Altered brain degree centrality and functional connectivity in adults with executive dysfunction after trauma...

Losing an only child is undoubtedly a huge blow that can adversely affect the prefrontal lobe, a highly sensitive brain region. Neuropsychological evidence emphasizes that executive function (EF) is closely related to the optimal functioning of the frontal cortex. However, the characteristics and potential mechanisms underlying changes in executive function following the huge shock of losing an only child remain insufficiently studied and understood. In this study, we performed degree centrality (DC) and functional connectivity (FC) analyses to explore the organization of the executive function deficits (EFD) network among adults who have lost their only child. In addition, we performed correlation analyses to establish an association between abnormal DC and FC values and post-traumatic stress symptoms. Finally, we used support vector machine analyses to assess the accuracy of abnormal DC and FC values in distinguishing adults with EFD who have lost their only child from those without EFD. Our findings revealed increased DC in the left superior frontal gyrus and right angular gyrus (ANG), whereas decreased DC in the left superior occipital gyrus among adults with EFD. Further FC analysis revealed that the altered FC primarily involved the prefrontal and temporal lobes and cerebellum. Notably, the altered FC between the right ANG and left inferior temporal gyrus exhibited a negative correlation with irritability symptoms (R = -0.047, p = 0.003) in the EFD group. A combined model incorporating altered DC and FC values enabled the classification of 96.69% of adults with EFD, with a sensitivity of 0.8837 and specificity of 0.9558. These findings provide valuable insights into the neural mechanisms underlying distinct EF statuses following trauma exposure, distinguishing adults with and without EFD.