Evidence map›Paper›PMID 40824339›Full record

ArticleDiscover mental health2025

Real-time aggression in youth and its connection to region-specific structural brain alterations.

Melissa Hatch, Ahria Dominguez, Johannah Bashford-Largo, R James R Blair, Karina S Blair, Matthew Dobbertin, Patrick Tyler, Sahil Bajaj

Abstract read
In one paragraph

Article in Discover mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Melissa HatchMultimodal Clinical Neuroimaging Laboratory (MCNL), Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, NE, USA.ORCID http://orcid.org/0000-0003-3453-4492
Ahria DominguezMultimodal Clinical Neuroimaging Laboratory (MCNL), Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, NE, USA.ORCID http://orcid.org/0000-0002-7623-2110
Johannah Bashford-LargoMultimodal Clinical Neuroimaging Laboratory (MCNL), Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, NE, USA.ORCID http://orcid.org/0000-0002-0128-9526
R James R BlairChild and Adolescent Mental Health Centre, Mental Health Services, Capital Region of Denmark, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6377-2361
Karina S BlairCenter for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, NE, USA.
Matthew DobbertinChild and Adolescent Psychiatric Inpatient Center, Boys Town National Research Hospital, Boys Town, NE, USA.ORCID http://orcid.org/0000-0003-4556-5892
Patrick TylerChild and Family Translational Research Center, Boys Town National Research Hospital, Boys Town, NE, USA.ORCID http://orcid.org/0000-0003-1545-0015
Sahil BajajMultimodal Clinical Neuroimaging Laboratory (MCNL), Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, NE, USA. sbajaj@mdanderson.org.ORCID http://orcid.org/0000-0003-0629-6036

Funding

Acute threat and frustrative non-reward components of irritability and reactive aggressionK22MH109558 · NIMH · FATHER FLANAGAN'S BOYS' HOME · PI BLAIR, JAMES · 2016 to 2018
$972k
NIMH NIH HHS K22 MH109558NIMH NIH HHS K22-MH109558
6 · The paper itself

Abstract

Aggression is expressed across psychiatric diagnoses. Literature displays associations between aggression and grey matter volume (GMV) in frontal, limbic, and striatal areas. Aggression is commonly assessed using self-report. Real-time aggressive incidents may provide a distinctive representation of the neural correlates of aggression. Structural MRI data were collected from 185 youth: 97 (32F/65 M) in the aggression group (AG) [mean age: 16.22 (SD = 1.10)] and 88 (36F/52 M) in the non-aggressive group (NG) [mean age: 16.29 (SD = 1.31)]. Data were acquired through the Boys Town National Database. Youth were included in AG if they had at least one aggressive incident within the first three months of residential care at Boys Town. FreeSurfer was used to estimate region-specific volumetric parameters following whole brain parcellation into 68 cortical and 14 sub-cortical regions. A multivariate analysis of covariance (MANCOVA) was conducted on pre-hypothesized bilateral brain regions of interest (ROIs) [i.e., middle frontal cortex, orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), pericalcarine, insula, amygdala, and striatum], including age and intracranial volume as covariates. Our MANCOVA showed significant differences in GMV [F(24,158) = 1.61, p ≤ 0.05]. AG showed lower GMV relative to NG in left lateral OFC [F(1,183) = 4.54, p ≤ 0.05], bilateral caudal ACC [F(1,183) = 5.21-6.37, ps ≤ 0.05], bilateral rostral ACC [F(1,183) = 3.80-5.54, ps ≤ 0.05], and bilateral caudate [F(1,183) = 4.60-5.61, ps < 0.05]. Remaining ROIs had no significant differences in GMV. Our results provide insight regarding the structural brain biomarkers of real-time aggression in youth. These findings provide consistent evidence for region-specific structural alterations in the adolescent brain that may aid in clinical applications across diagnoses.

Identifiers

PMID40824339
PMCPMC12361018

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.