INDIGO Home University of Illinois at Urbana-Champaign logo uic building uic pavilion uic student center

Time Course of Recovery Showing Initial Prefrontal Cortex Changes at 16 weeks, Extending to Subcortical Changes by Three years in Pediatric Bipolar Disorder

Show full item record

Bookmark or cite this item: http://hdl.handle.net/10027/10834

Files in this item

File Description Format
PDF Tables.pdf (126KB) Tables PDF
PDF Contributors.pdf (47KB) Contributors PDF
PDF Acknowledgments (1).pdf (46KB) Acknowledgement PDF
PDF Conflict of interest.pdf (101KB) Conflict of Interest PDF
PDF Role of funding source.pdf (46KB) Funding Source PDF
PDF short article_Mani_2 13 2013 .pdf (282KB) Main Article PDF
PNG image Fig.1.png (2MB) Figure 1 PNG image
PNG image FigS1.png (210KB) Figure S1 PNG image
Title: Time Course of Recovery Showing Initial Prefrontal Cortex Changes at 16 weeks, Extending to Subcortical Changes by Three years in Pediatric Bipolar Disorder
Author(s): Yang, Hongyu; Lu, Lisa H.; Wu, Minjie; Stevens, Michael; Wegbreit, Ezra; Fitzgerald, Jacklynn; Levitan, Bryn; Shankman, Stewart; Pavuluri, Mani N.
Subject(s): pediatric bipolar disorder Functional Magnetic Resonance Imaging (fMRI) emotion fMRI
Abstract: Objective: Activation changes at the interface of affective and cognitive systems are examined over a three year period in pediatric bipolar disorder (PBD). Methods: Thirteen participants with PBD and 10 healthy controls (HC) matched on demographics and IQ were scanned at baseline, at 16 weeks, and after three years. All patients received pharmacotherapy based on a medication algorithm. A pediatric affective color matching paradigm was used to probe cognitive processing under emotional challenge. Results: At baseline, in response to emotional vs. neutral words, patients with PBD showed greater activation than HC in the right dorsal lateral prefrontal cortex (DLPFC) and amygdala, ventral lateral prefrontal cortex (VLPFC), bilateral anterior cingulate cortex (ACC), and ventral striatum. Increased activation in DLPFC in the PBD group normalized by 16 weeks. By three years, normalization was observed in VLPFC, ACC, amygdala, and striatum. Limitations: Small sample size renders the present findings preliminary. Conclusions: Greater activation in fronto-striatal and fronto-limbic circuits were observed in unmedicated patients with PBD. Present findings suggest the possibility that DLPFC is most malleable to pharmacological intervention with systematic pharmacotherapy leading to immediate response, which extended to amygdalostriatal and ventral cortical regions at three years. The seminal observation from this study is the prolonged length of recovery time in the normalization of subcortical activity along with their interfacing cortical regions. Findings from this proof of concept study need to be replicated in a larger sample.
Issue Date: 2013-09
Publisher: Elsevier
Citation Info: Yang H, Lu LH, Wu M, Stevens M, Wegbreit E, Fitzgerald J, Levitan B, Shankman S, Pavuluri MN. Time course of recovery showing initial prefrontal cortex changes at 16 weeks, extending to subcortical changes by 3 years in pediatric bipolar disorder. Journal of Affective Disorders . 2013 Mar 18. doi: 10.1016/j.jad.2013.02.007.
Type: Article
Description: NOTICE: This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 2013, DOI: 10.1016/j.jad.2013.02.007
URI: http://hdl.handle.net/10027/10834
ISSN: 1573-2517
Sponsor: This research was funded by NARSAD Independent Investigator Award, NIH K23 MH 79935- 01A2 and K24MH096011.
Date Available in INDIGO: 2013-12-05
 

This item appears in the following Collection(s)

Show full item record

Statistics

Country Code Views
United States of America 387
China 164
Russian Federation 37
United Kingdom 22
Germany 15

Browse

My Account

Information

Access Key