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Cortical thickness in symptomatic and asymptomatic bipolar offspring
Lindsay C Hanford1, Roberto B Sassi2, Luciano Minuzzi2
1Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Insights
Children with a parent diagnosed with bipolar disorder show reduced gray matter thickness in key brain regions. These brain changes in high-risk offspring are linked to psychiatric symptoms and emotional regulation.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Children of parents with bipolar disorder have an elevated risk for psychiatric disorders.
- The underlying neurobiological factors contributing to this increased risk are not fully understood.
Purpose of the Study:
- To investigate differences in gray matter integrity, specifically cortical thickness, between high-risk bipolar offspring (HRO) and healthy control offspring (HCO).
- To explore whether psychiatric symptoms in HRO are associated with distinct patterns of cortical thickness and age-related changes.
Main Methods:
- Utilized T1-weighted magnetic resonance imaging (MRI) to assess cortical thickness in HRO (with and without psychiatric symptoms) and HCO.
- Compared cortical thickness and the correlation between age and cortical thickness across the different groups.
Main Results:
- HRO exhibited reduced cortical thickness in temporal and frontal regions compared to HCO, irrespective of psychiatric symptoms.
- Symptomatic HRO showed further cortical thinning in frontal and somatosensory areas.
- Age-cortical thickness relationships differed, with negative correlations in HCO and positive correlations in HRO across several brain regions.
Conclusions:
- High-risk bipolar offspring demonstrate reduced cortical thickness during youth, even without current psychiatric symptoms.
- Specific cortical alterations, particularly in emotion processing regions, are more pronounced in symptomatic HRO.
- These findings highlight potential neurodevelopmental differences in individuals at high risk for bipolar disorder.
Abstract:
Children of parents diagnosed with bipolar disorder are at greater risk for developing a variety of psychiatric disorders, however, the reasons remain unknown. The present study aimed to investigate gray matter integrity in high-risk bipolar offspring (HRO) and healthy offspring (HCO) using cortical thickness techniques. Here we examined healthy control offspring (HCO; n=20) and HRO with (n=17) or without (n=13) psychiatric symptoms. T1-weighted images were collected from all offspring, and cortical thickness and age-cortical thickness correlations were compared. HRO showed cortical thinning in superior and inferior temporal regions, supramarginal, and caudal and rostral middle frontal regions compared to HCO. When comparing HRO with and without psychiatric symptoms, we found cortical thinning in symptomatic offspring in the superior frontal and somatosensory related cortices. Age-thickness correlations showed a relatively consistent negative relationship in most regions in HCO, while the reverse was true for the HRO. These regions included parahippocampal, lateral orbitofrontal, and inferior temporal regions. Our study provides evidence of cortical thickness reductions among symptomatic and asymptomatic high-risk offspring during youth. Some of these alterations, found in regions of emotion processing and regulation, are evident only when associated with the presence of psychiatric symptoms.
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