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Squeglia, L. M.

Publications and source records attributed to Squeglia, L. M..

7 recordsLinked to original sources

Brain Age Gap Associations with Externalising Behaviours in Youth: A Longitudinal Investigation in the Adolescent Brain Cognitive Development (ABCD) Cohort

Background. Early adolescence is a period of heightened risk for the emergence of externalising psychopathology, making it an important window for identifying neurodevelopmental risk markers. Differences between predicted brain age and chronological age - termed the brain age gap - reflect variation from age-typical patterns of brain structure. While brain age gap has been closely linked with internalising behaviours in adolescence, less is known about its relationship with externalising symptoms. This study examined whether brain age gap in late childhood/early adolescence (9-11 years) is associated with current externalising symptoms and whether it predicts externalising trajectories over seven-year follow-up. Methods. Participants were 10,516 adolescents (aged 9-11 at baseline; up to 18 years at follow-up) from the Adolescent Brain Cognitive Development (ABCD) Study who met inclusion/exclusion criteria. Brain age gap for each participant was derived from an external validated prediction model (Drobinin et al., 2022) applied to baseline measurements of cortical volume, area, and subcortical volume. Linear mixed-effects models were used to test cross-sectional and longitudinal associations between baseline brain age gap and externalising symptoms, as assessed using the Child Behaviour Checklist. Primary models were adjusted for age, sex, pubertal status, and prior to inclusion of sociodemographic covariates (ethnoracial identity and caregiver highest education). Results. A higher/more positive brain age gap was associated with greater externalising symptoms at baseline (B[SE]=0.067[0.033], p=.042), but this association was removed following sociodemographic adjustment (B[SE]=0.056[0.033], p=.088). Longitudinally, a significant brain age gap x age interaction was identified that remained evident after sociodemographic adjustment, with this relationship weakening across adolescence (B[SE]=-0.007[0.003], p=.033). Conclusions. These findings suggest that a more positive brain age gap, indicating more mature-appearing brain structure for age, in late childhood/early adolescence may be associated with externalising psychopathology, but this relationship is likely to be age- and context-dependent rather than a stable marker of persistent behavioural risk.

neuroscience↗

The Brain Age Gap as a Predictor of Alcohol Initiation in Adolescence

BackgroundGrowing evidence suggests regional and network-level brain imaging features in late childhood are predictive of alcohol use in adolescence. However, the directionality of these effects (i.e. whether they reflect accelerated or delayed neuromaturation) are mixed. We applied a Brain Age Gap Estimation (BrainAGE) model to examine whether overall deviations from typical brain aging trajectories are predictive of (1) alcohol initiation and (2) use behaviour (experimentation versus binge drinking) in adolescence. MethodsData from the Adolescent Brain Cognitive Development study release 6.0 were used. Baseline (ages 9-11) structural imaging features (cortical volume, area, and subcortical volume) were used to estimate BrainAGE. Alcohol use was determined using self-report data from the Substance Use Interview and Timeline Follow-Back across follow-ups (waves 1-6; ages 10-17). Logistic generalized mixed effects models examined whether BrainAGE predicted group status between (1) non-initiators (n=3,639) and initiators (n=1,176), and; (2) experimentation (at least one full drink, no binge episodes; n=461) and binge drinking (at least one episode; n=438). ResultsWhen adjusting for age, sex, and pubertal status, a one-standard-deviation decrease in BrainAGE (equivalent to 1.64 years) at baseline was associated with a 9.5% increase in odds of alcohol initiation in adolescence. However, this effect did not survive adjustment for sociodemographic and prior alcohol exposure covariates. Further, BrainAGE did not discriminate between experimentation and binge drinking. ConclusionsFindings suggest BrainAGE in late childhood may reflect potential risk for alcohol initiation, but not behaviours, in adolescence. However, this association likely reflects complex interactions between brain structure and contextual factors, warranting further investigation.

neuroscience↗

Unified Multi-Cohort Harmonisation and Normative Modelling of Neuroimaging Data via Hierarchical GAMLSS

