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1. Neural correlates of social withdrawal and preference for solitude in adolescence

   https://doi.org/10.1093/cercor/bhaf260  

   Risner, Matthew; Stamouls, Catherine (October 2025, Cerebral Cortex)

   Abstract Social isolation during development, especially in adolescence, has detrimental but incompletely understood effects on the brain. This study investigated the neural correlates of preference for solitude and social withdrawal in a sample of 2809 youth [median (IQR) age = 12.0 (1.1) years, 1440 (51.26%) females] from the Adolescent Brain Cognitive Development study. Older youth whose parents had mental health issues more frequently preferred solitude and/or were socially withdrawn (β = 0.04 to 0.14, CI = [0.002, 0.19], P < 0.05), both of which were associated with internalizing and externalizing behaviors, depression, and anxiety (β = 0.25 to 0.45, CI = [0.20, 0.49], P < 0.05). Youth who preferred solitude and/or were socially withdrawn had lower cortical thickness in regions involved in social function (cuneus, insula, anterior cingulate, and superior temporal gyri) and/or mental health (β = −0.09 to −0.02, CI = [−0.14, −0.003], P < 0.05), and higher amygdala, entorhinal cortex, parahippocampal gyrus, and basal ganglia volume (β = 2.62 to 668.10, CI = [0.13, 668.10], P < 0.05). Youth who often preferred solitude had more topologically segregated dorsal attention, temporoparietal, and social networks (β = 0.07 to 0.10, CI = [0.02, 0.14], P ≤ 0.03). Socially withdrawn youth had a less topologically robust and efficient (β = −0.05 to −0.80, CI = [−1.34,−0.01], P < 0.03) and more fragile cerebellum (β = 0.04, CI = [0.01, 0.07], P < 0.05). These findings suggest that social isolation in adolescence may be a risk factor for widespread alterations in brain regions supporting social function and mental health. 

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2. Strength and resilience of developing brain circuits predict adolescent emotional and stress responses during the COVID-19 pandemic

   https://doi.org/10.1093/cercor/bhae164  

   Hu, Linfeng; Stamoulis, Catherine (April 2024, Cerebral Cortex)

   Abstract The COVID-19 pandemic has had profound but incompletely understood adverse effects on youth. To elucidate the role of brain circuits in how adolescents responded to the pandemic’s stressors, we investigated their prepandemic organization as a predictor of mental/emotional health in the first ~15 months of the pandemic. We analyzed resting-state networks from n = 2,641 adolescents [median age (interquartile range) = 144.0 (13.0) months, 47.7% females] in the Adolescent Brain Cognitive Development study, and longitudinal assessments of mental health, stress, sadness, and positive affect, collected every 2 to 3 months from May 2020 to May 2021. Topological resilience and/or network strength predicted overall mental health, stress and sadness (but not positive affect), at multiple time points, but primarily in December 2020 and May 2021. Higher resilience of the salience network predicted better mental health in December 2020 (β = 0.19, 95% CI = [0.06, 0.31], P = 0.01). Lower connectivity of left salience, reward, limbic, and prefrontal cortex and its thalamic, striatal, amygdala connections, predicted higher stress (β = −0.46 to −0.20, CI = [−0.72, −0.07], P < 0.03). Lower bilateral robustness (higher fragility) and/or connectivity of these networks predicted higher sadness in December 2020 and May 2021 (β = −0.514 to −0.19, CI = [−0.81, −0.05], P < 0.04). These findings suggest that the organization of brain circuits may have played a critical role in adolescent stress and mental/emotional health during the pandemic. 

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3. Pre-pandemic mental health and brain characteristics predict adolescent stress and emotions during the COVID-19 pandemic

   https://doi.org/10.1371/journal.pone.0334028  

   Risner, Matthew; Hu, Linfeng; Stamoulis, Catherine (October 2025, PLOS One)

   Seyedmirzaei, Homa (Ed.)

