AW and Mikati, MA}, Title = {Structural connectivity of the frontal lobe in children with drug-resistant partial epilepsy.}, Journal = {Epilepsy Behav}, Volume = {21}, Number = {1}, Pages = {65-70}, Year = {2011}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21497558}, Abstract = {The superior longitudinal fasciculus (SLF) II and cingulum are two white matter tracts important for attention and other frontal lobe functions. These functions are often disturbed in children with drug-resistant (DR) partial epilepsy, even when no abnormalities are seen on conventional MRI. We set out to determine whether abnormalities in these structures might be depicted on diffusion tensor imaging (DTI) studies in the absence of abnormalities on conventional MRI. We compared the DTI findings of 12 children with DR partial epilepsy with those of 12 age- and gender-matched controls. We found that the SLF II fractional anisotropy (FA) values of the patients were significantly lower than those of the controls (means: 0.398±0.057 and 0.443±0.059, respectively, P=0.002). Similarly, apparent diffusion coefficient (ADC) and parallel diffusivity values for SLF II were also significantly lower in the patients. There were no differences in the FA and ADC values of the cingulum. Our findings are consistent with abnormal structural connectivity of the frontal lobe in children with DR partial epilepsy and provide a possible explanation for the previously reported functional abnormalities related to the SLF II in these patients.}, Doi = {10.1016/j.yebeh.2011.03.016}, Key = {fds271890} } @article{fds271887, Author = {Yaxley, RH and Van Voorhees and EE and Bergman, S and Hooper, SR and Huettel, SA and De Bellis, MD}, Title = {Behavioral risk elicits selective activation of the executive system in adolescents: clinical implications.}, Journal = {Frontiers in Psychiatry}, Volume = {2}, Pages = {68}, Year = {2011}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22194728}, Abstract = {We investigated adolescent brain processing of decisions under conditions of varying risk, reward, and uncertainty. Adolescents (n = 31) preformed a Decision-Reward Uncertainty task that separates decision uncertainty into behavioral and reward risk, while they were scanned using functional magnetic resonance imaging. Behavioral risk trials involved uncertainty about which action to perform to earn a fixed monetary reward. In contrast, during reward risk the decision that might lead to a reward was known, but the likelihood of earning a reward was probabilistically determined. Behavioral risk trials evoked greater activation than the reward risk and no risk conditions in the anterior cingulate, medial frontal gyrus, bilateral frontal poles, bilateral inferior parietal lobe, precuneus, bilateral superior-middle frontal gyrus, inferior frontal gyrus, and insula. Our results were similar to those of young adults using the same task (Huettel, 2006) except that adolescents did not show significant activation in the posterior supramarginal gyrus during behavioral risk. During the behavioral risk condition regardless of reward outcome, overall mean frontal pole activity showed a positive correlation with age during the behavioral and reward risk conditions suggesting a developmental difference of this region of interest. Additionally, reward response to the Decision-Reward Uncertainty task in adolescents was similar to that seen in young adults (Huettel, 2006). Our data did not show a correlation between age and mean ventral striatum activity during the three conditions. While our results came from a healthy high functioning non-maltreated sample of adolescents, this method can be used to address types of risks and reward processing in children and adolescents with predisposing vulnerabilities and add to the paucity of imaging studies of risk and reward processing during adolescence.}, Doi = {10.3389/fpsyt.2011.00068}, Key = {fds271887} } @article{fds271888, Author = {De Bellis, MD and Hooper, SR and Woolley, DP and Shenk, CE}, Title = {Demographic, maltreatment, and neurobiological correlates of PTSD symptoms in children and adolescents.}, Journal = {Journal of Pediatric Psychology}, Volume = {35}, Number = {5}, Pages = {570-577}, Year = {2010}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20008084}, Abstract = {<h4>Objective</h4>To examine the relationships of demographic, maltreatment, neurostructural and neuropsychological measures with total posttraumatic stress disorder (PTSD) symptoms.<h4>Methods</h4>Participants included 216 children with maltreatment histories (N = 49), maltreatment and PTSD (N = 49), or no maltreatment (N = 118). Participants received diagnostic interviews, brain imaging, and neuropsychological evaluations.<h4>Results</h4>We examined a hierarchical regression model comprised of independent variables including demographics, trauma and maltreatment-related variables, and hippocampal volumes and neuropsychological measures to model PTSD symptoms. Important independent contributors to this model were SES, and General Maltreatment and Sexual Abuse Factors. Although hippocampal volumes were not significant, Visual Memory was a significant contributor to this model.<h4>Conclusions</h4>Similar to adult PTSD, pediatric PTSD symptoms are associated with lower Visual Memory performance. It is an important correlate of PTSD beyond established predictors of PTSD symptoms. These results support models of developmental traumatology and suggest that treatments which enhance visual memory may decrease symptoms of PTSD.}, Doi = {10.1093/jpepsy/jsp116}, Key = {fds271888} } @article{fds271818, Author = {De Bellis, MD}, Title = {The neurobiology of child neglect}, Pages = {123-132}, Publisher = {Cambridge University Press}, Year = {2010}, Month = {January}, url = {http://dx.doi.org/10.1017/CBO9780511777042.015}, Abstract = {Child neglect is the most chronic and prevalent form of child maltreatment. This chapter discusses the definitions, preclinical studies of maternal deprivation, the field of developmental traumatology, studies of neglected children and future directions. Child neglect may be more detrimental to the child's developing biological stress systems and brain than adversity experienced in adulthood, secondary to interactions between this lack of experience of expected environmental stimulation and brain maturation. Multiple neurotransmitter systems and neuroendocrine axes are activated during stress. The study of the effects of child neglect and childhood brain development is only in its infancy. Longitudinal investigations are a promising strategy to further understanding of the neurobiology of neglect and to help to identify the best predictors for the permanence and the therapeutic reversibility of the adverse effects associated with child neglect.}, Doi = {10.1017/CBO9780511777042.015}, Key = {fds271818} } @article{fds271819, Author = {De Bellis, MD}, Title = {Commentary}, Journal = {Formative Experiences: the Interaction of Caregiving, Culture, and Developmental Psychobiology}, Pages = {390-397}, Publisher = {Cambridge University Press}, Year = {2010}, Month = {January}, url = {http://dx.doi.org/10.1017/CBO9780511711879.035}, Abstract = {Introduction The case of Joko, a Javanese boy who suffered from repeated traumas of interpersonal origins, illustrates the principles of developmental traumatology (De Bellis, 2001). Developmental traumatology is the systematic investigation of the neurobiological impact of chronic interpersonal violence on the developing child. It is a relatively new area of study that synthesizes knowledge from developmental psychopathology, developmental neuroscience, and stress and trauma research. In the emerging field of developmental traumatology, measures of trauma (type, age of onset, and duration of trauma), as well as other mediating factors such as social support, are regarded as independent variables. Behavioral, cognitive, emotional, and neurobiological measures are considered dependent variables (De Bellis et al., 1999).Joko was interviewed while living at a Catholic orphanage, and following a horrific experience of being bullied, assaulted, all while witnessing the torture and public humiliation of his older brother, Paidjo. Joko was suffering from posttraumatic stress disorder (PTSD). He had significant symptoms of PTSD cluster B intrusions of the trauma; PTSD cluster C symptoms of dissociation, hopelessness, depression, and numbing; and PTSD cluster D symptoms of hyperarrousal (American Psychiatric Association, 2000, pp. 424–432). Neurobiological sequelae of child maltreatment may be regarded as an environmentally induced complex developmental disorder, which may lead to an array of outcomes through these clusters of symptoms (De Bellis, 2001). During adolescence, the healthy development of prefrontal cortex leads to inhibitory pathways that quiet the brain's amygdala and biological stress systems, complex structures that register the emotional rage of injustice.}, Doi = {10.1017/CBO9780511711879.035}, Key = {fds271819} } @article{fds271886, Author = {DE Bellis, MD and Hooper, SR and Spratt, EG and Woolley, DP}, Title = {Neuropsychological findings in childhood neglect and their relationships to pediatric PTSD.}, Journal = {Journal of the International Neuropsychological Society : Jins}, Volume = {15}, Number = {6}, Pages = {868-878}, Year = {2009}, Month = {November}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19703321}, Abstract = {Although child neglect is the most prevalent form of child maltreatment, the neurocognitive effects of neglect are understudied. We examined IQ, reading, mathematics, and neurocognitive domains of fine-motor skills, language, visual-spatial, memory/learning, and attention/executive functions in two groups of nonsexually abused medically healthy neglected children, one with DSM-IV posttraumatic stress disorder (PTSD) and one without, and a demographically similar healthy nonmaltreated control group. Significantly lower IQ, reading, mathematics, and selected differences in complex visual attention, visual memory, language, verbal memory and learning, planning, problem solving, and speeded naming were seen in Neglect Groups. The Neglect with PTSD Group performed worse than controls on NEPSY Design Copying, NEPSY Tower, and Mathematics; and performed worse than controls and Neglect without PTSD on NEPSY Memory for Faces-Delayed. Negative correlations were seen between PTSD symptoms, PTSD severity, and maltreatment variables, and IQ, Academic Achievement, and neurocognitive domains. Neglected children demonstrated significantly lower neurocognitive outcomes and academic achievement than controls. Lower IQ, neurocognitive functions, and achievement may be associated with more PTSD symptoms (particularly re-experiencing symptoms), greater PTSD severity, and a greater number of maltreatment experiences. Trauma experiences may additionally contribute to subsequent neurodevelopmental risk in neglected children. (JINS, 2009, 15, 868-878.).}, Doi = {10.1017/s1355617709990464}, Key = {fds271886} } @article{fds271885, Author = {MacMillan, HL and Georgiades, K and Duku, EK and Shea, A and Steiner, M and Niec, A and Tanaka, M and Gensey, S and Spree, S and Vella, E and Walsh, CA and De Bellis, MD and Van der Meulen and J and Boyle, MH and Schmidt, LA}, Title = {Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project.}, Journal = {Biological Psychiatry}, Volume = {66}, Number = {1}, Pages = {62-68}, Year = {2009}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19217075}, Abstract = {<h4>Background</h4>Few studies have examined stress reactivity and its relationship to major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) among maltreated youth. We examined differences between maltreated and control participants in heart rate and cortisol resting and reactivity levels in response to a psychosocial stressor.<h4>Methods</h4>We recruited 67 female youths aged 12 to 16 with no prior history of depression from child protection agencies and a control group of 25 youths matched on age and postal code. Child maltreatment was measured with two self-report instruments. Psychiatric status was assessed using the Schedule for Affective Disorders and Schizophrenia for School-Aged Children.<h4>Results</h4>Piecewise multilevel growth curve analysis was used to model group differences in resting and reactivity cortisol levels and heart rate in response to the Trier Social Stress Test (TSST). During the resting period, both the maltreated and control groups showed a similar decline in levels of cortisol. During the reactivity phase, youth in the control group showed an increase in cortisol levels following the TSST and a gradual flattening over time; maltreated youth exhibited an attenuated response. This blunted reactivity was not associated with current symptoms of MDD or PTSD. There were no group differences in resting and reactivity levels of heart rate.<h4>Conclusions</h4>These findings provide further support for hypothalamic-pituitary-adrenal axis dysregulation among maltreated youth. Since the ability to respond to acute stressors by raising cortisol is important for health, these findings may assist in understanding the vulnerability of maltreated youth to experience physical and mental health problems.}, Doi = {10.1016/j.biopsych.2008.12.014}, Key = {fds271885} } @article{fds271884, Author = {De Bellis, MD and Van Voorhees and E and Hooper, SR and Gibler, N and Nelson, L and Hege, SG and Payne, ME and MacFall, J}, Title = {Diffusion tensor measures of the corpus callosum in adolescents with adolescent onset alcohol use disorders.