Pub Date : 2025-12-13DOI: 10.1016/j.bpsc.2025.12.001
Lorenzo Mattioni, Francesco di Gregorio, Marco Badioli, Claudio Danti, Luigi A E Degni, Gianluca Finotti, Francesca Starita, Giuseppe di Pellegrino, Sara Garofalo
Background: Individual differences in reward learning and motivational processes are reflected in sign-tracking behavior. This phenotype, characterized by heightened attraction to reward-associated cues, is linked to increased impulsivity, addiction vulnerability, and externalizing psychiatric disorders.
Methods: To identify underlying neural differences, we tested whether high sign-tracking individuals exhibited an elevated mid-frontal theta/beta ratio, a resting electroencephalography (EEG) biomarker indicating reduced cortical control over subcortical motivational circuits. Sixty volunteers completed a 5-minute resting-state EEG session followed by a Pavlovian learning task. Participants were classified into high or low sign-tracking groups based on objective eye-gaze metrics.
Results: High sign-tracking participants demonstrated a significantly higher mid-frontal theta/beta ratio compared with the low sign-tracking group.
Conclusions: These findings identify the mid-frontal theta/beta ratio as a neural marker capable of distinguishing individual differences in reward cue reactivity. This suggests a pathway for targeted interventions aimed at the underlying cortical-subcortical dysregulation associated with sign-tracking and related vulnerabilities.
{"title":"Resting-State Theta/Beta Ratio Reveals Distinct Neural Signatures in High Sign-Tracking Individuals.","authors":"Lorenzo Mattioni, Francesco di Gregorio, Marco Badioli, Claudio Danti, Luigi A E Degni, Gianluca Finotti, Francesca Starita, Giuseppe di Pellegrino, Sara Garofalo","doi":"10.1016/j.bpsc.2025.12.001","DOIUrl":"10.1016/j.bpsc.2025.12.001","url":null,"abstract":"<p><strong>Background: </strong>Individual differences in reward learning and motivational processes are reflected in sign-tracking behavior. This phenotype, characterized by heightened attraction to reward-associated cues, is linked to increased impulsivity, addiction vulnerability, and externalizing psychiatric disorders.</p><p><strong>Methods: </strong>To identify underlying neural differences, we tested whether high sign-tracking individuals exhibited an elevated mid-frontal theta/beta ratio, a resting electroencephalography (EEG) biomarker indicating reduced cortical control over subcortical motivational circuits. Sixty volunteers completed a 5-minute resting-state EEG session followed by a Pavlovian learning task. Participants were classified into high or low sign-tracking groups based on objective eye-gaze metrics.</p><p><strong>Results: </strong>High sign-tracking participants demonstrated a significantly higher mid-frontal theta/beta ratio compared with the low sign-tracking group.</p><p><strong>Conclusions: </strong>These findings identify the mid-frontal theta/beta ratio as a neural marker capable of distinguishing individual differences in reward cue reactivity. This suggests a pathway for targeted interventions aimed at the underlying cortical-subcortical dysregulation associated with sign-tracking and related vulnerabilities.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758732","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}
Pub Date : 2025-12-13DOI: 10.1016/j.bpsc.2025.12.003
Katherine L Barlis, Jamie Terner, Nancy X Huynh, Ashley Ann Huggins
With a rapidly growing population of older adults worldwide, understanding how aging shapes mental and cognitive health is an urgent public health priority. Although older age has been considered protective against the development of posttraumatic stress disorder (PTSD), this pattern is far from universal. Emerging evidence indicates that older adults with a history of trauma may experience delayed-onset PTSD or a reemergence of symptoms after years of dormancy. In this review, we examine how age-related changes in the brain intersect with known PTSD mechanisms to influence trajectories of risk and resilience in later life. We focus on the canonical fear network-comprising the amygdala, hippocampus, and ventromedial prefrontal cortex-which is central to fear learning, memory, and emotion regulation. These regions are also highly vulnerable to aging and neurodegenerative processes; however, older adults remain underrepresented in both neurobiological and treatment studies of PTSD. We argue that the structural and functional aging of these systems may exacerbate difficulties with associative learning and emotion regulation while also interacting with psychosocial stressors unique to aging. At the same time, age-related strengths (such as positivity bias) may promote resilience. These insights carry important implications for clinical care; existing empirically supported psychotherapies may benefit from adaptations to account for age-related neural and cognitive shifts. A lifespan neuroscience framework is essential for identifying the shared mechanisms between PTSD and aging, with the goal of informing tailored, mechanism-driven interventions that promote the mental and cognitive health of trauma-exposed older adults.
