Objective: Conduct disorder (CD) is characterized by impulsive, aggressive, and antisocial behaviors that may be related to deficits in empathy and moral reasoning. The brain's default mode network (DMN) has been implicated in self-referential cognitive processes of this kind.
Method:We examined connectivity between key nodes of the DMN in 29 male adolescents with CD and 29 age-and sex-matched typically-developing adolescents. We ensured that group differences in DMN connectivity were not explained by comorbidity with other disorders by systematically controlling for the effects of substance use disorders (SUDs), attention-deficit/hyperactivity disorder (ADHD) symptoms, psychopathic traits, and other common mental health problems.
Results:Only after adjusting for co-occurring ADHD symptoms, the group with CD showed hypo-connectivity between core DMN regions relative to typically-developing controls. ADHD symptoms themselves were associated with DMN hyperconnectivity. There was no effect of psychopathic traits on DMN connectivity in the group with CD, and the key results were unchanged when controlling for SUDs and other common mental health problems.
Conclusion:Future research should directly investigate the possibility that the aberrant DMN connectivity observed in the current study contributes to CD-related deficits in empathy and moral reasoning, and examine self-referential cognitive processes in CD more generally.