Large-scale neuroimaging studies increasingly pool data across multiple cohorts, scanners, and acquisition protocols, introducing technical between-cohort variation that must be addressed before meaningful biological inference can be drawn. Existing harmonisation methods, particularly ComBat-based approaches, have been widely adopted for this purpose. However, they remain limited by Gaussian assumptions and by their focus on location or location-scale correction. In this study, we propose a unified hierarchical Generalised Additive Models for Location, Scale and Shape (GAMLSS) framework for multi-cohort harmonisation and normative modelling of structural neuroimaging data. The framework models cohort effects directly within all fitted distributional parameters, accommodates any parametric family for which exact inverse mapping is available, and returns harmonised values on the original measurement scale through centile-based quantile mapping. Normative deviation scores are obtained as a direct by-product of the same fitted model, enabling harmonisation and normative inference to be conducted jointly. The method was evaluated in a pooled longitudinal dataset comprising 88,126 observations across 237 structural neuroimaging features from six cohorts spanning childhood to late life: ABCD, IMAGEN, NCANDA, LIFE, UK Biobank, and MAS. Harmonisation performance was compared with ComBat, ComBat-GAM, and ComBat-LS using complementary criteria assessing data retention, residual batch effects, preservation of age-related and sex-related biological signal, and coherence of post-harmonisation lifespan trajectories. GAMLSS achieved near-complete removal of residual cohort effects, retained almost all valid observations post-harmonisation, and showed the strongest overall preservation of biological signal across validation metrics. In particular, it better preserved biologically plausible age trajectories for distributionally complex features such as white matter hypointensity volume, while simultaneously providing harmonised native-scale values and normative deviation scores within a single framework. These findings suggest that hierarchical GAMLSS offers a flexible and practical alternative to existing ComBat-based methods for large-scale neuroimaging harmonisation, particularly for features with non-Gaussian residual distributions and settings where cohort effects extend beyond differences in mean and variance.

neuroscience↗

Structural Covariance Network Properties Predictive of Early Adolescent Alcohol Initiation

ImportanceEarly alcohol initiation (before age 15) is associated with adverse outcomes. Understanding mechanisms behind early alcohol initiation is essential for informing prevention efforts. ObjectiveTo examine whether structural covariance network properties at ages 9-10 years predict early alcohol initiation. DesignCase-control, population-based study design. SettingData from the Adolescent Brain Cognitive Development study were used. Baseline structural brain imaging data (ages 9-10) were used for generation and comparison of structural covariance networks. Data from baseline to 4-year follow-up ([≤]age 15) assessments were used to determine alcohol initiation. ParticipantsParticipants were excluded if they reported consuming a full drink of alcohol at baseline, or did not meet imaging inclusion criteria. Controls were excluded if they had not yet been assessed or were missing substance use data at 4-year follow-up. In total, 3,878 participants met study criteria, of which 182 participants initiated alcohol. Structural covariance network properties were compared between the full sample and a 1:1 propensity-matched sample based on age, sex, race, ethnicity, religion, parental education, prenatal alcohol exposure, and baseline alcohol sipping. Main Outcomes and MeasuresStructural covariance networks were estimated using regional cortical thickness and volume measurements. Measures of network segregation (modularity, clustering coefficient), integration (characteristic path length, global efficiency), and resilience (degree assortativity) were compared between groups. Early alcohol initiation was defined as consuming a full drink between baseline and 4-year follow-up ResultsAlcohol initiators (n=182, median[IQR] age, 10.3[9.9-10.8]; 101 female[55.5%]) demonstrated lower network segregation (modularity: area-under-the-curve[AUC] difference[95%CI]=-0.017[-0.017,-0.007], p=0.030; clustering coefficient: AUC[95%CI]=-0.026[-0.027,-0.012], p=0.0495) and higher network integration (characteristic path length: AUC[95%CI]=-0.106[-0.099,-0.046], p=0.020; global efficiency: AUC[95%CI]=0.011[0.005,0.011], p=0.010), compared to non-initiators (n=3,696, median[IQR] age, 9.9[9.4-10.4]; 1750 female[47.4%]) when controlling for age, sex, and mean cortical thickness. Within the matched sample, only differences in network integration were preserved (characteristic path length: AUC[95%CI]=-0.044[-0.032,0.035], p=0.010; global efficiency: AUC[95%CI]=0.003[-0.003,0.003], p=0.040). There were no differences between full or matched samples when comparing cortical volume structural covariance networks. Conclusions and RelevanceDifferences in cortical thickness structural covariance network properties at ages 9-10 predicted alcohol initiation before age 15. These findings suggest cortical thickness network topology may reflect a neuroanatomical risk marker for early alcohol initiation. Key pointsO_ST_ABSQuestionC_ST_ABSDo structural covariance network properties at age 9-10 years predict alcohol initiation prior to age 15? FindingsIn this case-control study of 3,878 participants, early adolescent alcohol initiators demonstrated differences in cortical thickness network integration and segregation compared to their non-initiating peers. MeaningAlcohol-naive adolescents who initiate alcohol use early in life demonstrate differences in structural brain network organization compared to their abstinent peers, which may reflect a neuroanatomical risk marker for early alcohol use.

neuroscience↗

Neural vulnerability and hurricane-related media predict posttraumatic stress in youth

