Kai-Yen Chang, Martin Tik, Yuki Mizutani-Tiebel, Paul Taylor, Timo van Hattem, Peter Falkai, Frank Padberg, Lucia Bulubas, Daniel Keeser
{"title":"Dose-dependent target engagement of a clinical iTBS protocol: An interleaved TMS-fMRI study in healthy subjects.","authors":"Kai-Yen Chang, Martin Tik, Yuki Mizutani-Tiebel, Paul Taylor, Timo van Hattem, Peter Falkai, Frank Padberg, Lucia Bulubas, Daniel Keeser","doi":"10.1016/j.bpsc.2024.08.009","DOIUrl":"https://doi.org/10.1016/j.bpsc.2024.08.009","url":null,"abstract":"<p><strong>Background: </strong>Intermittent theta burst stimulation (iTBS) of the dorsolateral prefrontal cortex (DLPFC) is widely applied as therapeutic intervention in mental health, however understanding of its mechanisms is still incomplete. Prior MRI studies have mainly used offline iTBS or short sequences in concurrent TMS-fMRI. This study investigated a full 600 stimuli iTBS protocol using interleaved TMS-fMRI in comparison with two control conditions in healthy subjects.</p><p><strong>Methods: </strong>In a crossover design, 18 participants underwent three sessions of interleaved iTBS-fMRI: 1) left DLPFC at 40% resting motor threshold (rMT) intensity, 2) left DLPFC at 80% rMT intensity, and 3) left primary motor cortex (M1) at 80% rMT intensity. We compared immediate blood-oxygen-level-dependent (BOLD) responses during interleaved iTBS-fMRI across these conditions including correlations between individual fMRI BOLD activation and iTBS induced electric field (E-field) strength at the target sites.</p><p><strong>Results: </strong>Whole-brain analysis showed increased activation in several regions following iTBS. Specifically, left DLPFC, as well as bilateral M1, anterior cingulate cortex, and insula showed increased activation during 80% rMT left DLPFC stimulation. Increased BOLD activity in the left DLPFC was not observed with 40% rMT left DLPFC stimulation nor left M1 80% rMT iTBS, whereas activation in other regions was found to overlap between conditions. Of note, BOLD activation and E-field intensities were only correlated for M1 stimulation, but not for the DLPFC conditions.</p><p><strong>Conclusions: </strong>The study showed dosage and target specific BOLD activation during interleaved TMS-fMRI with 600 stimuli iTBS in healthy subjects. Future studies may use our approach for demonstrating target engagement.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Taylor R Young, Vinod Jangir Kumar, Manojkumar Saranathan
{"title":"Normative Modeling of Thalamic Nuclear Volumes and Characterization of Lateralized Volume Alterations in Alzheimer's Disease Versus Schizophrenia.","authors":"Taylor R Young, Vinod Jangir Kumar, Manojkumar Saranathan","doi":"10.1016/j.bpsc.2024.08.006","DOIUrl":"10.1016/j.bpsc.2024.08.006","url":null,"abstract":"<p><strong>Background: </strong>Thalamic nuclei facilitate a wide range of complex behaviors, emotions, and cognition and have been implicated in neuropsychiatric disorders including Alzheimer's disease (AD) and schizophrenia. The aim of this work was to establish novel normative models of thalamic nuclear volumes and their laterality indices and investigate their changes in schizophrenia and AD.</p><p><strong>Methods: </strong>Volumes of bilateral whole thalami and 10 thalamic nuclei were generated from T1 MRI data using a state-of-the-art novel segmentation method in healthy control subjects (n=2374) and early mild cognitive impairment (MCI, n=211), late MCI (n=113), AD (n=88), and schizophrenia (n=168). Normative models for each nucleus were generated from healthy control subjects while controlling for sex, intracranial volume, and site. Extreme z-score deviations (|z|>1.96) and z-score distributions were compared across phenotypes. Z-scores were associated with clinical descriptors.</p><p><strong>Results: </strong>Increased infranormal and decreased supranormal z-scores were observed in schizophrenia and AD. Z-score shifts representing reduced volumes were observed in most nuclei in schizophrenia and AD with strong overlap in the bilateral pulvinar, medial dorsal, and centromedian nuclei. Shifts were larger in AD with evidence of a left-sided preference in early MCI while a predilection for right thalamic nuclei was observed in schizophrenia. The right medial dorsal nucleus was associated with disorganized thought and daily auditory verbal hallucinations.</p><p><strong>Conclusion: </strong>In AD, thalamic nuclei are more severely and symmetrically affected while in schizophrenia, the right thalamic nuclei are more affected. We highlight the right medial dorsal nucleus, which may mediate multiple symptoms of schizophrenia and is affected early in the disease course.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Meijs, Jurjen J Luykx, Nikita van der Vinne, Rien Breteler, Evian Gordon, Alexander T Sack, Hanneke van Dijk, Martijn Arns
