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Thesis (MPhil)--Stellenbosch University, 2020.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2020
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| _version_ | 1867613973856124928 |
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| access_status_str | Open Access |
| author | Katangwe, Thembi Janis |
| author2 | Roos, Annerine |
| author_browse | Katangwe, Thembi Janis Roos, Annerine |
| author_facet | Roos, Annerine Katangwe, Thembi Janis |
| author_sort | Katangwe, Thembi Janis |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MPhil)--Stellenbosch University, 2020. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/109457 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:44:39.798Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/109457 The effects of prenatal methamphetamine on the resting state networks of the developing brain Katangwe, Thembi Janis Roos, Annerine Ipser, Jonathan Van Toorn, Ronald Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Paediatrics and Child Health. Substance abuse in pregnancy Methamphetamine Structural brain anomalies UCTD Thesis (MPhil)--Stellenbosch University, 2020. ENGLISH ABSTRACT: Introduction Prenatal exposure to methamphetamine is known to cause structural brain anomalies as well as cognitive-behavioral changes which often persist till adulthood. There has not been any resting state functional connectivity studies of prenatal methamphetamine exposure (PME) in children, particularly during critical periods of development when formal initiation of learning occurs. Methodology This case-controlled cohort study investigated temporal changes in cognition of methamphetamine exposed (n=20) and unexposed (n=23) children at ages 6 and 8 years. Cognitive performance was assessed using KABC-II scales, KABC-II Atlantis and Atlantis delayed scales, the Boston Naming Test, and the Grooved Pegboard “correct” insertion time. Group differences in whole- brain resting state functional connectivity to six seeds in the striatum, as well as in connectivity between each of the seeds, were investigated in a subset of 9 exposed and 9 unexposed children. The whole- brain relationship between striatal connectivity and cognitive scores was assessed at baseline (6 years), as was the relationship between change in between-seed connectivity and change in cognitive test performance with age. Results Hierarchical regression analysis found that PME has significant detrimental effects on overall cognitive performance; Total KABC Scaled score (p= 0.036), KABC-II-NVI Atlantis (p=0.028), Atlantis delayed (p=0.044 ), Boston Naming Test (p= 0.001) and the Grooved Pegboard “correct” insertion time for the non-dominant hand (p=0.047 ), although some improvement was noted on re-evaluation 2 years later. Whole-brain connectivity at the 6 years’ time point did not show group differences for any of the striatal seeds. When striatal seed connectivity was analyzed as a moderator of neurocognitive function at the 6 years’ time point across the entire sample, increased scores during performance of the Total KABC-NVI-II was associated with connectivity between the dorsal caudate seeds and the left inferior parietal lobe; a slower completion of the Grooved Pegboard insertion with the dominant hand, was associated with decreased connectivity between the superior ventral striatal seeds and the left supplementary motor area, right and left supramarginal as well as ventral rostral putamen (VRP) seed with the right supplementary motor area. When assessing for the change in resting state functional connectivity in association with cognitive test performance over time, performance of the Beery VMI -Visual test was associated with decreasing connectivity between the dorsal caudate (DC) and the dorsal rostral putamen (DRP) and this was likely to be more significant for the exposed than the non- exposed children. Conclusion This study contributes to the growing evidence of PME neurotoxicity on the developing brain. Although significant detrimental effects on overall cognitive performance were evident in the exposed group, there was no real differences in functional connectivity related to PME. Preliminary evidence from this study suggests that cognition improvement may ensue with development, a finding we postulate as most likely attributable to compensatory neuroplasticity (rewiring of corticostriatal networks). Further studies are required to evaluate the prognostic role of resting state fMRI in PME, especially in relation to the optimal age of imaging and the effects on neuroplasticity. "Geen opsomming bskikbaar" Masters 2020-11-16T12:50:46Z 2021-02-01T07:55:59Z 2020-11-16T12:50:46Z 2021-02-01T07:55:59Z 2020-12 Thesis http://hdl.handle.net/10019.1/109457 en_ZA Stellenbosch University 99 pages : illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Substance abuse in pregnancy Methamphetamine Structural brain anomalies UCTD Katangwe, Thembi Janis The effects of prenatal methamphetamine on the resting state networks of the developing brain |
| title | The effects of prenatal methamphetamine on the resting state networks of the developing brain |
| title_full | The effects of prenatal methamphetamine on the resting state networks of the developing brain |
| title_fullStr | The effects of prenatal methamphetamine on the resting state networks of the developing brain |
| title_full_unstemmed | The effects of prenatal methamphetamine on the resting state networks of the developing brain |
| title_short | The effects of prenatal methamphetamine on the resting state networks of the developing brain |
| title_sort | effects of prenatal methamphetamine on the resting state networks of the developing brain |
| topic | Substance abuse in pregnancy Methamphetamine Structural brain anomalies UCTD |
| url | http://hdl.handle.net/10019.1/109457 |
| work_keys_str_mv | AT katangwethembijanis theeffectsofprenatalmethamphetamineontherestingstatenetworksofthedevelopingbrain AT katangwethembijanis effectsofprenatalmethamphetamineontherestingstatenetworksofthedevelopingbrain |