As natural disasters increase in frequency and severity1, 2, mounting evidence reveals that their human toll extends beyond death, injury, and loss. Posttraumatic stress (PTS) can be common among directly exposed individuals, and children are particularly vulnerable3, 4. Curiously, PTS can even be found among youth far removed from harms way, and media-based exposure may partially account for this phenomenon5-8. Unfortunately, susceptibility to media effects has been difficult to characterize because most research is initiated post-event, precluding examination of pre-disaster factors. In this study, we mitigate this issue with data from nearly 400 9-to 11-year-old children collected prior to and after Hurricane Irma. We evaluate whether preexisting neural patterns moderate associations between hurricane experiences and later Irma-related PTS. We show that "dose" of both objective exposure and Irma-related media exposure predicted Irma-related PTS, the latter even among children dwelling thousands of kilometers away from the hurricane. Furthermore, we show, using pre-hurricane functional magnetic resonance imaging data, that neural responses in brain regions associated with anxiety and stress confer particular vulnerability to the psychological effects of hurricane exposure among certain children. Surprisingly, this was even the case for media exposure- we found that that right amygdala reactivity to fearful stimuli moderated the association between Irma-related media exposure and PTS symptoms, with the media-PTS association strongest for children showing pre-hurricane heightened amygdala reactivity to Fear vs Neutral Faces. In contrast, in bilateral orbitofrontal cortex and left parahippocampal gyrus, children showing a weak response to the Fear condition relative to the Neutral condition were especially susceptible to PTS as a result of Irma-related media exposure. Collectively, these findings run counter to outdated "bullseye" models of disaster exposure that assume negative effects are narrowly circumscribed around a disasters geographic epicenter9. In contrast, for some youth with measurable preexisting vulnerability, consumption of extensive disaster-related media appears to offer an alternative pathway to disaster exposure that transcends geography and objective risk. This preventable exposure should be considered in disaster-related mental health efforts.

neuroscience↗

Image processing and analysis methods for the Adolescent Brain Cognitive Development Study

The Adolescent Brain Cognitive Development (ABCD) Study is an ongoing, nationwide study of the effects of environmental influences on behavioral and brain development in adolescents. The ABCD Study is a collaborative effort, including a Coordinating Center, 21 data acquisition sites across the United States, and a Data Analysis and Informatics Center (DAIC). The main objective of the study is to recruit and assess over eleven thousand 9-10-year-olds and follow them over the course of 10 years to characterize normative brain and cognitive development, the many factors that influence brain development, and the effects of those factors on mental health and other outcomes. The study employs state-of-the-art multimodal brain imaging, cognitive and clinical assessments, bioassays, and careful assessment of substance use, environment, psychopathological symptoms, and social functioning. The data will provide a resource of unprecedented scale and depth for studying typical and atypical development. Here, we describe the baseline neuroimaging processing and subject-level analysis methods used by the ABCD DAIC in the centralized processing and extraction of neuroanatomical and functional imaging phenotypes. Neuroimaging processing and analyses include modality-specific corrections for distortions and motion, brain segmentation and cortical surface reconstruction derived from structural magnetic resonance imaging (sMRI), analysis of brain microstructure using diffusion MRI (dMRI), task-related analysis of functional MRI (fMRI), and functional connectivity analysis of resting-state fMRI.\n\nHighlightsO_LIAn overview of the MRI processing pipeline for the ABCD Study\nC_LIO_LIA discussion on the challenges of large, multisite population studies\nC_LIO_LIA methodological reference for users of publicly shared data from the ABCD Study\nC_LI

neuroscience↗

Convergent evidence for predispositonal effects of brain volume on alcohol consumption

BackgroundAlcohol use has been reliably associated with smaller subcortical and cortical regional gray matter volumes (GMVs). Whether these associations reflect shared predisposing risk factors and/or causal consequences of alcohol use remains poorly understood.\n\nMethodsData came from 3 neuroimaging samples (total n=2,423), spanning childhood/adolescence to middle age, with prospective or family-based data. First, we identified replicable GMV correlates of alcohol use. Next, we used family-based and longitudinal data to test whether these associations may plausibly reflect a predispositional liability for alcohol use, and/or a causal consequence of alcohol use. Finally, we evaluated whether GWAS-defined genomic risk for alcohol consumption is enriched for genes preferentially expressed in regions identified in our neuroimaging analyses, using heritability and gene-set enrichment, and transcriptome-wide association study (TWAS) approaches.\n\nResultsSmaller right dorsolateral prefrontal cortex (DLPFC; i.e., middle and superior frontal gyri) and insula GMVs were associated with increased alcohol use across samples. Family-based and prospective longitudinal data suggest these associations are genetically conferred and that DLPFC GMV prospectively predicts future use and initiation. Genomic risk for alcohol use was enriched in gene-sets preferentially expressed in the DLPFC and associated with differential expression of C16orf93, CWF19L1, and C18orf8 in the DLPFC.\n\nConclusionsThese data suggest that smaller DLPFC and insula GMV plausibly represent predispositional risk factors for, as opposed to consequences of, alcohol use. Alcohol use, particularly when heavy, may potentiate these predispositional risk factors. DLPFC and insula GMV represent promising biomarkers for alcohol consumption liability and related psychiatric and behavioral phenotypes.

neuroscience↗