Abstract
Background: Childhood maltreatment is associated with altered neurocognitive functioning, which is thought to reflect, in part, adaptation to early adverse environmental experiences. However, we continue to lack a precise mechanistic understanding linking atypical neurocognitive processing with social functioning and psychiatric outcomes following early adversity.
Objective: The present work investigated interpersonal problem-solving, resting-state functional connectivity (rsFC), and mental health symptoms in adolescents with documented maltreatment experience and explored whether altered neural function contributes in part to poorer social functioning.
Methods: Forty adolescents (aged 12-17) with documented experiences of abuse or neglect and a carefully matched group of 42 non-maltreated peers participated in this study that measured task-based interpersonal problem-solving skills and rsFC.
Results: Adolescents with maltreatment experience showed poorer interpersonal problem-solving performance, which partly accounted for their elevated mental health symptoms. Resting-state seed-based analyses revealed that adolescents with maltreatment experience showed a significant increase in rsFC between medial Default Mode Network (DMN) hubs, the medial prefrontal cortex (mPFC), with a posterior cluster, including the posterior cingulate cortex (PCC), precuneus (PCu), retrosplenial cortex (RSC), and lingual gyrus (LG). Moderation analyses revealed that maltreatment-related increased DMN rsFC partly accounted for poorer performance in interpersonal problem-solving.
Conclusion: Poorer interpersonal problem-solving, partly accounted for by atypical coupling between DMN medial hubs, was associated with maltreatment exposure. Interventions tailored to enhance interpersonal problem-solving represents a promising avenue to promote resilience and reduce the likelihood of mental health disorder following maltreatment experience.
Graphical Abstract
[http://dx.doi.org/10.1371/journal.pmed.1001349]
[http://dx.doi.org/10.1016/S0140-6736(08)61706-7] [PMID: 19056114]
[http://dx.doi.org/10.1001/jamapediatrics.2020.5602] [PMID: 33492366]
[http://dx.doi.org/10.1017/S0954579415000115] [PMID: 25997767]
[http://dx.doi.org/10.1017/S0033291716003585] [PMID: 29429419]
[http://dx.doi.org/10.1016/j.cub.2011.10.015] [PMID: 22153160]
[http://dx.doi.org/10.1162/jocn.2009.21394] [PMID: 19929329]
[http://dx.doi.org/10.1017/S095457941700133X] [PMID: 29162176]
[http://dx.doi.org/10.1038/npp.2015.365] [PMID: 26677946]
[http://dx.doi.org/10.1038/s41386-022-01284-7] [PMID: 35149765]
[http://dx.doi.org/10.1192/bjp.bp.117.201798] [PMID: 28882830]
[http://dx.doi.org/10.1111/j.1469-7610.2009.02072.x] [PMID: 19490313]
[http://dx.doi.org/10.1017/S0954579420000504] [PMID: 32573399]
[http://dx.doi.org/10.1017/S0954579421001292] [PMID: 34924093]
[http://dx.doi.org/10.1016/j.jaac.2015.06.010] [PMID: 26299297]
[http://dx.doi.org/10.1017/S0954579403000440] [PMID: 14984138]
[http://dx.doi.org/10.1111/jcpp.13503] [PMID: 34500497]
[http://dx.doi.org/10.1111/jcpp.12713] [PMID: 28295339]
[http://dx.doi.org/10.1016/S2215-0366(22)00202-4] [PMID: 35926524]
[http://dx.doi.org/10.1016/j.chiabu.2013.02.006] [PMID: 23562083]
[http://dx.doi.org/10.1111/jcpp.13041] [PMID: 30933355]
[http://dx.doi.org/10.1177/15248380211036393] [PMID: 34355601]
[http://dx.doi.org/10.1037/10805-001]
[http://dx.doi.org/10.1016/S0005-7894(05)80091-7]
[http://dx.doi.org/10.1016/S0193-3973(97)90017-4]
[http://dx.doi.org/10.1007/BF01447209] [PMID: 7560557]
[http://dx.doi.org/10.1016/j.jad.2005.05.004] [PMID: 15979154]
[http://dx.doi.org/10.1037/0021-843X.114.3.421] [PMID: 16117579]
