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Neuroanatomical profile of externalizing problems level in adults: a machine learning study.

August 14, 2026pubmed logopapers

Authors

Chen S,Zhang Y,Zheng J,Wen W,Yu L

Affiliations (2)

  • Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang, China; Wenzhou Municipal Key Laboratory of Neurodevelopmental Pathology and Physiology,Wenzhou Medical University, Wenzhou, 325035, China.
  • Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang, China; Wenzhou Municipal Key Laboratory of Neurodevelopmental Pathology and Physiology,Wenzhou Medical University, Wenzhou, 325035, China. Electronic address: [email protected].

Abstract

Externalizing problems (EXT) refers to negative behaviors directed externally into the environment. Though a growing literature on structural magnetic resonance imaging (sMRI) research has supported this concept by revealing neurobiological profiles underlying EXT, it is still unclear whether previously identified relationships are generalizable (out-of-sample) and how cortical thickness and cortical surface area contribute to EXT. In this study, using the Human Connectome Project Young Adult dataset (N = 1098), a machine learning cross-validated elastic net regression approach was conducted to characterize the neuroanatomical pattern of sMRI variables associated with EXT. The results revealed a multi-region neuroanatomical signature predicted EXT and this was robust in a held-out test set (morphometry-only R<sup>2</sup>= 2.69%, morphometry + demographics R<sup>2</sup> = 6.45%). The neuroanatomical pattern included regions implicated in the frontal-limbic circuit. The relationship of these regions with EXT was further supported by univariate linear mixed effects modeling results. Taken together, these findings provided evidence that a machine learning-derived neuroanatomical profile encompassing various theoretically relevant brain circuits could predict EXT in a large sample of healthy adults, which may inform monitoring and prevention strategies for the broad externalizing dimension in community populations.

Topics

Journal Article

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