Brain Activity In Adolescents Research Articles

262. Executive Function Self-Report Metrics Correlated With Resting State Brain Activity in Adolescents With Remitted Depression

262. Executive Function Self-Report Metrics Correlated With Resting State Brain Activity in Adolescents With Remitted Depression

0175 5-nights of Sleep Restriction and Impulsivity-related fMRI Brain Activity in Adolescents with ADHD Traits

0175 5-nights of Sleep Restriction and Impulsivity-related fMRI Brain Activity in Adolescents with ADHD Traits

Electrophysiological correlates of the emotional response on brain activity in adolescents

Many studies have attempted to analyze the main neurophysiological characteristics of emotional response, but few have been carried out at early ages, including adolescence or early adulthood. The main objective of the present study is to assess the electrophysiological correlates of emotional response in adolescents and young adults through electroencephalography (EEG) measures. Sample, composed of 25 subjects (18.44 ± 0.71 years old), were exposed to different sequences of images belonging to the IAPS, which were selected following the dimensional model, based on their valence and arousal, while their neural activity was evaluated through EEG. Results indicated differences in cortical neural activity in response to the valence of the images and the level of arousal. Specifically, we observed that exposure to positive images (high valence) with high arousal produced an increase in alpha, beta, and delta wave activity but not in theta activity. In the case of positive images with low arousal, however, the results indicated an increase in beta waves only and a decrease in alpha, delta, and theta activity. For negative images (low valence) with high arousal, an increase in alpha, beta, and delta waves but not in theta was observed, while negative images with low arousal induced an increase in beta, delta, and theta wave response. This study demonstrates that activated cortical areas indicated significant differences based on the different emotional responses in adolescents and young adults.

EEG Classification while Listening to Murottal Al-Quran and Classical Music using Random Forest Method

This study is aimed to classify the brain activity of adolescents associated with audio stimuli; murottal Al-Quran and classical music. The raw data were filtered using Independent Component Analisys (ICA) and followed by band-pass filter in Python on the Google Colab Extraction was processed with Power Spectral Density (PSD) and the Random Forest Method in Weka Machine Learning was used for classification. The research results showed the same results between the two types of stimulation, namely the order of brain waves from highest to lowest were delta, alpha, theta and beta. The average brain waves of teenagers when given murottal al-Quran stimulation were 45.32% delta, 31.60% alpha, 17.02 theta and 6.05% beta. Meanwhile, the average brain waves of teenagers when given classical music stimulation were 46.54% delta, 28.64% alpha, 19.21% theta and 5.50% beta. Classification is obtained with the best value that frequently appears (mode) from the prediction results for each sample using random forest methods. The accuracy, precision, and recall of classifying adolescent brain waves when given murottal and classical music stimuli using the Random Forest method with cross-validation technique (optimum at k-fold=5) were 65.38%, 76.92%, and 70.00%, respectively. The results of this study show that stimulation using murottal al-Quran and classical music effectively improves adolescent relaxation conditions.

Aerobic Exercise, Cognitive Performance, and Brain Activity in Adolescents with Attention-Deficit/Hyperactivity Disorder.

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder for which behavioural treatments such as exercise are recommended as part of a multi-disciplinary treatment program. Exercise improves executive function in individuals with ADHD, but limited information exists regarding the mechanisms involved in the response. We examined task-evoked brain responses during exercise and seated rest in 38 adolescents (n = 15 ADHD; age = 13.6+/-1.9, male = 73.3%, n = 23 typically developing (TD; age = 13.3+/-2.1, male = 56.5%)). Participants completed a working memory and inhibitory task while cycling at a moderate intensity for 25 minutes (i.e., exercise condition) and while seated on the bike without pedalling (i.e., control condition). Conditions were randomized and counter-balanced. Functional near-infrared spectroscopy measured relative changes in oxygenated hemoglobin concentration in 16 brain regions-of-interest. Brain activity for each cognitive task and condition was examined using linear mixed effects models with a false discovery rate correction (FDR). The ADHD group had slower response speeds for all tasks and lower response accuracy in the working memory task during exercise compared to the TD group (p < 0.05). For the inhibitory task, the ADHD group had lower brain activity in the inferior/superior parietal gyrus during exercise compared to the control condition, while the opposite was true for TD (FDRcorrected, p < 0.05). For the working memory task, higher brain activity during exercise was observed, regardless of group, in the middle and inferior frontal gyrus and the temporoparietal junction (FDRcorrected, p < 0.05). Dual-task performance is challenging for adolescents with ADHD and exercise may modulate neuronal resources in regions such as the temporoparietal junction and frontal areas known to be hypoactive in this population. Future research should examine how these relationships change over time.

