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Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

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Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association ng Trajectory 01 Social Impairment In Preterm Born Young Adults And Its Association With Altered Amygdalar Functional ConnectivityChristina JohnsFollo

w this and additional works at: https://elischolar.library.yale.edu/ymtdlRecommended CitationJohns, Christina, ■ The Worsening Trajectory Of Social Im Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

pairment In Preterm Born Young Adults And Its Association With Altered Amygdalar Functional Connectivity" (2019). Yak Mtdicini ntesis DigrhtJ Library.

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

3506.https://elischolar.library.yale.edu/ymtdl/3506Ihl* Open Access lh»is a brought to you tor free and open access by the School of Xiedcinc at EhSc

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association administrator of EliSchobr - A Digital Platform for Scholarly Publishing at Yale. For more information, pkase contact eliwholirtSyile.edu.The worsenin

g trajectory of social impairment in preterm born young adults and its association with altered amygdalar functional connectivity'A Thesis Submitted t Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

o the Yale University School of Medicine in Partial Fulfillment of the Requirements for the Degree of Doctor of MedicinebyChristina B. Johns2019THE WO

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

RSENING TRAJECTORY OF SOCIAL IMPAIRMENT IN PRE TERM BORN YOUNG ADULTS AND ITS ASSOCIATION WITH ALTERED AMYGDALAR FUNCTIONAL CONNECTIVITYChristina B. J

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association C l. USA, :l>eparlinent of Radiology and Biomedical Imaging. Yale University School of Medicine. New Haven. CT. USA. -’Department of Pediatrics. Warre

n Alpcn Medical School of Brown University-. Providence. RI. USA and -“Department OỈNeurology. Yale University School of Medicine. New Haven. CT. USA. Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

Survivors of preterm birth experience long-lasting behavioral problems characterized by increased risk of depression, anxiety, and impaired social fun

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

ctioning. 1 he amygdala is a key region for social functioning, and alterations in amygdalar structure and connectivity are thought to underlie social

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association tional connectivity of the amygdala arc not well-studied hl former preterm born individuals (PTs).It was hypothesized that PTs would show impaired soc

ial functioning compared to term controls beginning in early childhood and continuing to young adulthood. It was also hypothesized that amygdala resti Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

ng stale functional connectivity is altered in PT bom young adults, and that alterations in amygdala functional connectivity would mediate increased i

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

nternalizing behavior and socialization problems in PT born young adults.In a group of former very PT infants (600 to 1250 grams birth weight) and mat

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association and 16. the Youth Self Report administered at age 16. and the Vineland Adaptive Behavior Scales (VABS) administered at ages 8 and 18. Amygdalar functi

onal connectivity was examined using resting-state functional magnetic resonance imaging at age 20.By parent report, preterm-bom children and adolesce Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

nts exhibit behaviors demonstrating increased social impairment compared to their term-bora peers, starting at school-age and becoming more prominent

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

by young adulthood. P l demonstrate a worsening trajectory in CBCI. Withdrawn scores from school-age to young adulthood compared to T (group*time inte

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association thermore, amygdalar connectivity is altered in the formerly prematurely-born, and markers of social impairment correlate negatively with altered amygd

ala-posterior cingulate cortex connectivity (Social competence r—0.37. p-0.03; socialization r—0.42, p-0.01).As this cohort of PTs does not include in Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

dividuals who suffered any form of neurologic injury, their parent-reported increase in behavioral markers of social impairment may be attributable to

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

prematurity rather than to neurologic injury. Moreover, these data suggest that previously established social impairments in PT as compared to T wors

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association d by prematurely-bom individuals.https://khothuvien.cori!AcknowledgementsI thank Dr. Laura Ment for her guidance and encouragement over the last four

years. She has taught me much about preterm neurodevelopment, research design, and balancing a research and clinical career and I'm very grateful for Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

her mentorship.I also thank Dr. Dustin Scheinost for his ideas and guidance which were central to the completion of this work and for his assistance i

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

n writing up the original manuscript.Thank you to Dr. Betty Vohr for her insights during the completion of this analysis and to Cheryl Lacadie for her

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association s. Deborah Hirtz and Walter Allan for their scientific expertise; Marjorene Ainley for the follow-up coordination; Jill Maller-Kesselman. Susan Delane

y and Victoria Watson for their neurodevelopmental testing; Hedy Sarofin and Terry-Hickey for their technical assistance.Finally. I thank the children Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

and their families for their participation in the study.This work was supported by NIH NS27116 and by the Vernon w. Lippard MD Student Summer Researc

Luận văn Thạc sĩ The Worsening Trajectory Of Social Impairment In Preterm Born Young Adults And Its Association

h Fellowship.Table of ContentsTable of Frequently Used Abbreviations..........................................1Introduction...........................

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466The Worsenin

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