Intro:
Research
has
shifted
focus
from
categorical
to
dimensional
conceptualizations
of
mental
health
conditions.
This
is
supported
by
high
overlap
between
disorders,
particularly
psychosis
spectrum
and
affective
which
cuts
across
traditional
diagnostic
boundaries.
While
there
evidence
for
a
general
factor
psychopathology
in
individuals
with
schizophrenia,
schizoaffective
disorder,
psychotic
bipolar
I
transdiagnostic
dimensions
have
not
been
investigated
young
at
Ultra-High
Risk
(UHR)
psychosis.
The
current
study
sought
investigate
(1)
whether
dimension
underlying
psychopathological
symptoms
UHR
(2)
the
formation
specific
symptom
(positive
symptoms,
negative
affect,
activation)
justified
alongside
dimension.
Methods:
Item
analyses
were
conducted
on
ratings
Brief
Psychiatric
Rating
Scale
baseline
Staged
Treatment
Early
Psychosis
(STEP)
trial.
Results:
In
total,
342
participants
included.
A
bifactor
model
one
four
factors
positive
activation
yielded
best
relative
fit
interpretability
when
compared
uni-
multidimensional
models,
albeit
absolute
statistics
provided
no
strong
support
this
finding.
However,
stability
tentatively
its
utility
addressing
our
aims
disentangling
pluripotent
domain-specific
dimensions.
Conclusion:
These
findings
shed
light
dimensionality
youth
reflect
an
important
step
towards
phenotypes
hierarchical
models
psychopathology.
Biological Psychiatry,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 1, 2025
Early
in
life,
behavioral
and
cognitive
traits
associated
with
risk
for
developing
a
psychiatric
condition
are
broad
undifferentiated.
As
children
develop,
these
differentiate
into
characteristic
clusters
of
symptoms
behaviors
that
ultimately
form
the
basis
diagnostic
categories.
Understanding
this
differentiation
process
-
context
genetic
conditions,
which
is
highly
generalized
can
improve
early
detection
intervention.
We
modeled
emotional
problems
from
age
1.5-5
years
(behavioral
=
score)
pre-registered
study
∼79,000
population-based
Norwegian
Mother,
Father,
Child
Cohort
Study.
used
genomic
structural
equation
modeling
to
identify
signal
total
problems,
investigating
their
links
11
neurodevelopmental
conditions.
examined
associations
polygenic
scores
(PGS)
both
outcomes
assessed
relative
contributions
direct
indirect
effects
∼33,000
family
trios.
Differentiation
was
primarily
genetically
correlated
conditions
via
"neurodevelopmental"
factor.
Total
were
factor
"p"-factor.
PGS
analyses
revealed
an
association
between
liability
ADHD
(β=0.11
[0.10,0.12]),
weaker
(β=0.06
[0.04,0.07]).
Trio-PGS
showed
predominantly
on
outcomes.
uncovered
process,
mostly
related
common
variants
Investigating
life
may
enhance
our
understanding
developmental
emergence
different
Psychological Medicine,
Год журнала:
2025,
Номер
55
Опубликована: Янв. 1, 2025
Abstract
Background
Post-traumatic
stress
disorder
(PTSD)
is
characterized
by
severe
distress
and
associated
with
cardiometabolic
diseases.
Studies
in
military
clinical
populations
suggest
that
dysregulated
metabolomic
processes
may
be
a
key
mechanism.
Prior
work
identified
validated
metabolite-based
score
(MDS)
linked
depression
anxiety
subsequent
Here,
we
assessed
whether
PTSD
shares
metabolic
alterations
if
additional
metabolites
are
related
to
PTSD.
Methods
We
leveraged
plasma
metabolomics
data
from
three
subsamples
nested
within
the
Nurses’
Health
Study
II,
including
2835
women
2950
blood
samples
collected
across
time
points
(1996–2014)
339
known
assayed
mass
spectrometry-based
techniques.
Trauma
exposures
were
2008
as
follows:
lifetime
trauma
without
PTSD,
remission,
persistent
symptoms.
