Environmental Mixtures, Cognitive Control and Reward Processes, and Risk for Psychiatric Problems in Adolescence

Sponsor
Columbia University (Other)
Overall Status
Recruiting
CT.gov ID
NCT05795452
Collaborator
National Institute of Environmental Health Sciences (NIEHS) (NIH)
250
1
51.3
4.9

Study Details

Study Description

Brief Summary

This study aims to examine the cognitive and neural pathways underlying the joint impact of chemical and social exposures on two aspects of cognitive function: cognitive control and reward processing. The investigators will use high resolution, multi-band resting state and task functional magnetic resonance imaging (fMRI) as well as neuromelanin stain MRI to identify pathways through which exposure to a mixture of prenatal chemical and early life social exposures alters brain function and behavior. Specifically, the investigators will leverage extant prenatal exposure data (N=550) from the Columbia Center for Children's Environmental Health (CCCEH) Mothers and Newborns (MN) birth cohort and study symptoms and brain function in adolescence.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Adolescence is a period of high risk for the emergence of psychiatric issues, particularly attention problems, substance abuse, and psychotic experiences. Risk for these problems likely originates in the prenatal period when the brain undergoes significant rapid change, making this a particularly vulnerable time for alterations in brain development. Few studies have examined risk from prenatal exposure to neurotoxicants that emerge in adolescence and the biological pathways that underlie these associations. Emerging findings suggest that prenatal exposure to environmental chemicals (e.g. environmental tobacco smoke (ETS), air pollutants such as polycyclic aromatic hydrocarbons (PAH)) is associated with behavioral symptoms of attentiondeficit/ hyperactivity disorder (ADHD), substance use disorders (SUD), and psychotic disorders (PD). These symptoms often emerge across adolescence, and frequently co-occur, suggesting shared underlying causes in the brain. Prenatal chemical exposures often co-occur with each other and with social exposures, such as early life stress (ELS) that are also associated with elevated behavioral symptoms. The joint contributions of these chemical and social exposures to these behavioral symptoms are understudied, as are the cognitive and neural pathways linking exposure to behavior.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    250 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Environmental Mixtures, Cognitive Control and Reward Processes, and Risk for Psychiatric Problems in Adolescence
    Actual Study Start Date :
    Feb 20, 2022
    Anticipated Primary Completion Date :
    May 31, 2026
    Anticipated Study Completion Date :
    May 31, 2026

    Arms and Interventions

    Arm Intervention/Treatment
    Adolescents from the Mothers and Newborns Cohort

    Outcome Measures

    Primary Outcome Measures

    1. Youth Self Report (YSR) from the Child Behavior Checklist (CBCL) [15 minutes during study visit]

      This is a 112-question scale for adolescents about their own behavioral functioning. It has a Likert-like scoring format and multiple syndrome and DSM-oriented scales, with higher scores indicating more symptoms. Raw scores are converted to T scores with a mean of 50 and standard deviation of 10. The range is 0 to 90.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    13 Years to 20 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Adolescents between 13-20 years

    • Available prenatal exposure data

    • Adolescents and parents are English- or Spanish-speaking

    Exclusion Criteria:
    • Presence of metallic device or dental braces

    • Full Scale Intelligence Quotient (IQ) < 70 at prior assessment

    • Pregnant women or lactating women

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 New York State Psychiatric Institute New York New York United States 10032

    Sponsors and Collaborators

    • Columbia University
    • National Institute of Environmental Health Sciences (NIEHS)

    Investigators

    • Principal Investigator: Amy Margolis, PhD, Columbia University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Amy Margolis, Associate Professor of Medical Psychology, Columbia University
    ClinicalTrials.gov Identifier:
    NCT05795452
    Other Study ID Numbers:
    • 8191
    • 5R01ES032296-02
    First Posted:
    Apr 3, 2023
    Last Update Posted:
    Apr 3, 2023
    Last Verified:
    Mar 1, 2023
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Amy Margolis, Associate Professor of Medical Psychology, Columbia University

    Study Results

    No Results Posted as of Apr 3, 2023