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Variable Presence of an Evolutionarily New Brain Structure Is Related to Trait Impulsivity 一种进化上的新大脑结构的可变存在与特质冲动性有关。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.bpsc.2024.11.015
Ethan H. Willbrand , Samira A. Maboudian , Matthew V. Elliott , Gabby M. Kellerman , Sheri L. Johnson , Kevin S. Weiner

Background

Impulsivity is a multidimensional construct reflecting poor constraint over one’s behaviors. Clinical psychology research has identified separable impulsivity dimensions that are each unique transdiagnostic indicators for psychopathology. However, despite this apparent clinical importance, the shared and unique neuroanatomical correlates of these factors remain largely unknown. Concomitantly, neuroimaging research has identified variably present human brain structures implicated in cognition and disorder: the folds (sulci) of the cerebral cortex located in the latest-developing and most evolutionarily expanded hominoid-specific association cortices.

Methods

We tethered these 2 fields to test whether variability in one such structure in the anterior cingulate cortex (ACC)—the paracingulate sulcus (PCGS)—was related to individual differences in trait impulsivity. A total of 120 adult participants with internalizing or externalizing psychopathology completed a magnetic resonance imaging scan and the Three-Factor Impulsivity Index. Using precision imaging techniques, we manually identified the PCGS, when present, and acquired quantitative folding metrics (PCGS length and ACC local gyrification index).

Results

Neuroanatomical-behavioral analyses revealed that participants with leftward or symmetrical PCGS patterns had greater severity of Lack of Follow Through (LFT)—which captures inattention and lack of perseverance—than those with rightward asymmetry. Neuroanatomical-functional analyses identified that the PCGS colocalized with a focal locus found in a neuroimaging meta-analysis on a feature underlying LFT. Neither quantitative folding metric related to any impulsivity dimension.

Conclusions

This study advances understanding of the neuroanatomical correlates of impulsivity and establishes the notion that the topographical organization of distinct, hominoid-specific cortical expanses underlies separable impulsivity dimensions with robust, transdiagnostic implications for psychopathology.
背景:冲动是一个多维结构,反映了对一个人的行为缺乏约束。临床心理学研究确定了可分离的冲动维度,每个维度都是精神病理学的独特的跨诊断指标。然而,尽管这种明显的临床重要性,这些因素的共同和独特的神经解剖学相关性在很大程度上仍然未知。与此同时,神经影像学研究确定了与认知和障碍有关的不同的人类大脑结构:大脑皮层的褶皱(沟)位于最新发展和进化上扩展最多的类人猿特异性关联皮层。方法:我们将这两个领域连接起来,以测试前扣带皮层(ACC)中一个这样的结构——扣带旁沟(PCGS)的变异性是否与特质冲动的个体差异有关。120名患有内化或外化精神病理的成年参与者完成了磁共振成像扫描和三因素冲动指数。利用精密成像技术,我们手动识别出存在的PCGS,并获得了定量的折叠指标(PCGS长度和ACC局部回转指数)。结果:神经解剖学-行为分析显示,左向或对称的PCGS模式的参与者比右向不对称的参与者有更严重的缺乏跟进(LFT),这反映了注意力不集中和缺乏毅力。神经解剖学功能分析发现,PCGS与LFT基础特征的神经影像学荟萃分析中发现的病灶位点共定位。两个定量折叠指标都不涉及任何冲动性维度。结论:本研究促进了对冲动性神经解剖学相关性的理解,并确立了一种概念,即不同的、类人猿特有的皮层扩张的地形组织是冲动性可分离维度的基础,对精神病理学具有强大的跨诊断意义。
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引用次数: 0
Structural Covariance of Early Visual Cortex Is Negatively Associated With Posttraumatic Stress Disorder Symptoms: A Mega-Analysis From the ENIGMA PTSD Working Group 早期视觉皮层结构协方差与PTSD症状负相关:来自ENIGMA PTSD工作组的大型分析
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.bpsc.2025.07.005
Nathaniel G. Harnett , Soumyaa Joshi , Poornima Kumar , Courtney Russell , Daniel G. Dillon , Justin T. Baker , Diego A. Pizzagalli , Milissa L. Kaufman , Lisa D. Nickerson , Neda Jahanshad , Lauren E. Salminen , Sophia I. Thomopoulos , Jessie L. Frijling , Dick J. Veltman , Saskia B.J. Koch , Laura Nawijn , Mirjam van Zuiden , Ye Zhu , Gen Li , Jonathan Ipser , Kerry J. Ressler