Alteration of Degree Centrality in Adolescents With Early Blindness.

Congenital nystagmus in infants and young children can lead to early blindness (EB). Previous neuroimaging studies have demonstrated that EB is accompanied by alterations in brain structure and function. However, the effects of visual impairment and critical developmental periods on brain functional connectivity at rest have been unclear. Here, we used the voxel-wise degree centrality (DC) method to explore the underlying functional network brain activity in adolescents with EB. Twenty-one patients with EBs and 21 sighted controls (SCs) underwent magnetic resonance imaging. Differences between the two groups were assessed using the DC method. Moreover, the support vector machine (SVM) method was used to differentiate patients with EB patients from the SCs according to DC values. Compared with the SCs, the patients with EB had increased DC values in the bilateral cerebellum_6, cerebellum vermis_4_5, bilateral supplementary motor areas (SMA), and left fusiform gyrus; the patients with EB had decreased DC values in the bilateral rectal gyrus and left medial orbital frontal gyrus. The SVM classification of the DC values achieved an overall accuracy of 70.45% and an area under the curve of 0.86 in distinguishing between the patients with EB and the SCs. Our study may reveal the neuromechanism of neuroplasticity in EB; the findings provide an imaging basis for future development of restorative visual therapies and sensory substitution devices, and future assessments of visual rehabilitation efficacy.

Emotional regulation in non-suicidal self-injury – research on the use of transcranial direct current stimulation (tDCS)

IntroductionDSM-5 defines non-suicidal self-injury (NSSI) as socially unaccepted, direct, repeated and deliberate harm done to one’s own body. It is estimated that in a general population approximately 13-29% of adolescents present NSSI, and 70-80% among hospitalized youth. It seems that emotional dysregulation is the core characteristic of NSSI manifesting by self-harm behaviors, impulsiveness, lack of emotional awareness and experiencing high intensity of negative emotion. Emotional dysregulation is a pivotal characteristic of NSSI. Rationale of this theory is provided by the results of psychological and psychophysiological studies as well as those presenting brain activity. Neuroimaging data point to a variant pattern of brain activity of adolescents with NSSI during perception of emotionally negative stimuli i.e. hyperactivity in amygdala – a structure responsible for fear and automatic reaction to exciting stimuli and low activity of inferior frontal gyrus area – a structure responsible for inhibition and interpretation of social interactions. This activity pattern suggests a disorder of cortico-subcortical neuronal connections.ObjectivesThe aim was to verify tDCS as a therapeutic aid for patients who exhibit NSSI despite implementation of pharmacotherapy and psychotherapy.MethodsWe investigated the modulation effect of tDCS treatment at the right inferior frontal gyrus (rIFG) in hospitalized adolescents with NSSI.ResultsPreliminary tDCS stimulation results indicate potential usefulness of this method in regulating emotions and improving executive functions.ConclusionsPrefrontal cortex stimulation may restore balance in aforementioned connections and, as a result, positively influence an emotional regulation i.e. lower the impulsiveness, agitation and, by doing so, decrease NSSI frequency.DisclosureNo significant relationships.

The long-term associations between parental behaviors, cognitive function and brain activation in adolescence

Parenting behavior has a vital role in the development of the brain and cognitive abilities of offspring throughout childhood and adolescence. While positive and aggressive parenting behavior have been suggested to impact neurobiology in the form of abnormal brain activation in adolescents, little work has investigated the links between parenting behavior and the neurobiological correlates of cognitive performance during this age period. In the current longitudinal fMRI study, associations between parenting behaviors and cognitive performance and brain activation across mid- and late-adolescence were assessed. Observed measures of maternal aggressive and positive behavior were recorded in early adolescence (12 years) and correlated with fMRI activation and in-scanner behavioral scores on the multi-source interference task (MSIT) during mid- (16 years; 95 participants) and late-adolescence (19 years; 75 participants). There was a significant reduction in inhibitory-control-related brain activation in posterior parietal and cingulate cortices as participants transitioned from mid- to late-adolescence. Positive maternal behavior in early-adolescence was associated with lower activation in the left parietal and DLPFC during the MSIT in mid-adolescence, whereas maternal aggressive behavior was associated with longer reaction time to incongruent trials in late-adolescence. The study supports the notion that maternal behavior may influence subsequent neurocognitive development during adolescence.