}, Journal = {Alcohol Clin Exp Res}, Volume = {32}, Number = {3}, Pages = {395-404}, Year = {2008}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18241319}, Abstract = {BACKGROUND: In adults, myelination injury is associated with alcoholism. Maturation of the corpus callosum is prominent during adolescence. We hypothesized that subjects with adolescent-onset alcohol use disorders (AUD; defined as Diagnostic and Statistical Manual of Mental Disorders-IV alcohol dependence or abuse) would have myelination microstructural differences compared to controls. METHODS: Adolescent subjects (25 males, 7 females) with an AUD (16.9 +/- 1.2 years), who were recruited from substance abuse treatment programs and had co-morbid mental disorders, and 28 sociodemographically similar healthy controls (17 males, 11 females; 15.9 +/- 1.1 years) underwent a 3.0 T MRI diffusion tensor imaging scan. RESULTS: Measures of rostral body fractional anisotropy (FA) were higher in the AUD group than in the control group. Compared to controls, mean diffusivity (MD) was lower, while FA was higher, in the AUD group in the isthmus region. Anterior corpus callosum microstructural development differed in adolescents with AUD, as age was positively (not negatively) associated with rostrum MD and age was negatively (not positively) associated with rostrum FA. There were sex by group interactions in that control females had higher posterior midbody FA when compared to female adolescents with AUD. CONCLUSIONS: Lower MD and higher FA values in the AUD group suggest pre-morbid vulnerability for accelerated prefrontal and temporo-parietal myelin maturation that may enhance the risk for adolescent AUD. Significant (and opposite to developmentally expected) correlations were seen between anterior corpus callosum MD and FA measures and age in the AUD group, suggesting neurotoxic effects of alcohol on adolescent corpus callosum microstructure. As seen in adults, female adolescents with AUD may be especially vulnerable to corpus callosum microstructural injury. Further diffusion tensor imaging studies of corpus callosum maturation in children at familial risk for alcoholism, and in those with AUD, need to be done to elucidate these mechanisms.}, Doi = {10.1111/j.1530-0277.2007.00603.x}, Key = {fds271884} } @article{fds271882, Author = {Wang, L and Huettel, S and De Bellis, MD}, Title = {Neural substrates for processing task-irrelevant sad images in adolescents.}, Journal = {Dev Sci}, Volume = {11}, Number = {1}, Pages = {23-32}, Year = {2008}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18171363}, Abstract = {Neural systems related to cognitive and emotional processing were examined in adolescents using event-related functional magnetic resonance imaging (fMRI). Ten healthy adolescents performed an emotional oddball task. Subjects detected infrequent circles (targets) within a continual stream of phase-scrambled images (standards). Sad and neutral images were intermittently presented as task-irrelevant distracters (novels). As previously shown for adults, when the adolescents responded to the task-relevant targets, activation increased in the dorsal attention-executive system including the anterior middle frontal gyrus (aMFG), dorsal anterior cingulate (ACG), posterior cingulate (PCG), insula, and supramarginal gyrus (SMG). Unlike adults, however, the adolescents exhibited strong activation to the emotional distracter images not only in the ventromedial prefrontal cortex (VmPFC), but also in the posterior middle frontal gyrus (pMFG) and in the parietal cortex. Those subjects who had stronger VmPFC activation to emotional distraction also had reduced activation in the aMFG during target detection, suggesting that emotional information may interfere with executive processing in these adolescents. In contrast, pMFG and PCG activation to emotional distracters was positively correlated with aMFG activation to targets, indicating a different role of these regions from the VmPFC. The pattern of activation to task-irrelevant emotional distraction suggests a possible immaturity of brain function in cognitive control over emotional distraction in adolescents.}, Doi = {10.1111/j.1467-7687.2007.00661.x}, Key = {fds271882} } @article{fds271883, Author = {Thomas, LA and De Bellis, MD and Graham, R and LaBar, KS}, Title = {Development of emotional facial recognition in late childhood and adolescence.}, Journal = {Developmental Science}, Volume = {10}, Number = {5}, Pages = {547-558}, Year = {2007}, Month = {September}, ISSN = {1363-755X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17683341}, Abstract = {The ability to interpret emotions in facial expressions is crucial for social functioning across the lifespan. Facial expression recognition develops rapidly during infancy and improves with age during the preschool years. However, the developmental trajectory from late childhood to adulthood is less clear. We tested older children, adolescents and adults on a two-alternative forced-choice discrimination task using morphed faces that varied in emotional content. Actors appeared to pose expressions that changed incrementally along three progressions: neutral-to-fear, neutral-to-anger, and fear-to-anger. Across all three morph types, adults displayed more sensitivity to subtle changes in emotional expression than children and adolescents. Fear morphs and fear-to-anger blends showed a linear developmental trajectory, whereas anger morphs showed a quadratic trend, increasing sharply from adolescents to adults. The results provide evidence for late developmental changes in emotional expression recognition with some specificity in the time course for distinct emotions.}, Doi = {10.1111/j.1467-7687.2007.00614.x}, Key = {fds271883} } @article{fds271881, Author = {Watts-English, T and Fortson, BL and Gibler, N and Hooper, SR and De Bellis, MD}, Title = {The psychobiology of maltreatment in childhood}, Journal = {Journal of Social Issues}, Volume = {62}, Number = {4}, Pages = {717-736}, Publisher = {WILEY}, Year = {2006}, Month = {December}, ISSN = {0022-4537}, url = {http://dx.doi.org/10.1111/j.1540-4560.2006.00484.x}, Abstract = {The varied maladaptive behavioral, social, medical, and psychiatric outcomes associated with maltreatment in childhood have been extensively documented in the extant empirical literature. In this review, we examine the adverse impact of the stress associated with child maltreatment on the regulation of the neurobiological stress systems, alterations in brain maturation, and neuropsychological outcomes in the developing child. Further, we provide a detailed discussion of the pathway between the psychobiological consequences of trauma and subsequent cognitive, language, and academic deficits that often have a deleterious impact on global functioning. We review neuroimaging techniques and the empirical results of studies utilizing such techniques to examine brain maturation in maltreated children and individuals with posttraumatic stress disorder. We address the practice, research, and policy implications of the psychobiological sequelae of child maltreatment and offer future directions for research. © 2006 The Society for the Psychological Study of Social Issues.}, Doi = {10.1111/j.1540-4560.2006.00484.x}, Key = {fds271881} } @article{fds271880, Author = {De Bellis, MD and Kuchibhatla, M}, Title = {Cerebellar volumes in pediatric maltreatment-related posttraumatic stress disorder.}, Journal = {Biological Psychiatry}, Volume = {60}, Number = {7}, Pages = {697-703}, Year = {2006}, Month = {October}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16934769}, Abstract = {BACKGROUND: The results of previous studies suggest structural brain differences in pediatric maltreatment-related posttraumatic stress disorder (PTSD) However, posterior fossa volumes were not examined, despite the consensus that the cerebellum is important in emotional and cognitive development. We investigated the relationship between structural volumes of the cerebellum hemispheres, vermis, brainstem, and clinical variables in pediatric maltreatment-related PTSD. METHODS: Fifty-eight psychotropic-naïve maltreated children and adolescents with DSM-IV PTSD were compared with two groups of pediatric subjects who had no DSM-IV criteria A trauma histories: 1) 13 with pediatric generalized anxiety disorder, and 2) 98 healthy non-abused children and adolescents. Subjects underwent a comprehensive psychiatric assessment and an anatomical magnetic resonance image brain scan. RESULTS: Unadjusted means of the left, right, and total cerebellum were smaller in the PTSD group. The group differences remained significant in the left cerebellum, right cerebellum, and total cerebellum in the analyses adjusted for cerebral volume, sociodemographic, and IQ variables. Cerebellar volumes positively correlated with age of onset of the trauma that lead to PTSD and negatively correlated with the duration of the trauma that lead to PTSD. Cerebellar volumes were larger in boys versus girls, but there was no group x gender interaction. There were significant positive correlations between IQ measures and volumetric variables. CONCLUSIONS: The results support cerebellar volume differences in maltreated children and adolescents with PTSD. Further studies are warranted.}, Doi = {10.1016/j.biopsych.2006.04.035}, Key = {fds271880} } @article{fds271879, Author = {Tupler, LA and De Bellis, MD}, Title = {Segmented hippocampal volume in children and adolescents with posttraumatic stress disorder.}, Journal = {Biological Psychiatry}, Volume = {59}, Number = {6}, Pages = {523-529}, Year = {2006}, Month = {March}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16199014}, Abstract = {BACKGROUND: Although many studies of adults with posttraumatic stress disorder (PTSD) have reported smaller hippocampal volume compared with control subjects, comparable studies of children and adolescents have failed to replicate these findings or have noted opposite trends suggesting a larger hippocampus. We therefore performed a secondary analysis combining data from prior studies to examine the hypothesis that hippocampus would be larger in pediatric subjects with PTSD compared with non-maltreated control subjects. We also hypothesized that differences in PTSD subjects would be observed between boys and girls. METHODS: Sixty-one subjects (31 boys, 30 girls) with maltreatment-related PTSD and 122 control subjects matched on age and gender underwent magnetic resonance imaging. RESULTS: As hypothesized, we observed a significantly larger hippocampus controlling for cerebral volume in PTSD subjects compared with control subjects. Segmented hippocampal white-matter volume was greater in PTSD subjects but not gray-matter volume. Hippocampal volume was positively related to age of trauma onset and level of psychopathology, particularly externalizing behavior. No interactions with group were observed for age or gender. CONCLUSIONS: Future longitudinal studies with trauma control subjects and neuropsychological measures are indicated to further elucidate the relationship between hippocampus and behavioral abnormalities in young PTSD subjects.}, Doi = {10.1016/j.biopsych.2005.08.007}, Key = {fds271879} } @article{fds271877, Author = {De Bellis, MD and Van Dillen and T}, Title = {Childhood post-traumatic stress disorder: an overview.}, Journal = {Child and Adolescent Psychiatric Clinics of North America}, Volume = {14}, Number = {4}, Pages = {745-ix}, Year = {2005}, Month = {October}, ISSN = {1056-4993}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16171701}, Abstract = {This article presents an overview of post-traumatic stress disorder (PTSD) as it relates to children and adolescents. The authors provide a critical review of the pediatric PTSD literature regarding the definition, epidemiology, clinical presentation, assessment, neurobiologic foundation, and treatment of PTSD. The importance of developmental and neurobiologic factors and the uniqueness of these factors to children are emphasized.}, Doi = {10.1016/j.chc.2005.05.006}, Key = {fds271877} } @article{fds271878, Author = {De Bellis, MD and Narasimhan, A and Thatcher, DL and Keshavan, MS and Soloff, P and Clark, DB}, Title = {Prefrontal cortex, thalamus, and cerebellar volumes in adolescents and young adults with adolescent-onset alcohol use disorders and comorbid mental disorders.}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {29}, Number = {9}, Pages = {1590-1600}, Year = {2005}, Month = {September}, ISSN = {0145-6008}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16205359}, Abstract = {<h4>Background</h4>In adults, prefrontal, thalamic, and cerebellar brain injury is associated with excessive ethanol intake. As these brain structures are actively maturing during adolescence, we hypothesized that subjects with adolescent-onset alcohol use disorders, compared with control subjects, would have smaller brain volumes in these areas. Thus, we compared prefrontal-thalamic-cerebellar measures of adolescents and young adults with adolescent-onset alcohol use disorders (AUD, defined as DSM-IV alcohol dependence or abuse) with those of sociodemographically similar control subjects.<h4>Methods</h4>Magnetic resonance imaging was used to measure prefrontal cortex, thalamic, and cerebellar volumes in 14 subjects (eight males, six females) with an AUD (mean age, 17.0+/-2.1 years) and 28 control subjects (16 males, 12 females; 16.9+/-2.3 years). All AUD subjects were recruited from substance abuse treatment programs and had comorbid mental disorders.<h4>Results</h4>Subjects with alcohol use disorders had smaller prefrontal cortex and prefrontal cortex white matter volumes compared with control subjects. Right, left, and total thalamic, pons/brainstem, right and left cerebellar hemispheric, total cerebellar, and cerebellar vermis volumes did not differ between groups. There was a significant sex-by-group effect, indicating that males with an adolescent-onset AUD compared with control males had smaller cerebellar volumes, whereas the two female groups did not differ in cerebellar volumes. Prefrontal cortex volume variables significantly correlated with measures of alcohol consumption.<h4>Conclusions</h4>These findings suggest that a smaller prefrontal cortex is associated with early-onset drinking in individuals with comorbid mental disorders. Further studies are warranted to examine if a smaller prefrontal cortex represents a vulnerability to, or a consequence of, early-onset drinking.