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Neuroimaging Correlates of Suicidality in Decision-Making Circuits in Posttraumatic Stress Disorder

Bibliographic Data

ID15528146
AuthorsJennifer Barredo (0000-0003-4932-2433, Providence VA Medical Center, corresponding author), Emily Aiken (0000-0003-4374-3536, Providence VA Medical Center), Mascha van ’t Wout-Frank (0000-0002-1497-1989, Providence VA Medical Center), Mascha van 't Wout-Frank, Benjamin D Greenberg (0000-0002-5648-0002, Providence VA Medical Center), Linda L Carpenter (0000-0002-9651-3307, Providence VA Medical Center), Noah S Philip (0000-0002-4889-8775, Butler Hospital)
Year2019
Volume10
Pages44-44
Publication date2019-02-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00044
PMID30809160
OpenAlexW2914720210
LanguageEN
Citations received2
References cited51

In depression, brain and behavioral correlates of decision-making differ between individuals with and without suicidal thoughts and behaviors. Though promising, it remains unknown if these potential biomarkers of suicidality will generalize to other high-risk clinical populations. To preliminarily assess whether brain structure or function tracked suicidality in individuals with posttraumatic stress disorder (PTSD), we measured resting-state functional connectivity and cortical thickness in two functional networks involved in decision-making, a ventral fronto-striatal reward network and a lateral frontal cognitive control network. Neuroimaging data and self-reported suicidality ratings, and suicide-related hospitalization data were obtained from 50 outpatients with PTSD and also from 15 healthy controls, and all were subjected to seed-based resting-state functional connectivity and cortical thickness analyses using a priori seeds from reward and cognitive control networks. First, general linear models (GLM) were used to evaluate whether ROI-to-ROI functional connectivity was predictive of self-reported suicidality after false discovery rate (FDR)-correction for multiple comparisons and covariance of age and depression symptoms. Next, regional cortical thickness statistics were included as predictors of ROI-to-ROI functional connectivity in follow-up GLMs evaluating structure-function relationships. Functional connectivity between reward regions was positively correlated with suicidality ( p -FDR ≤ 0.05). Functional connectivity of the lateral pars orbitalis to anterior cingulate/paracingulate control regions also tracked suicidality ( p -FDR ≤ 0.05). Furthermore, cortical thickness in anterior cingulate/paracingulate was associated with functional correlates of suicidality in the control network ( p -FDR < 0.05). These results provide a preliminary demonstration that biomarkers of suicidality in decision-making networks observed in depression may generalize to PTSD and highlight the promise of these circuits as transdiagnostic biomarkers of suicidality

Anterior cingulate cortex · Cognition · Depression (economics · Functional connectivity · Functional neuroimaging · Neuroimaging · Psychiatry · Resting state fMRI · Clinical Psychology · Functional Brain Connectivity Studies · Mental Health Research Topics · Neuroscience · Psychology · Suicide and Self-Harm Studies

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Unique citing works2
Citations per year0,5
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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