Background

Identifying robust neural signatures of posttraumatic stress disorder (PTSD) symptoms is important to facilitate precision psychiatry and help in understanding and treatment of the disorder. Emergent research suggests that the structural covariance of early visual regions is associated with later PTSD development. However, large-scale analyses are needed in heterogeneous samples of trauma-exposed and trauma-naïve individuals to determine whether such a neural signature is a robust marker of vulnerability.

Methods

We analyzed data from the ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis)-PTSD dataset (N = 2814) and the HCP-YA (Human Connectome Project–Young Adult) dataset (N = 890) to investigate whether the structural covariance of the early visual cortex is associated with either PTSD symptoms or perceived stress. Structural covariance was derived from a multimodal pattern previously identified in recent trauma survivors, and participant loadings on the profile were included in linear mixed effects models to evaluate associations with stress.

Results

Early visual cortex covariance loadings were negatively associated with PTSD symptoms in the ENIGMA-PTSD dataset. The relationship persisted when accounting for prior childhood maltreatment; supporting PTSD symptom specificity, no relationship was observed with depressive symptoms, and no association was observed between loadings and perceived stress measures in the HCP-YA dataset.

Conclusions

The structural covariance of early visual cortex was robustly associated with PTSD symptoms across an international, heterogeneous sample of trauma survivors. Future studies should aim to identify specific mechanisms that underlie structural alterations in the visual cortex to better understand posttrauma psychopathology.
背景:识别创伤后应激障碍(PTSD)症状的强大神经特征对于促进精确精神病学和帮助理解和治疗该障碍具有重要意义。新兴研究表明,早期视觉区域的结构协方差与后期PTSD的发展有关。然而,需要大规模的分析——在创伤暴露和创伤幼稚个体的异质样本中——来确定这种神经特征是否是脆弱的有力标志。方法:我们分析了ENIGMA-PTSD数据集(n = 2,814)和Human Connectome Project - Young Adult (HCP-YA)数据集(n = 890)的数据,以研究早期视觉皮层的结构协方差是否与PTSD症状或感知压力相关。结构协方差来源于先前在最近的创伤幸存者中发现的多模态模式,并且参与者在剖面上的负荷被包括在线性混合效应模型中以评估与压力的关联。结果:在ENIGMA-PTSD数据集中,早期视觉皮层协方差负荷与PTSD症状呈负相关。当考虑到之前的童年虐待时,这种关系仍然存在;支持PTSD症状特异性,在HCP-YA数据集中,没有观察到与抑郁症状的关系,也没有观察到负荷和感知压力测量之间的关联。结论:早期视觉皮层的结构协方差与创伤后应激障碍症状在国际、异质创伤幸存者样本中存在显著相关。未来的研究应旨在确定视觉皮层结构改变的具体机制,以更好地理解创伤后精神病理。
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引用次数: 0
Cerebellar Connectivity Addresses Gaps in Cognitive Deficits and Negative Symptoms in Psychosis 小脑连通性解决了精神病认知缺陷和阴性症状的空白
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.bpsc.2025.11.006
Katherine S.F. Damme
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引用次数: 0
Grief-Specific or Domain-General? Integrative Neuroimaging Perspectives for Understanding Long-Term Grief 特定悲伤还是一般领域?理解长期悲伤的综合神经影像学观点
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.bpsc.2025.10.008
Saren H. Seeley
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引用次数: 0
Auditory and Visual Thalamocortical Connectivity Alterations in Unmedicated People With Schizophrenia: An Individualized Sensory Thalamic Localization and Resting-State Functional Connectivity Study 未服药的精神分裂症患者的听觉和视觉丘脑皮质连通性改变:一项个性化的感觉丘脑定位和静息状态功能连通性研究。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.bpsc.2025.05.016
John C. Williams , Philip N. Tubiolo , Roberto B. Gil , Zu Jie Zheng , Eilon B. Silver-Frankel , Natalka K. Haubold , Sameera K. Abeykoon , Dathy T. Pham , Najate Ojeil , Kelly Bobchin , Mark Slifstein , Jodi J. Weinstein , Greg Perlman , Guillermo Horga , Anissa Abi-Dargham , Jared X. Van Snellenberg