Association Between Threat Network Activation and Physiological Stress Response in Adolescents With and Without Clinically Significant Non-Suicidal Self-Injury

The biological substrates of threat response are highly relevant in understanding non-suicidal self-injury (NSSI), in which prior work indicated aberrant threat system function. This study examined how different threat metrics mapped onto brain activation in adolescents with and without NSSI.

Volitional modification of brain activity in adolescents with Autism Spectrum Disorder: A Bayesian analysis of Slow Cortical Potential neurofeedback

Autism spectrum disorder is (ASD) characterized by a persisting triad of impairments of social interaction, language as well as inflexible, stereotyped and ritualistic behaviors. Increasingly, scientific evidence suggests a neurobiological basis of these emotional, social and cognitive deficits in individuals with ASD.The aim of this randomized controlled brain self-regulation intervention study was to investigate whether the core symptomatology of ASD could be reduced via an electroencephalography (EEG) based brain self-regulation training of Slow Cortical Potentials (SCP). 41 male adolescents with ASD were recruited and allocated to a) an experimental group undergoing 24 sessions of EEG-based brain training (n1 = 21), or to b) an active control group undergoing conventional treatment (n2 = 20), that is, clinical counseling during a 3-months intervention period. We employed real-time neurofeedback training recorded from a fronto-central electrode intended to enable participants to volitionally regulate their brain activity.Core autistic symptomatology was measured at six time points during the intervention and analyzed with Bayesian multilevel approach to characterize changes in core symptomatology. Additional Bayesian models were formulated to describe the neural dynamics of the training process as indexed by SCP (time-domain) and power density (PSD, frequency-domain) measures.The analysis revealed a substantial improvement in the core symptomatology of ASD in the experimental group (reduction of 21.38 points on the Social Responsiveness Scale, SD = 5.29), which was slightly superior to that observed in the control group (evidence Ratio = 5.79). Changes in SCP manifested themselves as different trajectories depending on the different feedback conditions and tasks. Further, the model of PSD revealed a continuous decrease in delta power, parallel to an increase in alpha power. Most notably, a non-linear (quadratic) model turned out to be better at predicting the data than a linear model across all analyses. Taken together, our analyses suggest that behavioral and neural processes of change related to neurofeedback training are complex and non-linear. Moreover, they have implications for the design of future trials and training protocols.

Bioactive peptide effect on brain activity identified by 2D brain mapping

Abstract Soybean is a grain product that has a lot of protein content. Bioactive peptides derived from soybean protein are believed to have the ability to maintain brain health such as the neurotransmitter system. Brain mapping is a mapping of the electrical activity of the brain to study the functional human brain. In this study, 2D brain mapping based on power spectrum is proposed to see the differences in brain activity in adolescents before and 1 h after consuming soy peptide using the 19-channel electroencephalogram. In the experiment, the adolescents in an age range of 16–24 years were involved (fasting in the span of 7–8 h before the experiment). The 2D brain mapping results showed that after consuming soy peptide, the subject as seen from alpha waves experienced an increase in activity by 5%.

Correlates of C-reactive protein with neural reward circuitry in adolescents with psychiatric symptoms

IntroductionIncreased inflammation has been implicated in many psychiatric conditions across ages. We previously reported relationships between blood cytokine levels and anhedonia, the decreased capacity to experience pleasure, as well as with reward-related brain activation in adolescents with psychiatric symptoms. Here, we sought to extend this work in a larger cohort of adolescents with psychiatric symptoms and assess the relationships of C-Reactive Protein (CRP, inflammation biomarker) with clinical symptoms and reward-related brain activation. MethodsSubjects were 64 psychotropic-medication-free adolescents with psychiatric symptoms (ages: 15.17 ​± ​2.10, 44 female). All had psychiatric evaluations and dimensional assessments for anxiety, depression, anhedonia, and suicidality. Neuroimaging included the Reward Flanker fMRI Task examining brain activation during reward anticipation, attainment, and positive prediction error. Both whole-brain and ROI analyses focusing on reward circuitry were performed. All analyses were controlled for BMI, age, and sex at pFWE < 0.05. ResultsNo relationships were identified between CRP and clinical symptom severity.CRP was positively associated with brain activation during reward attainment in regions of the visual and dorsal attention networks, as well as during positive prediction error in the cerebellum. In ROI analyses, CRP was negatively correlated with brain activation during reward anticipation in the dorsal anterior cingulate cortex. When one subject with high CRP was excluded, CRP was also positively correlated with positive predication error activation in the nucleus accumbens. ConclusionDespite the lack of association between CRP and clinical symptomatology, our fMRI findings suggest a relationship between inflammation and brain function early course of psychiatric conditions.

