{"title":"Emotion-related alcohol use motives are associated with greater parasympathetic nervous system responses to acute challenge.","authors":"Danny Rahal, Violet F Kwan, Kristin J Perry","doi":"10.1016/j.jad.2025.119846","DOIUrl":"10.1016/j.jad.2025.119846","url":null,"abstract":"<p><p>Individuals' psychophysiological responses to stress are related to alcohol use initiation and frequency, but it remains unclear whether these responses are related to drinking motives among alcohol users. College students (N = 88; M<sub>age</sub> = 20.26, SD = 1.18; 72.7 % female; 34.1 % white, 31.8 % Asian American, 12.5 % Latine, 14.8 % biracial, 6.8 % different racial and ethnic backgrounds) who self-reported past month alcohol use completed an acute challenge task (i.e., the mirror tracing task). They reported emotion before and after the task, and electrocardiogram data were continuously collected as a means of measuring parasympathetic nervous system activity at the heart. Multilevel models revealed that individuals who endorsed greater coping motives for alcohol use tended to show greater parasympathetic nervous system withdrawal to the acute challenge task, as well as a larger decrease in negative affect from pre- to post-task. Greater enhancement motives were also related to greater parasympathetic nervous system withdrawal, whereas social motives were related to larger decreases in negative affect from pre- to post-task. These findings suggest that individuals' motives, particularly endorsement for using alcohol to regulate emotion, is related to how they physiologically respond to acute challenges. Increased physiological responses to everyday challenges may motivate individuals to use alcohol as a means of regulating their responses. Results suggest that increasing emotion regulation skills or promoting psychoeducation regarding stress and interoception may be a prevention target for individuals who use alcohol to cope.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"119846"},"PeriodicalIF":4.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interaction between DRD4 and MAOA genetic polymorphisms on static and dynamic regional coherence in the prefrontal cortex of drug-naive children with ADHD.","authors":"Shuangli Chen, Beihui Xue, Ronghui Zhou, Xueqin Bai, Shiwei Zhang, Yitong Cheng, Qiuyue Li, Andan Qian, Chuang Yang, Xiaoqi Huang, Meihao Wang","doi":"10.1016/j.jad.2025.120014","DOIUrl":"10.1016/j.jad.2025.120014","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to explore the genetic association between DRD4 and MAOA genotypes and local functional connectivity in drug-naive children with ADHD.</p><p><strong>Methods: </strong>We investigated the effects of individual genotypes and gene × gene interactions between DRD4 and MAOA variants on local functional connectivity in 94 children with ADHD, using both the mean static regional homogeneity (sReHo) and the coefficient of variation (CV) of dynamic ReHo (dReHo). Additionally, correlation and mediation analyses were conducted to explore the relationships between dopamine-related genes, regional brain function, and neurocognitive alterations.</p><p><strong>Results: </strong>There was a significant genetic epistasis between DRD4 and MAOA variants affecting both sReHo and dReHo in the right orbital part of the middle frontal gyrus (MFG.R), belonging to prefrontal cortex (PFC). Post-hoc pairwise analysis revealed the altered intrinsic brain connectivity related to DRD4 varied according to MAOA genotype. Furthermore, the sReHo value in MFG.R was negatively correlated with the Hyperactivity index of the Conners scale in ADHD group. Mediation analysis suggested that the relationship between the DRD4 × MAOA gene interaction and the Hyperactivity index was mediated by the regional coherence of MFG.R in the PFC.</p><p><strong>Conclusion: </strong>These results suggest that alterations in the dopamine system in ADHD may contribute to abnormalities in both static and dynamic local functional connectivity. Disruptions in DA homeostasis within the synaptic cleft of the prefrontal cortex could lead to changes in intrinsic regional neural coherence. Our findings may help clarify the genetic basis of dopaminergic mechanisms underlying prefrontal dysfunction in ADHD.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"120014"},"PeriodicalIF":4.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katarzyna Cantarero, Magdalena Król, Daria Gruberska, Maria Michalik, Gabriela Sorsa, Julia Żamejć, Sergio Moreno-Ríos
