TY - JOUR PY - 2022// TI - Cortico-amygdalar connectivity and externalizing/internalizing behavior in children with neurodevelopmental disorders JO - Brain structure and function A1 - Nakua, Hajer A1 - Hawco, Colin A1 - Forde, Natalie J. A1 - Jacobs, Grace R. A1 - Joseph, Michael A1 - Voineskos, Aristotle N. A1 - Wheeler, Anne L. A1 - Lai, Meng-Chuan A1 - Szatmari, Peter A1 - Kelley, Elizabeth A1 - Liu, Xudong A1 - Georgiades, Stelios A1 - Nicolson, Rob A1 - Schachar, Russell A1 - Crosbie, Jennifer A1 - Anagnostou, Evdokia A1 - Lerch, Jason P. A1 - Arnold, Paul D. A1 - Ameis, Stephanie H. SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Externalizing and internalizing behaviors contribute to clinical impairment in children with neurodevelopmental disorders (NDDs). Although associations between externalizing or internalizing behaviors and cortico-amygdalar connectivity have been found in clinical and non-clinical pediatric samples, no previous study has examined whether similar shared associations are present across children with different NDDs.

METHODS: Multi-modal neuroimaging and behavioral data from the Province of Ontario Neurodevelopmental Disorders (POND) Network were used. POND participants aged 6-18 years with a primary diagnosis of autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD) or obsessive-compulsive disorder (OCD), as well as typically developing children (TDC) with T1-weighted, resting-state fMRI or diffusion weighted imaging (DWI) and parent-report Child Behavioral Checklist (CBCL) data available, were analyzed (total n = 346). Associations between externalizing or internalizing behavior and cortico-amygdalar structural and functional connectivity indices were examined using linear regressions, controlling for age, gender, and image-modality specific covariates. Behavior-by-diagnosis interaction effects were also examined.

RESULTS: No significant linear associations (or diagnosis-by-behavior interaction effects) were found between CBCL-measured externalizing or internalizing behaviors and any of the connectivity indices examined. Post-hoc bootstrapping analyses indicated stability and reliability of these null results.

CONCLUSIONS: The current study provides evidence towards an absence of a shared linear relationship between internalizing or externalizing behaviors and cortico-amygdalar connectivity properties across a transdiagnostic sample of children with different primary NDD diagnoses and TDC. Different methodological approaches, including incorporation of multi-dimensional behavioral data (e.g., task-based fMRI) or clustering approaches may be needed to clarify complex brain-behavior relationships relevant to externalizing/internalizing behaviors in heterogeneous clinical NDD populations.

Language: en

LA - en SN - 1863-2653 UR - http://dx.doi.org/10.1007/s00429-022-02483-0 ID - ref1 ER -