King, Sinead and Zhang, Zuo and Robinson, Lauren and Whelan, Robert and Nees, Frauke and Bobou, Marina and Banaschewski, Tobias and Barker, Gareth J and Bokde, Arun L W and Flor, Herta and Grigis, Antoine and Garavan, Hugh and Gowland, Penny and Heinz, Andreas and Brühl, Rüdiger and Martinot, Jean-Luc and Martinot, Marie-Laure Paillère and Artiges, Eric and Poustka, Luise and Hohmann, Sarah and Holz, Nathalie and Baeuchl, Christian and Smolka, Michael N and Vaidya, Nilakshi and Walter, Henrik and Winterer, Jeanne and Broulidakis, M John and van Noort, Betteke Maria and Stringaris, Argyris and Zhang, Yuning and Sinclair, Julia and Schumann, Gunter and Schmidt, Ulrike and Desrivières, Sylvane and Cotter, David and Young, Allan H and Donohoe, Gary and Wolsztynski, Eric (2026) Characterising a stress-sensitive default mode network (DMN) deficit in major psychiatric disorders. Communications Biology, 9, 603. https://doi.org/10.1038/s42003-025-09400-1.
External website: https://www.nature.com/articles/s42003-025-09400-1
Childhood trauma (CT) is associated with cognitive impairment across major psychiatric disorders. We tested a novel transdiagnostic hypothesis that atypical connectivity of the default mode network (DMN) mediates the association between childhood trauma (CT) and cognitive impairment. The sample of 1851 individuals aged 18-25 included 433 patients with depression, eating disorders, alcohol use disorder, psychosis and ADHD) and were recruited as part of the ESTRA/STRATIFY/IMAGEN studies. CT was measured using the Childhood Trauma Questionnaire (CTQ). The CANTAB spatial working memory task was administered to assess cognition. Four a priori seeds of the default mode network (DMN) were measured during face processing, namely the medial prefrontal cortex (PFC), right lateral parietal (LP), left lateral parietal (LP) and posterior cingulate cortex (PCC), according to the Harvard-Oxford Cortical and Subcortical Atlas ( http://www.cma.mgh.harvard.edu/fsl_atlas.html ) as implemented in CONN. Patients had significantly reduced DMN connectivity between the four chosen DMN seeds and the rest of the brain. Reduced DMN connectivity mediated the association between higher CT and worse cognitive performance. Our findings are transdiagnostic in nature with stronger effects in some regions observed in depression, and suggest one transdiagnostic cortical network via which CT's effects on cognition are transmitted.
E Concepts in biomedical areas > Nervous system physiology (brain, neural)
F Concepts in psychology > Psychological stress / emotional trauma / adversity
F Concepts in psychology > Psychological stress / emotional trauma / adversity > Adverse childhood experiences (ACE)
G Health and disease > State of health > Mental health
G Health and disease > Substance use disorder (addiction) > Alcohol use disorder
G Health and disease > Substance related disorder > Substance related mental health disorder
G Health and disease > Neurological condition / disease (nervous system, brain)
G Health and disease > Behavioural and mental health disorder (Psychosis / mood)
J Health care, prevention, harm reduction and treatment > Risk and protective factors > Risk factors
VA Geographic area > Europe > Ireland
VA Geographic area > Europe > United Kingdom or Great Britain > England
VA Geographic area > Europe > France
VA Geographic area > Europe > Germany
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