{"title":"A Deep Learning-Derived Transdiagnostic Signature Indexing Hypoarousal and Impulse Control: Implications for Treatment Prediction in Psychiatric Disorders.","authors":"Hannah Meijs, Jurjen J Luykx, Nikita van der Vinne, Rien Breteler, Evian Gordon, Alexander T Sack, Hanneke van Dijk, Martijn Arns","doi":"10.1016/j.bpsc.2024.07.027","DOIUrl":"10.1016/j.bpsc.2024.07.027","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric disorders are traditionally classified within diagnostic categories, but this approach has limitations. The Research Domain Criteria (RDoC) constitute a research classification system for psychiatric disorders based on dimensions within domains that cut across these psychiatric diagnoses. The overall aim of RDoC is to better understand mental illness in terms of dysfunction in fundamental neurobiological and behavioral systems, leading to better diagnosis, prevention, and treatment.</p><p><strong>Methods: </strong>A unique electroencephalographic feature, referred to as spindling excessive beta, has been studied in relation to impulse control and sleep as part of the arousal/regulatory system RDoC domain. Here, we studied electroencephalographic frontal beta activity as a potential transdiagnostic biomarker capable of diagnosing and predicting impulse control and sleep problems.</p><p><strong>Results: </strong>We showed in the first dataset (n = 3279) that the probability of having spindling excessive beta, classified by a deep learning algorithm, was associated with poor sleep maintenance and low daytime impulse control. Furthermore, in 2 additional, independent datasets (iSPOT-A [International Study to Predict Optimized Treatment in ADHD], n = 336; iSPOT-D [International Study to Predict Optimized Treatment in Depression], n = 1008), we revealed that conventional frontocentral beta power and/or spindling excessive beta probability, referred to as Brainmarker-III, is associated with a diagnosis of attention-deficit/hyperactivity disorder, with remission to methylphenidate in children with attention-deficit/hyperactivity disorder in a sex-specific manner, and with remission to antidepressant medication in adults with major depressive disorder in a drug-specific manner.</p><p><strong>Conclusion: </strong>Our results demonstrate the value of the RDoC approach in psychiatry research for the discovery of biomarkers with diagnostic and treatment prediction capacities.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dore Loef, Philip F P van Eijndhoven, Sigfried N T M Schouws, Arjen J C Slooter, Nikki Janssen, Rob M Kok, Bart P F Rutten, Eric van Exel, Didi Rhebergen, Mardien L Oudega, Roel J T Mocking, Indira Tendolkar, Annemiek Dols, Esmée Verwijk
{"title":"The Sensitivity of the Mini-Mental State Examination to Detect Objective Cognitive Side Effects Induced by Electroconvulsive Therapy: Results From the Dutch ECT Consortium.","authors":"Dore Loef, Philip F P van Eijndhoven, Sigfried N T M Schouws, Arjen J C Slooter, Nikki Janssen, Rob M Kok, Bart P F Rutten, Eric van Exel, Didi Rhebergen, Mardien L Oudega, Roel J T Mocking, Indira Tendolkar, Annemiek Dols, Esmée Verwijk","doi":"10.1016/j.bpsc.2024.08.002","DOIUrl":"10.1016/j.bpsc.2024.08.002","url":null,"abstract":"<p><strong>Background: </strong>Monitoring cognitive side effects following electroconvulsive therapy (ECT) is crucial for balancing side effects and clinical effectiveness. Yet, evidence-based guidelines on cognitive testing following ECT are lacking. A frequently used test in global ECT practice is the Mini-Mental State Examination (MMSE). We examined the change of the MMSE score and its performance in identifying a decline in predefined neuropsychological measures sensitive to ECT-induced cognitive changes: verbal recall and verbal fluency.</p><p><strong>Methods: </strong>Mean MMSE scores before and 1 week after ECT were compared using a Wilcoxon signed rank test. The Reliable Change Index was calculated for all cognitive measures to indicate whether a participant's change in score from pre- to post-ECT was considered statistically significant. The sensitivity and specificity of the MMSE were calculated.</p><p><strong>Results: </strong>A total of 426 patients with depression from 5 sites were included from the Dutch ECT Consortium. Mean (SD) MMSE score increased significantly from 26.2 (3.9) before ECT to 26.8 (3.8) after ECT (p = .002). After ECT, 36 patients (8.5%) showed a significant decline in MMSE score. The sensitivity of the MMSE in identifying patients who experienced a significant decline in verbal recall or verbal fluency ranged from 3.6% to 11.1%. The specificity of the MMSE in identifying patients who did not experience a significant decline in verbal recall or verbal fluency ranged from 95.6% to 96.6%.</p><p><strong>Conclusions: </strong>Given the very low sensitivity of the MMSE, we propose reconsidering the prominence of the MMSE in ECT practice and cognitive monitoring guidelines, advocating for a more comprehensive approach to assess ECT-induced cognitive changes.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Belinda J Liddell, Pritha Das, Gin S Malhi, Kim L Felmingham, Mirjana Askovic, Angela Nickerson, Jorge Aroche, Mariano Coello, Tim Outhred, Richard A Bryant
