Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression

Abstract Subthreshold depression (StD) is associated an increased risk of developing major depressive disorder (MDD) and suicidality. Suicidality could be linked to distress intolerance and use of context-dependent strategies. We identified neural correlates of executive functioning among the hubs i...

Full description

Bibliographic Details
Main Authors: Je-Yeon Yun, Soo-Hee Choi, Susan Park, Joon Hwan Jang
Format: Article
Language:English
Published: Nature Portfolio 2023-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-48160-y
_version_ 1797453170599788544
author Je-Yeon Yun
Soo-Hee Choi
Susan Park
Joon Hwan Jang
author_facet Je-Yeon Yun
Soo-Hee Choi
Susan Park
Joon Hwan Jang
author_sort Je-Yeon Yun
collection DOAJ
description Abstract Subthreshold depression (StD) is associated an increased risk of developing major depressive disorder (MDD) and suicidality. Suicidality could be linked to distress intolerance and use of context-dependent strategies. We identified neural correlates of executive functioning among the hubs in the resting-state functional connectome (rs-FCN) and examined associations with recent suicidality in StD and MDD. In total, 79 young adults [27 StD, 30 MDD, and 23 healthy controls (HC)] were scanned using magnetic resonance imaging. Neurocognitive measures of the mean latency to correct five moves in the One Touch Stockings of Cambridge (OTSMLC5), spatial working memory between errors (SWMBE), rapid visual information processing A′ (RVPA′), and the stop signal reaction time in the stop signal test (SSTSSRT) were obtained. Global graph metrics were calculated to measure the network integration, segregation, and their balance in the rs-FCN. Regional graph metrics reflecting the number of neighbors (degree centrality; DC), participation in the shortcuts (betweenness centrality; BC), and accessibility to intersections (eigenvector centrality; EC) in the rs-FCN defined group-level hubs for StD, HC, and MDD, separately. Global network metrics were comparable among the groups (all P > 0.05). Among the group-level hubs, regional graph metrics of left dorsal anterior insula (dAI), right dorsomedial prefrontal cortex (dmPFC), right rostral temporal thalamus, right precuneus, and left postcentral/middle temporal/anterior subgenual cingulate cortices were different among the groups. Further, significant associations with neurocognitive measures were found in the right dmPFC with SWMBE, and left dAI with SSTSSRT and RVPA′. Shorter OTSMLC5 was related to the lower centralities of right thalamus and suffer of recent 1-year suicidal ideation (all Ps < 0.05 in ≥ 2 centralities out of DC, BC, and EC). Collectively, salience and thalamic networks underlie spatial strategy and planning, response inhibition, and suicidality in StD and MDD. Anti-suicidal therapies targeting executive function and modulation of salience-thalamic network in StD and MDD are required.
first_indexed 2024-03-09T15:18:59Z
format Article
id doaj.art-e45af0a4021a438eb566d5170d6b6fd2
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-09T15:18:59Z
publishDate 2023-11-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-e45af0a4021a438eb566d5170d6b6fd22023-11-26T12:58:10ZengNature PortfolioScientific Reports2045-23222023-11-0113111410.1038/s41598-023-48160-yAssociation of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depressionJe-Yeon Yun0Soo-Hee Choi1Susan Park2Joon Hwan Jang3Seoul National University HospitalDepartment of Psychiatry, Seoul National University HospitalDepartment of Psychiatry, Seoul National University HospitalDepartment of Psychiatry, Seoul National University Health Service CenterAbstract Subthreshold depression (StD) is associated an increased risk of developing major depressive disorder (MDD) and suicidality. Suicidality could be linked to distress intolerance and use of context-dependent strategies. We identified neural correlates of executive functioning among the hubs in the resting-state functional connectome (rs-FCN) and examined associations with recent suicidality in StD and MDD. In total, 79 young adults [27 StD, 30 MDD, and 23 healthy controls (HC)] were scanned using magnetic resonance imaging. Neurocognitive measures of the mean latency to correct five moves in the One Touch Stockings of Cambridge (OTSMLC5), spatial working memory between errors (SWMBE), rapid visual information processing A′ (RVPA′), and the stop signal reaction time in the stop signal test (SSTSSRT) were obtained. Global graph metrics were calculated to measure the network integration, segregation, and their balance in the rs-FCN. Regional graph metrics reflecting the number of neighbors (degree centrality; DC), participation in the shortcuts (betweenness centrality; BC), and accessibility to intersections (eigenvector centrality; EC) in the rs-FCN defined group-level hubs for StD, HC, and MDD, separately. Global network metrics were comparable among the groups (all P > 0.05). Among the group-level hubs, regional graph metrics of left dorsal anterior insula (dAI), right dorsomedial prefrontal cortex (dmPFC), right rostral temporal thalamus, right precuneus, and left postcentral/middle temporal/anterior subgenual cingulate cortices were different among the groups. Further, significant associations with neurocognitive measures were found in the right dmPFC with SWMBE, and left dAI with SSTSSRT and RVPA′. Shorter OTSMLC5 was related to the lower centralities of right thalamus and suffer of recent 1-year suicidal ideation (all Ps < 0.05 in ≥ 2 centralities out of DC, BC, and EC). Collectively, salience and thalamic networks underlie spatial strategy and planning, response inhibition, and suicidality in StD and MDD. Anti-suicidal therapies targeting executive function and modulation of salience-thalamic network in StD and MDD are required.https://doi.org/10.1038/s41598-023-48160-y
spellingShingle Je-Yeon Yun
Soo-Hee Choi
Susan Park
Joon Hwan Jang
Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression
Scientific Reports
title Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression
title_full Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression
title_fullStr Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression
title_full_unstemmed Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression
title_short Association of executive function with suicidality based on resting-state functional connectivity in young adults with subthreshold depression
title_sort association of executive function with suicidality based on resting state functional connectivity in young adults with subthreshold depression
url https://doi.org/10.1038/s41598-023-48160-y
work_keys_str_mv AT jeyeonyun associationofexecutivefunctionwithsuicidalitybasedonrestingstatefunctionalconnectivityinyoungadultswithsubthresholddepression
AT sooheechoi associationofexecutivefunctionwithsuicidalitybasedonrestingstatefunctionalconnectivityinyoungadultswithsubthresholddepression
AT susanpark associationofexecutivefunctionwithsuicidalitybasedonrestingstatefunctionalconnectivityinyoungadultswithsubthresholddepression
AT joonhwanjang associationofexecutivefunctionwithsuicidalitybasedonrestingstatefunctionalconnectivityinyoungadultswithsubthresholddepression