Cited by 14Functional Brain Connectivity StudiesPsychosomatic Disorders and Their TreatmentsMental Health Research Topics

Unresolved–disorganized attachment adjusted for a general psychopathology factor associated with atypical amygdala resting-state functional connectivity

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van Hoof, Marie-José, Riem, Madelon M. E., Garrett, Amy S., van der Wee, Nic J. A., van IJzendoorn, Marinus H., Vermeiren, Robert R. J. M·2019·European Journal of Psychotraumatology

Abstract

Background: Recent research has identified a general psychopathology factor (GPF), which explains overlap in presentation of psychopathological symptoms. Unresolved–disorganized attachment (Ud) is another transdiagnostic risk factor that may be relevant to explain differences in patient characteristics within diagnostic classifications.Objective: In the current study, we examined unique relations of resting-state functional connectivity (RSFC) with Ud and GPF.Method: RSFC data were collected from a mixed group of adolescents (N = 74) with and without psychiatric disorder, as part of the Emotional Pathways’ Imaging Study in Clinical Adolescents (EPISCA) study. Ud was measured using the Adult Attachment Interview (AAI). Associations between Ud, GPF, and RSFC of the amygdala and dorsal anterior cingulate cortex (dACC) and with amygdala–medial frontal connectivity were examined.Results: Ud was positively associated with greater functional connectivity between the left amygdala and the left lateral occipital cortex, precuneus, and superior parietal lobule. Furthermore, Ud was negatively associated with left amygdala–medial frontal cortex connectivity. GPF was not significantly associated with dACC or amygdala connectivity.Conclusions: Atypical amygdala connectivity may reflect a vulnerability factor rather than a biomarker of psychopathology. The unique association of Ud and amygdala RSFC, adjusted for a GPF, across participants with and without various classifications of psychopathology illustrates that dimensional approaches based on the AAI may complement psychiatric classifications in clinical research and practice.

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  • In adolescence, disorganized attachment is associated with heightened functional connectivity between the amygdala and areas involved in visual and self-referential (DMN) processing, but reduced connectivity with the inhibitory PfC.

    “In adolescence, disorganized attachment has been shown to be associated with heightened functional connectivity between the amygdala and areas in the brain involved in visual and self-referential (i.e., DMN) processing, but reduced connectivity with the inhibitory PfC [181]—similar to findings with adults diagnosed with BPD.”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [181]

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  1. Hesse E. (2016). The adult attachment interview: Protocol, method of analysis, and selected empirical studies: 1985–2015 In Cassidy J. & Shaver P. R. (Eds.), Handbook of attachment research and clinical applications (3rd ed., pp. 553– 597). New York, London: The Guilford Press.
  2. Lyons-Ruth K., & Jacobvitz D. (2016). Attachment disorganization from infancy to adulthood: Neurobiological correlates, parenting contexts, and pathways to disorder In Cassidy J. & Shaver P. R. (Eds.), Handbook of attachment: Theory, research and clinical applications (3rd ed., pp. 667– 695). New York, London: The Guilford Press.

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Authors
van Hoof, M.-J., Riem, M. M. E., Garrett, A. S., van der Wee, N. J. A., van IJzendoorn, M. H., & Vermeiren, R. R. J. M.
Affiliations
  • Curium-LUMC, Department of Child and Adolescent, Psychiatry, Leiden University Medical Center, Leiden, The Netherlands
  • Tilburg University (NL)
  • The University of Texas at San Antonio Health Science Center (US)
  • Leiden Institute for Brain and Cognition (LIBC), The Netherlands
  • Department of Psychology, Education and Child Studies, Erasmus University, Rotterdam, The Netherlands
  • Leiden University (NL)
Venue
European Journal of Psychotraumatology
Published
2019-03-14
Volume
10
Issue
1
Pages
1583525-1583525
ISSN
2000-8066 (ISSN-L)
OpenAlex
W2920824940
Cited by
14
References
73
Citations by year
2026: 1 · 2025: 4 · 2024: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 1
FWCI
1.16
Type
journal article
Language
en
Open access
Locations
  • European Journal of Psychotraumatology (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • Research portal (Tilburg University) (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Leiden Repository (Leiden University) (submittedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Radboud Repository (Radboud University) (submittedVersion)
Funders
  • Leids Universitair Medisch Centrum
  • LUMC) grant. M.J. van Hoof
  • Spinoza Award
  • Rivierduinen
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
general psychopathology factor, resting-state functional connectivity, amygdala, dorsal anterior cingulate cortex, transdiagnostic risk factors, adolescents, mental illness, Adult Attachment Interview, precuneus, superior parietal lobule

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