Meditative Movement Affects Working Memory Related to Neural Activity in Adolescents: A Randomized Controlled Trial.

Numerous studies have revealed that meditative movement changes brain activity and improves the cognitive function of adults. However, there is still insufficient data on whether meditative movement contributes to the cognitive function of adolescents whose brain is still under development. Therefore, this study aimed to uncover the effects of meditative movement on the cognitive performance and its relation with brain activity in adolescents. Forty healthy adolescent participants (mean age of 17∼18) were randomly allocated into two groups: meditative movement and control group. The meditative movement group was instructed to perform the meditative movement, twice a day for 9 min each, for a duration of 3 weeks. During the same time of the day, the control group was instructed to rest under the same condition. To measure changes in cognitive abilities, a dual n-back task was performed before and after the intervention and analyzed by repeated two-way analysis of variance (ANOVA). During the task, electroencephalogram signals were collected to find the relation of brain activity with working memory performance and was analyzed by regression analysis. A repeated two-way ANOVA with Bonferroni correction showed that working memory performance was significantly increased by meditative movement compared with the retest effect. Based on regression analysis, the amplitude of high-beta rhythm in the F3 channel showed a significant correlation with dual n-back score in the experimental group after the intervention, while there was no correlation in the control group. Our results suggest that meditative movement improves the performance of working memory, which is related to brain activity in adolescents.Clinical Trial Registration: cris.nih.go.kr/cris, identifier KCT0004706.

Balance task difficulty affects postural sway and cortical activity in healthy adolescents

Electroencephalographic (EEG) research indicates changes in adults’ low frequency bands of frontoparietal brain areas executing different balance tasks with increasing postural demands. However, this issue is unsolved for adolescents when performing the same balance task with increasing difficulty. Therefore, we examined the effects of a progressively increasing balance task difficulty on balance performance and brain activity in adolescents. Thirteen healthy adolescents aged 16–17 year performed tests in bipedal upright stance on a balance board with six progressively increasing levels of task difficulty. Postural sway and cortical activity were recorded simultaneously using a pressure sensitive measuring system and EEG. The power spectrum was analyzed for theta (4–7 Hz) and alpha-2 (10–12 Hz) frequency bands in pre-defined frontal, central, and parietal clusters of electrocortical sources. Repeated measures analysis of variance (rmANOVA) showed a significant main effect of task difficulty for postural sway (p < 0.001; d = 6.36). Concomitantly, the power spectrum changed in frontal, bilateral central, and bilateral parietal clusters. RmANOVAs revealed significant main effects of task difficulty for theta band power in the frontal (p < 0.001, d = 1.80) and both central clusters (left: p < 0.001, d = 1.49; right: p < 0.001, d = 1.42) as well as for alpha-2 band power in both parietal clusters (left: p < 0.001, d = 1.39; right: p < 0.001, d = 1.05) and in the central right cluster (p = 0.005, d = 0.92). Increases in theta band power (frontal, central) and decreases in alpha-2 power (central, parietal) with increasing balance task difficulty may reflect increased attentional processes and/or error monitoring as well as increased sensory information processing due to increasing postural demands. In general, our findings are mostly in agreement with studies conducted in adults. Similar to adult studies, our data with adolescents indicated the involvement of frontoparietal brain areas in the regulation of postural control. In addition, we detected that activity of selected brain areas (e.g., bilateral central) changed with increasing postural demands.