}, Doi = {10.1097/01.alc.0000179368.87886.76}, Key = {fds271878} } @article{fds271876, Author = {Gold, PW and Wong, M-L and Goldstein, DS and Gold, HK and Ronsaville, DS and Esler, M and Alesci, S and Masood, A and Licinio, J and Geracioti, TD and Perini, G and DeBellis, MD and Holmes, C and Vgontzas, AN and Charney, DS and Chrousos, GP and McCann, SM and Kling, MA}, Title = {Cardiac implications of increased arterial entry and reversible 24-h central and peripheral norepinephrine levels in melancholia.}, Journal = {Proceedings of the National Academy of Sciences of the United States of America}, Volume = {102}, Number = {23}, Pages = {8303-8308}, Year = {2005}, Month = {June}, url = {http://dx.doi.org/10.1073/pnas.0503069102}, Abstract = {The mortality of chronic heart failure (CHF) doubles either when CHF patients are depressed or when their plasma norepinephrine (NE) level exceeds those of controls by approximately 40%. We hypothesized that patients with major depression had centrally driven, sustained, stress-related, and treatment-reversible increases in plasma NE capable of increasing mortality in CHF patients with depression. We studied 23 controls and 22 medication-free patients with melancholic depression. In severely depressed patients before and after electroconvulsive therapy (ECT), we measured cerebrospinal fluid (CSF) NE, plasma NE, plasma epinephrine (EPI), and plasma cortisol hourly for 30 h. In mildly-to-moderately depressed melancholic patients, we assessed basal and stress-mediated arterial NE appearance. Severely depressed patients had significant increases in mean around-the-clock levels of CSF NE (P < 0.02), plasma NE (P < 0.02), plasma EPI (P < 0.02), and plasma cortisol (P < 0.02). CSF NE, plasma NE, and cortisol all rose together throughout the night and peaked in the morning. Each fell to control values after ECT. Mildly-to-moderately melancholic patients also had increased basal (P < 0.05) and stress-related (P < 0.03) arterial NE-appearance rates. Severely melancholic depressed, medication-free patients had around-the-clock increases in plasma NE levels capable of increasing mortality in CHF. Twenty-four-hour indices of central noradrenergic, adrenomedullary, and adrenocortical secretion were also elevated. Concurrent diurnal rhythms of these secretions could potentiate their cardiotoxicity. Even mildly-to-moderately depressed melancholic patients had clinically relevant increases in the arterial NE-appearance rate. These findings will not apply to all clinical subtypes of major depression.}, Doi = {10.1073/pnas.0503069102}, Key = {fds271876} } @article{fds271875, Author = {De Bellis, MD}, Title = {The psychobiology of neglect.}, Journal = {Child Maltreatment}, Volume = {10}, Number = {2}, Pages = {150-172}, Year = {2005}, Month = {May}, ISSN = {1077-5595}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15798010}, Abstract = {Child neglect, the most prevalent form of child maltreatment, is associated with adverse psychological and educational outcomes. It is hypothesized that these outcomes may be caused by adverse brain development. However, there are very few published cross-sectional studies and no prospective studies that examine the neurodevelopmental consequences of neglect. In this article, the author comprehensively outlines the issues involved in the psychobiological research of child neglect. Pre-clinical and clinical studies will be reviewed. Throughout the article, suggestions for future research opportunities and novel ways to address methodological difficulties inherent in this field of study are offered. The results of recent neuroimaging studies of maltreated children may provide a basis for understanding the early effects of neglect on childhood brain development. The author is comprehensively examining these issues as part of the Federal Child Neglect Consortium.}, Doi = {10.1177/1077559505275116}, Key = {fds271875} } @article{fds271872, Author = {Thomas, LA and De Bellis, MD}, Title = {Pituitary volumes in pediatric maltreatment-related posttraumatic stress disorder.}, Journal = {Biological Psychiatry}, Volume = {55}, Number = {7}, Pages = {752-758}, Year = {2004}, Month = {April}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15039005}, Abstract = {BACKGROUND: Previous findings suggest that corticotrophin-releasing hormone (CRH) is elevated in adults with posttraumatic stress disorder (PTSD), maltreated children, and children with maltreatment-related PTSD. METHODS: Magnetic resonance imaging was used to measure pituitary volumes in 61 medication-naïve maltreated subjects with PTSD (31 male and 30 female subjects) and 121 nontraumatized healthy comparison subjects (62 male and 59 female subjects). RESULTS: Overall, no differences were seen between PTSD and control subjects in pituitary volumes. There was a significant age-by-group effect for PTSD subjects to have greater differences in pituitary volume with age than control subjects. Post hoc analyses revealed that pituitary volumes were significantly larger in pubertal and postpubertal maltreated subjects with PTSD than control subjects but were similar in prepubertal maltreated subjects with PTSD and control subjects. Pituitary volumes were larger in the PTSD subjects with history of suicidal ideation. CONCLUSIONS: These findings may suggest developmental alterations in pituitary volume in maltreatment-related pediatric PTSD. This finding may be associated with stress-related differences in CRH and may be more pronounced in pediatric patients with PTSD comorbid with suicidal ideation.}, Doi = {10.1016/j.biopsych.2003.11.021}, Key = {fds271872} } @article{fds271874, Author = {Diwadkar, VA and DeBellis, MD and Sweeney, JA and Pettegrew, JW and Keshavan, MS}, Title = {Abnormalities in MRI-measured signal intensity in the corpus callosum in schizophrenia.}, Journal = {Schizophrenia Research}, Volume = {67}, Number = {2-3}, Pages = {277-282}, Year = {2004}, Month = {April}, url = {http://dx.doi.org/10.1016/S0920-9964(03)00098-7}, Abstract = {The microstructural integrity of the corpus callosum (CC) in first-episode schizophrenia patients was assessed by measuring the signal intensity (SI) in T1-weighted MRI images. Analyses revealed that compared to both healthy controls and non-schizophrenic patients, schizophrenia patients showed reductions in SI in all the callosal subregions, the genu, body, isthmus and splenium in first-episode schizophrenia. These results indicate that schizophrenia is characterized by pathology of this principal interhemispheric commissure; the abnormalities may reflect distributed (rather than localized) interhemispheric disconnectivity that extends beyond the heteromodal association cortices.}, Doi = {10.1016/S0920-9964(03)00098-7}, Key = {fds271874} } @article{fds271873, Author = {De Bellis, MD and Thomas, LA}, Title = {Biologic findings of post-traumatic stress disorder and child maltreatment.}, Journal = {Current Psychiatry Reports}, Volume = {5}, Number = {2}, Pages = {108-117}, Year = {2003}, Month = {June}, ISSN = {1523-3812}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12685990}, Abstract = {Child maltreatment is a serious problem in US society, affecting approximately three million children. Children and adolescents exposed to child abuse and neglect experience high rates of post-traumatic stress disorder (PTSD). In addition, they are at risk for comorbid mental illness. Biologic stress systems affected in trauma and in PTSD are complex. Findings in cognitive testing, neuroimaging, and affected pathways shed light on the consequences of child maltreatment. What is known about treatment and outcomes for children with history of maltreatment and maltreatment-related PTSD indicates the need for prevention, intervention, and treatment of children exposed to abuse and neglect. The following is a brief review of the most recent neurobiologic findings in child maltreatment and related PTSD.}, Doi = {10.1007/s11920-003-0027-z}, Key = {fds271873} } @article{fds271871, Author = {Clark, DB and De Bellis, MD and Lynch, KG and Cornelius, JR and Martin, CS}, Title = {Physical and sexual abuse, depression and alcohol use disorders in adolescents: onsets and outcomes.}, Journal = {Drug and Alcohol Dependence}, Volume = {69}, Number = {1}, Pages = {51-60}, Year = {2003}, Month = {January}, ISSN = {0376-8716}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12536066}, Abstract = {Adolescents with alcohol use disorders (AUDs) often have major depressive disorder (MDD). While physical abuse and sexual abuse (PS Abuse) have been observed to be common in adolescents with AUDs, the influence of PS Abuse on comorbid MDD and AUD has not been determined. The effect of pre-existing PS Abuse on the young adulthood outcomes of adolescents with AUDs has also not been adequately explored. This study examined the relationships among PS Abuse, MDD, and AUD in adolescence, as well as related young adult outcomes. Adolescents (mean age: 16.4 years; range: 14-18 years) were recruited from clinical and community sources and classified into four groups: (1) AUD+PS Abuse (n=154), (2) AUD only (n=255), (3) PS Abuse only (n=74), and (4) Controls (n=268). Subjects were longitudinally assessed through young adulthood (age 19 years or older). Measures included interview assessments of DSM-IV AUD and MDD, classified as "primary" or "secondary", and questionnaire measures of alcohol consumption and depression. Primary MDD preceded AUD whereas secondary MDD had a later onset than AUD. PS Abuse accelerated the onsets of primary MDD, secondary MDD and AUD. While affected adolescents had typically improved in both alcohol consumption and depression at the young adult assessment, the majority of those with adolescent AUD had AUDs in young adulthood, and MDD remained common in those with a history of PS Abuse. These results indicate that MDD among adolescents with AUD may be partly attributable to PS Abuse.}, Doi = {10.1016/s0376-8716(02)00254-5}, Key = {fds271871} } @article{fds271870, Author = {De Bellis, MD and Keshavan, MS}, Title = {Sex differences in brain maturation in maltreatment-related pediatric posttraumatic stress disorder.}, Journal = {Neuroscience and Biobehavioral Reviews}, Volume = {27}, Number = {1-2}, Pages = {103-117}, Year = {2003}, Month = {January}, ISSN = {0149-7634}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12732227}, Abstract = {BACKGROUND: Recent investigations suggested that pediatric posttraumatic stress disorder (PTSD) is associated with adverse brain development. However, sex differences are poorly understood. METHODS: In this study, 61 medically healthy children and adolescents (31 males and 30 females) with chronic PTSD secondary to abuse, who had similar trauma and mental health histories, and 122 healthy controls (62 males and 60 females) underwent comprehensive psychiatric assessments and an anatomical MRI brain scan. RESULTS: When gender groups were analyzed separately, findings of larger prefrontal lobe CSF volumes and smaller midsagittal area of the corpus callosum subregion 7 (splenium) were seen in both boys and girls with maltreatment-related PTSD compared to their gender-matched comparison subjects. Subjects with PTSD did not show the normal age related increases in the area of the total corpus callosum and its region 7 (splenium) compared to non-maltreated subjects; however, this finding was more prominent in males with PTSD. Significant sex by group effects demonstrated smaller cerebral volumes and corpus callosum regions 1 (rostrum) and 6 (isthmus) in PTSD males and greater lateral ventricular volume increases in maltreated males with PTSD than maltreated females with PTSD. CONCLUSIONS: These data suggest that there are sex differences in the brain maturation of boys and girls with maltreatment-related PTSD. Longitudinal MRI brain investigations of childhood PTSD and the relationship of gender to psychosocial outcomes are warranted.}, Doi = {10.1016/s0149-7634(03)00013-7}, Key = {fds271870} } @article{fds271868, Author = {De Bellis, MD and Keshavan, MS and Shifflett, H and Iyengar, S and Beers, SR and Hall, J and Moritz, G}, Title = {Brain structures in pediatric maltreatment-related posttraumatic stress disorder: a sociodemographically matched study.}, Journal = {Biological Psychiatry}, Volume = {52}, Number = {11}, Pages = {1066-1078}, Year = {2002}, Month = {December}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12460690}, Abstract = {BACKGROUND: Previous investigations suggest that maltreated children evidence alterations of chemical mediators of stress and adverse brain development. Previous anatomical magnetic resonance imaging (MRI) brain studies have not controlled for socioeconomic status. METHODS: In this study, 28 psychotropic naïve children and adolescents with maltreatment-related posttraumatic stress disorder (PTSD) and 66 sociodemographically similar healthy control subjects underwent comprehensive clinical assessments and anatomical MRI brain scans. RESULTS: Compared with control subjects, subjects with PTSD had smaller intracranial, cerebral, and prefrontal cortex, prefrontal cortical white matter, and right temporal lobe volumes and areas of the corpus callosum and its subregions (2, 4, 5, 6, and 7), and larger frontal lobe cerebrospinal fluid (CSF) volumes than control subjects. The total midsagittal area of corpus callosum and middle and posterior regions remained smaller in subjects with PTSD, whereas right, left, and total lateral ventricles and frontal lobe CSF were proportionally larger than in control subjects, after adjustment for cerebral volume. Brain volumes positively correlated with age of onset of PTSD trauma and negatively correlated with duration of abuse. Significant gender x group effect demonstrated greater lateral ventricular volume increases in maltreated male subjects with PTSD than maltreated female subjects with PTSD. No hippocampal differences were seen. CONCLUSIONS: These data provide further evidence to suggest that maltreatment-related PTSD is associated with adverse brain development. These data also suggest that male children may be more vulnerable to these effects.