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Program & Abstract Book - EPFL Latsis Symposium 2009

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<strong>EPFL</strong> <strong>Latsis</strong> <strong>Symposium</strong> <strong>2009</strong>: Understanding Violence<br />

P-15<br />

Poster <strong>Abstract</strong>s<br />

a v o X e l-b a s e D m o r p h o m e t r y (vbm) s t u D y<br />

o f b r a i n s t r u c t u r e in m a l e a D o l e s c e n t s<br />

w i t h co n D u c t Di s o r D e r<br />

Fairchild, Graeme 1 ; Passamonti, Luca 2 ; Hurford, Georgina<br />

1 ; von dem Hagen, Elisabeth 2 ; van Goozen, Stephanie 3 ;<br />

Fletcher, Paul 1 ; Goodyer, Ian 1 ; Calder, Andrew 2<br />

1 Department of Psychiatry, Cambridge University; 2 Medical Research<br />

Council Cognition and Brain Sciences Unit, Cambridge;<br />

3 School of Psychology, Cardiff University<br />

Recent studies from our group have demonstrated neurocognitive and<br />

emotional impairments in male adolescents with early-onset and adolescence-onset<br />

forms of Conduct Disorder (CD), a psychiatric diagnosis associated<br />

with increased aggressive and antisocial behaviour. To investigate<br />

the mechanisms underlying such impairments, we acquired structural<br />

magnetic resonance imaging (MRI) data from these individuals and used<br />

a data-driven approach, voxel-based morphometry (VBM), to quantify<br />

differences in brain structure between groups. We report preliminary results<br />

from 20 control participants and 30 participants with CD (20 had<br />

early-onset CD and 10 had adolescence-onset CD). Collapsing across CD<br />

subgroups, CD participants overall showed reductions in rostral anterior<br />

cingulate cortex (rACC; p>.001 uncorrected) and intraparietal sulcus<br />

(p>.001 uncorrected) grey matter volume relative to controls. Using<br />

a less stringent threshold (p>.01 uncorrected), volume reductions were<br />

observed across the anterior cingulate cortex, amygdala and anterior insular<br />

cortex in participants with CD. Compared with controls, participants<br />

with early-onset CD showed volume reductions in dorsal anterior cingulate<br />

cortex (dACC; p>.001 uncorrected) and intraparietal sulcus (p>.001<br />

uncorrected). These data suggest that the most pronounced structural<br />

abnormalities in CD occur in brain regions involved in emotion regulation.<br />

Findings of reduced dACC volume are consistent with a previous functional<br />

imaging study showing abnormal patterns of dACC activation during<br />

emotion processing in early-onset CD, but diverge somewhat from prior<br />

structural imaging studies primarily using subjects with comorbid CD and<br />

ADHD. This study differs from the others in the literature because most<br />

(73%) of the participants with CD did not have a comorbid ADHD diagnosis.<br />

69

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