{"title":"Torture Exposure Modulates Cognitive Control and Attention Neural Network Connectivity During a Go/NoGo Task.","authors":"Belinda J Liddell, Pritha Das, Gin S Malhi, Kim L Felmingham, Mirjana Askovic, Angela Nickerson, Jorge Aroche, Mariano Coello, Tim Outhred, Richard A Bryant","doi":"10.1016/j.bpsc.2024.07.025","DOIUrl":"10.1016/j.bpsc.2024.07.025","url":null,"abstract":"<p><strong>Background: </strong>Torture trauma is characterized by intentional uncontrollable acts, but the long-term effects of torture exposure on cognitive control brain mechanisms are unknown.</p><p><strong>Methods: </strong>A final sample of 33 torture survivors (TSs) and 44 non-TSs, all with a refugee background, completed a Go/NoGo response inhibition task during functional magnetic resonance imaging scanning. Data-driven independent component analysis identified active networks across the task and on Go, NoGo, and error of commission trials. Groups were compared on within-/between-network connectivity while controlling for demographic and psychological symptom covariates. Secondary analyses investigated whether network connectivity moderated the associations between torture exposure and severity on fear (e.g., re-experiencing) and dysphoria (e.g., anhedonia) posttraumatic stress disorder symptoms.</p><p><strong>Results: </strong>The TS group exhibited decreased connectivity (compared with the non-TS control group) within the posterior default mode network (specifically the left precuneus) and auditory-motor network (specifically the right superior temporal gyrus) and reduced connectivity between the dorsomedial frontal network and dorsal attention network across the Go/NoGo task. The TS group also showed more negative ventral attention network connectivity during NoGo (i.e., inhibition) trials. No behavioral effects were observed. Secondary analyses revealed that the association between torture exposure and elevated posttraumatic stress dysphoria (not fear) symptoms was moderated by reduced connectivity in the right superior temporal gyrus and between the dorsomedial frontal network and the dorsal attention network.</p><p><strong>Conclusions: </strong>Response inhibition, attention, and motor networks appear to be less connected in TSs, which may be specifically linked to a posttraumatic stress dysphoria symptom profile. The findings suggest that targeting cognitive control processes may hold promise for alleviating posttraumatic symptoms among survivors of torture.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dakota Kliamovich, Oscar Miranda-Dominguez, Nora Byington, Abigail V Espinoza, Arturo Lopez Flores, Damien A Fair, Bonnie J Nagel
{"title":"Leveraging Distributed Brain Signal at Rest to Predict Internalizing Symptoms in Youth: Deriving a Polyneuro Risk Score From the ABCD Study Cohort.","authors":"Dakota Kliamovich, Oscar Miranda-Dominguez, Nora Byington, Abigail V Espinoza, Arturo Lopez Flores, Damien A Fair, Bonnie J Nagel","doi":"10.1016/j.bpsc.2024.07.026","DOIUrl":"10.1016/j.bpsc.2024.07.026","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of internalizing psychopathology rises precipitously from early to mid-adolescence, yet the underlying neural phenotypes that give rise to depression and anxiety during this developmental period remain unclear.</p><p><strong>Methods: </strong>Youths from the Adolescent Brain Cognitive Development (ABCD) Study (ages 9-10 years at baseline) with a resting-state functional magnetic resonance imaging scan and mental health data were eligible for inclusion. Internalizing subscale scores from the Brief Problem Monitor-Youth Form were combined across 2 years of follow-up to generate a cumulative measure of internalizing symptoms. The total sample (N = 6521) was split into a large discovery dataset and a smaller validation dataset. Brain-behavior associations of resting-state functional connectivity with internalizing symptoms were estimated in the discovery dataset. The weighted contributions of each functional connection were aggregated using multivariate statistics to generate a polyneuro risk score (PNRS). The predictive power of the PNRS was evaluated in the validation dataset.</p><p><strong>Results: </strong>The PNRS explained 10.73% of the observed variance in internalizing symptom scores in the validation dataset. Model performance peaked when the top 2% functional connections identified in the discovery dataset (ranked by absolute β weight) were retained. The resting-state functional connectivity networks that were implicated most prominently were the default mode, dorsal attention, and cingulo-parietal networks. These findings were significant (p < 1 × 10<sup>-6</sup>) as accounted for by permutation testing (n = 7000).</p><p><strong>Conclusions: </strong>These results suggest that the neural phenotype associated with internalizing symptoms during adolescence is functionally distributed. The PNRS approach is a novel method for capturing relationships between resting-state functional connectivity and behavior.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milena Radoman, K Luan Phan, Olusola A Ajilore, Stephanie M Gorka