}, Doi = {10.1016/s0006-3223(02)01459-2}, Key = {fds271868} } @article{fds271869, Author = {Keshavan, MS and Dick, E and Mankowski, I and Harenski, K and Montrose, DM and Diwadkar, V and DeBellis, M}, Title = {Decreased left amygdala and hippocampal volumes in young offspring at risk for schizophrenia.}, Journal = {Schizophrenia Research}, Volume = {58}, Number = {2-3}, Pages = {173-183}, Year = {2002}, Month = {December}, ISSN = {0920-9964}, url = {http://dx.doi.org/10.1016/s0920-9964(01)00404-2}, Abstract = {Abnormalities in the structural integrity and connectivity of the medial temporal and the prefrontal cortex are well documented in schizophrenia, but it is unclear if they represent premorbid indicators of neuropathology. Studies of young relatives at high-risk for schizophrenia (HR) provide an opportunity to clarify this question. We herein provide data from a magnetic resonance imaging (MRI) study of these structures in young offspring of schizophrenia patients. A series of 17 young HR offspring of schizophrenic patients were compared with 22 healthy comparison subjects (HC). Morphometric comparisons of the right and left dorsolateral prefrontal cortex (DLPFC), and the anterior and posterior amygdala-hippocampal (A-H) complex were conducted using high-resolution whole brain T(1) weighted brain images. Compared with the HC group, HR subjects had significant decreases in intracranial volume. The volumes of the left anterior and posterior A-H complex were reduced in the HR subjects after adjusting for intracranial volume. HR subjects also showed a significant leftward (Right>Left) asymmetry of the anterior A-H complex compared to the HC subjects. No significant changes were seen in the DLPFC. Thus, lateralized alterations in the volume of the left A-H complex are evident in unaffected young offspring of schizophrenia patients and may be of neurodevelopmental origin. Follow-up studies are needed to examine the predictive value of these measures for future emergence of schizophrenia in at-risk individuals.}, Doi = {10.1016/s0920-9964(01)00404-2}, Key = {fds271869} } @article{fds271862, Author = {Beers, SR and De Bellis, MD}, Title = {Outcomes of child abuse.}, Journal = {Neurosurgery Clinics of North America}, Volume = {13}, Number = {2}, Pages = {235-241}, Year = {2002}, Month = {April}, ISSN = {1042-3680}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12391707}, Abstract = {The limited research available regarding the outcome of inflicted TBI suggests that this type of injury may be especially deleterious to infants and young children. It is likely that mechanisms of injury, age at injury, and circumstances of injury (i.e., child abuse and maltreatment) all contribute to these findings. Until recently, the investigations of TBI and child abuse and maltreatment have occurred on two separate tracks. The review of these two literatures indicates that the TBI outcome literature is strongly grounded in neuropsychologic methodology, whereas the child abuse and maltreatment literature depends most heavily on less brain-specific measures of general intellectual ability and academic achievement. The evidence reviewed here suggests that it is time for these areas of research to converge. Children with inflicted head injury should be evaluated not only to assess outcome related to TBI but to disconfirm the presence of PTSD, a developmental disorder that may also result in CNS changes. In this vulnerable population, longitudinal assessment well past the period of initial insult is imperative to assess the rate of development of skills, to identify deficient areas, and to plan appropriate interventions.}, Doi = {10.1016/s1042-3680(01)00003-1}, Key = {fds271862} } @article{fds271865, Author = {De Bellis, MD and Keshavan, MS and Frustaci, K and Shifflett, H and Iyengar, S and Beers, SR and Hall, J}, Title = {Superior temporal gyrus volumes in maltreated children and adolescents with PTSD.}, Journal = {Biological Psychiatry}, Volume = {51}, Number = {7}, Pages = {544-552}, Year = {2002}, Month = {April}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11950456}, Abstract = {BACKGROUND: The structure and function of the superior temporal gyrus (STG), a structure involved in receptive and nonverbal auditory and language processing, is understudied in posttraumatic stress disorder (PTSD). Event-related potential abnormalities were previously reported in PTSD, implicating the existence of dysfunction in the primary auditory cortex and adjacent anterior auditory cortex of the STG in adult PTSD. METHODS: Anatomic magnetic resonance imaging (MRI) volumetric analysis of the superior temporal gyrus were performed in 43 maltreated children and adolescents with PTSD and 61 nonmaltreated healthy control subjects. RESULTS: Unadjusted STG gray matter volumes were larger in maltreated subjects with PTSD than in control subjects, whereas STG white matter volumes were smaller in maltreated subjects with PTSD than in control subjects. After adjusting for differences in cerebral volume, right, left, and total superior temporal gyrus volumes were relatively larger in PTSD subjects compared with control subjects. After covarying for differences in cerebral gray matter volumes, regression analysis showed that PTSD subjects had significantly greater STG gray matter volumes in most, and in particularly right-sided STG measurements. Furthermore, findings of significant side-by-diagnosis interactions for STG and STG gray but not white matter STG volumes suggest that there is a more pronounced right > left asymmetry in total and posterior STG volumes but a loss of the left > right asymmetry seen in total, anterior, and posterior STG gray matter volumes in PTSD subjects compared with control subjects. CONCLUSIONS: These STG findings may suggest developmental alterations in maltreatment-related pediatric PTSD.}, Doi = {10.1016/s0006-3223(01)01374-9}, Key = {fds271865} } @article{fds271866, Author = {De Bellis, MD and Keshavan, MS and Shifflett, H and Iyengar, S and Dahl, RE and Axelson, DA and Birmaher, B and Hall, J and Moritz, G and Ryan, ND}, Title = {Superior temporal gyrus volumes in pediatric generalized anxiety disorder.}, Journal = {Biological Psychiatry}, Volume = {51}, Number = {7}, Pages = {553-562}, Year = {2002}, Month = {April}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11950457}, Abstract = {BACKGROUND: The essential symptoms of generalized anxiety disorder (GAD) are intrusive worry about everyday life circumstances and social competence, and associated autonomic hyperarousal. The amygdala, a brain region involved in fear and fear-related behaviors in animals, and its projections to the superior temporal gyrus (STG), thalamus, and to the prefrontal cortex are thought to comprise the neural basis of our abilities to interpret social behaviors. Larger amygdala volumes were previously reported in pediatric GAD; however, the brain regions involved in social intelligence were not examined in this pilot study. METHODS: Magnetic resonance imaging (MRI) was used to measure the STG, thalamus, and prefrontal volumes in 13 medically healthy child and adolescent subjects with generalized anxiety disorder (GAD) and 98 comparison subjects, who were at low familial risk for mood and psychotic disorders. Groups were similar in age, gender, height, weight, handedness, socioeconomic status, and full-scale IQ. RESULTS: The total, white matter, and gray matter STG volumes were significantly larger in GAD subjects compared with control subjects. Thalamus and prefrontal lobe volumes did not differ between groups. Findings of significant side-by-diagnosis interactions for STG and STG white matter volumes suggest that there is a more pronounced right > left asymmetry in total and STG white matter volumes in pediatric GAD subjects compared with control subjects. A significant correlation between the STG white matter percent asymmetry index with the child report of the Screen for Child Anxiety Related Emotional Disorders Scale was seen. CONCLUSIONS: These data agree with previous work implicating posterior right-hemispheric regions in anxiety disorders and may suggest developmental alterations in pediatric GAD.}, Doi = {10.1016/s0006-3223(01)01375-0}, Key = {fds271866} } @article{fds271867, Author = {Keshavan, MS and Diwadkar, VA and DeBellis, M and Dick, E and Kotwal, R and Rosenberg, DR and Sweeney, JA and Minshew, N and Pettegrew, JW}, Title = {Development of the corpus callosum in childhood, adolescence and early adulthood.}, Journal = {Life Sciences}, Volume = {70}, Number = {16}, Pages = {1909-1922}, Year = {2002}, Month = {March}, ISSN = {0024-3205}, url = {http://dx.doi.org/10.1016/s0024-3205(02)01492-3}, Abstract = {The corpus callosum (CC) is the major commissure connecting the cerebral hemispheres and there is evidence of its continuing development into young adulthood [Ann. Neurol. 34 (1993) 71]. Yet, little is known about changes in the size and tissue characteristics of its sub-regions. The sub-regions of the CC (genu, body, isthmus and splenium) are topographically organized to carry interhemispheric fibres representing heteromodal and unimodal cortical brain regions. Studies of the development of each of these sub-regions can therefore provide insights into the time course of brain development. We assessed age-related changes in the size and the signal intensities (SI) of the subregions of the corpus callosum in the Magnetic Resonance Imaging (MRI) scans of a cross-sectional sample of 109 healthy young individuals aged 7-32 years. Age was significantly positively correlated with the size of the callosal sub-regions (with the exception of the isthmus). On the other hand, there was an age-related decrease in SI across all the CC sub-regions. The rates of CC regional size increases appeared to be most pronounced in childhood. By contrast, SI decreases occurred during childhood and adolescence but reached an asymptote during young adulthood. Finally, the observed size and SI changes were similar across CC sub-regions. The observed increases in CC size in conjunction with the decreases in signal intensity reflect continued maturation of the structure from childhood through young adulthood. An increase in axonal size may underlie growth in the size of the CC during childhood. The continued decrease in the CC signal intensity during adolescence may in addition be related to ongoing maturation of the axonal cytoskeleton. CC maturational changes appeared synchronous across sub-regions suggesting parallel maturation of diverse brain regions during childhood and adolescence.}, Doi = {10.1016/s0024-3205(02)01492-3}, Key = {fds271867} } @article{fds271863, Author = {Beers, SR and De Bellis, MD}, Title = {Neuropsychological function in children with maltreatment-related posttraumatic stress disorder.}, Journal = {The American Journal of Psychiatry}, Volume = {159}, Number = {3}, Pages = {483-486}, Year = {2002}, Month = {March}, ISSN = {0002-953X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11870018}, Abstract = {<h4>Objective</h4>Studies in adults have reported changes in concentration, learning, and memory in individuals with posttraumatic stress disorder (PTSD). However, there are few studies of cognitive function in children with PTSD. The goal of the current study was to evaluate cognition in children with PTSD.<h4>Method</h4>The cognitive status of 14 pediatric psychiatric outpatients with maltreatment-related PTSD and 15 sociodemographically similar children who were healthy and had not been maltreated was examined. Neuropsychological instruments measured language, attention, abstract reasoning/executive function, learning and memory, visual-spatial processing, and psychomotor function.<h4>Results</h4>The children with PTSD performed more poorly on measures of attention and abstract reasoning/executive function.<h4>Conclusions</h4>Although based on a small number of subjects, these results support cognitive differences between children with and without maltreatment-related PTSD.}, Doi = {10.1176/appi.ajp.159.3.483}, Key = {fds271863} } @article{fds271864, Author = {De Bellis, MD}, Title = {Developmental traumatology: a contributory mechanism for alcohol and substance use disorders.}, Journal = {Psychoneuroendocrinology}, Volume = {27}, Number = {1-2}, Pages = {155-170}, Year = {2002}, Month = {January}, ISSN = {0306-4530}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11750776}, Abstract = {Early childhood traumatic experiences, such as childhood maltreatment, are associated with an enhanced risk of adolescent and adult alcohol and substance use disorders (defined as DSM-IV alcohol or substance abuse or dependence). Maltreated children and adolescents manifest dysregulation of major biological stress response systems including adverse influences on brain development. Dysregulation of biological stress response systems may lead to an enhanced vulnerability for psychopathology, particularly posttraumatic stress disorder (PTSD) and depression. These negative affect disorders may put a child at increased risk for adolescent or young adult onset alcohol or substance use disorders. Thus, studies in developmental traumatology may prove to be critical in the effort to attempt to link the neurobiology of maltreatment-related PTSD with the neurobiology of alcohol and substance use disorders and in developing early strategies for the prevention of adolescent and adult alcohol and substance use disorders.}, Doi = {10.1016/s0306-4530(01)00042-7}, Key = {fds271864} } @article{fds351036, Author = {De Bellis, MD}, Title = {Abuse and ACTH response to corticotropin-releasing factor.}, Journal = {The American Journal of Psychiatry}, Volume = {159}, Number = {1}, Pages = {157}, Year = {2002}, Month = {January}, url = {http://dx.doi.org/10.1176/appi.ajp.159.1.157}, Doi = {10.1176/appi.ajp.159.1.157}, Key = {fds351036} } @article{fds271857, Author = {Gonzalez-Heydrich, J and Steingard, RJ and Putnam, FW and De Bellis, MD and Beardslee, W and Kohane, IS}, Title = {Corticotropin releasing hormone increases apparent potency of adrenocorticotropic hormone stimulation of cortisol secretion.