Associations
between
MDS
or
individual
estimated
each
subsample
adjusting
for
potential
confounders
combined
random-effects
meta-analyses.
Results
Persistent
symptoms
higher
levels
of
previously
developed
MDS.
Out
metabolites,
29
(primarily
elevated
glycerophospholipids
glycerolipids)
(false
discovery
rate
<
0.05;
technical
covariates).
No
metabolite
associations
found
other
PTSD-related
exposures.
Conclusions
As
first
large-scale,
population-based
analysis
our
study
highlighted
shared
distinct
differences
versus
anxiety.
novel
markers
symptom
persistence,
suggesting
further
connections
dysregulation
have
downstream
consequences
health.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Май 10, 2024
Abstract
The
etiology
of
substance
use
disorders
(SUDs)
and
psychiatric
reflects
a
combination
both
transdiagnostic
(i.e.,
common)
disorder-level
independent)
genetic
risk
factors.
We
applied
genomic
structural
equation
modeling
to
examine
these
factors
across
SUDs,
psychotic,
mood,
anxiety
using
genome-wide
association
studies
(GWAS)
European-(EUR)
African-ancestry
(AFR)
individuals.
In
EUR
individuals,
represented
SUDs
(143
lead
single
nucleotide
polymorphisms
[SNPs]),
psychotic
(162
SNPs),
mood/anxiety
(112
SNPs).
identified
two
novel
SNPs
for
that
have
probable
regulatory
roles
on
FOXP1
,
NECTIN3
BTLA
genes.
AFR
(1
SNP)
(no
significant
SUD
factor
SNP,
although
previously
in
EUR-
cross-ancestry
GWAS,
is
finding
Shared
variance
accounted
overlap
between
their
comorbidities,
with
second-order
GWAS
identifying
up
12
not
significantly
associated
either
first-order
Finally,
common
independent
effects
showed
different
associations
psychiatric,
sociodemographic,
medical
phenotypes.
For
example,
the
components
schizophrenia
bipolar
disorder
had
distinct
affective
risk-taking
behaviors,
phenome-wide
conditions
tobacco
broader
factor.
Thus,
combining
approaches
can
improve
our
understanding
co-occurring
increase
specificity
discovery,
which
critical
demonstrate
considerable
symptom
etiological
overlap.
Neuroscience & Biobehavioral Reviews,
Год журнала:
2023,
Номер
155, С. 105431 - 105431
Опубликована: Окт. 26, 2023
This
systematic
review
synthesizes
evidence
from
research
investigating
the
biological
correlates
of
latent
transdiagnostic
dimensions
psychopathology
(e.g.,
p-factor,
internalizing,
externalizing)
across
lifespan.
Eligibility
criteria
captured
genomic
and
neuroimaging
studies
general
and/or
specific
in
population
samples
all
age
groups.
MEDLINE,
Embase,
PsycINFO
were
searched
for
relevant
published
up
to
March
2023
46
selected
inclusion.
The
results
revealed
several
consistently
associated
with
psychopathology,
including
polygenic
scores
ADHD
neuroticism,
global
surface
area
gray
matter
volume.
Shared
unique
associations
between
symptom
are
highlighted,
as
potential
age-specific
differences
associations.
Findings
interpreted
reference
key
methodological
studies.
included
provide
compelling
that
dimension
reflects
common
underlying
genetic
neurobiological
vulnerabilities
shared
diverse
manifestations
mental
illness.
Substantive
interpretations
context
discussed.
Journal of Clinical Investigation,
Год журнала:
2024,
Номер
134(11)
Опубликована: Июнь 2, 2024
Lifetime
and
temporal
co-occurrence
of
substance
use
disorders
(SUDs)
is
common
compared
with
individual
SUDs
characterized
by
greater
severity,
additional
psychiatric
comorbidities,
worse
outcomes.
Here,
we
review
evidence
for
the
role
generalized
genetic
liability
to
various
SUDs.
Coaggregation
has
familial
contributions,
twin
studies
suggesting
a
strong
contribution
additive
influences
undergirding
variety
substances
(including
alcohol,
nicotine,
cannabis,
others).
