Jacob Ross, Bruna Cuccurazzu, Dylan Delmar, Christian Cortez, Giovanni Castillo, Dean T Acheson, Dewleen G Baker, Victoria B Risbrough, Daniel M Stout
{"title":"Impaired mnemonic pattern separation associated with PTSD symptoms paradoxically improves with regular cannabis use.","authors":"Jacob Ross, Bruna Cuccurazzu, Dylan Delmar, Christian Cortez, Giovanni Castillo, Dean T Acheson, Dewleen G Baker, Victoria B Risbrough, Daniel M Stout","doi":"10.1038/s44184-025-00126-w","DOIUrl":"https://doi.org/10.1038/s44184-025-00126-w","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is associated with poor hippocampal function and disrupted pattern recognition. Cannabis use is highly prevalent in individuals with PTSD, yet the impact on these cognitive functions is poorly understood. Participants (n = 111) with a range of PTSD symptoms with and without regular cannabis use completed the mnemonic similarity task. We hypothesized that regular use would be associated with alterations in pattern separation ability in individuals with PTSD symptoms. High PTSD symptoms were associated with reduced pattern separation performance in minimal users. Regular users with high PTSD symptoms showed greater pattern separation, but reduced pattern separation with low PTSD symptoms. These results suggest that regular cannabis use may disrupt pattern separation and similar hippocampal-dependent processes, while it may improve pattern separation in individuals with high PTSD symptoms. These cross-sectional results require longitudinal follow-up studies to evaluate the causal effects of regular cannabis use on cognitive function in PTSD.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuezhou Zhang, Amos A Folarin, Yatharth Ranjan, Nicholas Cummins, Zulqarnain Rashid, Pauline Conde, Callum Stewart, Shaoxiong Sun, Srinivasan Vairavan, Faith Matcham, Carolin Oetzmann, Sara Siddi, Femke Lamers, Sara Simblett, Til Wykes, David C Mohr, Josep Maria Haro, Brenda W J H Penninx, Vaibhav A Narayan, Matthew Hotopf, Richard J B Dobson, Abhishek Pratap
{"title":"Assessing seasonal and weather effects on depression and physical activity using mobile health data.","authors":"Yuezhou Zhang, Amos A Folarin, Yatharth Ranjan, Nicholas Cummins, Zulqarnain Rashid, Pauline Conde, Callum Stewart, Shaoxiong Sun, Srinivasan Vairavan, Faith Matcham, Carolin Oetzmann, Sara Siddi, Femke Lamers, Sara Simblett, Til Wykes, David C Mohr, Josep Maria Haro, Brenda W J H Penninx, Vaibhav A Narayan, Matthew Hotopf, Richard J B Dobson, Abhishek Pratap","doi":"10.1038/s44184-025-00125-x","DOIUrl":"https://doi.org/10.1038/s44184-025-00125-x","url":null,"abstract":"<p><p>Seasonal and weather changes can significantly impact depression severity, yet findings remain inconsistent across populations. This study explored depression variations across the seasons and the interplays between weather changes, physical activity, and depression severity among 428 participants in a real-world longitudinal mobile health study. Clustering analysis identified four participant subgroups with distinct patterns of depression severity variations in 1 year. While one subgroup showed stable depression levels throughout the year, others peaked at various seasons. The subgroup with stable depression had older participants with lower baseline depression severity. Mediation analysis revealed temperature and day length significantly influenced depression severity, which in turn impacted physical activity levels indirectly. Notably, these indirect influences manifested differently or even oppositely across participants with varying responses to weather. These findings support the hypothesis of heterogeneity in individuals' seasonal depression variations and responses to weather, underscoring the necessity for personalized approaches in depression management and treatment.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Probiotics reduce negative mood over time: the value of daily self-reports in detecting effects.","authors":"Katerina V-A Johnson, Laura Steenbergen","doi":"10.1038/s44184-025-00123-z","DOIUrl":"https://doi.org/10.1038/s44184-025-00123-z","url":null,"abstract":"<p><p>The burgeoning field of the microbiome-gut-brain axis has inspired research into how the gut microbiome can affect human emotion. Probiotics offer ways to investigate microbial-based interventions but results have been mixed, with more evidence of beneficial effects in clinically depressed patients. Using a randomised, double-blind, placebo-controlled design in 88 healthy volunteers, we conduct a comprehensive study into effects of a multispecies probiotic on emotion regulation and mood through questionnaires, emotional processing tests and daily reports. We find clear evidence that probiotics reduce negative mood, starting after two weeks, based on daily monitoring, but few other changes. Our findings reconcile inconsistencies of previous studies, revealing that commonly used pre- versus post-intervention assessments cannot reliably detect probiotic-induced changes in healthy subjects' emotional state. We conclude that probiotics can benefit mental health in the general population and identify traits of individuals who derive greatest benefit, allowing future targeting of at-risk individuals.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paige E Cervantes, Charlotte Gendler, Lori Markowitz, Meggin Rose, Priscilla Shorter, Sally Mason, Tanya Hernandez, Kimberly E Hoagwood
