Atypical attentional network dynamics in adolescent depression during emotional movie viewing

Emotion studies have commonly reported atypical emotional processing in clinically depressed adolescents in the context of short-lasting emotional cues. However, interindividual differences in the moment-to-moment brain network dynamics that underlie this impaired emotional reactivity remain unclear, and the use of poorly matched controls and relatively small sample sizes represents major limitations in most neuroimaging depression studies to date. Here, we address these concerns by using the temporal features of a rich naturalistic paradigm (i.e. a clip from the movie 'Despicable Me') to investigate brain network dynamics in 42 clinically depressed and 42 nondepressed adolescents aged 16-21 years, matched for age, gender, and psychiatric comorbidities. Using a dynamics functional connectivity analysis technique called Leading Eigenvector Dynamics Analysis, we found that the clinical group exhibited significantly higher probability of occurrence of the dorsal attention network and lower recruitment of the fronto-parietal, default mode network, ventral attention, and somato-motor networks throughout the task. This brain/behaviour relationship was prominent during less emotional moments of the movie, consistent with previous findings. Our findings demonstrate the key role of continuous affective measures in providing information about how activity in the depressed brain evolves as emotional intensity unfolds throughout the movie. Future studies with a larger sample size are needed in order to corroborate the present findings.