Neuronal networks in the developing brain are adversely modulated by early psychosocial neglect.

The brain's neural circuitry plays a ubiquitous role across domains in cognitive processing and undergoes extensive reorganization during the course of development in part as a result of experience. In this study we investigated the effects of profound early psychosocial neglect associated with institutional rearing on the development of task-independent brain networks, estimated from longitudinally acquired electroencephalographic (EEG) data from <30 to 96 mo, in three cohorts of children from the Bucharest Early Intervention Project (BEIP), including abandoned children reared in institutions who were randomly assigned either to a foster care intervention or to remain in care as usual and never-institutionalized children. Two aberrantly connected brain networks were identified in children that had been reared in institutions: 1) a hyperconnected parieto-occipital network, which included cortical hubs and connections that may partially overlap with default-mode network, and 2) a hypoconnected network between left temporal and distributed bilateral regions, both of which were aberrantly connected across neural oscillations. This study provides the first evidence of the adverse effects of early psychosocial neglect on the wiring of the developing brain. Given these networks' potentially significant role in various cognitive processes, including memory, learning, social communication, and language, these findings suggest that institutionalization in early life may profoundly impact the neural correlates underlying multiple cognitive domains, in ways that may not be fully reversible in the short term.NEW & NOTEWORTHY This paper provides first evidence that early psychosocial neglect associated with institutional rearing profoundly affects the development of the brain's neural circuitry. Using longitudinally acquired electrophysiological data from the Bucharest Early Intervention Project (BEIP), the paper identifies multiple task-independent networks that are abnormally connected (hyper- or hypoconnected) in children reared in institutions compared with never-institutionalized children. These networks involve spatially distributed brain areas and their abnormal connections may adversely impact neural information processing across cognitive domains.

RCT Entities:   Population Interventions Outcomes