Browsing by Author "Winters, Drew E."

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    Behavioral Measurement of Sensation Seeking Shows Positive Association with Risky Behaviors
    (Office of the Vice Chancellor for Research, 2015-04-17) Bates, Sage M.; Myslinski, Jeremy S.; Winters, Drew E.; De Jesus, Jean S.; Cyders, Melissa A.; Oberlin, Brandon G.
    Sensation seeking (SS; the tendency to seek out experiences that are highly varied, novel, and intense, and the willingness to take risks in order to have such experiences) is strongly related to risky behavior. However, most prior research has relied on self-report assessments of SS, which are limited by subject biases and lack of insight. This study is designed to develop and optimize a behavioral assessment of SS to be used in future brain imaging studies, and to evaluate the relationship of this behavior with selfreported SS and risky behaviors. The novel behavioral SS task employed in this study presents participants with olfactory sensory stimuli and assesses the individual’s preference to seek varied, novel, and intense sensations, with the risk of an unpleasant stimulus (“Varied”; e.g. strong orange, rose, linalyl acetate, and propionic acid) vs. weaker and mildly pleasant sensations (“Standard”; weak vanillin, orange, and rose) across two twenty-trial sessions. Hypothesis: greater preference for “Varied” odors will correlate with self-reported SS and risky behaviors. Odorants are presented as a 1-sec burst via an airdilution olfactometer within a filtered airstream. Participants are being recruited from the Introduction to Psychology class at IUPUI (currently n = 11 total, mean age (SD) = 21.2, (5.4), n = 8 women, n = 7 Caucasian). The mean preference for “Varied” was 50%, range = 28-75%. Preference for “Varied” showed a moderate relationship with negative risky behaviors (r = 0.35) and SS (Zuckerman Thrill/Adventure seeking subscale; r = 0.48), suggesting that the behavioral task is associating as expected with these self-report variables. These preliminary data suggests the feasibility of behavioral SS assessment; behavioral characterization will permit examination of how SS influences brain activity, without the limitations of self-report. How SS affects choice of and reactions to new and exciting experiences has important research and clinical implications.
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    Cognitive and Affective Empathy as Indirect Paths Between Heterogeneous Depression Symptoms on Default Mode and Salience Network Connectivity in Adolescents
    (Springer, 2023) Winters, Drew E.; Pruitt, Patrick J.; Gambin, Malgorzata; Fukui, Sadaaki; Cyders, Melissa A.; Pierce, Barbara J.; Lay, Kathy; Damoiseaux, Jessica S.; School of Social Work
    Depression amongst adolescents is a prevalent disorder consisting of heterogeneous emotional and functional symptoms-often involving impairments in social domains such as empathy. Cognitive and affective components of empathy as well as their associated neural networks (default mode network for cognitive empathy and salience network for affective empathy) are affected by depression. Depression commonly onsets during adolescence, a critical period for brain development underlying empathy. However, the available research in this area conceptualizes depression as a homogenous construct, and thereby miss to represent the full spectrum of symptoms. The present study aims to extend previous literature by testing whether cognitive and affective empathy indirectly account for associations between brain network connectivity and heterogeneous depression symptoms in adolescents. Heterogeneous functional and emotional symptoms of depression were measured using the child depression inventory. Our results indicate that cognitive empathy mediates the association between default mode network functional connectivity and emotional symptoms of depression. More specifically, that adolescents with a stronger positive association between the default mode network and cognitive empathy show lower emotional depression symptoms. This finding highlights the importance of cognitive empathy in the relationship between brain function and depression symptoms, which may be an important consideration for existing models of depression in adolescents.
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    Concrete services usage on child placement stability: Propensity score matched effects
    (Elsevier, 2020-11) Winters, Drew E.; Pierce, Barbara J.; Imburgia, Teresa M.; School of Social Work
    Background: Experiencing poverty and financial difficulties are significant barriers to outcomes of permanency and placement stability. This is particularly true for children who are in out of home placements. The provision of concrete services is intended to meet concrete needs of families to address this barrier. However, little is known about how concrete services meet the needs of families in need of these services or if the use of concrete services is a viable treatment for children who are in out of home placements. Methods: The present study examined differences between those who received and those who did not receive concrete services on factors of stability, child and caregiver traumatic stress, number of placements, and current out of home placement. Regression analysis examined the association between amount of concrete service spending and permanency. Then to test concrete services as an intervention for children in a current out of home placement, we used propensity score matching to match participants on characteristics that predicted whether they would receive concrete services. We then ran a hierarchical regression to test the treatment condition of concrete services with children who are in a current out of home placement. Results: Participants who received concrete services were at a much higher level of need with significantly higher levels of traumatic stress and number of placements and lower levels of placement stability. The amount of money spent on concrete services was associated with increases in placement stability. And, children in a current out of home placement had an increase in placement stability when they received concrete services. Conclusions: The present study is the first to evidence concrete service as a treatment for placement stability for children in current out of home placements. Spending on concrete services in addition to child welfare services improves a child's current placement stability. This is an important finding with implications for improving child welfare services' approach to those in their care with financial burdens.
