Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria

Gender dysphoria (GD) is characterized by distress due to an incongruence between experienced gender and sex assigned at birth. Brain functional connectivity in adolescents who experience GD may be associated with experienced gender (vs. assigned sex) and/or brain networks implicated in own-body per...

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Main Authors: Malvina N. Skorska, Nancy J. Lobaugh, Michael V. Lombardo, Nina van Bruggen, Sofia Chavez, Lindsey T. Thurston, Madison Aitken, Kenneth J. Zucker, M. Mallar Chakravarty, Meng-Chuan Lai, Doug P. VanderLaan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.903058/full
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author Malvina N. Skorska
Nancy J. Lobaugh
Nancy J. Lobaugh
Michael V. Lombardo
Nina van Bruggen
Sofia Chavez
Sofia Chavez
Lindsey T. Thurston
Madison Aitken
Kenneth J. Zucker
M. Mallar Chakravarty
M. Mallar Chakravarty
M. Mallar Chakravarty
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Doug P. VanderLaan
Doug P. VanderLaan
author_facet Malvina N. Skorska
Nancy J. Lobaugh
Nancy J. Lobaugh
Michael V. Lombardo
Nina van Bruggen
Sofia Chavez
Sofia Chavez
Lindsey T. Thurston
Madison Aitken
Kenneth J. Zucker
M. Mallar Chakravarty
M. Mallar Chakravarty
M. Mallar Chakravarty
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Doug P. VanderLaan
Doug P. VanderLaan
author_sort Malvina N. Skorska
collection DOAJ
description Gender dysphoria (GD) is characterized by distress due to an incongruence between experienced gender and sex assigned at birth. Brain functional connectivity in adolescents who experience GD may be associated with experienced gender (vs. assigned sex) and/or brain networks implicated in own-body perception. Furthermore, sexual orientation may be related to brain functional organization given commonalities in developmental mechanisms proposed to underpin GD and same-sex attractions. Here, we applied group independent component analysis to resting-state functional magnetic resonance imaging (rs-fMRI) BOLD timeseries data to estimate inter-network (i.e., between independent components) timeseries correlations, representing functional connectivity, in 17 GD adolescents assigned female at birth (AFAB) not receiving gender-affirming hormone therapy, 17 cisgender girls, and 15 cisgender boys (ages 12-17 years). Sexual orientation was represented by degree of androphilia-gynephilia and sexual attractions strength. Multivariate partial least squares analyses found that functional connectivity differed among cisgender boys, cisgender girls, and GD AFAB, with the largest difference between cisgender boys and GD AFAB. Regarding sexual orientation and age, the brain’s intrinsic functional organization of GD AFAB was both similar to and different from cisgender girls, and both differed from cisgender boys. The pattern of group differences and the networks involved aligned with the hypothesis that brain functional organization is different among GD AFAB (vs. cisgender) adolescents, and certain aspects of this organization relate to brain areas implicated in own-body perception and self-referential thinking. Overall, brain functional organization of GD AFAB was generally more similar to that of cisgender girls than cisgender boys.
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spelling doaj.art-73dc14791c844d19a5f5651a02d0ff862022-12-22T02:30:31ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-07-011310.3389/fendo.2022.903058903058Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender DysphoriaMalvina N. Skorska0Nancy J. Lobaugh1Nancy J. Lobaugh2Michael V. Lombardo3Nina van Bruggen4Sofia Chavez5Sofia Chavez6Lindsey T. Thurston7Madison Aitken8Kenneth J. Zucker9M. Mallar Chakravarty10M. Mallar Chakravarty11M. Mallar Chakravarty12Meng-Chuan Lai13Meng-Chuan Lai14Meng-Chuan Lai15Meng-Chuan Lai16Meng-Chuan Lai17Meng-Chuan Lai18Doug P. VanderLaan19Doug P. VanderLaan20Child and Youth Psychiatry, Centre for Addiction and Mental Health, Toronto, ON, CanadaBrain Health Imaging Centre, Centre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Medicine, Division of Neurology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaLaboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, ItalyDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, CanadaBrain Health Imaging Centre, Centre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, CanadaDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaCerebral Imaging Centre, Douglas Mental Health University Institute, Montreal, PQ, CanadaDepartment of Psychiatry, McGill University, Montreal, PQ, CanadaDepartment of Biological and Biomedical Engineering, McGill University, Montreal, PQ, CanadaChild and Youth Psychiatry, Centre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada0The Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health and Azrieli Adult Neurodevelopmental Centre, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada1Department of Psychiatry and Autism Research Unit, The Hospital for Sick Children, Toronto, ON, Canada2Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan3Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United KingdomChild and Youth Psychiatry, Centre for Addiction and Mental Health, Toronto, ON, CanadaDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, CanadaGender dysphoria (GD) is characterized by distress due to an incongruence between experienced gender and sex assigned at birth. Brain functional connectivity in adolescents who experience GD may be associated with experienced gender (vs. assigned sex) and/or brain networks implicated in own-body perception. Furthermore, sexual orientation may be related to brain functional organization given commonalities in developmental mechanisms proposed to underpin GD and same-sex attractions. Here, we applied group independent component analysis to resting-state functional magnetic resonance imaging (rs-fMRI) BOLD timeseries data to estimate inter-network (i.e., between independent components) timeseries correlations, representing functional connectivity, in 17 GD adolescents assigned female at birth (AFAB) not receiving gender-affirming hormone therapy, 17 cisgender girls, and 15 cisgender boys (ages 12-17 years). Sexual orientation was represented by degree of androphilia-gynephilia and sexual attractions strength. Multivariate partial least squares analyses found that functional connectivity differed among cisgender boys, cisgender girls, and GD AFAB, with the largest difference between cisgender boys and GD AFAB. Regarding sexual orientation and age, the brain’s intrinsic functional organization of GD AFAB was both similar to and different from cisgender girls, and both differed from cisgender boys. The pattern of group differences and the networks involved aligned with the hypothesis that brain functional organization is different among GD AFAB (vs. cisgender) adolescents, and certain aspects of this organization relate to brain areas implicated in own-body perception and self-referential thinking. Overall, brain functional organization of GD AFAB was generally more similar to that of cisgender girls than cisgender boys.https://www.frontiersin.org/articles/10.3389/fendo.2022.903058/fullgender dysphoriaindependent component analysisresting-state fMRIbrain intrinsic functional organizationsexual orientationadolescence
spellingShingle Malvina N. Skorska
Nancy J. Lobaugh
Nancy J. Lobaugh
Michael V. Lombardo
Nina van Bruggen
Sofia Chavez
Sofia Chavez
Lindsey T. Thurston
Madison Aitken
Kenneth J. Zucker
M. Mallar Chakravarty
M. Mallar Chakravarty
M. Mallar Chakravarty
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Meng-Chuan Lai
Doug P. VanderLaan
Doug P. VanderLaan
Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria
Frontiers in Endocrinology
gender dysphoria
independent component analysis
resting-state fMRI
brain intrinsic functional organization
sexual orientation
adolescence
title Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria
title_full Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria
title_fullStr Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria
title_full_unstemmed Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria
title_short Inter-Network Brain Functional Connectivity in Adolescents Assigned Female at Birth Who Experience Gender Dysphoria
title_sort inter network brain functional connectivity in adolescents assigned female at birth who experience gender dysphoria
topic gender dysphoria
independent component analysis
resting-state fMRI
brain intrinsic functional organization
sexual orientation
adolescence
url https://www.frontiersin.org/articles/10.3389/fendo.2022.903058/full
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