Cited by 172Functional Brain Connectivity StudiesNeural and Behavioral Psychology StudiesMental Health Research Topics

Ventral Striatum Functional Connectivity as a Predictor of Adolescent Depressive Disorder in a Longitudinal Community-Based Sample

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Pan, Pedro Mario, Sato, João R., Salum, Giovanni A., Rohde, Luis A., Gadelha, Ary, Zugman, Andre, Mari, Jair, Jackowski, Andrea +6 more·2017·American Journal of Psychiatry

Abstract

OBJECTIVE: Previous studies have implicated aberrant reward processing in the pathogenesis of adolescent depression. However, no study has used functional connectivity within a distributed reward network, assessed using resting-state functional MRI (fMRI), to predict the onset of depression in adolescents. This study used reward network-based functional connectivity at baseline to predict depressive disorder at follow-up in a community sample of adolescents. METHOD: A total of 637 children 6-12 years old underwent resting-state fMRI. Discovery and replication analyses tested intrinsic functional connectivity (iFC) among nodes of a putative reward network. Logistic regression tested whether striatal node strength, a measure of reward-related iFC, predicted onset of a depressive disorder at 3-year follow-up. Further analyses investigated the specificity of this prediction. RESULTS: Increased left ventral striatum node strength predicted increased risk for future depressive disorder (odds ratio=1.54, 95% CI=1.09-2.18), even after excluding participants who had depressive disorders at baseline (odds ratio=1.52, 95% CI=1.05-2.20). Among 11 reward-network nodes, only the left ventral striatum significantly predicted depression. Striatal node strength did not predict other common adolescent psychopathology, such as anxiety, attention deficit hyperactivity disorder, and substance use. CONCLUSIONS: Aberrant ventral striatum functional connectivity specifically predicts future risk for depressive disorder. This finding further emphasizes the need to understand how brain reward networks contribute to youth depression.

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Crossref · 10.1176/appi.ajp.2017.17040430

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  • Across studies, over-recruitment of prefrontal cortex regions, including medial prefrontal cortex and dorsolateral prefrontal cortex, during reward processing has been interpreted as suggesting over-compensation for reduced striatal responses to rewards.

    “Across studies, over-recruitment of PFC regions (mPFC, dlPFC) during reward processing has been interpreted as suggesting over-compensation for reduced striatal responses to rewards [104, 111, 112].”

    From Prefrontal cortex and depression (2022) · cites this paper as [112]

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  • This metric did not predict the emergence of ADHD, anxiety or substance abuse over the same time period.

    “Highlighting specificity, this metric did not predict the emergence of ADHD, anxiety or substance abuse over the same time period.”

    From Prefrontal cortex and depression (2022) · cites this paper as [112]

    The Results (Specificity Analyses) report that left ventral striatum node strength was not associated with anxiety disorders, ADHD, or any substance use at the three-year follow-up. The paper measured any reported alcohol, tobacco, or drug use—not a diagnosis of substance abuse—so that part of the claim is more specific than the evidence supports. (LLM, conf=0.88)

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  • In a community-based sample of 6-12 years children, rsFC strength between the ventral striatum and other reward-related regions (vmPFC, dACC, VTA) predicted the new onset of depressive disorder 3 years later.

    “Critically, in a community-based sample of 6-12 years children (N = 637), rsFC strength between the ventral striatum and other reward-related regions (vmPFC, dACC, VTA) predicted the new onset of depressive disorder 3 years later [112].”

    From Prefrontal cortex and depression (2022) · cites this paper as [112]

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Authors
Pan, P. M., Sato, J. R., Salum, G. A., Rohde, L. A., Gadelha, A., Zugman, A., Mari, J., Jackowski, A., Picon, F., Miguel, E. C., Pine, D. S., Leibenluft, E., Bressan, R. A., & Stringaris, A.
Affiliations
  • From the Department of Psychiatry, Laboratório Interdisciplinar de Neurociências Clínicas, Universidade Federal de São Paulo, São Paulo, Brazil; the Mood, Brain, and Development Unit, Emotion and Development Branch, NIMH, Bethesda, Md.; Center for Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil; the Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; the Department and Institute of...
  • Universidade Federal do Rio Grande do Sul (BR)
Venue
American Journal of Psychiatry
Published
2017-11-01
Volume
174
Issue
11
Pages
1112-1119
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
OpenAlex
W2758286034
Cited by
156
References
40
Citations by year
2026: 1 · 2025: 13 · 2024: 14 · 2023: 14 · 2022: 21 · 2021: 38 · 2020: 23 · 2019: 19 · 2018: 11 · 2017: 2
FWCI
8.63
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
Funders
  • Eli Lilly and Company
  • Wellcome Trust
  • University of Cambridge
  • University College London
  • University of Oxford
  • Fundação de Amparo à Pesquisa do Estado de São Paulo (2014/, 14/50917-0, 13/08531-5)
  • Conselho Nacional de Desenvolvimento Científico e Tecnológico (2014‐2, 2013/08531-5, 465550/2014-2, CNPq 465550/2014-2)
  • H. Lundbeck A/S
  • National Institutes of Health
  • National Institute of Mental Health (Z01MH002781, Z01MH002782)
  • Daiichi Sankyo Europe
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
ventral striatum, functional connectivity, adolescent depression, reward processing, reward network, intrinsic functional connectivity, risk prediction, children and adolescents, longitudinal prediction
MeSH terms
Adolescent, Brain, Brazil, Child, Major Depressive Disorder, Depressive Disorder, Female, Follow-Up Studies, Humans, Image Processing, Computer-Assisted, Longitudinal Studies, Magnetic Resonance Imaging, Male, Reward, Cohort Studies, Odds Ratio, Risk Assessment, Functional Neuroimaging, Ventral Striatum

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