Background

Converging evidence from clinical neuroimaging and animal models has strongly implicated dysfunction of thalamocortical circuits in the pathophysiology of schizophrenia (SZ). Preclinical models of genetic risk for SZ have shown reduced synaptic transmission from the auditory thalamus to the primary auditory cortex, which may represent a correlate of auditory disturbances such as hallucinations. However, human neuroimaging studies have found a generalized increase in resting-state functional connectivity (RSFC) between whole thalamus and sensorimotor cortex in people with SZ (PSZ). We aimed to more directly translate preclinical findings by specifically localizing auditory and visual thalamic nuclei in unmedicated PSZ and measuring RSFC to primary sensory cortices.

Methods

In this case-control study, 82 unmedicated PSZ and 55 matched healthy control participants (HCs) completed RSFC functional magnetic resonance imaging (fMRI) (N = 137). Auditory and visual thalamic nuclei were localized for 55 unmedicated PSZ and 46 HCs who also completed a sensory thalamic nuclei localizer fMRI task (n = 101). Using localized nuclei as RSFC seeds, we assessed group differences in auditory and visual thalamocortical connectivity and associations with positive symptom severity.

Results

Auditory thalamocortical connectivity was not significantly different between PSZ and HCs, but hyperconnectivity was associated with greater positive symptom severity in the bilateral superior temporal gyrus. Visual thalamocortical connectivity was significantly greater in PSZ relative to HCs in the secondary and higher-order visual cortex but was not predictive of positive symptom severity.

Conclusions

These results indicate that visual thalamocortical hyperconnectivity is a generalized marker of SZ, while hyperconnectivity in auditory thalamocortical circuits relates more specifically to positive symptom severity.
背景:来自临床神经影像学和动物模型的越来越多的证据强烈地暗示了精神分裂症病理生理中丘脑皮质回路的功能障碍。精神分裂症遗传风险的临床前模型显示,从听觉丘脑到初级听觉皮层的突触传递减少,这可能与幻觉等听觉障碍有关。然而,人类神经影像学研究发现,在精神分裂症(PSZ)患者中,整个丘脑和感觉运动皮层之间的静息状态功能连接(RSFC)普遍增加。我们的目的是通过在未用药的PSZ中特异性定位听觉和视觉丘脑核,并测量初级感觉皮层的RSFC,更直接地转化临床前研究结果。方法:在本病例对照研究中,82名未服药的PSZ和55名匹配的健康对照(HC)完成了RSFC功能磁共振成像(fMRI)。55名未服药的PSZ和46名额外完成感觉丘脑核定位任务的HC被定位为听觉和视觉丘脑核(N = 101)。使用局部核作为RSFC种子,我们评估了听觉和视觉丘脑皮质连通性的组间差异以及与阳性症状严重程度的关联。结果:听觉丘脑皮质连通性在PSZ和HC之间无显著差异,但双侧颞上回的高连通性与更大的阳性症状严重程度相关。与HC相比,PSZ的视觉丘脑皮质连通性在二级和高阶视觉皮质中显著增加,但不能预测阳性症状的严重程度。结论:这些结果表明,视觉丘脑皮质超连通性是精神分裂症的一个普遍标志,而听觉丘脑皮质回路的超连通性与阳性症状的严重程度有更具体的关系。
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引用次数: 0
Guide for Authors 作者指南
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/S2451-9022(25)00343-X
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引用次数: 0
The Sensitivity of the Mini-Mental State Examination to Detect Objective Cognitive Side Effects Induced by Electroconvulsive Therapy: Results From the Dutch ECT Consortium 小型精神状态检查对检测电休克疗法引起的客观认知副作用的敏感性,荷兰电休克疗法联合会的研究结果。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.bpsc.2024.08.002
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

Background

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.