{"title":"If someone is wrong but sincere, is it a lie? The role of objective falsity, intention, and in children's understanding of lying.","authors":"Katarzyna Cantarero, Magdalena Król, Daria Gruberska, Maria Michalik, Gabriela Sorsa, Julia Żamejć, Sergio Moreno-Ríos","doi":"10.1016/j.jecp.2025.106350","DOIUrl":"10.1016/j.jecp.2025.106350","url":null,"abstract":"<p><p>This study investigates how objective reality (truth vs falsity), intention (honest vs dishonest) and motivation (prosocial vs self-serving) affect lie labelling and moral judgment of lies. Using a comic-based task, we conducted a study with 5-6-year-olds and 9-10-year-olds (N = 194). Participants were presented with scenarios where a protagonist made either prosocial or self-serving statements that were truthful or false, with honest or deceptive intent. Results showed that younger children were more likely to judge objectively false statements as lies, while older children placed greater emphasis on the protagonist's intention. Prosocial lies were evaluated more positively than self-serving lies. However, contrary to prior research, prosocial lies were not less likely to be labeled as lies, but unlike in previous studies children were informed about the honest or dishonest intentions, which could prevent them from interpreting self-serving motivation as dishonest intentions. Additionally, lies were based on factual statements rather than opinions. Results of this research contribute to theory of mind, moral development, and social cognition research, offering insights into how children distinguish between truth and deception. The study also introduces a novel, language-independent tool for assessing children's understanding of deception, which may have applications in cross-cultural research and educational settings.</p>","PeriodicalId":48391,"journal":{"name":"Journal of Experimental Child Psychology","volume":"260 ","pages":"106350"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Structure-switching aptasensor for multiplex detection of antimalarial drugs via split T7 promoter-powered transcription generation of dual-color RNA aptamers.","authors":"Tiantian Chen, Qian Xiang, Xuemei Sang, Daxiu Li, Wenjiao Zhou, Fengfeng Xu","doi":"10.1016/j.talanta.2025.128386","DOIUrl":"10.1016/j.talanta.2025.128386","url":null,"abstract":"<p><p>Malaria remains a significant threat to global health, especially with the emergence of drug-resistant strains. Therefore, precise monitoring of antimalarial drug levels is crucial for assessing and managing drug resistance. Here, we report a multiplex aptasensor that enables simultaneous fluorescence detection of two antimalarial drugs (MQ and PQ) via split dsT7 promoter-mediated transcription of two-color light-up RNA aptamers. The detection mechanism relies on specific binding of target antimalarial drugs (MQ/PQ) to their aptamers, each triggering formation of intact dsT7 promoter to induce amplified transcription of its cognate RNA aptamer. The generated RNA aptamers bind their corresponding organic dyes (TO1-Biotin and MG) with high affinity, yielding 7.7-/25-fold fluorescence enhancement to enable ultrasensitive detection of MQ and PQ with limits of 0.71 ng/mL and 0.069 ng/mL, respectively. The method also exhibits high selectivity and low background signal. Furthermore, this label-free system achieves multiplexed detection of antimalarial drugs in 10-fold diluted human serum (recovery: 98.67-106.84 % for PQ and 99.89-106.19 % for MQ), demonstrating its real utility. This label-free system is adaptable to other biomarkers through aptamer replacement.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"295 ","pages":"128386"},"PeriodicalIF":6.