Large-scale functional network connectivity alterations in adolescents with major depression and non-suicidal self-injury.

Non-suicidal self-injury (NSSI) is prevalent among adolescent populations worldwide, yet its neuropathological mechanisms remain unclear. This study aimed to investigate brain functional differences in NSSI patients by utilizing large-scale functional networks and examining their correlation with clinical outcomes. Cross-sectional clinical and functional magnetic resonance imaging (fMRI) data were collected from 42 patients and 47 healthy controls. Independent component analysis (ICA) was utilized to investigate changes in both intra-network and inter-network functional connectivity. We then investigated the potential association between functional network connectivity and clinical self-injurious behavior. The results revealed significant abnormalities in intra-network functional connectivity within the left middle cingulum gyrus, right angular gyrus, and middle frontal gyrus in patients with NSSI. Additionally, we found altered inter-network connectivity patterns, particularly between higher-order cognitive networks and primary sensory networks, suggesting potential disruptions in multisensory integration and emotional regulation in these patients. This study revealed significant alterations in large-scale functional network connectivity in adolescents with depression and NSSI, particularly in networks related to emotion regulation and cognitive control. These findings provide novel perspectives on the neurobiological mechanisms of NSSI and suggest possible avenues for early intervention and treatment.