Smaller putamen volumes are associated with greater problems in external emotional regulation in depressed adolescents with nonsuicidal self-injury

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Kangcheng Wang - , Shandong Normal University (Author)
  • Qiang He - , Shandong University (Author)
  • Xingxing Zhu - , University of Glasgow (Author)
  • Yufei Hu - , Shandong Normal University (Author)
  • Yuan Yao - , Shandong University (Author)
  • Bernhard Hommel - , Department of Child and Adolescent Psychiatry and Psychotherapy, Shandong Normal University, Leiden University (Author)
  • Christian Beste - , Department of Child and Adolescent Psychiatry and Psychotherapy, Shandong Normal University (Author)
  • Jintong Liu - , Shandong University, Shandong Mental Health Center (Author)
  • Ying Yang - , Shandong University, Shandong Mental Health Center (Author)
  • Wenxin Zhang - , Shandong Normal University (Author)

Abstract

The functions of nonsuicidal self-injury (NSSI) consist of social and emotional aspects (Social influence, Sensation seeking, Internal and External emotion regulation). Previous studies have indicated that dysfunction in reward-related brain structures especially the striatum might drive this habitual behavior. However, no studies to date have investigated the associations between striatum and different functions for adolescents engaging in NSSI behaviors. Here, we recruited 35 depressed adolescents with recent NSSI behaviors and 36 healthy controls and acquired structural brain images, depressive symptoms, social, academic and family environments assessments, in addition to NSSI functions in patients only. Subcortical volumes and cortical thickness were estimated with FreeSurfer. Mixed linear regressions were performed to examine associations between striatal structures (caudate, putamen, nucleus accumbens, pallidum) and NSSI functions, with age, sex, total intracranial volume, hemisphere and depression severity included as covariates. Effect of environmental factors and potential associations with cortical thickness and other subcortical volumes were also tested. We found that, among the four functions, external emotional regulation represented the main function for NSSI engagement. Increased external emotion regulation was significantly associated with smaller putamen volume. No environmental factors biased the association with putamen. No associations with other cortical or subcortical regions were observed. Our findings suggested that smaller putamen might be a biomarker of NSSI engagement for depressed adolescents when they regulated frustrated or angry emotions. The results have potentially clinical implications in early identification and brain intervention of NSSI in youth.

Details

Original languageEnglish
Pages (from-to)338-346
Number of pages9
JournalJournal of psychiatric research
Volume155
Publication statusPublished - Nov 2022
Peer-reviewedYes

External IDs

PubMed 36179414
ORCID /0000-0003-4731-5125/work/160950351
ORCID /0000-0002-2989-9561/work/160952336

Keywords

Sustainable Development Goals

Keywords

  • Adolescent depression, External emotional regulation, Nonsuicidal self-injury, Putamen volume

Library keywords