}, Journal = {Medical Hypotheses}, Volume = {57}, Number = {5}, Pages = {544-548}, Year = {2001}, Month = {November}, ISSN = {0306-9877}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11735308}, Abstract = {HYPOTHESIS: Corticotropin releasing hormone (CRH) has a regulatory effect on cortisol secretion in addition to its classic effect of stimulating adrenocorticotropic hormone (ACTH) secretion. REVIEW: There is growing evidence of "long-loop" and paracrine adrenal stimulation by CRH. Data from a study of the ovine-corticotropin releasing hormone (oCRH) stimulation test in 13 sexually abused girls and 13 normal controls was used in Montecarlo simulations of the hypothalamic-pituitary-adrenal axis, to get estimates of adrenal sensitivity to ACTH and cortisol elimination kinetics before and after oCRH administration. In both controls and sexually abused girls, ACTH had an apparent greater effect on cortisol secretion after administration of oCRH compared to its effect during the baseline period. This lends support to the hypothesis and suggests that it should be tested experimentally.}, Doi = {10.1054/mehy.2001.1384}, Key = {fds271857} } @article{fds271861, Author = {De Bellis, MD and Hall, J and Boring, AM and Frustaci, K and Moritz, G}, Title = {A pilot longitudinal study of hippocampal volumes in pediatric maltreatment-related posttraumatic stress disorder.}, Journal = {Biological Psychiatry}, Volume = {50}, Number = {4}, Pages = {305-309}, Year = {2001}, Month = {August}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11522266}, Abstract = {BACKGROUND:Adult posttraumatic stress disorder (PTSD) is associated with decreased hippocampal volumes; however, decreased hippocampal volumes were not seen in pediatric maltreatment-related PTSD. We examined hippocampal volumes longitudinally to determine if a history of childhood traumatic stress alters hippocampal growth during puberty. METHODS:Magnetic resonance imaging was used to measure temporal lobes, amygdala, and hippocampal volumes in nine prepubertal maltreated subjects with pediatric maltreatment-related PTSD and nine sociodemographically matched healthy nonmaltreated yoked control subjects at baseline and after at least 2 years follow-up (during the later stages of pubertal development) using identical equipment and measurement methodology. RESULTS:Temporal lobe, amygdala and hippocampal volumes did not differ between groups at baseline, follow-up, or across time. CONCLUSIONS:Whereas these data are from a small sample, the results do not support hippocampal changes in pediatric maltreatment-related PTSD.}, Doi = {10.1016/s0006-3223(01)01105-2}, Key = {fds271861} } @article{fds271854, Author = {De Bellis, MD and Broussard, ER and Herring, DJ and Wexler, S and Moritz, G and Benitez, JG}, Title = {Psychiatric co-morbidity in caregivers and children involved in maltreatment: a pilot research study with policy implications.}, Journal = {Child Abuse & Neglect}, Volume = {25}, Number = {7}, Pages = {923-944}, Year = {2001}, Month = {July}, ISSN = {0145-2134}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11523869}, Abstract = {<h4>Objective</h4>The purpose of this study was to determine the lifetime incidence of mental disorders in caregivers involved in maltreatment and in their maltreated child.<h4>Methods</h4>Lifetime DSM-III-R and IV psychiatric diagnoses were obtained for 53 maltreating families, including at least one primary caregiver and one proband maltreated child or adolescent subject (28 males, 25 females), and for a comparison group of 46 sociodemographically, similar nonmaltreating families, including one proband healthy child and adolescent subject (22 males, 22 females).<h4>Results</h4>Mothers of maltreated children exhibited a significantly greater lifetime incidence of anxiety disorders (especially post-traumatic stress disorder), mood disorders, alcohol and/or substance abuse or dependence disorder, suicide attempts, and comorbidity of two or more psychiatric disorders, compared to control mothers. Natural fathers or mothers' live-in mates involved in maltreatment exhibited a significantly greater lifetime incidence of an alcohol and/or substance abuse or dependence disorder compared to controls. The majority of maltreated children and adolescents reported anxiety disorders, especially post-traumatic stress disorder (from witnessing domestic violence and/or sexual abuse), mood disorders, suicidal ideation and attempts, and disruptive disorders. Most maltreated children (72%) suffered from comorbidity involving both emotional and behavioral regulation disorders.<h4>Conclusions</h4>Families involved in maltreatment manifest significant histories of psychiatric comorbidity. Policies which target identification and treatment of comorbidity may contribute to breaking the intergenerational transmission of maltreatment.}, Doi = {10.1016/s0145-2134(01)00247-2}, Key = {fds271854} } @article{fds271859, Author = {De Bellis, MD and Keshavan, MS and Beers, SR and Hall, J and Frustaci, K and Masalehdan, A and Noll, J and Boring, AM}, Title = {Sex differences in brain maturation during childhood and adolescence.}, Journal = {Cerebral Cortex (New York, N.Y. : 1991)}, Volume = {11}, Number = {6}, Pages = {552-557}, Year = {2001}, Month = {June}, ISSN = {1047-3211}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11375916}, Abstract = {Brain development during childhood and adolescence is characterized by both progressive myelination and regressive pruning processes. However, sex differences in brain maturation remain poorly understood. Magnetic resonance imaging was used to examine the relationships between age and sex with cerebral gray and white matter volumes and corpus callosal areas in 118 healthy children and adolescents (61 males and 57 females), aged 6-17 years. Gender groups were similar on measures of age, handedness, socioeconomic status and Full Scale IQ. Significant age-related reductions in cerebral gray and increases in white matter volumes and corpus callosal areas were evident, while intracranial and cerebral volumes did not change significantly. Significant sex by age interactions were seen for cerebral gray and white matter volumes and corpus callosal areas. Specifically, males had more prominent age-related gray matter decreases and white matter volume and corpus callosal area increases compared with females. While these data are from a cross-sectional sample and need to be replicated in a longitudinal study, the findings suggest that there are age-related sex differences in brain maturational processes. The study of age-related sex differences in cerebral pruning and myelination may aid in understanding the mechanism of several developmental neuropsychiatric disorders.}, Doi = {10.1093/cercor/11.6.552}, Key = {fds271859} } @article{fds271860, Author = {Hill, SY and De Bellis, MD and Keshavan, MS and Lowers, L and Shen, S and Hall, J and Pitts, T}, Title = {Right amygdala volume in adolescent and young adult offspring from families at high risk for developing alcoholism.}, Journal = {Biological Psychiatry}, Volume = {49}, Number = {11}, Pages = {894-905}, Year = {2001}, Month = {June}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11377407}, Abstract = {<h4>Background</h4>Neurobiological factors have been implicated in the increased susceptibility for developing alcohol dependence that offspring from alcoholic families exhibit. The P300 component of the event-related potential shows developmental changes during childhood and adolescence that appear to be related to risk status. The underlying structural changes that accompany these neurophysiological changes are not well understood.<h4>Methods</h4>Magnetic resonance imaging was used to measure cerebral, amygdala, and hippocampal volumes in 17 high-risk adolescent and young adult offspring from multiplex alcoholism families and 17 age-, gender-, and IQ-matched control subjects without a family history for alcoholism or other substance dependence. Twenty-two of the subjects are part of a longitudinal prospective study and have been followed an average of 7.3 years, making it possible to relate P300 developmental trajectories to structural volumes.<h4>Results</h4>High-risk adolescents and young adults showed reduced right amygdala volume in comparison with control subjects. Right amygdala volume was significantly correlated with visual P300 amplitude.<h4>Conclusions</h4>Offspring from families having a high density of alcoholism differ in both neurophysiological and neuroanatomical characteristics that could not be explained by personal drinking history or particular childhood and adolescent psychopathology. Because the amygdala tends to increase in volume during childhood and adolescence, smaller volumes in high-risk children may indicate a developmental delay that parallels delays seen in visual P300 amplitude.}, Doi = {10.1016/s0006-3223(01)01088-5}, Key = {fds271860} } @article{fds271856, Author = {Tae, WS and Hong, SB}, Title = {Boundary of amygdala and hippocampus.}, Journal = {The American Journal of Psychiatry}, Volume = {158}, Number = {5}, Pages = {820-821}, Year = {2001}, Month = {May}, url = {http://dx.doi.org/10.1176/appi.ajp.158.5.820-a}, Doi = {10.1176/appi.ajp.158.5.820-a}, Key = {fds271856} } @article{fds351037, Author = {DE BELLIS, MD and KESHAVAN, MS}, Title = {Drs. De Bellis and Keshavan Reply}, Journal = {The American Journal of Psychiatry}, Volume = {158}, Number = {5}, Pages = {821-821}, Publisher = {American Psychiatric Association Publishing}, Year = {2001}, Month = {May}, url = {http://dx.doi.org/10.1176/appi.ajp.158.5.821}, Doi = {10.1176/appi.ajp.158.5.821}, Key = {fds351037} } @article{fds271858, Author = {De Bellis, MD}, Title = {Developmental traumatology: the psychobiological development of maltreated children and its implications for research, treatment, and policy.}, Journal = {Development and Psychopathology}, Volume = {13}, Number = {3}, Pages = {539-564}, Year = {2001}, Month = {January}, ISSN = {0954-5794}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11523847}, Abstract = {In this review, a developmental traumatology model of child maltreatment and the risk for the intergenerational cycle of abuse and neglect using a mental health or posttraumatic stress model was described. Published data were reviewed that support the hypothesis that the psychobiological sequelae of child maltreatment may be regarded as an environmentally induced complex developmental disorder. Data to support this view, including the descriptions of both psychobiological and brain maturation studies in maltreatment research, emphasizing the similarities and differences between children, adolescents, and adults, were reviewed. Many suggestions for important future psychobiological and brain maturation research investigations as well as public policy ideas were offered.}, Doi = {10.1017/s0954579401003078}, Key = {fds271858} } @article{fds271855, Author = {De Bellis, MD and Keshavan, MS and Harenski, KA}, Title = {Anterior cingulate N-acetylaspartate/creatine ratios during clonidine treatment in a maltreated child with posttraumatic stress disorder.}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {11}, Number = {3}, Pages = {311-316}, Year = {2001}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11642482}, Abstract = {Posttraumatic stress disorder in maltreated children is associated with dysregulation of biological stress systems, adverse brain development, and neuronal loss in the anterior cingulate region of the medial prefrontal cortex. A maltreated boy with posttraumatic stress disorder was followed prospectively using single voxel proton magnetic resonance spectroscopy measures of anterior cingulate N-acetylaspartate/creatine ratios, a marker of neural integrity. N-acetylaspartate/creatine ratios increased, and sleep measures improved upon symptom remission.}, Doi = {10.1089/10445460152595649}, Key = {fds271855} } @article{fds271852, Author = {De Bellis, MD and Keshavan, MS and Spencer, S and Hall, J}, Title = {N-Acetylaspartate concentration in the anterior cingulate of maltreated children and adolescents with PTSD.}, Journal = {The American Journal of Psychiatry}, Volume = {157}, Number = {7}, Pages = {1175-1177}, Year = {2000}, Month = {July}, ISSN = {0002-953X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10873933}, Abstract = {<h4>Objective</h4>Anterior cingulate dysfunction has been implicated in the pathophysiology of posttraumatic stress disorder (PTSD). The authors hypothesized that integrity of the anterior cingulate may be affected in childhood PTSD.<h4>Method</h4>Single voxel proton magnetic resonance spectroscopy (proton MRS) was used to measure the relative concentration of N-acetylaspartate and creatine, a marker of neural integrity, in the anterior cingulate of 11 children and adolescents who met DSM-IV criteria for PTSD secondary to maltreatment and 11 healthy matched comparison subjects.<h4>Results</h4>The ratio of N-acetylaspartate to creatine was significantly lower in the maltreated subjects with PTSD than in the comparison subjects.<h4>Conclusions</h4>The lower N-acetylaspartate/creatine ratio in subjects with PTSD suggests that anterior cingulate neuronal metabolism may be altered in childhood PTSD.}, Doi = {10.1176/appi.ajp.157.7.1175}, Key = {fds271852} } @article{fds271853, Author = {De Bellis, MD and Casey, BJ and Dahl, RE and Birmaher, B and Williamson, DE and Thomas, KM and Axelson, DA and Frustaci, K and Boring, AM and Hall, J and Ryan, ND}, Title = {A pilot study of amygdala volumes in pediatric generalized anxiety disorder.