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improved analytical workflow towards machine learning supported N-glycomics-based biomarker discovery.","authors":"Agnes Vathy-Fogarassy, Veronika Gombas, Rebeka Torok, Gabor Jarvas, Andras Guttman","doi":"10.1016/j.talanta.2025.128389","DOIUrl":"10.1016/j.talanta.2025.128389","url":null,"abstract":"<p><p>The composition and function of glycans are very complex thus manual data interpretation of their structural elucidation is difficult. Capillary electrophoresis is one of the liquid phase separation techniques, which is most frequently used to address these challenging tasks. Combining high-resolution capillary electrophoresis with machine learning-supported data interpretation holds the promise to gain as much chemical and clinical information from the analyzed samples as possible. However, this combination requires significant technological improvements both in the analytical and the data processing aspects. In this study we report on the development of an automated, liquid-handling robot-based sample preparation method to obtain reproducible and N-glycome profiles by capillary electrophoresis for the subsequent machine learning-supported data interpretation, which was optimized for the special needs of the analysis. The resulting new glycoanalytical workflow was then tested for a demanding problem to predict the effectiveness of chemotherapy treatments of lung cancer patients ensuring the effective management of the disease. Our findings revealed that the achieved N-glycan data contained important clinical information to accurately predict patient response to chemotherapy with AUC values ranged from 0.8290 to 0.8410.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"295 ","pages":"128389"},"PeriodicalIF":6.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bioresource TechnologyPub Date : 2025-12-01Epub Date: 2025-08-05DOI: 10.1016/j.biortech.2025.133063
João Fernando Ferri da Silva, Deisi Cristina Tápparo, Ana Claudia Lazaroto, Dagmara Beltrame de Asis, Igor Vinicius Machado Sophiatti, Flaviane Eva Magrini, Ricardo Luís Radis Steinmetz, Fabiane Goldschmidt Antes, Matias Vanotti, Suelen Paesi, Airton Kunz
{"title":"Enhancing anaerobic digestion of nitrogen-rich substrates through in situ ammonia recovery using tubular gas-permeable membranes.","authors":"João Fernando Ferri da Silva, Deisi Cristina Tápparo, Ana Claudia Lazaroto, Dagmara Beltrame de Asis, Igor Vinicius Machado Sophiatti, Flaviane Eva Magrini, Ricardo Luís Radis Steinmetz, Fabiane Goldschmidt Antes, Matias Vanotti, Suelen Paesi, Airton Kunz","doi":"10.1016/j.biortech.2025.133063","DOIUrl":"10.1016/j.biortech.2025.133063","url":null,"abstract":"<p><p>This study evaluated ePTFE gas-permeable membranes (GPM) to mitigate ammonia inhibition during anaerobic digestion (AD). Two semi-continuous laboratory-scale reactors were operated with swine manure and urea as nitrogen sources. One reactor was equipped with GPM for in situ ammonia recovery, while the other served as a control. Initially, methane yield (MY) remained stable at ∼ 200 L<sub>CH4</sub> kg<sub>VS</sub><sup>-1</sup>. When free ammonia (FA) exceeded 500 mgN L<sup>-1</sup>, MY declined by 50 %, and microbial inhibition intensified. At 700 mgN L<sup>-1</sup>, inhibition reached 70 %, with increases in Clostridium_sensu_stricto_1, HN-HF0106, and Fastidiosipila. Methanosarcina remained dominant among archaea, showing greater tolerance to ammonium. After GPM activation, FA levels decreased and methane production recovered. The GPM system proved effective as both a preventive and corrective strategy, improving process stability and enabling ammonia recovery. These findings highlight the potential of GPM technology as a promising solution to enhance the robustness of AD treating nitrogen-rich substrates.</p>","PeriodicalId":258,"journal":{"name":"Bioresource Technology","volume":" ","pages":"133063"},"PeriodicalIF":9.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guilherme Tavares de Arruda, Maria Eduarda Chinotti Batista da Silva, Pâmela Calixto de Moraes, Patricia Driusso, Mariana Arias Avila
{"title":"Moderating and mediating effects of dysmenorrhea pain severity in the relationship between body mass index and body appreciation among adult women with primary dysmenorrhea.","authors":"Guilherme Tavares de Arruda, Maria Eduarda Chinotti Batista da Silva, Pâmela Calixto de Moraes, Patricia Driusso, Mariana Arias Avila","doi":"10.1016/j.jad.2025.119888","DOIUrl":"10.1016/j.jad.2025.119888","url":null,"abstract":"<p><strong>Objective: </strong>To investigate whether dysmenorrhea severity moderates and/or mediates the association between body mass index (BMI) and body appreciation among women with primary dysmenorrhea (PD).