{"title":"Publisher Correction: Adapting the Parent Connector program for caregivers of adults with SMI: the Family Connector experience.","authors":"Paige E Cervantes, Charlotte Gendler, Lori Markowitz, Meggin Rose, Priscilla Shorter, Sally Mason, Tanya Hernandez, Kimberly E Hoagwood","doi":"10.1038/s44184-025-00118-w","DOIUrl":"10.1038/s44184-025-00118-w","url":null,"abstract":"","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Avijit Mitra, Kun Chen, Weisong Liu, Ronald C Kessler, Hong Yu
{"title":"Post-discharge suicide prediction among US veterans using natural language processing-enriched social and behavioral determinants of health.","authors":"Avijit Mitra, Kun Chen, Weisong Liu, Ronald C Kessler, Hong Yu","doi":"10.1038/s44184-025-00120-2","DOIUrl":"10.1038/s44184-025-00120-2","url":null,"abstract":"<p><p>Despite the established association between social and behavioral determinants of health (SBDH) and suicide risk, SBDHs from unstructured electronic health record notes for suicide prediction remain underutilized. This study investigates the impact of SBDH identified from both structured and unstructured data utilizing a natural language processing (NLP) system on suicide prediction at 7, 30, 90, and 180 days post-discharge. Using data from 2,987,006 US Veterans between 1 October 2009, and 30 September 2015, we designed a case-control study demonstrating that structured and NLP-extracted SBDH significantly enhance distinct prediction models' performance. For example, the random forest model improved its 180-day post-discharge prediction with an area under the receiver operating characteristic curve increase from 83.57% to 84.25% (95% CI = 0.63%-0.98%, p val < 0.001) and area under the precision-recall curve increase from 57.38% to 59.87% (95% CI = 3.86%-4.82%, p val < 0.001) after integrating NLP-extracted SBDH. These findings underscore the potential of NLP-extracted SBDH in advancing suicide prediction.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
William Hedley Thompson, Emelie Thern, Filip Gedin, Anna Andreasson, Karin B Jensen, Maria Lalouni
{"title":"Early signs of long-term pain: prospective network profiles from late adolescence and lifelong follow-up.","authors":"William Hedley Thompson, Emelie Thern, Filip Gedin, Anna Andreasson, Karin B Jensen, Maria Lalouni","doi":"10.1038/s44184-025-00122-0","DOIUrl":"10.1038/s44184-025-00122-0","url":null,"abstract":"<p><p>This study applies network theory to registry data to identify prospective differences between individuals who develop long-term pain later in life and those who do not. The research is based on assessments of biological, psychological, and social variables in late adolescence during military conscription in Sweden. The analysis reveals significant differences in the network profiles of adolescent men who later developed long-term pain. These differences are reflected in several network-based outputs, including global, nodal, and edge levels, revealing a consistent picture of the pain-associated network profile. This profile demonstrates how those vulnerable to long-term pain have a specific configuration of variables that skew away from the rest of the population, mainly relating to psychosocial aspects.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Mahbub, Gregory M Dams, Sudarshan Srinivasan, Caitlin Rizy, Ioana Danciu, Jodie Trafton, Kathryn Knight
{"title":"Decoding substance use disorder severity from clinical notes using a large language model.","authors":"Maria Mahbub, Gregory M Dams, Sudarshan Srinivasan, Caitlin Rizy, Ioana Danciu, Jodie Trafton, Kathryn Knight","doi":"10.1038/s44184-024-00114-6","DOIUrl":"10.1038/s44184-024-00114-6","url":null,"abstract":"<p><p>Substance use disorder (SUD) poses a major concern due to its detrimental effects on health and society. SUD identification and treatment depend on a variety of factors such as severity, co-determinants (e.g., withdrawal symptoms), and social determinants of health. Existing diagnostic coding systems used by insurance providers, like the International Classification of Diseases (ICD-10), lack granularity for certain diagnoses, but American clinicians will add this granularity (as that found within the Diagnostic and Statistical Manual of Mental Disorders classification or DSM-5) as