}, Journal = {Biological Psychiatry}, Volume = {48}, Number = {1}, Pages = {51-57}, Year = {2000}, Month = {July}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10913507}, Abstract = {BACKGROUND: The neurodevelopment of childhood anxiety disorders is not well understood. Basic research has implicated the amygdala and circuits related to these nuclei as being central to several aspects of fear and fear-related behaviors in animals. METHODS: Magnetic resonance imaging was used to measure amygdala volumes and comparison brain regions in 12 child and adolescent subjects with generalized anxiety disorder and 24 comparison subjects. Groups were matched on age, sex, height, and handedness and were also similar on measures of weight, socioeconomic status, and full scale IQ. RESULTS: Right and total amygdala volumes were significantly larger in generalized anxiety disorder subjects. Intracranial, cerebral, cerebral gray and white matter, temporal lobe, hippocampal, and basal ganglia volumes and measures of the midsagittal area of the corpus callosum did not differ between groups. CONCLUSIONS: Although these data are preliminary and from a small sample, the results are consistent with a line of thinking that alterations in the structure and function of the amygdala may be associated with pediatric generalized anxiety disorder.}, Doi = {10.1016/s0006-3223(00)00835-0}, Key = {fds271853} } @article{fds271851, Author = {De Bellis, MD and Clark, DB and Beers, SR and Soloff, PH and Boring, AM and Hall, J and Kersh, A and Keshavan, MS}, Title = {Hippocampal volume in adolescent-onset alcohol use disorders.}, Journal = {The American Journal of Psychiatry}, Volume = {157}, Number = {5}, Pages = {737-744}, Year = {2000}, Month = {May}, ISSN = {0002-953X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10784466}, Abstract = {<h4>Objective</h4>Alcohol use disorders (defined as DSM-IV alcohol dependence or abuse) are prevalent and serious problems among adolescents. As adolescence is marked by progressive hippocampal development, this brain region may be particularly susceptible to the adverse effects of adolescent alcohol use disorders. This study compared the hippocampal volumes of adolescents and young adults with adolescent-onset alcohol use disorders to those of healthy matched comparison subjects.<h4>Method</h4>Magnetic resonance imaging was used to measure the hippocampal volumes and volumes of comparison brain regions in 12 subjects with alcohol use disorders and 24 comparison subjects matched on age, sex, and handedness.<h4>Results</h4>Both left and right hippocampal volumes were significantly smaller in subjects with alcohol use disorders than in comparison subjects. Total hippocampal volume correlated positively with the age at onset and negatively with the duration of the alcohol use disorder. Intracranial, cerebral, and cortical gray and white matter volumes and measures of the mid-sagittal area of the corpus callosum did not differ between groups.<h4>Conclusions</h4>In the mature brain, chronic alcohol use disorders are associated with graded global brain dysmorphology. Although the etiology, neuropsychological consequences, and permanence of these hippocampal findings need to be further examined, these findings suggest that, during adolescence, the hippocampus may be particularly susceptible to the adverse effects of alcohol.}, Doi = {10.1176/appi.ajp.157.5.737}, Key = {fds271851} } @article{fds351038, Author = {De Bellis, MD and Keshavan, MS and Spencer, S and Hall, J}, Title = {487. Anterior cingulate n-acetylaspartate in childhood PTSD}, Journal = {Biological Psychiatry}, Volume = {47}, Number = {8}, Pages = {S148-S148}, Publisher = {Elsevier BV}, Year = {2000}, Month = {April}, url = {http://dx.doi.org/10.1016/s0006-3223(00)00757-5}, Doi = {10.1016/s0006-3223(00)00757-5}, Key = {fds351038} } @article{fds271849, Author = {Wong, ML and Kling, MA and Munson, PJ and Listwak, S and Licinio, J and Prolo, P and Karp, B and McCutcheon, IE and Geracioti, TD and DeBellis, MD and Rice, KC and Goldstein, DS and Veldhuis, JD and Chrousos, GP and Oldfield, EH and McCann, SM and Gold, PW}, Title = {Pronounced and sustained central hypernoradrenergic function in major depression with melancholic features: relation to hypercortisolism and corticotropin-releasing hormone.}, Journal = {Proceedings of the National Academy of Sciences of the United States of America}, Volume = {97}, Number = {1}, Pages = {325-330}, Year = {2000}, Month = {January}, ISSN = {0027-8424}, url = {http://dx.doi.org/10.1073/pnas.97.1.325}, Abstract = {Both stress-system activation and melancholic depression are characterized by fear, constricted affect, stereotyped thinking, and similar changes in autonomic and neuroendocrine function. Because norepinephrine (NE) and corticotropin-releasing hormone (CRH) can produce these physiological and behavioral changes, we measured the cerebrospinal fluid (CSF) levels each hour for 30 consecutive hours in controls and in patients with melancholic depression. Plasma adrenocorticotropic hormone (ACTH) and cortisol levels were obtained every 30 min. Depressed patients had significantly higher CSF NE and plasma cortisol levels that were increased around the clock. Diurnal variations in CSF NE and plasma cortisol levels were virtually superimposable and positively correlated with each other in both patients and controls. Despite their hypercortisolism, depressed patients had normal levels of plasma ACTH and CSF CRH. However, plasma ACTH and CSF CRH levels in depressed patients were inappropriately high, considering the degree of their hypercortisolism. In contrast to the significant negative correlation between plasma cortisol and CSF CRH levels seen in controls, patients with depression showed no statistical relationship between these parameters. These data indicate that persistent stress-system dysfunction in melancholic depression is independent of the conscious stress of the disorder. These data also suggest mutually reinforcing bidirectional links between a central hypernoradrenergic state and the hyperfunctioning of specific central CRH pathways that each are driven and sustained by hypercortisolism. We postulate that alpha-noradrenergic blockade, CRH antagonists, and treatment with antiglucocorticoids may act at different loci, alone or in combination, in the treatment of major depression with melancholic features.}, Doi = {10.1073/pnas.97.1.325}, Key = {fds271849} } @article{fds271847, Author = {De Bellis, MD and Baum, AS and Birmaher, B and Keshavan, MS and Eccard, CH and Boring, AM and Jenkins, FJ and Ryan, ND}, Title = {A.E. Bennett Research Award. Developmental traumatology. Part I: Biological stress systems.}, Journal = {Biological Psychiatry}, Volume = {45}, Number = {10}, Pages = {1259-1270}, Year = {1999}, Month = {May}, url = {http://dx.doi.org/10.1016/s0006-3223(99)00044-x}, Abstract = {<h4>Background</h4>This investigation examined the relationship between trauma, psychiatric symptoms and urinary free cortisol (UFC) and catecholamine (epinephrine [EPI], norepinephrine [NE], dopamine [DA]) excretion in prepubertal children with posttraumatic stress disorder (PTSD) secondary to past child maltreatment experiences (n = 18), compared to non-traumatized children with overanxious disorder (OAD) (n = 10) and healthy controls (n = 24).<h4>Methods</h4>Subjects underwent comprehensive psychiatric and clinical assessments and 24 hour urine collection for measurements of UFC and urinary catecholamine excretion. Biological and clinical measures were compared using analyses of variance.<h4>Results</h4>Maltreated subjects with PTSD excreted significantly greater concentrations of urinary DA and NE over 24 hours than OAD and control subjects and greater concentrations of 24 hour UFC than control subjects. Post hoc analysis revealed that maltreated subjects with PTSD excreted significantly greater concentrations of urinary EPI than OAD subjects. Childhood PTSD was associated with greater co-morbid psychopathology including depressive and dissociative symptoms, lower global assessment of functioning, and increased incidents of lifetime suicidal ideation and attempts. Urinary catecholamine and UFC concentrations showed positive correlations with duration of the PTSD trauma and severity of PTSD symptoms.<h4>Conclusions</h4>These data suggest that maltreatment experiences are associated with alterations of biological stress systems in maltreated children with PTSD. An improved psychobiological understanding of trauma in childhood may eventually lead to better treatments of childhood PTSD.}, Doi = {10.1016/s0006-3223(99)00044-x}, Key = {fds271847} } @article{fds271848, Author = {De Bellis, MD and Keshavan, MS and Clark, DB and Casey, BJ and Giedd, JN and Boring, AM and Frustaci, K and Ryan, ND}, Title = {A.E. Bennett Research Award. Developmental traumatology. Part II: Brain development.}, Journal = {Biological Psychiatry}, Volume = {45}, Number = {10}, Pages = {1271-1284}, Publisher = {Elsevier BV}, Year = {1999}, Month = {May}, url = {http://dx.doi.org/10.1016/s0006-3223(99)00045-1}, Abstract = {<h4>Background</h4>Previous investigations suggest that maltreated children with a diagnosis of posttraumatic stress disorder (PTSD) evidence alterations of biological stress systems. Increased levels of catecholaminergic neurotransmitters and steroid hormones during traumatic experiences in childhood could conceivably adversely affect brain development.<h4>Methods</h4>In this study, 44 maltreated children and adolescents with PTSD and 61 matched controls underwent comprehensive psychiatric and neuropsychological assessments and an anatomical magnetic resonance imaging (MRI) brain scan.<h4>Results</h4>PTSD subjects had smaller intracranial and cerebral volumes than matched controls. The total midsagittal area of corpus callosum and middle and posterior regions remained smaller; while right, left, and total lateral ventricles were proportionally larger than controls, after adjustment for intracranial volume. Brain volume robustly and positively correlated with age of onset of PTSD trauma and negatively correlated with duration of abuse. Symptoms of intrusive thoughts, avoidance, hyperarousal or dissociation correlated positively with ventricular volume, and negatively with brain volume and total corpus callosum and regional measures. Significant gender by diagnosis effect revealed greater corpus callosum area reduction in maltreated males with PTSD and a trend for greater cerebral volume reduction than maltreated females with PTSD. The predicted decrease in hippocampal volume seen in adult PTSD was not seen in these subjects.<h4>Conclusions</h4>These data suggest that the overwhelming stress of maltreatment experiences in childhood is associated with adverse brain development.}, Doi = {10.1016/s0006-3223(99)00045-1}, Key = {fds271848} } @article{fds271850, Author = {Altemus, M and Jacobson, KR and Debellis, M and Kling, M and Pigott, T and Murphy, DL and Gold, PW}, Title = {Normal CSF oxytocin and NPY levels in OCD.}, Journal = {Biological Psychiatry}, Volume = {45}, Number = {7}, Pages = {931-933}, Year = {1999}, Month = {April}, ISSN = {0006-3223}, url = {http://dx.doi.org/10.1016/s0006-3223(98)00263-7}, Abstract = {BACKGROUND: Attention has recently been focused on central nervous system neuropeptides as potential mediators of the symptom profile of obsessive-compulsive disorder (OCD). Increased CSF levels of the anxiolytic neuropeptide oxytocin have been reported in OCD. CSF levels of NPY, another anxiolytic neuropeptide, have not been studied. METHODS: We measured CSF oxytocin and NPY in 14 OCD patients and 26 healthy normal volunteers. RESULTS: There were no significant differences between the OCD patients and control subjects in CSF oxytocin or NPY levels. In both the OCD and control groups, women had significantly higher CSF oxytocin levels than men. CONCLUSIONS: These results do not support a prior finding of elevated CSF oxytocin in OCD patients and do not provide any evidence for an abnormality of NPY regulation in OCD.}, Doi = {10.1016/s0006-3223(98)00263-7}, Key = {fds271850} } @article{fds271828, Author = {Newcorn, JH and Schulz, K and Harrison, M and DeBellis, MD and Udarbe, JK and Halperin, JM}, Title = {Alpha 2 adrenergic agonists. Neurochemistry, efficacy, and clinical guidelines for use in children.}, Journal = {Pediatric Clinics of North America}, Volume = {45}, Number = {5}, Pages = {1099-viii}, Year = {1998}, Month = {October}, ISSN = {0031-3955}, url = {http://dx.doi.org/10.1016/s0031-3955(05)70064-x}, Abstract = {The alpha 2 adrenergic agonists are used to treat a variety of psychiatric disorders and their usage has been increasing. This article presents the rationale and neurochemical basis for treatment of psychiatric disorders with alpha 2 agents, reviews studies examining clinical efficacy, and develops guidelines for usage. Case vignettes are presented to illustrate how the alpha 2 agents can successfully be used in practice.}, Doi = {10.1016/s0031-3955(05)70064-x}, Key = {fds271828} } @article{fds351039, Author = {De Bellis, MD and Casey, BJ and Clark, DB and Giedd, J and Boring, A and Kersh, A and Frustaci, K}, Title = {53. Anatomical MRI in maltreated children with PTSD}, Journal = {Biological Psychiatry}, Volume = {43}, Number = {8}, Pages = {S16-S16}, Publisher = {Elsevier BV}, Year = {1998}, Month = {April}, url = {http://dx.doi.org/10.1016/s0006-3223(98)90501-7}, Doi = {10.1016/s0006-3223(98)90501-7}, Key = {fds351039} } @article{fds271827, Author = {Chadwick, DL and Kirschner, RH and Reece, RM and Ricci, LR and Alexander, R and Amaya, M and Bays, JA and Bechtel, K and Beltran-Coker, R and Berkowitz, CD and Blatt, SD and Botash, AS and Brown, J and Carrasco, M and Christian, C and Clyne, P and Coury, DL and Crawford, J and Cunningham, N and DeBellis, MD and Derauf, C and de Triquet, J and Dreyer, BP and Dubowitz, H and Zenel, JA}, Title = {Shaken baby syndrome--a forensic pediatric response.}, Journal = {Pediatrics}, Volume = {101}, Number = {2}, Pages = {321-323}, Year = {1998}, Month = {February}, ISSN = {0031-4005}, url = {http://dx.doi.org/10.1542/peds.101.2.321}, Doi = {10.1542/peds.101.2.321}, Key = {fds271827} } @article{fds271845, Author = {De Bellis, MD and Baum, AS and Birmaher, B and Ryan, ND}, Title = {Urinary catecholamine excretion in childhood overanxious and posttraumatic stress disorders.