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Emotional maltreatment and neglect impact neural activation upon exclusion in early and mid-adolescence: An event-related fMRI study

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Schulz,  Charlotte
Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society;
Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Germany;

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Deserno,  Lorenz
Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society;
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Hospital Würzburg, Germany;
Department of Psychiatry and Psychotherapy, TU Dresden, Germany;

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Villringer,  Arno
Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society;

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Vrticka,  Pascal
Department of Psychology, University of Essex, Colchester, United Kingdom;
Research Group Social Stress and Family Health, MPI for Human Cognitive and Brain Sciences, Max Planck Society;

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Citation

Schulz, C., von Klitzing, K., Deserno, L., Sheridan, M. A., Crowley, M. J., Schoett, M. J. S., et al. (2022). Emotional maltreatment and neglect impact neural activation upon exclusion in early and mid-adolescence: An event-related fMRI study. Development and Psychopathology, 34(2), 573-585. doi:10.1017/S0954579421001681.


Cite as: https://hdl.handle.net/21.11116/0000-0009-FB76-8
Abstract
Child maltreatment gives rise to atypical patterns of social functioning with peers which might be particularly pronounced in early adolescence when peer influence typically peaks. Yet, few neuroimaging studies in adolescents use peer interaction paradigms to parse neural correlates of distinct maltreatment exposures. This fMRI study examines effects of abuse, neglect, and emotional maltreatment (EM) among 98 youth (n = 58 maltreated; n = 40 matched controls) using an event-related Cyberball paradigm affording assessment of both social exclusion and inclusion across early and mid-adolescence (≤13.5 years, n = 50; >13.5 years, n = 48). Younger adolescents showed increased activation to social exclusion versus inclusion in regions implicated in mentalizing (e.g., superior temporal gyrus). Individual exposure-specific analyses suggested that neglect and EM coincided with less reduction of activation to social exclusion relative to inclusion in the dorsal anterior cingulate cortex/pre-supplementary motor area (dACC/pre-SMA) among younger versus older adolescents. Integrative follow-up analyses showed that EM accounted for this dACC/pre-SMA activation pattern over and above other exposures. Moreover, age-independent results within respective exposure groups revealed that greater magnitude of neglect predicted blunted exclusion-related activity in the parahippocampal gyrus, while EM predicted increased activation to social exclusion in the precuneus/posterior cingulate cortex.