adolescent brain development: risk and resilience€¦ · 2/11/2017  · adolescent brain...

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Beatriz Luna, PhD Staunton Professor of Psychiatry and Pediatrics Laboratory of Neurocognitive Development University of Pittsburgh Medical Center Adolescent Brain Development: Risk and Resilience

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Page 1: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Beatriz Luna, PhD

Staunton Professor of Psychiatry and Pediatrics

Laboratory of Neurocognitive Development

University of Pittsburgh Medical Center

Adolescent Brain Development:

Risk and Resilience

Page 2: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Paus et al., 2008

Age of Onset of Psychiatric Disorders

• Major psychopathology emerges and

intensifies during adolescence

Page 3: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Adolescence: Vulnerabilities

• There is a peak in sensation seeking that can

lead to risk-taking undermining survival • Despite peak physical health there is a twofold increase

in mortality (Dahl 2004) -Substance abuse, unprotected

sex, extreme sports, suicide

• Present across societies and species – Biological

Adaptive Stage

SAMHSA

Age of Substance Use Initiation Age of Fatal Car Crashes

15

to

20

15-20

NCCP Farrell et al, 2015

Robbery Arrests

18

Page 4: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Adult

Adolescence Child

Giedd lab

Brain Maturation

Kid

s

Adults

Ghetti Lab

Gray Matter

MRI

Age

Sowell Lab

Striatum Hippocampus

Page 5: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Adult

Adolescence Child

Giedd lab

Brain Maturation

Luna lab K

ids

Adults

Ghetti Lab

Gray Matter Connectivity

White M

att

er

Tra

cts

UF

GM

inputs

CG

10 15 20 25 Age

DTI FA

MRI

Age

Sowell Lab

Striatum Hippocampus

Page 6: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Adult

Adolescence Child

Giedd lab

Brain Maturation

Luna lab

Lewis Lab

Kid

s

Adults

Ghetti Lab

Gray Matter Connectivity

Neurochemistry

White M

att

er

Tra

cts

UF

GM

inputs

CG

10 15 20 25 Age

DTI FA

MRI

Age

Sowell Lab

Striatum Hippocampus

Page 7: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Response Inhibition Working Memory

Age

Ordaz et al.,2013

Simmonds et al.,2017

Behavior

Age

10 15 20 25 Age

0

10

20

30

Bra

in F

un

ctio

n

10 15 20 25

DLPFC

Age

Cognition and Brain Function

Page 8: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Response Inhibition Working Memory

Age

Teens Adults

% C

orr

ect

$ $

Bra

in F

un

ctio

n

Geier et al, 2009

Ordaz et al.,2013

Simmonds et al.,2017

Behavior

Age

VS Teens

Adults

0

0.2

0.4

10 15 20 25 Age

FEF

0 6 12 18

0

0.1

0.2

Brain Activation Timecourse (sec)

0 6 12 18

0

10

20

30

Bra

in F

un

ctio

n

10 15 20 25

DLPFC

Age

Cognition and Brain Function

Page 9: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Encoding

Maintenance

Retrieval

Response Inhibition Working Memory Variability

Age

Teens Adults

% C

orr

ect

$ $

Bra

in F

un

ctio

n

Geier et al, 2009

Ordaz et al.,2013

Simmonds et al.,2017

Montez et al.,2017

Behavior

Age

Age

10 15 20 25 30

Brain State

Expression

10 15 20 25 30

Age

VS Teens

Adults

0

0.2

0.4

10 15 20 25 Age

FEF

0 6 12 18

0

0.1

0.2

Brain Activation Timecourse (sec)

0 6 12 18

0

10

20

30

Bra

in F

un

ctio

n

10 15 20 25

DLPFC

Age

Cognition and Brain Function

Page 10: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Larsen et al., (in press)

Brain Connectivity

Frontolimbic Frontoamygdala

Jalbrzikowski et al., 2017

10 15 20 25 Age

10 15 20 25 Age

Str

uctu

ral

Co

nn

ectivity

Amy/rACC Amy/vmPFC

Anxiety/Depression (YSR/ASR) Affect

Cog

Age

Larsen et al., 2017

Functional Con

Structural Con

Affect

Cognitive

Affect

Page 11: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Larsen et al., (in press)

Brain Connectivity

Frontolimbic Frontoamygdala Frontohippocampal

Jalbrzikowski et al., 2017 Calabro et al., (under review)

10 15 20 25 Age

10 15 20 25 Age

Str

uctu

ral

Co

nn

ectivity

Amy/rACC Amy/vmPFC

Anxiety/Depression (YSR/ASR)

p=0.002 * Age

10 15 20 25 30

Affect

Cog

Age

HPC/PFC Connectivity

0.2 0.4 0.6 0.8

SO

C C

og

nitiv

e P

lann

ing

10

9.5

9

Larsen et al., 2017

Functional Con

Structural Con

Affect

Cognitive

Affect Experience

Page 12: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Adolescent CP of Association Cortices

Page 13: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Genes

Environment

Adolescent

Brain Maturation

Adult Trajectories

Page 14: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Genes

Environment

Adolescent

Brain Maturation

Adult Trajectories

Page 15: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Genes

Environment

Adolescent

Brain Maturation

Adult Modes of

Operation

Page 16: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

Genes

Environment

Adolescent

Brain Maturation

Adult Modes of

Operation

Age

Neu

roco

gnitiv

e M

atu

rity

Page 17: Adolescent Brain Development: Risk and Resilience€¦ · 2/11/2017  · Adolescent Brain Development: Risk and Resilience . Paus et al., 2008 Age of Onset of Psychiatric Disorders

•Finn Calabro PhD - Faculty

•Maria Jalbrzikowski PhD – Faculty

•Vishnu Murty PhD - Faculty

•Bart Larsen – PhD Student

•Scott Marek – PhD Student

•David Montez – PhD Student

•Brenden Tervo-Clemmens – PhD Student

•Sarah Ordaz PhD

•Dani Simmonds MD PhD

•Will Foran- MS

•Julia Lekht -Res Assistant

•Jen Fedor-Res Assistant

Laboratory of Neurocognitive Development

MH067924

MH080243

K23 NS 052234

K01 MH081191

K01 MH082123

PSYCHOLOGY

Thank you!