Methods

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.

Results

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%.

Conclusions

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.
背景:监测电休克疗法(ECT)后的认知副作用对于平衡副作用和临床疗效至关重要。遗憾的是,目前还缺乏有关电休克疗法后认知测试的循证指南。全球 ECT 实践中经常使用的测试是迷你精神状态检查(MMSE)。我们研究了 MMSE 的变化及其在识别对 ECT 引起的认知变化敏感的预定义神经心理学指标(言语回忆和言语流畅性)下降方面的表现:采用Wilcoxon符号秩检验比较ECT前和ECT后一周的MMSE平均得分。计算所有认知指标的可靠变化指数,以表明个人从治疗前到治疗后的得分变化是否具有统计学意义。计算了 MMSE 的敏感性和特异性:结果:荷兰 ECT 联合会共纳入了来自五个地点的 426 名抑郁症患者。MMSE的平均值从ECT前的26.2(SD=3.9)显著增加到ECT后的26.8(SD=3.8)(P=0.002)。36名患者(8.5%)在ECT后的MMSE评分明显下降。MMSE 在识别言语回忆或言语流利性显著下降的患者方面的灵敏度为 3.6% 至 11.1%。MMSE在识别言语回忆能力或言语流畅性未显著下降的患者方面的特异性为95.6%至96.6%:鉴于MMSE的灵敏度非常低,我们建议重新考虑MMSE在ECT实践和认知监测指南中的重要性,提倡采用更全面的方法来评估ECT引起的认知变化。
{"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 ,&nbsp;Philip F.P. van Eijndhoven ,&nbsp;Sigfried N.T.M. Schouws ,&nbsp;Arjen J.C. Slooter ,&nbsp;Nikki Janssen ,&nbsp;Rob M. Kok ,&nbsp;Bart P.F. Rutten ,&nbsp;Eric van Exel ,&nbsp;Didi Rhebergen ,&nbsp;Mardien L. Oudega ,&nbsp;Roel J.T. Mocking ,&nbsp;Indira Tendolkar ,&nbsp;Annemiek Dols ,&nbsp;Esmée Verwijk","doi":"10.1016/j.bpsc.2024.08.002","DOIUrl":"10.1016/j.bpsc.2024.08.002","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>p</em> = .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%.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 12","pages":"Pages 1268-1275"},"PeriodicalIF":4.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918371","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}
引用次数: 0
Obsessive-Compulsive Disorder Comorbid With or Without Obsessive-Compulsive Personality Disorder: Conceptual Implications, Clinical Correlates, and Brain Morphometries 强迫症合并或不合并强迫性人格障碍:概念含义、临床相关性和脑形态测量。
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.bpsc.2024.09.010
Chen Zhang , Zongfeng Zhang , Rui Gao , Yongjun Chen , Xuan Cao , Xianghan Yi , Qing Fan

Background

Obsessive-compulsive disorder (OCD) is often comorbid with obsessive-compulsive personality disorder (OCPD). The relationship between OCD and OCPD is complex, and the impact of comorbid OCPD on OCD remains underexplored, necessitating further research. In this study, we aimed to investigate the clinical correlates and brain morphometries associated with comorbid OCPD in a large sample of unmedicated patients with OCD.

Methods

A total of 248 unmedicated patients diagnosed with OCD (45 comorbid with OCPD) were included in this study. All participants were assessed for OCD symptoms, OCPD traits, obsessive beliefs, depression, and anxiety. Among them, 145 patients (23 comorbid with OCPD) volunteered to receive magnetic resonance imaging brain scans.