supplemental unstructured text in clinical notes. Traditional natural language processing (NLP) methods face limitations in accurately parsing such diverse clinical language. Large language models (LLMs) offer promise in overcoming these challenges by adapting to diverse language patterns. This study investigates the application of LLMs for extracting severity-related information for various SUD diagnoses from clinical notes. We propose a workflow employing zero-shot learning of LLMs with carefully crafted prompts and post-processing techniques. Through experimentation with Flan-T5, an open-source LLM, we demonstrate its superior recall compared to the rule-based approach. Focusing on 11 categories of SUD diagnoses, we show the effectiveness of LLMs in extracting severity information, contributing to improved risk assessment and treatment planning for SUD patients.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ari Brouwer, Joshua K Brown, Earth Erowid, Fire Erowid, Sylvia Thyssen, Charles L Raison, Robin L Carhart-Harris
{"title":"A qualitative analysis of the psychedelic mushroom come-up and come-down.","authors":"Ari Brouwer, Joshua K Brown, Earth Erowid, Fire Erowid, Sylvia Thyssen, Charles L Raison, Robin L Carhart-Harris","doi":"10.1038/s44184-024-00095-6","DOIUrl":"10.1038/s44184-024-00095-6","url":null,"abstract":"<p><p>Psychedelic therapy has the potential to become a revolutionary and transdiagnostic mental health treatment, yielding enduring benefits that are often attributed to the experiences that coincide with peak psychedelic effects. However, there may be an underrecognized temporal structure to this process that helps explain why psychedelic and related altered states of consciousness can have an initially distressing but ultimately distress-resolving effect. Here we present a qualitative analysis of the self-reported 'come-up' or onset phase, and 'come-down' or falling phase, of the psychedelic experience. Focusing on psilocybin or psilocybin-containing mushroom experience reports submitted to Erowid.org, we use phenomenological, thematic content and word frequency analysis to show that the come-up is more often characterized by negatively valenced feeling states that resemble an acute stress reaction, while the come-down phase is more often characterized by positively valenced feeling states of the sort often observed following recovery from illness or resolution of stress. The therapeutic and theoretical relevance of these findings are discussed.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Devon LoParo, Boadie W Dunlop, Charles B Nemeroff, Helen S Mayberg, W Edward Craighead
{"title":"Prediction of individual patient outcomes to psychotherapy vs medication for major depression.","authors":"Devon LoParo, Boadie W Dunlop, Charles B Nemeroff, Helen S Mayberg, W Edward Craighead","doi":"10.1038/s44184-025-00119-9","DOIUrl":"10.1038/s44184-025-00119-9","url":null,"abstract":"<p><p>Treatments for major depressive disorder (MDD) include antidepressant medications and evidence-based psychotherapies, which are approximately equally efficacious. Individual response to treatment, however, is variable, implying individual differences that could allow for prospective differential prediction of treatment response and personalized treatment recommendation. We used machine learning to develop predictor variables that combined demographic and clinical items from a randomized clinical trial. The variables predicted a meaningful proportion of variance in end-of-treatment depression severity for cognitive behavioral therapy (39.7%), escitalopram (32.1%), and duloxetine (67.7%), leading to a high accuracy in predicting remission (71%). Further, we used these variables to simulate treatment recommendation and found that patients who received their recommended treatment had significantly improved depression severity and remission likelihood. Finally, the prediction algorithms and treatment recommendation tool were externally validated in an independent sample. These results represent a highly promising, easily implemented, potential advance for personalized medicine in MDD treatment.</p>","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yolanda Lau, Amit Bansal, Cassandre Palix, Harriet Demnitz-King, Miranka Wirth, Olga Klimecki, Gael Chetelat, Géraldine Poisnel, Natalie L Marchant
{"title":"Author Correction: Sex differences in the association between repetitive negative thinking and neurofilament light.","authors":"Yolanda Lau, Amit Bansal, Cassandre Palix, Harriet Demnitz-King, Miranka Wirth, Olga Klimecki, Gael Chetelat, Géraldine Poisnel, Natalie L Marchant","doi":"10.1038/s44184-025-00116-y","DOIUrl":"https://doi.org/10.1038/s44184-025-00116-y","url":null,"abstract":"","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":"4 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}