Neural Mechanisms of Social and Nonsocial Reward Prediction Errors in Adolescents with Autism Spectrum Disorder

Autism spectrum disorder (ASD) is characterized by impaired predictive abilities; however, the neural mechanisms subsuming reward prediction errors in ASD are poorly understood. In the current study, we investigated neural responses during social and nonsocial reward prediction errors in 22 adolescents with ASD (ages 12-17) and 20 typically developing control adolescents (ages 12-18). Participants performed a reward prediction error task using both social (i.e., faces) and nonsocial (i.e., objects) rewards during a functional magnetic resonance imaging scan. Reward prediction errors were defined in two ways: (a) the signed prediction error, the difference between the experienced and expected reward; and (b) the thresholded unsigned prediction error, the difference between expected and unexpected outcomes regardless of magnitude. During social reward prediction errors, the ASD group demonstrated the following differences relative to the TD group: (a) signed prediction error: decreased activation in the right precentral gyrus and increased activation in the right frontal pole; and (b) thresholded unsigned prediction error: increased activation in the right anterior cingulate gyrus and bilateral precentral gyrus. Groups did not differ in brain activation during nonsocial reward prediction errors. Within the ASD group, exploratory analyses revealed that reaction times and social-communication impairments were related to precentral gyrus activation during social prediction errors. These findings elucidate the neural mechanisms of social reward prediction errors in ASD and suggest that ASD is characterized by greater neural atypicalities during social, relative to nonsocial, reward prediction errors in ASD. Autism Res 2020, 13: 715-728. © 2020 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: We used brain imaging to evaluate differences in brain activation in adolescents with autism while they performed tasks that involved learning about social and nonsocial information. We found no differences in brain responses during the nonsocial condition, but differences during the social condition of the learning task. This study provides evidence that autism may involve different patterns of brain activation when learning about social information.

Abnormal brain activity in adolescents with Internet addiction who attempt suicide: an assessment using functional magnetic resonance imaging.

Internet addiction is associated with an increased risk of suicidal behavior and can lead to brain dysfunction among adolescents. However, whether brain dysfunction occurs in adolescents with Internet addiction who attempt suicide remains unknown. This observational cross-sectional study enrolled 41 young Internet addicts, aged from 15 to 20 years, from the Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, China from January to May 2018. The participants included 21 individuals who attempted suicide and 20 individuals with Internet addiction without a suicidal attempt history. Brain images in the resting state were obtained by a 3.0 T magnetic resonance imaging scanner. The results showed that activity in the gyrus frontalis inferior of the right pars triangularis and the right pars opercularis was significantly increased in the suicidal attempt group compared with the non-suicidal attempt group. In the resting state, the prefrontal lobe of adolescents who had attempted suicide because of Internet addiction exhibited functional abnormalities, which may provide a new basis for studying suicide pathogenesis in Internet addicts. The study was authorized by the Ethics Committee of Chongqing Medical University, China (approval No. 2017 Scientific Research Ethics (2017-157)) on December 11, 2017.

The changes of amplitude of low frequency fluctuation in adolescent depression patients with suicidal ideation: a resting-state functional magnetic resonance imaging study

Objective To investigate the changes of brain activity in adolescents with first-episode major depressive disorder (MDD) and its significance. Methods Totally 42 first-episode MDD patients with suicidal ideation (SU group), 17 MDD patients without suicidal ideation (NSU group) and 29 healthy controls (HC group) were examined by psychological assessment and resting-state functional magnetic resonance imaging (fMRI). The differences of brain functional activities between the three groups were compared by amplitude of low frequency fluctuation(ALFF). The relationship between the difference of zALFF value in brain regions and the severity of depression, intensity of suicidal ideation were further analyzed. Results The zALFF values in the left hippocampus(MNI: x=-21, y=-33, z=0) and left Frontal_Sup_Medial(MNI: x=3, y=33, z=63) of the three groups were significantly abnormal (P 20, uncorrected). The results of Post-hoc test showed that the zALFF value of left hippocampus increased significantly (F=28.931) and decreased significantly in left Frontal_Sup_Medial(F=16.648)in SU group , compared with NSU group and HC group(P 0.05). In SU group, the zALFF values of left hippocampus and left Frontal_Sup_Medial were not correlated with total scores of HAMD-24(r=-0.214, -0.103) and suicide ideation intensity factor scores(r=0.115, -0.055)(P>0.05). Conclusion Abnormal autonomic nervous activity exists in left hippocampus and left Frontal_Sup_Medial in adolescent MDD patients with suicidal ideation, which may be the neurological basis and biological index of suicidal ideation. Key words: Major depressive disorder; Suicidal ideation; Adolescents; Amplitude of low frequency fluctuation

Sex Differences in Spontaneous Brain Activity in Adolescents With Conduct Disorder.