{"title":"Altered Effective Connectivity During Threat Anticipation in Individuals With Alcohol Use Disorder.","authors":"Milena Radoman, K Luan Phan, Olusola A Ajilore, Stephanie M Gorka","doi":"10.1016/j.bpsc.2024.07.023","DOIUrl":"10.1016/j.bpsc.2024.07.023","url":null,"abstract":"<p><strong>Background: </strong>A developing theory and recent research suggest that heightened reactivity to uncertain stressors or threats may be an important individual difference factor that facilitates excessive drinking as a means of avoidance-based coping and characterizes individuals with current and past alcohol use disorder (AUD). Neuroimaging studies of unpredictable threat processing have repeatedly demonstrated activation of the anterior insula, anteromedial thalamus, and dorsal anterior cingulate cortex. In the current study, we aimed to understand how these 3 regions function as a network during anticipation of unpredictable threat (and predictable threat).</p><p><strong>Methods: </strong>Participants were 43 adults (ages 21-30) with AUD and 26 healthy control participants. Functional magnetic resonance imaging and dynamic causal modeling were used to study interregional effective connectivities and predictable and unpredictable threat-related modulations thereof within this network. Parametric empirical Bayesian modeling was used to conduct between-group comparisons in effective connectivities.</p><p><strong>Results: </strong>During unpredictable threat trials, the increased projection from the right anteromedial thalamus to the right anterior insula was significantly present only in the AUD group. This directional influence was stronger among individuals who consumed more drinks per week on average. As expected, we found no group differences in modulatory changes to effective connectivities during predictable threat trials.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study to examine directional interactions between key frontolimbic regions during anticipation of unpredictable and predictable threat and demonstrate the importance of bottom-up thalamic-insular projections during unpredictable threat processing in AUD. Prospective studies are warranted to determine whether this association is causal.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molly A Erickson, Megan A Boudewyn, Kurt Winsler, Charlotte Li, Deanna M Barch, Cameron S Carter, Michael J Frank, James M Gold, Angus W MacDonald, John D Ragland, Steven M Silverstein, Andrew Yonelinas, Steven J Luck
{"title":"Dysfunctional Alpha Modulation as a Mechanism of Working Memory Impairment in Serious Mental Illness.","authors":"Molly A Erickson, Megan A Boudewyn, Kurt Winsler, Charlotte Li, Deanna M Barch, Cameron S Carter, Michael J Frank, James M Gold, Angus W MacDonald, John D Ragland, Steven M Silverstein, Andrew Yonelinas, Steven J Luck","doi":"10.1016/j.bpsc.2024.07.022","DOIUrl":"10.1016/j.bpsc.2024.07.022","url":null,"abstract":"<p><strong>Background: </strong>People with psychosis and mood disorders experience disruptions in working memory; however, the underlying mechanism remains unknown. We focused on 2 potential mechanisms: first, poor attentional engagement should be associated with elevated levels of prestimulus alpha-band activity within the electroencephalogram (EEG), whereas impaired working memory encoding should be associated with reduced poststimulus alpha suppression.</p><p><strong>Methods: </strong>We collected EEG data from 68 people with schizophrenia, 43 people with bipolar disorder with a history of psychosis, 53 people with major depressive disorder, and 90 healthy comparison subjects while they completed a spatial working memory task. We quantified attention lapsing, memory precision, and memory capacity from the behavioral responses, and we quantified alpha using traditional wavelet analysis as well as a novel approach for isolating oscillatory alpha power from aperiodic elements of the EEG signal.</p><p><strong>Results: </strong>We found that 1) greater prestimulus alpha power estimated using traditional wavelet analysis predicted behavioral errors; 2) poststimulus alpha suppression was reduced in the patient groups; and 3) reduced suppression was associated with a lower likelihood of memory storage. However, we also observed that the prestimulus alpha was larger among healthy control participants than patients, and single-trial analyses showed that it was the aperiodic elements of the prestimulus EEG-not oscillatory alpha-that predicted behavioral errors.</p><p><strong>Discussion: </strong>These results suggest that working memory impairments in serious mental illness primarily reflect an impairment in the poststimulus encoding processes rather than reduced attentional engagement prior to stimulus onset.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saige Rutherford, Carly A Lasagna, Scott D Blain, Andre F Marquand, Thomas Wolfers, Ivy F Tso
