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dc.creatorBertocci, MA
dc.creatorBebko, G
dc.creatorVersace, A
dc.creatorFournier, JC
dc.creatorIyengar, S
dc.creatorOlino, T
dc.creatorBonar, L
dc.creatorAlmeida, JRC
dc.creatorPerlman, SB
dc.creatorSchirda, C
dc.creatorTravis, MJ
dc.creatorGill, MK
dc.creatorDiwadkar, VA
dc.creatorForbes, EE
dc.creatorSunshine, JL
dc.creatorHolland, SK
dc.creatorKowatch, RA
dc.creatorBirmaher, B
dc.creatorAxelson, D
dc.creatorHorwitz, SM
dc.creatorFrazier, TW
dc.creatorArnold, LE
dc.creatorFristad, MA
dc.creatorYoungstrom, EA
dc.creatorFindling, RL
dc.creatorPhillips, ML
dc.date.accessioned2021-02-03T16:20:56Z
dc.date.available2021-02-03T16:20:56Z
dc.date.issued2016-09-01
dc.identifier.issn1359-4184
dc.identifier.issn1476-5578
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/5717
dc.identifier.other26903272 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/5735
dc.description.abstract© 2016 Macmillan Publishers Limited, part of Springer Nature. All rights reserved. Behavioral and emotional dysregulation in childhood may be understood as prodromal to adult psychopathology. Additionally, there is a critical need to identify biomarkers reflecting underlying neuropathological processes that predict clinical/behavioral outcomes in youth. We aimed to identify such biomarkers in youth with behavioral and emotional dysregulation in the Longitudinal Assessment of Manic Symptoms (LAMS) study. We examined neuroimaging measures of function and white matter in the whole brain using 80 youth aged 14.0 (s.d.=2.0) from three clinical sites. Linear regression using the LASSO (Least Absolute Shrinkage and Selection Operator) method for variable selection was used to predict severity of future behavioral and emotional dysregulation measured by the Parent General Behavior Inventory-10 Item Mania Scale (PGBI-10M)) at a mean of 14.2 months follow-up after neuroimaging assessment. Neuroimaging measures, together with near-scan PGBI-10M, a score of manic behaviors, depressive behaviors and sex, explained 28% of the variance in follow-up PGBI-10M. Neuroimaging measures alone, after accounting for other identified predictors, explained ∼1/3 of the explained variance, in follow-up PGBI-10M. Specifically, greater bilateral cingulum length predicted lower PGBI-10M at follow-up. Greater functional connectivity in parietal-subcortical reward circuitry predicted greater PGBI-10M at follow-up. For the first time, data suggest that multimodal neuroimaging measures of underlying neuropathologic processes account for over a third of the explained variance in clinical outcome in a large sample of behaviorally and emotionally dysregulated youth. This may be an important first step toward identifying neurobiological measures with the potential to act as novel targets for early detection and future therapeutic interventions.
dc.format.extent1194-1201
dc.language.isoen
dc.relation.haspartMolecular Psychiatry
dc.relation.isreferencedbySpringer Science and Business Media LLC
dc.subjectAdolescent
dc.subjectAffective Symptoms
dc.subjectBipolar Disorder
dc.subjectBrain
dc.subjectChild
dc.subjectEmotions
dc.subjectFemale
dc.subjectForecasting
dc.subjectHumans
dc.subjectLongitudinal Studies
dc.subjectMale
dc.subjectParents
dc.subjectPsychiatric Status Rating Scales
dc.subjectReward
dc.subjectTreatment Outcome
dc.subjectWhite Matter
dc.titlePredicting clinical outcome from reward circuitry function and white matter structure in behaviorally and emotionally dysregulated youth
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.1038/mp.2016.5
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.date.updated2021-02-03T16:20:52Z
refterms.dateFOA2021-02-03T16:20:56Z


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