</p><p><strong>Methods: </strong>Cross-sectional online study with 2026 women with PD. Participants were allocated into two groups according to their menstrual status: those who were menstruated and had current menstrual pain (CMP) and those who reported pain from their last menstrual period (LMP). We assessed bivariate relationships among BMI (Kg/cm<sup>2</sup>), pain severity (Numerical Rating Scale), and body appreciation (10-item Body Appreciation Scale), along with moderation and mediation for the same variables.</p><p><strong>Results: </strong>In the LMP group, BMI was significantly and negatively correlated with body appreciation (r = -0.249, p < 0.001). Moderation analysis indicated that the negative association between BMI and body appreciation was stronger at lower pain severity (β = -0.045, p < 0.001), whereas higher pain severity attenuated this effect. Furthermore, mediation analysis revealed that dysmenorrhea severity partially mediated the relationship between BMI and body appreciation (indirect effect β = -0.001, 95 % CI [-0.002, -0.001]), accounting for approximately 3 % of the total effect. No significant moderation or mediation effects were observed in the CMP group.</p><p><strong>Conclusions: </strong>Dysmenorrhea severity plays a dual role - acting as both moderator and mediator - in linking higher BMI to lower body appreciation. These findings underscore the importance of integrating pain management with interventions designed to improve body appreciation in women with PD. Future longitudinal studies should further clarify these relationships and underlying mechanisms.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"119888"},"PeriodicalIF":4.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the individual contributions of the 8 adverse childhood experiences (ACEs) domains to substance use.","authors":"Fares Qeadan, Jacob France, William A Barbeau","doi":"10.1016/j.jad.2025.119923","DOIUrl":"10.1016/j.jad.2025.119923","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, adverse childhood experiences (ACEs) are grouped together into a cumulative score to predict substance use.</p><p><strong>Objective: </strong>To determine the effect of individual ACE domains (physical, emotional, sexual abuse, exposure to domestic violence, parental separation, household incarceration, household substance use and household mental illness) on later life substance use.</p><p><strong>Participants and setting: </strong>BRFSS data from 2019 to 2022 were used to construct 3 cohorts analyzing 5 different substance use outcomes.</p><p><strong>Methods: </strong>Logistic regression models were constructed to determine adjusted odd ratios (aORs) of substance used for each ACE domain. Random forest models served for sensitivity analyses.</p><p><strong>Results: </strong>Effect sizes varied across ACE domains and substances. Household substance use was the strongest predictor, with the highest aORs for smoking (aOR = 1.336, 95 % CI [1.266-1.410]), e-cigarette use (aOR = 1.451, 95 % CI [1.317-1.597]), and binge drinking (aOR = 1.256, 95 % CI [1.181-1.335]). Emotional abuse was the second most influential domain, particularly associated with marijuana use (aOR = 1.475, 95 % CI [1.349-1.613]). In contrast, exposure to domestic violence showed no significant associations with any substance use outcome. Sensitivity analyses using random forest models validated these findings, emphasizing the differential contributions of individual ACE domains to substance use behaviors.</p><p><strong>Conclusions: </strong>These findings emphasize that ACEs are not all entirely equal, and a cumulative score does not represent the individual effect each ACE has on substance use outcomes. Tailoring interventions and policies toward addressing specific ACE domains could significantly reduce substance use rates in later life.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"119923"},"PeriodicalIF":4.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel Canal-Rivero, Jane Pirkis, Matthew J Spittal, Angela Nicholas, Miguel Ruiz-Veguilla, Benedicto Crespo-Facorro, Angela Clapperton