}, Journal = {Annals of the New York Academy of Sciences}, Volume = {821}, Pages = {451-455}, Year = {1997}, Month = {June}, ISSN = {0077-8923}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9238227}, Doi = {10.1111/j.1749-6632.1997.tb48303.x}, Key = {fds271845} } @article{fds271846, Author = {De Bellis, MD and Dahl, RE and Perel, JM and Birmaher, B and al-Shabbout, M and Williamson, DE and Nelson, B and Ryan, ND}, Title = {Nocturnal ACTH, cortisol, growth hormone, and prolactin secretion in prepubertal depression.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {35}, Number = {9}, Pages = {1130-1138}, Year = {1996}, Month = {September}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8824056}, Abstract = {OBJECTIVE: To examine nocturnal secretion of adrenocorticotropin, cortisol, growth hormone, and prolactin in 38 medically healthy children with prepubertal major depression compared with 28 medically and psychiatrically healthy control children. METHOD: Prior to sampling, subjects underwent an "adaptation night" with the intravenous catheter in place and electroencephalographic (EEG) electrodes for standard all-night polysomnogram. On the following night, plasma samples were obtained every 20 minutes through an indwelling catheter. Hormonal concentrations were measured by specific radioimmunoassay and aligned by EEG-confirmed sleep onset. Areas under the curve were calculated for total secretion and compared using analysis of variance. RESULTS: Prepubertal depressed children had lower cortisol secretion during the first 4 hours after sleep onset compared with controls. Adrenocorticotropin, prolactin, and growth hormone secretion did not differ between groups. Examination of clinical characteristics in depressed children revealed lower nocturnal adrenocorticotropin concentrations in depressed inpatients versus depressed outpatients and in depressed sexually abused versus depressed nonabused children. A significant sex by diagnosis effect revealed lower growth hormone secretion in depressed females compared with depressed males. CONCLUSIONS: In contrast to neuroendocrine challenge studies in these same subjects, nocturnal neuroendocrine measures did not reveal any of the expected group differences. These results emphasize the contrasts between unstimulated and challenge studies of neuroendocrine secretion and of the importance of considering clinical characteristics and maturation influences in biological studies of prepubertal depression.}, Doi = {10.1097/00004583-199609000-00010}, Key = {fds271846} } @article{fds271844, Author = {Dorn, LD and Burgess, ES and Susman, EJ and von Eye, A and DeBellis, MD and Gold, PW and Chrousos, GP}, Title = {Response to oCRH in depressed and nondepressed adolescents: does gender make a difference?}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {35}, Number = {6}, Pages = {764-773}, Year = {1996}, Month = {June}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/00004583-199606000-00016}, Abstract = {<h4>Objective</h4>To examine the hypothesis that hypothalamic-pituitary-adrenal responses to stress vary across gender, contributing to gender differences in the prevalence of depression.<h4>Method</h4>This study examined gender differences between depressed (n = 21) and control (n = 20) adolescents in adrenocorticotropic hormone (ACTH) and cortisol response to two ovine corticotropin-releasing hormone (oCRH) tests, at baseline and following a cognitive stressor.<h4>Results</h4>Boys had higher (p < .05) measures of ACTH than girls, regardless of depression status, whereas corresponding cortisol parameters were similar in both groups. Cortisol measures were higher (p < .05) at time 1 than at time 2 in both groups, a phenomenon that might reflect the novelty of the situation.<h4>Conclusions</h4>Gender differences in hormone responses may be related to differences in peripheral metabolism of ACTH, resulting in changes of immunoreactivity but not bioactivity or a different set point of the hypothalamic-pituitary-adrenal axis. The pattern of ACTH and cortisol responses to oCRH and the 24-hour excretion of free cortisol was normal in adolescents with depression, probably reflecting normal negative feedback mechanisms at this age or that most of these patients suffer from atypical rather than melancholic depression.}, Doi = {10.1097/00004583-199606000-00016}, Key = {fds271844} } @article{fds271842, Author = {De Bellis, MD and Burke, L and Trickett, PK and Putnam, FW}, Title = {Antinuclear antibodies and thyroid function in sexually abused girls.}, Journal = {Journal of Traumatic Stress}, Volume = {9}, Number = {2}, Pages = {369-378}, Year = {1996}, Month = {April}, ISSN = {0894-9867}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8731555}, Abstract = {Sexually abused girls manifest dysregulation of physiological stress response systems. In this exploratory investigation, 14 sexually abused and 13 control girls, ages 8-15 years, recruited from a prospective, longitudinal study, underwent plasma antinuclear antibody and thyroid function tests. Thyroid function tests and plasma antinuclear antibody titers did not differ between sexually abused and control girls. However, a significantly higher incidence of plasma antinuclear antibody titers was seen in abused subjects when compared with the frequency of positive antinuclear antibody titers in a sample of 22 adult healthy female volunteers, ages 20-58 years. These findings suggest that sexually abused girls may show evidence of an alteration in normal immune homeostatic function.}, Doi = {10.1007/BF02110669}, Key = {fds271842} } @article{fds271841, Author = {De Bellis, MD and Lefter, L and Trickett, PK and Putnam, FW}, Title = {Urinary catecholamine excretion in sexually abused girls.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {33}, Number = {3}, Pages = {320-327}, Year = {1994}, Month = {March}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8169176}, Abstract = {<h4>Objective</h4>The objective of this study was to examine urinary catecholamine excretion in a self-selected sample of sexually abused and demographically matched control girls recruited from a prospective, longitudinal study.<h4>Method</h4>Twenty-four--hour urinary catecholamine and metabolite concentrations of epinephrine, norepinephrine, dopamine, 3-methoxy-4-hydroxyphenylglycol, metanephrine, normetanephrine, vanillylmandelic acid, 3,4-dihydroxyphenylacetic acid, and homovanillic acid were measured in 12 sexually abused and 9 control girls, aged 8 to 15 years. Psychiatric profiles also were obtained.<h4>Results</h4>The abused subjects excreted significantly greater amounts of metanephrine, vanillylmandelic acid, homovanillic acid, and total catecholamine synthesis as measured by the sum of epinephrine, norepinephrine, dopamine, and their metabolites compared to values from control subjects. When the means of all significant biochemical measures were adjusted by the covariate effect of height, only homovanillic acid and group interaction remained significant. There were positive trends toward significantly higher urinary excretion of metanephrine, vanillylmandelic acid, and total catecholamine synthesis. Sexually abused girls also had a greater incidence of suicidal ideation, suicide attempts, and dysthymia than control girls.<h4>Conclusions</h4>These findings support the idea that sexually abused girls show evidence of higher catecholamine functional activity compared with controls. The clinical significance of these findings in their similarity to the psychobiology of both post-traumatic stress disorder and major depressive disorder. Results from this pilot study may be of value in understanding the mechanisms of depressive and anxiety disorders and in the clinical treatment of maltreated children.}, Doi = {10.1097/00004583-199403000-00004}, Key = {fds271841} } @article{fds271843, Author = {De Bellis, MD and Chrousos, GP and Dorn, LD and Burke, L and Helmers, K and Kling, MA and Trickett, PK and Putnam, FW}, Title = {Hypothalamic-pituitary-adrenal axis dysregulation in sexually abused girls.}, Journal = {The Journal of Clinical Endocrinology and Metabolism}, Volume = {78}, Number = {2}, Pages = {249-255}, Year = {1994}, Month = {February}, ISSN = {0021-972X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8106608}, Abstract = {Childhood sexual abuse is associated with an increased incidence of age-concurrent and adult psychopathology. Little is known, however, about the biological manifestations and sequelae of childhood sexual abuse. In this study, we characterized the hypothalamic-pituitary-adrenal axis of a self-selected sample of sexually abused and control girls recruited from a prospective longitudinal study. Plasma ACTH and total and free cortisol responses to ovine CRH (oCRH) stimulation were measured in 13 sexually abused and 13 control girls, aged 7-15 yr. Psychiatric profiles and 24-h urinary free cortisol (UFC) measures were also obtained. Sexually abused girls had a greater incidence of suicidal ideation (chi 2 = 4.51; df = 1; P < 0.05), suicide attempts (chi 2 = 4.51; df = 1; P < 0.05), and dysthymia (chi 2 = 8.85; df = 1; P < 0.01) than control girls. Sexually abused girls showed significantly lower basal (t = 2.1; df = 24; P < 0.05), and net oCRH stimulated (t = 2.2; df = 24; P < 0.05) ACTH levels and significantly reduced total ACTH responses (t = 2.5; df = 24; P < 0.05) compared with control subjects. Their total and free basal and oCRH-stimulated plasma cortisol levels and 24-h UFC measures, however, were similar to those in controls. The attenuated plasma ACTH with corresponding robust plasma cortisol responses to oCRH stimulation and normal 24-h UFC measures in sexually abused girls suggest a dysregulatory disorder of the HPA axis in these individuals. This may reflect pituitary hyporesponsiveness to oCRH. The ability of sexually abused subjects to correct for the proposed pituitary hyporesponsiveness to CRH may be related to their young age and the presence of intact glucocorticoid feedback regulatory mechanisms.}, Doi = {10.1210/jcem.78.2.8106608}, Key = {fds271843} } @article{fds271817, Author = {de Bellis, MD and Chrousos, GP and Dorn, LD and Burke, L and Helmers, K and Kling, MA and Trickett, PK and Putman, FW}, Title = {Hypothalamic-pituitary-adrenal axis dysregulation in sexually abused girls}, Journal = {Obstetrical & Gynecological Survey}, Volume = {49}, Number = {7}, Pages = {487-490}, Year = {1994}, Month = {January}, ISSN = {0029-7828}, url = {http://dx.doi.org/10.1097/00006254-199407000-00022}, Doi = {10.1097/00006254-199407000-00022}, Key = {fds271817} } @article{fds271840, Author = {Kling, MA and Debellis, MD and O'Rourke, DK and Listwak, SJ and Jr, TDG and McCutcheon, IE and Kalogeras, KT and Oldfield, EH and Gold, PW}, Title = {Diurnal variation of cerebrospinal fluid immunoreactive corticotropin-releasing hormone levels in healthy volunteers}, Journal = {Journal of Clinical Endocrinology and Metabolism}, Volume = {79}, Number = {1}, Pages = {233-239}, Publisher = {The Endocrine Society}, Year = {1994}, url = {http://dx.doi.org/10.1210/jc.79.1.233}, Abstract = {CRH is not only secreted into hypophyseal portal blood where it is believed to regulate the circadian rhythm of pituitary-adrenal activity, but is also measurable in cerebrospinal fluid (CSF). Altered CSF immunoreactive CRH (IR-CRH) levels have been found in patients with a number of neuropsychiatrie disorders and have been implicated in some of the symptoms of these disorders. To further study the potential functional relevance of CRH in human CSF, we examined whether a nonuniform temporal pattern of IR-CRH levels existed in CSF using hourly sampling over a 30-h period in six healthy volunteers. CSF was withdrawn continuously at 6 mL/h through a catheter placed in the lumbar subarachnoid space and connected to a miniroller pump and fraction collector. A significant diurnal variation in CSF IR-CRH levels was observed (P < 0.001), with highest levels between 1830-2330 h and lowest levels around 0730 h. This pattern was nearly opposite that of plasma cortisol levels, which showed the expected peak around 0800 h and nadir around 2000-2200 h. In addition, CSF IR-CRH levels in three of the six volunteers showed significant negative correlations with simultaneous plasma cortisol levels. These data suggest that CSF IR-CRH concentrations are negatively modulated by peripheral cortisol secretion, which may be one factor involved in the entrainment of this rhythm. Although the functional significance of this diurnal variation in CSF IR-CRH levels is unknown, the presence of a distinct temporal organization of CRH release into the CSF in humans is compatible with the idea that CSF may play a functional role in or otherwise reflect nonsynaptic information processing in the central nervous system. Diurnal factors should be taken into account in future studies of CRH concentrations in human CSF.}, Doi = {10.1210/jc.79.1.233}, Key = {fds271840} } @article{fds271838, Author = {Kling, MA and Smith, MA and Glowa, JR and Pluznik, D and Demas, J and DeBellis, MD and Gold, PW and Schulkin, J}, Title = {Facilitation of cocaine kindling by glucocorticoids in rats.}, Journal = {Brain Research}, Volume = {629}, Number = {1}, Pages = {163-166}, Year = {1993}, Month = {November}, ISSN = {0006-8993}, url = {http://dx.doi.org/10.1016/0006-8993(93)90497-b}, Abstract = {We report that glucocorticoids significantly facilitated the development of cocaine-induced kindled seizures. These results suggest that glucocorticoids may have effects on the development of kindled seizures which are similar to those of the neuropeptide, corticotropin-releasing hormone (CRH), with which they show a close functional relationship. These results may be of interest in the light of data showing that glucocorticoids increase CRH expression in the central nucleus of the amygdala, which is an important site for the development of kindling.}, Doi = {10.1016/0006-8993(93)90497-b}, Key = {fds271838} } @article{fds271837, Author = {Kling, MA and Demitrack, MA and Whitfield, HJ and Kalogeras, KT and Listwak, SJ and DeBellis, MD and Chrousos, GP and Gold, PW and Brandt, HA}, Title = {Effects of the glucocorticoid antagonist RU 486 on pituitary-adrenal function in patients with anorexia nervosa and healthy volunteers: enhancement of plasma ACTH and cortisol secretion in underweight patients.