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    Improvements in Irritability with Open-Label Methylphenidate Treatment in Youth with Comorbid Attention Deficit/Hyperactivity Disorder and Disruptive Mood Dysregulation Disorder
    (Mary Ann Liebert, 2018-06) Winters, Drew E.; Fukui, Sadaaki; Leibenluft, Ellen; Hulvershorn, Leslie A.; School of Social Work
    Objective: The purpose of this open-label study was to examine the effects of long-acting methylphenidate (MPH) treatment on irritability and related emotional symptoms associated with disruptive mood dysregulation disorder (DMDD) in youth with comorbid attention-deficit/hyperactivity disorder (ADHD). Methods: The sample included 22 medication-free male and female subjects (ages 9–15) who met criteria for both DMDD and ADHD. Participants underwent a 4-week trial of long-acting MPH treatment (Concerta®), with weekly dosing increases until a therapeutic dose was reached. Repeated measures t-tests were used to compare pre- and posttreatment ratings of primary and secondary measures. The primary outcome was self-report irritability. Secondary outcomes included parent and child ratings of emotional frequency, emotional lability, and negative affect (NA). Multiple regression was used to examine the impact baseline hyperactivity, age, gender, race, socioeconomic status, or comorbid diagnosis had on treatment outcomes. Results: Significant improvements (medium to large effect sizes) in child-rated irritability as well as parent and child ratings of emotional lability, NA, and anger were found. As anticipated, ADHD symptoms also improved. While a majority of the sample saw improvement in child-rated irritability (71%), symptoms worsened a small proportion (19%), and an even smaller portion experienced no change (10%). No demographics, psychiatric comorbidities, or severity of ADHD symptoms influenced treatment outcomes. Conclusions: Study findings suggest that MPH treatment significantly improved mood and emotional symptoms associated with DMDD comorbid with ADHD. These findings, coupled with good tolerability in this open-label pilot study supports further research into the use of MPH as a first-line treatment for DMDD. Future work examining MPH treatment of youth with DMDD with and without comorbid ADHD is needed.
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    Network Functional Connectivity Underlying Dissociable Cognitive and Affective Components of Empathy in Adolescence
    (Elsevier, 2021) Winters, Drew E.; Pruitt, Patrick J.; Fukui, Sadaaki; Cyders, Melissa A.; Pierce, Barbara J.; Lay, Kathy; Damoiseaux, Jessica S.
    Empathy, the capacity to understand and share others' emotions, can occur through cognitive and affective components. These components are different conceptually, behaviorally, and in the brain. Neuroimaging task-based research in adolescents and adults document that cognitive empathy associates with the default mode and frontoparietal networks, whereas regions of the salience network underlie affective empathy. However, cognitive empathy is slower to mature than affective empathy and the extant literature reveals considerable developmental differences between adolescent and adult brains within and between these three networks. We extend previous work by examining empathy's association with functional connectivity within and between these networks in adolescents. Participants (n = 84, aged 13-17; 46.4% female) underwent resting state fMRI and completed self-report measures (Interpersonal Reactivity Index) for empathy as part of a larger Nathan-Kline Institute study. Regression analyses revealed adolescents reporting higher cognitive empathy had higher within DMN connectivity. Post hoc analysis revealed cognitive empathy's association within DMN connectivity is independent of affective empathy or empathy in general; and this association is driven by positive pairwise connections between the bilateral angular gyri and medial prefrontal cortex. These results suggest introspective cognitive processes related to the DMN are specifically important for cognitive empathy in adolescence.
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    Social Cognitive and Affective Neural Substrates of Adolescent Transdiagnostic Symptoms
    (2020-04) Winters, Drew E.; Lay, Kathy; Cyders, Melissa; Damoiseaux, Jessica; Fukui, Sadaaki; Pierce, Barbara
    The social cognitive ability to identify another’s internal state and social affective ability to share another’s emotional experience, known as empathy, are integral to healthy social functioning. During tasks, neural systems active when adolescents empathize include cognitive (medial prefrontal cortex and posterior cingulate cortex with the dorsolateral prefrontal cortex) and affective (anterior insula and anterior cingulate cortex) regions that are consistent with the adult task-based literature implicating the default mode, salience, and frontoparietal networks. However, task-based studies are limited to examining neural regions probed by the task; thus, do not capture broader patterns of information processing associated with complex processes, such as empathy. Methods of functional connectivity capture broader patterns of information processing at the level of network connectivity. Although it has clear advantages in identifying neural vulnerabilities to disorder, functional connectivity has yet to be used in adolescent investigations of empathy. Via parent- and self-report, deficits in either cognitive or affective processes central to empathy associate with the most widely agreed on classifications of behavioral disorders in adolescents – transdiagnostic symptoms of internalizing and externalizing. However, this evidence relies exclusively on self-report measures and research has yet to examine the neural connectivity underlying transdiagnostic symptoms in relation to cognitive and affective empathy. What has yet to be known is (1) how the social cognitive and affective processes of empathy are functionally connected across a heterogeneous sample of adolescents and (2) the association of cognitive, affective, and imbalanced empathy with transdiagnostic symptoms. Addressing these gaps in knowledge is an important incremental step for specifying vulnerabilities not fully captured via subjective report alone. This information can be used to improve prevention and intervention strategies. The present study will examine the functional connectivity of neural networks underlying empathy in early to mid-adolescents and their association with transdiagnostic symptoms.