Purpose: Sex differences in conduct disorder (CD) pathophysiology have yet to be resolved. In this study, we applied the amplitude of low-frequency fluctuations (ALFF) and fractional ALFF (fALFF) to compare spontaneous brain activity in male versus female adolescents diagnosed with CD in light of the gender paradox hypothesis.Materials and Methods: Resting-state functional magnetic resonance imaging (rs-fMRI) examinations were conducted with 51 CD patients (35 males) and 53 age-matched healthy controls (HCs; 35 males). Pearson analysis was conducted to detect relationship between ALFF/fALFF values in gender-differentiated regions and clinical characteristics.Results: We observed that male CD patients showed significant increased ALFF in the bilateral superior temporal gyrus (STG)/insula, and significant decreased ALFF in the left anterior cingulate cortex (ACC), left middle frontal gyrus (BA8 andBA11), left middle temporal gyrus and left inferior/middle temporal gyrus relative to female CD patients. The fALFF in male CD patients was significantly increased in the right STG/insula, decreased in the right superior frontal gyrus, left middle frontal gyrus, right inferior frontal gyrus, and right postcentral gyrus relative to female CD patients. Considering the sex-by-diagnosis interactions in CD patients, the male CD patients had significantly higher fALFF in the left putamen, lower fALFF in the right postcentral gyrus relative to the female CD patients.Conclusion: The brain regions whose activity index values differed in relation to sex should be further explored in CD pathophysiology studies, particularly with respect to sex differences in clinical symptoms, emotional features, cognitive features, and prevalence rates in CD. The present findings are consistent with the gender paradox hypothesis.

Increased food choice-evoked brain activation in adolescents with excess weight: Relationship with subjective craving and behavior

ObjectiveWe used functional magnetic resonance imaging (fMRI) to assess brain regions associated with food choices between appetizing (i.e., high sugar, high fat) and plain food in adolescents with excess weight and those with normal weight. The associations between choice-evoked brain activation and subjective food craving and behavioral food choices were also evaluated. MethodsSeventy-three adolescents (aged 14–19 years), classified into excess weight (n = 38) or normal weight (n = 39) groups, participated in the study. We used a food-choice fMRI task, between appetizing and plain food, to analyse brain activation differences between groups. Afterwards, participants assessed their "craving" for each food presented in the scanner. ResultsAdolescents with excess weight showed higher brain activation in frontal, striatal, insular and mid-temporal regions during choices between appetizing and standard food cues. This pattern of activations correlated with behavioral food choices and subjective measures of craving. ConclusionsOur findings suggest that adolescents with excess weight have greater food choice-related brain reactivity in reward-related regions involved in motivational and emotional responses to food. Increased activation in these regions is generally associated with craving, and increased dorsolateral prefrontal cortex is specifically associated with appetizing food choices among adolescents with excess weight, which may suggest greater conflict in these decisions. These overweight- and craving-associated patterns of brain activation may be relevant to decision-making about food consumption.

Neural correlates of video game empathy training in adolescents: a randomized trial

The ability to understand emotional experiences of others, empathy, is a valuable skill for effective social interactions. Various types of training increase empathy in adolescents, but their impact on brain circuits underlying empathy has not been examined. Video games provide a unique medium familiar and engaging to adolescents and can be used to deliver training at scale. We developed an empathy training video game, Crystals of Kaydor (Crystals), and investigated whether playing Crystals increases empathic accuracy (EA) and related brain activation in adolescents (N = 74; 27 female; mean age(sd) = 12.8(0.7) years; age range 11–14 years). Participants completed a resting state functional MRI (rs-fMRI) scan and an EA task during an fMRI scan before and after 2 weeks of daily gameplay with either the empathy training game, Crystals (N = 34), or the commercial video game Bastion (N = 40), an active control condition. There were no group differences in EA improvement following gameplay, however, engagement with training aspects of Crystals was associated with a higher increase in EA-related activation in right temporoparietal junction following gameplay. Moreover, rs-fMRI connectivity in empathy-related brain circuits (posterior cingulate–medial prefrontal cortex; MPFC) was stronger after Crystals gameplay compared to Bastion. The more individuals’ EA increased following Crystals versus Bastion, the stronger their rs-fMRI connectivity in brain circuits relevant for emotion regulation (amygdala-MPFC). These findings suggest that a video game designed to increase empathic accuracy produces behaviorally-relevant, functional neural changes in fewer than 6 h of gameplay in adolescents.