[http://dx.doi.org/10.1037/0021-843X.101.1.78] [PMID: 1537977]
[http://dx.doi.org/10.1016/j.brat.2007.10.005] [PMID: 18022601]
[http://dx.doi.org/10.1016/j.psychres.2016.05.026] [PMID: 27236589]
[http://dx.doi.org/10.1037/0022-0167.35.2.134]
[http://dx.doi.org/10.1007/978-1-4899-0694-6_12]
[http://dx.doi.org/10.1080/09602011003794583] [PMID: 20526955]
[http://dx.doi.org/10.1080/13546805.2013.809659] [PMID: 23875885]
[http://dx.doi.org/10.1016/j.psychres.2015.05.015] [PMID: 26051176]
[http://dx.doi.org/10.1016/j.brat.2020.103573] [PMID: 32087393]
[http://dx.doi.org/10.1111/j.0956-7976.2004.00722.x] [PMID: 15327626]
[http://dx.doi.org/10.1111/cdep.12124]
[http://dx.doi.org/10.1038/s41583-019-0212-7] [PMID: 31492945]
[http://dx.doi.org/10.1016/j.neuron.2010.02.005] [PMID: 20188659]
[http://dx.doi.org/10.1016/j.neuroimage.2014.01.032] [PMID: 24486981]
[http://dx.doi.org/10.1016/j.tics.2011.08.003] [PMID: 21908230]
[http://dx.doi.org/10.1016/j.biopsych.2020.02.1163] [PMID: 32466812]
[http://dx.doi.org/10.1016/B978-0-12-397025-1.00173-1]
[http://dx.doi.org/10.1038/s41598-019-57033-2] [PMID: 31932627]
[http://dx.doi.org/10.1001/jamapsychiatry.2015.0071] [PMID: 25785575]
[http://dx.doi.org/10.3389/fnhum.2014.00074] [PMID: 24605094]
[http://dx.doi.org/10.1016/j.neuroimage.2019.116287] [PMID: 31655111]
[http://dx.doi.org/10.1007/BF01537962] [PMID: 24277579]
[http://dx.doi.org/10.1007/BF01531949]
[http://dx.doi.org/10.1177/1073191102009001003]
[http://dx.doi.org/10.1093/arclin/11.4.329] [PMID: 14588937]
[http://dx.doi.org/10.1016/S0887-6177(97)00095-4] [PMID: 14590600]
[http://dx.doi.org/10.1097/00004583-200111000-00015] [PMID: 11699809]
[http://dx.doi.org/10.1037/h0033211] [PMID: 5045271]
[http://dx.doi.org/10.1037/h0037564] [PMID: 4436464]
[http://dx.doi.org/10.1002/1097-4679(197604)32:2<230:AID-JCLP2270320205>3.0.CO;2-2] [PMID: 1262480]
[http://dx.doi.org/10.1016/j.neubiorev.2013.01.024] [PMID: 23396051]
[http://dx.doi.org/10.1007/s10608-009-9286-2]
[http://dx.doi.org/10.1111/sltb.12159] [PMID: 25845416]
[http://dx.doi.org/10.1006/jado.1999.0228] [PMID: 10462427]
[http://dx.doi.org/10.1002/cpp.484]
[http://dx.doi.org/10.1017/S0033291708003693] [PMID: 18570698]
[http://dx.doi.org/10.1037/h0031360] [PMID: 4938262]
[http://dx.doi.org/10.1016/j.psychres.2015.06.030] [PMID: 26144580]
[http://dx.doi.org/10.1089/brain.2012.0073] [PMID: 22642651]
[http://dx.doi.org/10.1016/B978-0-12-372560-8.X5000-1]
[http://dx.doi.org/10.1016/j.neuroimage.2011.10.018] [PMID: 22019881]
[http://dx.doi.org/10.1016/j.neuroimage.2013.08.048] [PMID: 23994314]
[http://dx.doi.org/10.1016/j.neuroimage.2007.04.042] [PMID: 17560126]
[http://dx.doi.org/10.1016/j.neuroimage.2014.03.028] [PMID: 24657780]
[http://dx.doi.org/10.1002/mrm.1910350312] [PMID: 8699946]
[http://dx.doi.org/10.56441/hilbertpress.2207.6598]
[http://dx.doi.org/10.18637/jss.v048.i02]
[http://dx.doi.org/10.1089/brain.2017.0572] [PMID: 30289280]
[http://dx.doi.org/10.1016/j.nicl.2016.08.002] [PMID: 27995071]
[http://dx.doi.org/10.1016/j.concog.2011.09.023] [PMID: 22019214]
[http://dx.doi.org/10.1002/icd.2095]
[http://dx.doi.org/10.3102/0034654316652943]
[http://dx.doi.org/10.1016/j.eurpsy.2017.11.006] [PMID: 29331596]
[http://dx.doi.org/10.3122/jabfm.2018.01.170270] [PMID: 29330248]
[http://dx.doi.org/10.1146/annurev-clinpsy-032511-143049]
[http://dx.doi.org/10.1017/S1355617713000982] [PMID: 24044692]
[http://dx.doi.org/10.1176/appi.ajp.2016.16030333] [PMID: 27794691]
[http://dx.doi.org/10.1037/1040-3590.2.2.156]
[http://dx.doi.org/10.1016/j.brat.2019.02.001] [PMID: 30776658]
[http://dx.doi.org/10.1891/jcop.19.1.61.66326]
[http://dx.doi.org/10.1016/j.cpr.2009.02.003] [PMID: 19299058]
[http://dx.doi.org/10.1037/12082-004]