{"title":"Evaluating the extent to which targets are achieved in national suicide prevention strategies.","authors":"Manuel Canal-Rivero, Jane Pirkis, Matthew J Spittal, Angela Nicholas, Miguel Ruiz-Veguilla, Benedicto Crespo-Facorro, Angela Clapperton","doi":"10.1016/j.jad.2025.120021","DOIUrl":"10.1016/j.jad.2025.120021","url":null,"abstract":"<p><strong>Background: </strong>Several countries have implemented National Suicide Prevention Strategies (NSPSs), some of which include specific targets relating to reductions in suicide and/or suicidal behaviour. This study aimed to: (1) identify the proportion of NSPSs that include targets; and (2) assess whether these targets were achieved.</p><p><strong>Methods: </strong>A comprehensive review of NSPSs was conducted using relevant databases to identify those with defined targets. Official agencies were consulted to verify target achievement and to gather data on suicidal behaviour.</p><p><strong>Results: </strong>We identified 54 national strategies for analysis, of which 27 (50 %) included specific, quantitative targets. Eleven of these strategies had passed their target date and had available data for assessment. Of these eleven, only two countries, Chile and Israel, achieved their targets. For the remaining nine, outcomes varied: non-statistically significant reductions were observed in Bulgaria and Panama. Ireland also saw a reduction that, while numerically surpassing its target, was not statistically significant. Rates remained stable in England, and increased in Northern Ireland, the United States, Scotland, and Uruguay.</p><p><strong>Limitations: </strong>Although the data were sourced from official records, potential biases may have affected the quality and accuracy of the analysis.</p><p><strong>Conclusions: </strong>A significant proportion of NSPSs lack specific targets and even among those that have specific targets, achieving these remains a challenge for many. However, the presence of specific targets could at least facilitate the identification of barriers hindering the attainment of these targets.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"120021"},"PeriodicalIF":4.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alan C Courtes, Gregory H Jones, Ioline D Henter, Lokesh Shahani, Gabriel R Fries, Mario F Juruena, Jair C Soares, Carlos A Zarate, Rodrigo Machado-Vieira
{"title":"Blood-based biomarkers in ketamine treatment: A blueprint for translational drug development in mood disorders.","authors":"Alan C Courtes, Gregory H Jones, Ioline D Henter, Lokesh Shahani, Gabriel R Fries, Mario F Juruena, Jair C Soares, Carlos A Zarate, Rodrigo Machado-Vieira","doi":"10.1016/j.jad.2025.120016","DOIUrl":"10.1016/j.jad.2025.120016","url":null,"abstract":"<p><p>Over the past two decades, the N-methyl-d-aspartate receptor antagonist ketamine has emerged as a transformational, rapid-acting therapy for both unipolar and bipolar depression-particularly in treatment refractory cases. However, its specific mechanism of action remains unclear. Furthermore, although repeatable neuroimaging-based and electrophysiological biomarkers of treatment response to ketamine have been identified, they cannot provide specific molecular targets with which to advance precision psychiatry with rapid-acting antidepressants. This review explores blood-based biomarkers of ketamine response with an eye towards elucidating ketamine's intricate and varied antidepressant effects. Key findings indicate that ketamine modulates inflammatory, neurotrophic, and metabolic systems, and these changes are reflected in altered levels of biomarkers such as interleukin-6, brain-derived neurotrophic factor (BDNF), and plasma d-serine. Notably, the relationship between therapeutic efficacy and ketamine's metabolites, such as (2R,6R)-hydroxynorketamine, highlights the potential for metabolite-guided strategies and reciprocal translational research. In addition, the rapid temporal dynamics of biomarkers, particularly BDNF and inflammatory cytokines, underscore their potential as tools for monitoring treatment response and developing novel therapeutics. Despite these advances, limitations persist, including heterogeneous methodologies and small sample sizes across studies. The field requires a paradigm shift towards integrated biosignatures, combining multi-system biomarkers (i.e., neuroimaging, electrophysiological, and sleep biomarkers) with clinical outcomes. Such an approach has the potential to refine patient stratification, enhance drug development, and improve treatment monitoring.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"120016"},"PeriodicalIF":4.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}