Keywords: Psychiatric Disorders, Adolescents, major depressive disorderUsing a data-driven connectivity-based parcellation technique, we identified anterior and posterior functional subdivisions of insula per hemisphere in adolescent population based on their similar functional connectivity profiles. Then, we investigated the distinct functional connectivity of each insular subregion between depressive adolescents and typical developmental controls. The significant unbalanced connectivity of insular subregions with left superior frontal gyrus (SFG) between two groups was revealed, which associated with interpersonal relation, emotional expressiveness, and cognition impairments in depressive adolescents. Our findings indicate that abnormalities in functional architectures of insular subdivisions may be the potential neuroimaging mechanism underlie the specific manifestations in adolescent depression.
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