Results

Approximately 18% (45/248) of patients with OCD were comorbid for OCPD (OCD+OCPD). Patients with OCD+OCPD exhibited more severe OCD symptoms, obsessive beliefs, depression, and anxiety than OCD patients without OCPD. Additionally, the severity of OCPD was positively correlated with OCD symptoms and obsessive beliefs. Furthermore, patients with OCD+OCPD exhibited increased cortical complexity in the left superior parietal lobule and left precuneus, which mediated the relationship between OCPD and OCD symptoms only in OCD patients without OCPD.

Conclusions

The co-occurrence of OCPD may contribute to the heightened severity of psychopathological symptoms and associated brain morphological alterations in patients with OCD, indicating distinct but interrelated constructs between these 2 disorders.
背景:强迫症(OCD)通常与强迫性人格障碍(OCPD)并发。强迫症与强迫性人格障碍之间的关系十分复杂,而合并强迫性人格障碍对强迫症的影响仍未得到充分探讨,因此有必要开展进一步研究。本研究旨在调查大量未服药强迫症患者的临床相关性以及与合并 OCPD 相关的大脑形态:本研究共纳入了 248 名未经治疗的强迫症患者(其中 45 人合并有 OCPD)。所有参与者均接受了强迫症症状、强迫症特质、强迫观念、抑郁和焦虑的评估。其中,145 名患者(23 名合并有 OCPD)自愿接受磁共振成像(MRI)脑部扫描:结果:约 18% 的强迫症患者(45/248)合并有 OCPD。与未合并 OCPD 的强迫症患者相比,合并 OCPD 的强迫症患者(OCD+OCPD)表现出更严重的强迫症症状、强迫观念、抑郁和焦虑。此外,OCPD 的严重程度与强迫症症状和强迫观念呈正相关。此外,强迫症+强迫症患者左侧顶叶上部和左侧楔前叶的皮层复杂性增加,只有合并无强迫症的强迫症患者的皮层复杂性才会介导强迫症与强迫症症状之间的关系:结论:OCPD的并发可能会导致强迫症患者精神病理症状的严重程度和相关的大脑形态学改变,这表明这两种疾病之间存在不同但相互关联的结构。
{"title":"Obsessive-Compulsive Disorder Comorbid With or Without Obsessive-Compulsive Personality Disorder: Conceptual Implications, Clinical Correlates, and Brain Morphometries","authors":"Chen Zhang ,&nbsp;Zongfeng Zhang ,&nbsp;Rui Gao ,&nbsp;Yongjun Chen ,&nbsp;Xuan Cao ,&nbsp;Xianghan Yi ,&nbsp;Qing Fan","doi":"10.1016/j.bpsc.2024.09.010","DOIUrl":"10.1016/j.bpsc.2024.09.010","url":null,"abstract":"<div><h3>Background</h3><div>Obsessive-compulsive disorder (OCD) is often comorbid with obsessive-compulsive personality disorder (OCPD). The relationship between OCD and OCPD is complex, and the impact of comorbid OCPD on OCD remains underexplored, necessitating further research. In this study, we aimed to investigate the clinical correlates and brain morphometries associated with comorbid OCPD in a large sample of unmedicated patients with OCD.</div></div><div><h3>Methods</h3><div><span>A total of 248 unmedicated patients diagnosed with OCD (45 comorbid with OCPD) were included in this study. All participants were assessed for OCD symptoms, OCPD traits, obsessive beliefs, depression, and anxiety. Among them, 145 patients (23 comorbid with OCPD) volunteered to receive magnetic resonance imaging </span>brain scans.</div></div><div><h3>Results</h3><div><span>Approximately 18% (45/248) of patients with OCD were comorbid for OCPD (OCD+OCPD). Patients with OCD+OCPD exhibited more severe OCD symptoms, obsessive beliefs, depression, and anxiety than OCD patients without OCPD. Additionally, the severity of OCPD was positively correlated with OCD symptoms and obsessive beliefs. Furthermore, patients with OCD+OCPD exhibited increased cortical complexity in the left </span>superior parietal lobule<span> and left precuneus, which mediated the relationship between OCPD and OCD symptoms only in OCD patients without OCPD.</span></div></div><div><h3>Conclusions</h3><div>The co-occurrence of OCPD may contribute to the heightened severity of psychopathological symptoms and associated brain morphological alterations in patients with OCD, indicating distinct but interrelated constructs between these 2 disorders.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 12","pages":"Pages 1276-1283"},"PeriodicalIF":4.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334317","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}
引用次数: 0
Neuroimaging and Glutamatergic Trials in Psychosis: Where Are We Standing, and Where Do We Go Now? 精神疾病的神经影像学和谷氨酸能试验:我们现在站在哪里,我们现在要去哪里?
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.bpsc.2025.10.003
Camilo de la Fuente-Sandoval
{"title":"Neuroimaging and Glutamatergic Trials in Psychosis: Where Are We Standing, and Where Do We Go Now?","authors":"Camilo de la Fuente-Sandoval","doi":"10.1016/j.bpsc.2025.10.003","DOIUrl":"10.1016/j.bpsc.2025.10.003","url":null,"abstract":"","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 12","pages":"Pages 1213-1214"},"PeriodicalIF":4.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665611","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}
引用次数: 0
Accelerated Aging of White Matter in Late-Life Depression: Evidence From 18F-Flutemetamol Positron Emission Tomography Imaging 老年抑郁症患者白质加速老化:来自18f氟替他莫PET成像的证据
IF 4.8 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.bpsc.2025.03.013
Akihiro Takamiya , Thomas Vande Casteele , Filip Bouckaert , Margot G.A. Van Cauwenberge , Maarten Laroy , François-Laurent De Winter , Patrick Dupont , Jan Van den Stock , Michel Koole , Koen Van Laere , Louise Emsell , Mathieu Vandenbulcke