   The COVID-19 pandemic had profound effects on developing adolescents that, to date, remain incompletely understood. Youth with preexisting mental health problems and associated brain alterations were at increased risk for higher stress and poor mental health. This study investigated impacts of adolescent pre-pandemic mental health problems and their neural correlates on stress, negative emotions and poor mental health during the first 15 months of the COVID-19 pandemic. N = 2,641 adolescents (median age = 12.0 years) from the Adolescent Brain Cognitive Development (ABCD) cohort were studied, who had pre-pandemic data on anxiety, depression, and behavioral (attention, aggression, social withdrawal, internalizing, externalizing) problems, longitudinal survey data on mental health, stress and emotions during the first 15 months following the outbreak, structural MRI, and resting-state fMRI. Data were analyzed using mixed effects mediation and moderation models. Preexisting mental health and behavioral problems predicted higher stress, negative affect and negative emotions (β = 0.09–0.21, CI=[0.03,0.32]), and lower positive affect (β = −0.21 to −0.09, CI=[−0.31,-0.01]) during the first ~6 months of the outbreak. Pre-pandemic structural characteristics of brain regions supporting social function and emotional processing (insula, superior temporal gyrus, orbitofrontal cortex, and the cerebellum) mediated some of these relationships (β = 0.10–0.15, CI=[0.01,0.24]). The organization of pre-pandemic brain circuits moderated (attenuated) associations between preexisting mental health and pandemic stress and negative emotions (β = −0.17 to −0.06, CI=[−0.27,-0.01]). Preexisting mental health problems and their structural brain correlates were risk factors for youth stress and negative emotions during the early months of the outbreak. In addition, the organization of some brain circuits was protective and attenuated the effects of preexisting mental health issues on youth responses to the pandemic’s stressors. 

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4. Shorter Duration and Lower Quality Sleep Have Widespread Detrimental Effects on Developing Functional Brain Networks in Early Adolescence

   https://doi.org/10.1093/texcom/tgab062  

   Brooks, Skylar J; Katz, Eliot S; Stamoulis, Catherine (January 2022, Cerebral Cortex Communications)

   Abstract Sleep is critical for cognitive health, especially during complex developmental periods such as adolescence. However, its effects on maturating brain networks that support cognitive function are only partially understood. We investigated the impact of shorter duration and reduced quality sleep, common stressors during development, on functional network properties in early adolescence—a period of significant neural maturation, using resting-state functional magnetic resonance imaging from 5566 children (median age = 120.0 months; 52.1% females) in the Adolescent Brain Cognitive Development cohort. Decreased sleep duration, increased sleep latency, frequent waking up at night, and sleep-disordered breathing symptoms were associated with lower topological efficiency, flexibility, and robustness of visual, sensorimotor, attention, fronto-parietal control, default-mode and/or limbic networks, and with aberrant changes in the thalamus, basal ganglia, hippocampus, and cerebellum (P < 0.05). These widespread effects, many of which were body mass index-independent, suggest that unhealthy sleep in early adolescence may impair neural information processing and integration across incompletely developed networks, potentially leading to deficits in their cognitive correlates, including attention, reward, emotion processing and regulation, memory, and executive control. Shorter sleep duration, frequent snoring, difficulty waking up, and daytime sleepiness had additional detrimental network effects in nonwhite participants, indicating racial disparities in the influence of sleep metrics. 

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5. Dynamic fluctuations of intrinsic brain activity are associated with consistent topological patterns in puberty and are biomarkers of neural maturation

   https://doi.org/10.1162/netn_a_00452  

   Lim, Jethro; Cooper, Kaitlynn; Stamoulis, Catherine (March 2025, Network Neuroscience)

   ABSTRACT Intrinsic brain dynamics play a fundamental role in cognitive function, but their development is incompletely understood. We investigated pubertal changes in temporal fluctuations of intrinsic network topologies (focusing on the strongest connections and coordination patterns) and signals, in an early longitudinal sample from the Adolescent Brain Cognitive Development (ABCD) study, with resting-state fMRI (n = 4,099 at baseline; n = 3,376 at follow-up [median age = 10.0 (1.1) and 12.0 (1.1) years; n = 2,116 with both assessments]). Reproducible, inverse associations between low-frequency signal and topological fluctuations were estimated (p < 0.05, β = −0.20 to −0.02, 95% CI = [−0.23, −0.001]). Signal (but not topological) fluctuations increased in somatomotor and prefrontal areas with pubertal stage (p < 0.03, β = 0.06–0.07, 95% CI = [0.03, 0.11]), but decreased in orbitofrontal, insular, and cingulate cortices, as well as cerebellum, hippocampus, amygdala, and thalamus (p < 0.05, β = −0.09 to −0.03, 95% CI = [−0.15, −0.001]). Higher temporal signal and topological variability in spatially distributed regions were estimated in girls. In racial/ethnic minorities, several associations between signal and topological fluctuations were in the opposite direction of those in the entire sample, suggesting potential racial differences. Our findings indicate that during puberty, intrinsic signal dynamics change significantly in developed and developing brain regions, but their strongest coordination patterns may already be sufficiently developed and remain temporally consistent. 

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