{"title":"Social Cognition and Functional Connectivity in Early and Chronic Schizophrenia.","authors":"Saige Rutherford, Carly A Lasagna, Scott D Blain, Andre F Marquand, Thomas Wolfers, Ivy F Tso","doi":"10.1016/j.bpsc.2024.07.024","DOIUrl":"10.1016/j.bpsc.2024.07.024","url":null,"abstract":"<p><strong>Background: </strong>Individuals with schizophrenia (SZ) experience impairments in social cognition that contribute to poor functional outcomes. However, mechanisms of social cognitive dysfunction in SZ remain poorly understood, which impedes the design of novel interventions to improve outcomes. In this preregistered project, we examined the representation of social cognition in the brain's functional architecture in early and chronic SZ.</p><p><strong>Methods: </strong>The study contains 2 parts: a confirmatory and an exploratory portion. In the confirmatory portion, we identified resting-state connectivity disruptions evident in early and chronic SZ. We performed a connectivity analysis using regions associated with social cognitive dysfunction in early and chronic SZ to test whether aberrant connectivity observed in chronic SZ (n = 47 chronic SZ and n = 52 healthy control participants) was also present in early SZ (n = 71 early SZ and n = 47 healthy control participants). In the exploratory portion, we assessed the out-of-sample generalizability and precision of predictive models of social cognition. We used machine learning to predict social cognition and established generalizability with out-of-sample testing and confound control.</p><p><strong>Results: </strong>Results revealed decreases between the left inferior frontal gyrus and the intraparietal sulcus in early and chronic SZ, which were significantly associated with social and general cognition and global functioning in chronic SZ and with general cognition and global functioning in early SZ. Predictive modeling revealed the importance of out-of-sample evaluation and confound control.</p><p><strong>Conclusions: </strong>This work provides insights into the functional architecture in early and chronic SZ and suggests that inferior frontal gyrus-intraparietal sulcus connectivity could be a prognostic biomarker of social impairments and a target for future interventions (e.g., neuromodulation) focused on improved social functioning.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tavia E Evans, Natalia Vilor-Tejedor, Gregory Operto, Carles Falcon, Albert Hofman, Agustin Ibáñez, Sudha Seshadari, Louis C S Tan, Michael Weiner, Suverna Alladi, Udunna Anazodo, Juan Domingo Gispert, Hieab H H Adams
{"title":"Structural Brain Differences in the Alzheimer's Disease Continuum: Insights Into the Heterogeneity From a Large Multisite Neuroimaging Consortium.","authors":"Tavia E Evans, Natalia Vilor-Tejedor, Gregory Operto, Carles Falcon, Albert Hofman, Agustin Ibáñez, Sudha Seshadari, Louis C S Tan, Michael Weiner, Suverna Alladi, Udunna Anazodo, Juan Domingo Gispert, Hieab H H Adams","doi":"10.1016/j.bpsc.2024.07.019","DOIUrl":"10.1016/j.bpsc.2024.07.019","url":null,"abstract":"<p><strong>Background: </strong>Neurodegenerative diseases require collaborative, multisite research to comprehensively grasp their complex and diverse pathological progression; however, there is caution in aggregating global data due to data heterogeneity. In the current study, we investigated brain structure across stages of Alzheimer's disease (AD) and how relationships vary across sources of heterogeneity.</p><p><strong>Methods: </strong>Using 6 international datasets (N > 27,000), associations of structural neuroimaging markers were investigated in relation to the AD continuum via meta-analysis. We investigated whether associations varied across elements of magnetic resonance imaging acquisition, study design, and populations.</p><p><strong>Results: </strong>Modest differences in associations were found depending on how data were acquired; however, patterns were similar. Preliminary results suggested that neuroimaging marker-AD relationships differ across ethnic groups.</p><p><strong>Conclusions: </strong>Diversity in data offers unique insights into the neural substrate of AD; however, harmonized processing and transparency of data collection are needed. Global collaborations should embrace the inherent heterogeneity that exists in the data and quantify its contribution to research findings at the meta-analytical stage.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}