Background

Late-life depression (LLD) is associated with white matter (WM) alterations. Current evidence indicates that amyloid positron emission tomography (PET) tracers are sensitive and reliable markers for evaluating normal-appearing WM (NAWM) on magnetic resonance imaging (MRI), showing an association between lower uptake and Alzheimer’s disease pathology and higher uptake with age-related changes. Utilizing this novel and reliable technique, we aimed to distinguish between 2 hypothetical models for neurobiology of LLD, the pathological neurodegenerative model and the accelerated aging model.

Methods

In this monocentric cross-sectional study, a total of 103 participants, including 61 patients with LLD (age 73.8 ± 7.0 years; 41 female) and 42 healthy control (HC) participants (age 72.5 ± 7.6 years; 28 female), underwent PET imaging with 18F-flutemetamol, MRI, and clinical assessment. T2-weighted fluid-attenuated inversion recovery images were segmented into WM hyperintensities (WMHs) and NAWM.

Results

The 18F-flutemetamol standardized uptake value ratio (SUVR) in WMHs was significantly lower than that in NAWM (t102 = 7.8, p < .001). Compared with HC participants, patients with LLD exhibited higher 18F-flutemetamol SUVR in both NAWM (p < .001, Cohen’s d = 0.91) and WMHs (p = .005, d = 0.56), even after controlling for age and 18F-flutemetamol SUVR in cortical gray matter.

