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  • fgfr inhibitor We emphasize the utility of taking a

    2018-10-25

    We emphasize the utility of taking a dimensional approach to psychiatric disorders, one focused on symptoms/behavior and the examination of white matter structure-function relationships, rather than focusing on traditional diagnostic categories. We are enthusiastic about using this approach in fgfr inhibitor imaging studies of the developing brain. In our previous review of the adult literature, we hypothesized that the UF allows information about temporal-lobe based mnemonic associations (for instance, a person\'s name+face+biographical information) to modify behavior by interacting with systems in the lateral OFC that are instrumental for making associations between stimuli and rewards, and ultimately, decision making. The bidirectionality of UF information flow would ensure that temporal lobe representations of objects and people reflect up-to-date reward/punishment history (Von Der Heide et al., 2013). We list more specific predictions below and they can also be found in Table 2. First, problems with memory retrieval, which may be evidenced by poor scholastic achievement, might be linked to variability in UF microstructure. Children who suffer from disorders characterized by memory impairments, such as medial temporal lobe epilepsy, likely have both macro and microstructural perturbation of the UF (reviewed in Von Der Heide et al., 2013). In our laboratory, we have found a robust relationship between associative memory performance and UF microstructure in a population with limited behavioral variability – college students. Moreover, we found that individual differences in this tract also predicted memory performance after a lengthy delay (45min), exactly the sort of memory tested in a scholastic setting (Alm et al., 2015, in press). Second, individuals with developmental disorders characterized by impulsive decision making in which memory and knowledge should be used to alter behavior but are not successfully employed, should have predictable alterations in UF microstructure. Disorders that fall into this category include conduct disorder, attention deficit hyperactivity disorder (ADHD), and substance abuse. We note that reversal learning deficits have been reported in CD (Budhani & Blair, 2005), and ADHD (Itami & Uno, 2002), as well as certain types of substance abuse (Izquierdo & Jentsch, 2012). More generally, damage or alterations in UF microstructure could impair fronto-temporal communication required for learning from errors (Ramnani et al., 2004) as well as episodic future thinking that guides decision making. This in turn could lead to deficits in decision making tasks that rely on long-term memory, since these tasks require the integration of past knowledge about rewards and punishments with one\'s current state. If true, this would predict that variation in UF microstructure should index individual differences in decision making. Our findings in an adult population show an association between UF microstructure and reversal learning in normal young adults (Alm et al., submitted). We predict these findings will generalize to children and be especially robust in developmental cohorts that exhibit impulsive decision making (e.g. CD and ADHD).
    Acknowledgements
    Introduction The intelligence quotient (IQ) has played a significant role in clinical psychology. The Wechsler Intelligence Scale for Children (WISC) is one of the most widely used measures of psychometric intelligence in children. It is used in various contexts such as clinical, academic, and school settings. This instrument has excellent psychometric properties, especially in terms of its standardization and the reliability of the full-scale IQ (FSIQ), two composed scores that are verbal IQ (VIQ), performance IQ (PIQ), and four factor index scores (VC: verbal comprehension, PO: perceptual organization, FD: freedom from distractibility, and PS: processing speed) (Kaufman, 1993). Some practitioners have reported the importance of the profile analysis of factor index scores or sub-test scores with respect to patterning (Donders, 1996). The discrepancy pattern of cognitive functions measured by WISC is useful for better understanding the cognitive strengths and weaknesses of children.