GWAS
have
documented
similarly
large
correlations
between
opioid
disorders.
Extending
these
findings,
recent
identified
multiple
genomic
loci
that
contribute
risk
problematic
tobacco
use,
implicating
dopaminergic
regulatory
neuronal
development
mechanisms
in
pathophysiology
SUD
liability,
certain
signals
demonstrating
cross-species
translational
validity.
Overlap
other
externalizing
behaviors,
while
substantial,
does
not
explain
entirety
signal
SUD.
Polygenic
scores
(PGS)
derived
from
outperform
PGS
prediction
serious
mental
health
medical
comorbidities.
Going
forward,
it
will
be
important
further
elucidate
etiology
incorporating
SUDs,
evaluating
clinical
presentation
across
lifespan,
increasing
granularity
investigation
(e.g.,
specific
transdiagnostic
criteria)
ultimately
improve
nosology,
prevention,
treatment
American Journal of Psychiatry,
Год журнала:
2024,
Номер
181(12), С. 1059 - 1075
Опубликована: Дек. 1, 2024
Anxiety
disorders
are
a
leading
source
of
human
misery,
morbidity,
and
premature
mortality.
Existing
treatments
far
from
curative
for
many,
underscoring
the
need
to
clarify
underlying
neural
mechanisms.
Although
many
brain
regions
contribute,
amygdala
has
received
most
intense
scientific
attention.
Over
past
several
decades,
this
scrutiny
yielded
detailed
understanding
function,
but
it
failed
produce
new
clinical
assays,
biomarkers,
or
cures.
Rising
urgent
public
health
challenge
demands
an
honest
reckoning
with
functional-neuroanatomical
complexity
shift
theories
anchored
on
"the
amygdala"
models
centered
specific
nuclei
cell
types.
This
review
begins
by
examining
evidence
studies
rodents,
monkeys,
humans
"canonical
model,"
idea
that
plays
central
role
in
fear-
anxiety-related
states,
traits,
disorders.
Next,
authors
selectively
highlight
work
indicating
canonical
model,
while
true,
is
overly
simplistic
fails
adequately
capture
actual
state
evidentiary
record,
breadth
amygdala-associated
functions
illnesses,
amygdala's
functional
architecture.
The
describe
implications
these
facts
basic
neuroimaging
research.
concludes
some
general
recommendations
grappling
accelerating
efforts
understand
more
effectively
treat
amygdala-related
psychopathology.
Nature Communications,
Год журнала:
2025,
Номер
16(1)
Опубликована: Март 11, 2025
The
heterogeneity
of
major
depressive
disorder
(MDD)
has
hindered
clinical
translation
and
neuromarker
identification.
Biotyping
facilitates
solving
the
problems
heterogeneity,
by
dissecting
MDD
patients
into
discrete
subgroups.
However,
interindividual
variations
suggest
that
depression
may
be
conceptualized
as
a
"continuum,"
rather
than
"category."
We
use
Bayesian
model
to
decompose
structural
MRI
features
from
multisite
cross-sectional
cohort
three
latent
disease
factors
(spatial
pattern)
continuum
factor
compositions
(individual
expression).
are
associated
with
distinct
neurotransmitter
receptors/transporters
obtained
open
PET
sources.
Increases
cortical
thickness
in
sensory
decreases
orbitofrontal
cortices
(Factor
1)
associate
norepinephrine
5-HT2A
density,
cingulo-opercular
network
subcortex
2)
5-HTT
increases
social
affective
brain
systems
3)
relate
density.
Disease
patterns
can
also
used
predict
symptom
improvement
longitudinal
cohort.
Moreover,
individual
expressions
stable
over
time
cohort,
differentially
expressed
controls
transdiagnostic
Collectively,
our
data-driven
reveal
organize
along
continuous
dimensions
affect
sets
regions.
Li
et
al.
identify
abnormalities
using
an
unsupervised
machine
learning
technique,
quantify
their
expression
level
for
each
patient.