Conclusions

Our result of elevated 18F-flutemetamol uptake in NAWM is not consistent with the pathological neurodegenerative aging pattern observed in Alzheimer’s disease but is consistent with patterns of age-related changes. This distinction is crucial for the development of future targeted treatments.
背景:老年抑郁症(LLD)与白质(WM)改变有关。目前的证据表明,淀粉样蛋白PET示踪剂是在磁共振成像(MRI)上评估正常表现的WM (NAWM)的敏感和可靠的标志物,显示低摄取与阿尔茨海默病病理之间的关联,以及高摄取与年龄相关变化之间的关联。利用这种新颖可靠的技术,我们旨在区分两种假设的LLD神经生物学模型:病理性神经退行性模型和加速衰老模型。方法:在这项单中心横剖面研究中,共有103名参与者,包括61名LLD患者(年龄73.8±7.0岁,41名女性)和42名健康对照者(年龄72.5±7.6岁,28名女性),接受了18f氟替他莫PET成像、MRI和临床评估。将t2加权流体衰减反演恢复(FLAIR)图像分割为WM高强度(WMH)和NAWM。结果:WMH组的18f -氟替他莫标准化摄取值比(SUVR)显著低于NAWM组(t=7.8, df=102), NAWM组的p18f -氟替他莫标准化摄取值比(SUVR)显著低于NAWM组(p18f -氟替他莫皮质灰质SUVR)。结论:NAWM中18f -氟替他莫摄入量升高的结果与阿尔茨海默病中观察到的病理性神经退行性衰老模式不一致,但与年龄相关的变化模式一致。这种区别对于未来靶向治疗的发展至关重要。
{"title":"Accelerated Aging of White Matter in Late-Life Depression: Evidence From 18F-Flutemetamol Positron Emission Tomography Imaging","authors":"Akihiro Takamiya ,&nbsp;Thomas Vande Casteele ,&nbsp;Filip Bouckaert ,&nbsp;Margot G.A. Van Cauwenberge ,&nbsp;Maarten Laroy ,&nbsp;François-Laurent De Winter ,&nbsp;Patrick Dupont ,&nbsp;Jan Van den Stock ,&nbsp;Michel Koole ,&nbsp;Koen Van Laere ,&nbsp;Louise Emsell ,&nbsp;Mathieu Vandenbulcke","doi":"10.1016/j.bpsc.2025.03.013","DOIUrl":"10.1016/j.bpsc.2025.03.013","url":null,"abstract":"<div><h3>Background</h3><div><span>Late-life depression (LLD) is associated with white matter (WM) alterations. Current evidence indicates that amyloid positron emission tomography (PET) </span>tracers are sensitive and reliable markers for evaluating normal-appearing WM (NAWM) on magnetic resonance imaging (MRI), showing an association between lower uptake and Alzheimer’s disease pathology and higher uptake with age-related changes. Utilizing this novel and reliable technique, we aimed to distinguish between 2 hypothetical models for neurobiology of LLD, the pathological neurodegenerative model and the accelerated aging model.</div></div><div><h3>Methods</h3><div>In this monocentric cross-sectional study, a total of 103 participants, including 61 patients with LLD (age 73.8 ± 7.0 years; 41 female) and 42 healthy control (HC) participants (age 72.5 ± 7.6 years; 28 female), underwent PET imaging with <sup>18</sup>F-flutemetamol, MRI, and clinical assessment. T2-weighted fluid-attenuated inversion recovery images were segmented into WM hyperintensities (WMHs) and NAWM.</div></div><div><h3>Results</h3><div>The <sup>18</sup><span>F-flutemetamol standardized uptake value ratio (SUVR) in WMHs was significantly lower than that in NAWM (</span><em>t</em><sub>102</sub> = 7.8, <em>p</em> &lt; .001). Compared with HC participants, patients with LLD exhibited higher <sup>18</sup>F-flutemetamol SUVR in both NAWM (<em>p</em> &lt; .001, Cohen’s <em>d</em> = 0.91) and WMHs (<em>p</em> = .005, <em>d</em> = 0.56), even after controlling for age and <sup>18</sup>F-flutemetamol SUVR in cortical gray matter.</div></div><div><h3>Conclusions</h3><div>Our result of elevated <sup>18</sup><span>F-flutemetamol uptake in NAWM is not consistent with the pathological neurodegenerative aging pattern observed in Alzheimer’s disease but is consistent with patterns of age-related changes. This distinction is crucial for the development of future targeted treatments.</span></div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 12","pages":"Pages 1294-1301"},"PeriodicalIF":4.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065359","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}
引用次数: 0
期刊
Biological Psychiatry-Cognitive Neuroscience and Neuroimaging
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