Preschool- and School-Age Irritability Predict Reward-Related Brain Function

Lea R Dougherty1, Karen T G Schwartz2, Maria Kryza-Lacombe2

  • 1University of Maryland, College Park, MD.

Insights

Childhood irritability impacts brain reward pathways differently depending on when it emerges. Early or ongoing irritability in children shows distinct patterns of neural connectivity, influencing reward processing.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Child Psychiatry

Background:

  • Chronic irritability in childhood is common, impactful, and predicts future maladjustment.
  • The underlying brain mechanisms (pathophysiology) of childhood irritability are not well understood.
  • Altered reward processing is a potential contributing factor to irritability.

Purpose of the Study:

  • To investigate the relationship between the developmental timing of irritability (preschool vs. school-age) and reward-related brain function.
  • To identify specific neural connectivity patterns associated with irritability at different developmental stages.

Main Methods:

  • Longitudinal assessment of children's irritability at preschool and school-age using clinical interviews.
  • Functional magnetic resonance imaging (fMRI) during a monetary incentive delay task in school-aged children (N=46).
  • Analysis of reward-related brain connectivity, comparing children with higher vs. lower irritability.

Main Results:

  • Preschool irritability (controlled for concurrent irritability) was linked to altered connectivity between the right amygdala and insula/inferior parietal lobe, and the left ventral striatum and several parietal/occipital regions.
  • Concurrent irritability (controlled for preschool irritability) showed altered connectivity between amygdalae and the superior frontal gyrus, and the left ventral striatum and precuneus/culmen.
  • Neural differences were most pronounced when comparing reward vs. no-reward conditions during missed targets.

Conclusions:

  • Both preschool-age and concurrent irritability are uniquely associated with aberrant reward-related neural connectivity.
  • The developmental timing of irritability is crucial for understanding its impact on brain function.
  • These findings highlight specific neural pathways involved in the pathophysiology of childhood irritability.
Abstract

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