From co-morbidity to transdiagnostic potential and novel immunotherapies for psychosis DOI Creative Commons
Rachel Upthegrove

Psychiatry Research, Journal Year: 2022, Volume and Issue: 317, P. 114866 - 114866

Published: Sept. 29, 2022

One of my first placements in psychiatry training was with the early intervention psychosis services Birmingham, late 1990's. It this context that I became aware frequency and importance affective co- modbidity lack diagnostic certianty stages develping severe mental illness. This challenged established dichotomy between non-affective illnesses, has driven work thinking ever since- including embracing presence symptoms schizophrenia may open door for new treatments. Understanding dysfunction as a potential intrisic component developing psychotic disorders also shown transdiagnostic shared underlying biological processess, immune dysfunction, related to remission functional outcomes. Currently focuses on targeting system improve recovery clinical trials, further mechanistic studies reach beyond traditional catagories.

Language: Английский

Dimensional Neuroimaging Endophenotypes: Neurobiological Representations of Disease Heterogeneity Through Machine Learning DOI Creative Commons
Junhao Wen, Mathilde Antoniades, Zhijian Yang

et al.

arXiv (Cornell University), Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 1, 2024

Machine learning has been increasingly used to obtain individualized neuroimaging signatures for disease diagnosis, prognosis, and response treatment in neuropsychiatric neurodegenerative disorders. Therefore, it contributed a better understanding of heterogeneity by identifying subtypes that present significant differences various brain phenotypic measures. In this review, we first systematic literature overview studies using machine multimodal MRI unravel disorders, including Alzheimer disease, schizophrenia, major depressive disorder, autism spectrum multiple sclerosis, as well their potential transdiagnostic settings. Subsequently, summarize relevant methodologies discuss an emerging paradigm which call dimensional endophenotype (DNE). DNE dissects the neurobiological disorders into low yet informative, quantitative representation, serving robust intermediate phenotype (i.e., endophenotype) largely reflecting underlying genetics etiology. Finally, clinical implications current findings envision future research avenues.

Language: Английский

Citations

0

Contrastive learning enhances the links between functional signatures and antidepressant treatment DOI Creative Commons
Badong Chen, Kaizhong Zheng, Xinhu Zheng

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: April 18, 2024

Abstract Major depressive disorder (MDD) is highly heterogeneous in terms of responses to treatment, which hinders the improvement treatment effectiveness and outcomes for MDD. Identifying MDD subtypes associated with could inform interventions facilitate personalized treatment. Here, we sought identify reproducible characterized by distinct neurofunctional (i.e., neuroimaging) patterns delineate heterogeneity explored relationship between antidepressant response. We used contrastive variational autoencoders (CVAEs) two REST-meta-MDD II dataset (1660 participants, 1340 HCs). Subtype 1 exhibited increased functional activity occipital, parietal, temporal, frontal areas, while subtype 2 showed decreased these areas. The number were validated a further large multi-center (1276 1104 Notably, patients be considered "treatment-sensitive" group, response rate over 50% all antidepressants better repetitive transcranial magnetic stimulation (rTMS) compared 2. In contrast, as "treatment-resistant" below most medications. ensuing MDD-specific features from CVAEs may serve neuroimaging biomarker predicting both medication rTMS treatments. Our study shows that learning can establish predictive validity brain signatures — offering potential new targets optimizing strategies treatment-resistant depression, lay path toward higher outcomes.

Language: Английский

Citations

0

Biomarkers DOI

Margareth Borges Coutinho Gallo

Published: Jan. 1, 2024

One of psychiatry's significant challenges lies in differentiating certain mental illnesses, given the overlapping characteristics exhibited by many them. The identification a biomarker or panel biomarkers serving this purpose would represent clinical revolution, motivating scientific community to intensify their search. This chapter provides concise historical overview quest for molecular schizophrenia spectrum disorders (SSD). Additionally, it outlines various classification patterns and attempts categorize them based on hypotheses related pathophysiology SSD. To help reader comprehend process discovery, introduces development diagnostic models using machine learning. It delves into some multivariate analyses conducted explains evaluation model performance through receiver operating characteristic (ROC) curve, providing detailed insights result interpretation.

Language: Английский

Citations

0

Депрессивные проявления как дименсиональная единица при шизофрении. Нарративный обзор. DOI Creative Commons
Renata I. Sultanova, Vadim R. Gashkarimov, I. S. Efremov

et al.

Consortium Psychiatricum, Journal Year: 2024, Volume and Issue: 5(3), P. 31 - 41

Published: Oct. 4, 2024

Depressive symptoms in patients with schizophrenia lead to more frequent exacerbations of the underlying disease, worsen prognosis, and increase risk suicide. Clinical practitioners continue face challenges diagnosing this disorder.

Language: Английский

Citations

0

From co-morbidity to transdiagnostic potential and novel immunotherapies for psychosis DOI Creative Commons
Rachel Upthegrove

Psychiatry Research, Journal Year: 2022, Volume and Issue: 317, P. 114866 - 114866

Published: Sept. 29, 2022

One of my first placements in psychiatry training was with the early intervention psychosis services Birmingham, late 1990's. It this context that I became aware frequency and importance affective co- modbidity lack diagnostic certianty stages develping severe mental illness. This challenged established dichotomy between non-affective illnesses, has driven work thinking ever since- including embracing presence symptoms schizophrenia may open door for new treatments. Understanding dysfunction as a potential intrisic component developing psychotic disorders also shown transdiagnostic shared underlying biological processess, immune dysfunction, related to remission functional outcomes. Currently focuses on targeting system improve recovery clinical trials, further mechanistic studies reach beyond traditional catagories.

Language: Английский

Citations

2