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Choline Concentration in the Dorsal Anterior Cingulate Cortex: Developmental Patterns and Associations with Cognitive Control
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0001-5893-4058
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Experimental Cognitive and Affective Neuroscience (ECAN).ORCID iD: 0000-0003-2516-9075
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Child and Adolescent Psychiatry. Department of Psychology, Stockholm University.ORCID iD: 0000-0002-1307-4928
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0003-0394-1626
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(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background: Cognitive control develops progressively from childhood through early adulthood, supported by protracted maturation of the dorsal anterior cingulate cortex (dACC). While structural and functional development of this region is well-characterized, the neurochemical substrates underlying its maturation remain largely unexplored. Choline, a metabolite essential for membrane synthesis, myelination, and cholinergic neurotransmission, may play a critical role in dACC development.

Methods: We used proton magnetic resonance spectroscopy (.H-MRS) to measure choline concentration (tCho/tCr) in the dACC of 106 participants (23 children aged 6-9 years, 38 adolescents aged 13-17 years, 45 adults aged 30-40 years). Cognitive control performance was assessed using a composite measure derived from multiple cognitive control tasks. Bayesian linear regression models examined age-group differences in choline concentration and associations between choline and cognitive control performance.

Results: Adults showed higher dACC choline concentrations than both children and adolescents, while evidence for differences between children and adolescents was inconclusive. Critically, the relationship between choline and cognitive control performance showed a developmental shift; the association was negative in children, inconclusive in adolescents, and positive in adults, with strong evidence of a difference between children and adults.

Conclusions: These findings suggest a developmental change in the functional significance of dACC choline concentration, potentially reflecting a shift from supporting active circuit reorganization in childhood to maintaining established networks in adulthood. The cross-sectional design limits causal inference, and we emphasise the need for replication given the modest sample size. Meanwhile, this study provides the first characterization of dACC choline concentration across development, and indicates that a single biomarker may carry different functional significance at different developmental stages.

National Category
Neurosciences Psychology (Excluding Applied Psychology)
Research subject
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-582531OAI: oai:DiVA.org:uu-582531DiVA, id: diva2:2046753
Available from: 2026-03-18 Created: 2026-03-18 Last updated: 2026-03-25Bibliographically approved
In thesis
1. Exploring the Self-Regulation Universe: Developmental Dynamics from Early Caregiving to Brain and Behaviour
Open this publication in new window or tab >>Exploring the Self-Regulation Universe: Developmental Dynamics from Early Caregiving to Brain and Behaviour
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Childhood self-regulation, the ability to modulate behaviour, cognition, and emotion in service of adaptive behaviour and higher-order goals, is a robust predictor of important outcomes within childhood and beyond. Despite considerable research interest, the developmental pathways through which self-regulatory abilities emerge, interact, and relate to later outcomes are not fully understood. This thesis examines several of these pathways across three empirical studies, spanning multiple levels of analysis and developmental timepoints, with a focus on executive function (EF) and emotion regulation (ER). Study I investigated whether specific aspects of the early caregiving environment (maternal sensitivity and attachment security) predict self-regulation at age 6, and whether hot and cool EF in toddlerhood mediates these relationships. Contrary to hypotheses, no longitudinal associations were observed, raising important questions about whether the relationship between early caregiving and later self-regulation is more conditional, non-linear, or measurement-dependent than current models suggest. Study II examined whether inhibitory control in toddlerhood predicts internalizing and externalizing problems at age 9–10, and whether ER at age 6 mediates these pathways. No significant associations were found between early inhibitory control and later ER or internalizing or externalizing problems. However, general ER at age 6 predicted lower levels of both internalizing and externalizing problems, highlighting ER as a transdiagnostic, potentially modifiable factor in the development of childhood psychopathology. Study III examined developmental differences in choline concentration in the dorsal anterior cingulate cortex (dACC), a region implicated in error monitoring, action selection, and cognitive control, and its associations with cognitive control performance across children, adolescents, and adults. The association between dACC choline and cognitive control reversed direction across developmental stages (negative in children and positive in adults), suggesting that the neurobiological significance of this metabolite shifts fundamentally with development.Taken together, these findings reflect the conceptual and methodological complexity of studying self-regulation across development. While self-regulation remains a meaningful predictor of socioemotional outcomes, and neurobiological measures may offer meaningful insights into the development of cognitive control, transparent reporting of null findings reporting and continued refinement of theoretical and measurement approaches are necessary for advancing a cumulative science of self-regulation development.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2026. p. 84
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 242
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-582288 (URN)978-91-513-2776-1 (ISBN)
Public defence
2026-05-08, Room IX, University Main Building, Biskopsgatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2026-04-16 Created: 2026-03-18 Last updated: 2026-04-16

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Jónsdóttir, LiljaFrick, AndreasFrick, MatildaForsgren, MattiasWidegren, EbbaGingnell, MalinWeis, JanHeeman, EmmaBrocki, Karin

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Jónsdóttir, LiljaFrick, AndreasFrick, MatildaForsgren, MattiasWidegren, EbbaGingnell, MalinWeis, JanHeeman, EmmaBrocki, Karin
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Department of PsychologyExperimental Cognitive and Affective Neuroscience (ECAN)Child and Adolescent PsychiatryMolecular imaging and medical physics
NeurosciencesPsychology (Excluding Applied Psychology)

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