}, Journal = {Neuroendocrinology}, Volume = {57}, Number = {6}, Pages = {1082-1091}, Year = {1993}, Month = {June}, url = {http://dx.doi.org/10.1159/000126474}, Abstract = {To further explore whether the hypercortisolism of anorexia nervosa reflects an alteration in the set point for corticotropin-releasing hormone (CRH) secretion or is a manifestation of glucocorticoid resistance, we examined plasma ACTH and cortisol responses to the competitive glucocorticoid antagonist RU 486 (10 mg/kg, p.o. at 8.00 h) versus placebo (PBO) in 7 healthy female volunteers and 8 patients with DSM-III-R anorexia nervosa, all of whom were studied while underweight [64.3 +/- 2.1% average body weight (ABW), mean +/- SE] and 5 of whom were restudied longitudinally following refeeding (> or = 85% ABW, mean 87.4 +/- 0.4% ABW). Blood samples were obtained from 16.00 to 16.30 h and from 4.00 to 8.00 h following dosing. Underweight anorexics were significantly hypercortisolemic by 24 h urinary free cortisol excretion compared with controls (239 +/- 37 vs. 119 +/- 12 nmol/day, p < 0.01). Both controls and underweight anorexics had robust early morning (4.00-8.00 h) plasma cortisol responses to RU 486 (465 +/- 61 and 719 +/- 49 nmol/l) compared with PBO (370 +/- 52 and 451 +/- 31 nmol/l; p < 0.02 and p < 0.01, respectively). The underweight anorexics showed a significant mean early morning plasma ACTH response to RU compared with placebo (3.28 +/- 0.63 vs. 2.01 +/- 0.24 pmol/l, p < 0.05), while the controls showed a trend toward an increase in mean plasma ACTH after RU (3.11 +/- 0.36 pmol/l) compared with PBO (2.31 +/- 0.41 pmol/l, p < 0.13); plasma ACTH means were greater on the RU day than the placebo day at 20 of 25 sampling points (p < 0.001). However, the increment in ACTH on the RU day compared to the placebo day was greater in the underweight anorexics at the first 20 of 25 consecutive time points of the early morning sampling period (p < 0.001). Moreover, underweight anorexics showed a significant plasma ACTH and cortisol response to RU 486 at 16.00-16.30 h (8-8.5 h following administration), while the controls showed no significant response of plasma ACTH or cortisol at this time. When restudied following weight recovery, anorexic patients showed reductions in 24-hour urinary free cortisol excretion (to 191 +/- 40 nmol/day) which were no longer significantly elevated compared with control values.(ABSTRACT TRUNCATED AT 400 WORDS)}, Doi = {10.1159/000126474}, Key = {fds271837} } @article{fds271836, Author = {De Bellis, MD and Geracioti, TD and Altemus, M and Kling, MA}, Title = {Cerebrospinal fluid monoamine metabolites in fluoxetine-treated patients with major depression and in healthy volunteers.}, Journal = {Biological Psychiatry}, Volume = {33}, Number = {8-9}, Pages = {636-641}, Year = {1993}, Month = {April}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7687151}, Abstract = {Cerebrospinal fluid (CSF) levels of the monoamine metabolites 5-hydroxyindoleacetic acid (5-HIAA), 3-methoxy-4-hydroxyphenylglycol (MHPG), and homovanillic acid (HVA) were measured in three groups: 46 healthy volunteers; 9 medication-free patients with DSM III-R major depressive disorder, recurrent; and these same 9 patients following at least 4 weeks of fluoxetine treatment at 20 mg/day. CSF monoamine metabolite levels in medication-free patients did not differ from healthy volunteers; however, CSF 5-HIAA and MHPG decreased significantly from 95.9 +/- 24.6 (all values +/- SD) to 64.2 +/- 26.1 pmol/ml and from 46.7 +/- 14.2 to 42.6 +/- 11.6 pmol/ml, respectively, following fluoxetine treatment. Fluoxetine also significantly decreased mean Hamilton Depression Rating Scale scores from 23.2 +/- 6.5 to 17.4 +/- 5.0 and significantly increased the CSF HVA/5-HIAA ratio.}, Doi = {10.1016/0006-3223(93)90103-k}, Key = {fds271836} } @article{fds271839, Author = {De Bellis, MD and Gold, PW and Geracioti, TD and Listwak, SJ and Kling, MA}, Title = {Association of fluoxetine treatment with reductions in CSF concentrations of corticotropin-releasing hormone and arginine vasopressin in patients with major depression.}, Journal = {The American Journal of Psychiatry}, Volume = {150}, Number = {4}, Pages = {656-657}, Year = {1993}, Month = {April}, ISSN = {0002-953X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8465888}, Abstract = {The authors measured CSF concentrations of corticotropin-releasing hormone (CRH) and arginine vasopressin in nine depressed patients before and after fluoxetine treatment. They found significant decreases in CSF CRH, CSF arginine vasopressin, and Hamilton depression ratings. Thus, the therapeutic effect of this serotonin-uptake inhibitor may be related to diminution of these arousal-promoting neuropeptides.}, Doi = {10.1176/ajp.150.4.656}, Key = {fds271839} } @article{fds271835, Author = {Hauser, P and Devinsky, O and De Bellis and M and Theodore, WH and Post, RM}, Title = {Benzodiazepine withdrawal delirium with catatonic features. Occurrence in patients with partial seizure disorders.}, Journal = {Archives of Neurology}, Volume = {46}, Number = {6}, Pages = {696-699}, Year = {1989}, Month = {June}, url = {http://dx.doi.org/10.1001/archneur.1989.00520420118033}, Abstract = {We report the cases of 3 patients with medically intractable seizures in whom withdrawal of treatment with a long-acting benzodiazepine (clorazepate dipotassium, 2 patients; clonazepam, 1 patient) was followed by delirium with catatoniclike features. While an increase in seizure frequency occurred during withdrawal and prior to the onset of behavioral changes, electroencephalograms did not show epileptiform activity during the delirium. We compared these 3 patients with 10 others with intractable seizures in whom antiepileptic therapy was withdrawn without subsequent behavior changes. High-dose benzodiazepine therapy and a history of viral encephalitis may be risk factors for withdrawal delirium.}, Doi = {10.1001/archneur.1989.00520420118033}, Key = {fds271835} } %% Chapters in Books @misc{fds352112, Author = {Lannoy, S and Brumback, T and Le Berre and A-P and Sullivan, EV and Pohl, KM and Schulte, T and Pfefferbaum, A and De Bellis, MD and Baker, FC and Colrain, IM and Nagel, BJ and Brown, SA and Clark, DB and Tapert, SF and Muller-Oehring, EM}, Title = {THE DEVELOPMENT OF COGNITIVE AND MOTOR CONTROL IN ADOLESCENCE AND ITS RELATION WITH ALCOHOL CONSUMPTION: A THREE-YEAR INVESTIGATION}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {44}, Pages = {179-179}, Year = {2020}, Month = {June}, Key = {fds352112} } @misc{fds351017, Author = {De Bellis, MD and Phillips, R and Haswell, C and Nooner, KB and Morey, R}, Title = {HIPPOCAMPAL SUBFIELD VOLUMES REDUCED BY BINGE DRINKING IN ADOLESCENTS AND YOUNG ADULTS IN THE NCANDA STUDY}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {43}, Pages = {332A-332A}, Publisher = {WILEY}, Year = {2019}, Month = {June}, Key = {fds351017} } @misc{fds351018, Author = {Nooner, KB and De Bellis, MD}, Title = {BRAIN CHANGES ASSOCIATED WITH LIFE EVENTS AND ALCOHOL USE: A LATENT CLASS ANALYSIS WITH THE NCANDA SAMPLE}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {42}, Pages = {315A-315A}, Publisher = {WILEY}, Year = {2018}, Month = {June}, Key = {fds351018} } @misc{fds351019, Author = {Rock, J and Geier, CF and Noll, JG and De Bellis, MD}, Title = {Developmental Traumatology: Brain Development in Maltreated Children With and Without PTSD}, Pages = {45-56}, Publisher = {Springer International Publishing}, Year = {2018}, ISBN = {9783319725888}, url = {http://dx.doi.org/10.1007/978-3-319-72589-5_4}, Doi = {10.1007/978-3-319-72589-5_4}, Key = {fds351019} } @misc{fds351020, Author = {Hasler, BP and Franzen, PL and de Zambotti, M and Prouty, D and Brown, SA and Tapert, SF and Pfefferbaum, A and Pohl, K and Sullivan, EV and De Bellis, MD and Nagel, BJ and Baker, FC and Colrain, IM and Clark, DB}, Title = {2.1 Circadian Preference and Sleep Timing Predict Risk for Substance Use in Adolescence: Initial Findings From the Ncanda Study}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {56}, Number = {10}, Pages = {S303-S303}, Publisher = {Elsevier BV}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2017.07.584}, Doi = {10.1016/j.jaac.2017.07.584}, Key = {fds351020} } @misc{fds351021, Author = {Tapert, SF and Sullivan, EV and De Bellis, MD and Eberson, S}, Title = {THE NATIONAL CONSORTIUM ON ALCOHOL AND NEURODEVELOPMENT IN ADOLESCENCE (NCANDA) CLINICAL AND NEUROPSYCHOLOGICAL ASSESSMENT BATTERY}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {41}, Pages = {294A-294A}, Publisher = {WILEY}, Year = {2017}, Month = {June}, Key = {fds351021} } @misc{fds351022, Author = {De Bellis, MD and Clark, DB and Brumback, T and Cummins, K and Tapert, SF and Brown, SA}, Title = {ADVERSE CHILDHOOD EXPERIENCES, ALCOHOL USE, AND BRAIN STRUCTURE: BASELINE NCANDA FINDINGS}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {40}, Pages = {252A-252A}, Publisher = {WILEY-BLACKWELL}, Year = {2016}, Month = {June}, Key = {fds351022} } @misc{fds351023, Author = {Pfefferbaum, A and Pohl, KM and Brown, SA and Tapert, SF and Clark, DB and De Bellis, MD and Nagel, B and Colrain, IM and Baker, FC and Sullivan, EV}, Title = {AGE, SEX, DRINKING, AND THE ADOLESCENT BRAIN CORTEX: INITIAL FINDINGS FROM NATIONAL CONSORTIUM ON ALCOHOL & NEURODEVELOPMENT IN ADOLESCENCE}, Journal = {Alcohol and Alcoholism (Oxford, Oxfordshire)}, Volume = {50}, Pages = {1 pages}, Publisher = {OXFORD UNIV PRESS}, Year = {2015}, Month = {September}, Key = {fds351023} } @misc{fds351024, Author = {Pfefferbaum, A and Rohlfing, T and Brown, SA and Tapert, SF and Clark, DB and De Bellis, MD and Nagel, B and Colrain, IM and Baker, FC and Pohl, KM and Sullivan, EV}, Title = {DIFFERENCES IN ADOLESCENT BRAIN CORTEX RELATED TO AGE AND SEX: INITIAL FINDINGS FROM NATIONAL CONSORTIUM ON ALCOHOL & NEURODEVELOPMENT IN ADOLESCENCE}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {39}, Pages = {277A-277A}, Publisher = {WILEY-BLACKWELL}, Year = {2015}, Month = {June}, Key = {fds351024} } @misc{fds351025, Author = {Pohl, KM and Rohlfing, T and Brown, SA and Tapert, SF and Clark, DB and De Bellis, MD and Nagel, B and Colrain, IM and Baker, FC and Sullivan, EV and Pfefferbaum, A}, Title = {AGE-RELATED DIFFERENCES IN ADOLESCENT BRAIN MICROSTRUCTURE: INITIAL FINDINGS FROM NATIONAL CONSORTIUM ON ALCOHOL & NEURODEVELOPMENT IN ADOLESCENCE}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {39}, Pages = {277A-277A}, Publisher = {WILEY-BLACKWELL}, Year = {2015}, Month = {June}, Key = {fds351025} } @misc{fds351026, Author = {Baker, FC and Hasler, B and Colrain, IM and Clark, DB and De Bellis, MD and Nagel, B and Brown, SA and Rohlfing, T and Nichols, BN and Chu, W and Hooper, SR and Prouty, D and Fama, R and Pfefferbaum, A and Tapert, SF and Sullivan, EV}, Title = {AGE & SEX DIFFERENCES IN COGNITIVE, MOTOR & SLEEP INDICES: INITIAL FINDINGS OF THE NATIONAL CONSORTIUM ON ALCOHOL & NEURODEVELOPMENT IN ADOLESCENCE}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {39}, Pages = {277A-277A}, Publisher = {WILEY-BLACKWELL}, Year = {2015}, Month = {June}, Key = {fds351026} } @misc{fds351027, Author = {Tapert, SF and Brumback, T and Tomlinson, K and Cummins, K and Baker, FC and Clark, DB and Colrain, IM and De Bellis, MD and Nagel, B and Chu, W and Rohlfing, T and Pohl, KM and Sullivan, EV and Pfefferbaum, A and Brown, SA}, Title = {NATIONAL CONSORTIUM ON ALCOHOL & NEURODEVELOPMENT IN ADOLESCENCE: CHARACTERIZATION OF THE SAMPLE}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {39}, Pages = {277A-277A}, Publisher = {WILEY-BLACKWELL}, Year = {2015}, Month = {June}, Key = {fds351027} } @misc{fds351028, Author = {King, K and Rudser, K and Kovac, V and Nestrasil, I and Yund, B and Delaney, K and De Bellis, MD and Whitley, CB and Shapiro, E}, Title = {Attention and corpus callosum volumes in individuals with Hurler and Hurler-Scheie syndromes and controls}, Journal = {Molecular Genetics and Metabolism}, Volume = {111}, Number = {2}, Pages = {S60-S61}, Publisher = {Elsevier BV}, Year = {2014}, Month = {February}, url = {http://dx.doi.org/10.1016/j.ymgme.2013.12.133}, Doi = {10.1016/j.ymgme.2013.12.133}, Key = {fds351028} } @misc{fds351029, Author = {De Bellis, MD}, Title = {The Neurobiology of PTSD Symptoms in Maltreated Children and Adolescents}, Journal = {Neuropsychopharmacology}, Volume = {38}, Pages = {S22-S22}, Publisher = {NATURE PUBLISHING GROUP}, Year = {2013}, Month = {December}, Key = {fds351029} } @misc{fds351032, Author = {De Bellis, MD and Hooper, SR and MacFall, J and Payne, M}, Title = {DTI Studies of Pediatric Maltreatment Related PTSD}, Journal = {Biological Psychiatry}, Volume = {67}, Number = {9}, Pages = {118S-118S}, Publisher = {ELSEVIER SCIENCE INC}, Year = {2010}, Month = {May}, Key = {fds351032} } @misc{fds351033, Author = {De Bellis, MD and Van Voorhees and E and Hooper, SR and MacFall, J}, Title = {Diffusion tensor imaging of the corpus callosum in adolescents with alcohol use disorders}, Journal = {Alcoholism, Clinical and Experimental Research}, Volume = {32}, Number = {6}, Pages = {287A-287A}, Publisher = {WILEY-BLACKWELL}, Year = {2008}, Month = {June}, Key = {fds351033} } @misc{fds351034, Author = {Yaxley, RH and Van Voorhees and EE and Huettel, SA and De Bellis, MD}, Title = {Brain activation during decisions involving behavioral risk: Adolescents v. adults}, Journal = {Biological Psychiatry}, Volume = {63}, Number = {7}, Pages = {79S-79S}, Publisher = {ELSEVIER SCIENCE INC}, Year = {2008}, Month = {April}, Key = {fds351034} } @misc{fds351035, Author = {Crozier, JC and De Bellis, MD}, Title = {Neural correlates of emotion and cognition in children and adolescents}, Journal = {Biological Psychiatry}, Volume = {61}, Number = {8}, Pages = {29S-29S}, Publisher = {ELSEVIER SCIENCE INC}, Year = {2007}, Month = {April}, Key = {fds351035} } | |
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