{"title":"Fear Learning and Memory in the Aging Brain: Neural Mechanisms of Posttraumatic Stress Disorder Risk and Resilience in Older Adults.","authors":"Katherine L Barlis, Jamie Terner, Nancy X Huynh, Ashley Ann Huggins","doi":"10.1016/j.bpsc.2025.12.003","DOIUrl":"10.1016/j.bpsc.2025.12.003","url":null,"abstract":"<p><p>With a rapidly growing population of older adults worldwide, understanding how aging shapes mental and cognitive health is an urgent public health priority. Although older age has been considered protective against the development of posttraumatic stress disorder (PTSD), this pattern is far from universal. Emerging evidence indicates that older adults with a history of trauma may experience delayed-onset PTSD or a reemergence of symptoms after years of dormancy. In this review, we examine how age-related changes in the brain intersect with known PTSD mechanisms to influence trajectories of risk and resilience in later life. We focus on the canonical fear network-comprising the amygdala, hippocampus, and ventromedial prefrontal cortex-which is central to fear learning, memory, and emotion regulation. These regions are also highly vulnerable to aging and neurodegenerative processes; however, older adults remain underrepresented in both neurobiological and treatment studies of PTSD. We argue that the structural and functional aging of these systems may exacerbate difficulties with associative learning and emotion regulation while also interacting with psychosocial stressors unique to aging. At the same time, age-related strengths (such as positivity bias) may promote resilience. These insights carry important implications for clinical care; existing empirically supported psychotherapies may benefit from adaptations to account for age-related neural and cognitive shifts. A lifespan neuroscience framework is essential for identifying the shared mechanisms between PTSD and aging, with the goal of informing tailored, mechanism-driven interventions that promote the mental and cognitive health of trauma-exposed older adults.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758772","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}
Pub Date : 2025-12-04DOI: 10.1016/j.bpsc.2025.11.010
Adrienne L Romer, Garrett Hosterman, Poornima Kumar, Diego A Pizzagalli
Background: Accumulating evidence points to the cerebellum's role in executive functioning (EF) and transdiagnostic psychopathology. A general psychopathology p-factor, capturing shared variation across mental disorders, has been associated with EF deficits and structural alterations within the posterior cerebellum. One hypothesis is that the cerebellum contributes to general psychopathology because of its role in executive dysfunctions.
Methods: To test this hypothesis, we used functional magnetic resonance imaging (fMRI) data from the University of California, Los Angeles Consortium for Neuropsychiatric Phenomics study including 257 adults (ages 21-50 years) who met diagnostic criteria for schizophrenia, bipolar disorder, or attention-deficit/hyperactivity disorder or were healthy control participants. We examined relationships between p-factor scores and cerebellar activation across participants during 3 fMRI tasks of working memory (spatial capacity), cognitive flexibility (task switching), and response inhibition (stop signal). Specificity analyses of cerebellar activation associated with internalizing, externalizing, and thought disorder factor scores were also conducted.
Results: Robust posterior cerebellar activation was identified during all 3 fMRI tasks. Higher p-factor scores were associated with poorer EF performance, greater activation of cerebellar crus I/II and lobule VIIIA/B with increasing working memory difficulty, and greater activation of lobules VI and VIIIA/B during successful inhibition (R2 range = 0.078-0.108). Associations between cerebellar activation and internalizing, externalizing, and thought disorder factor scores were largely overlapping with associations with the p-factor.
Conclusions: These novel results identify functional alterations within the posterior cerebellum during EF in individuals high in general psychopathology. Greater activation of the posterior cerebellum may be a transdiagnostic dysfunction reflecting inefficient information processing during EF present across disorder categories.
{"title":"Cerebellar Functional Alterations During Executive Functioning Are Associated With General Psychopathology in a Cross-Diagnostic Sample.","authors":"Adrienne L Romer, Garrett Hosterman, Poornima Kumar, Diego A Pizzagalli","doi":"10.1016/j.bpsc.2025.11.010","DOIUrl":"10.1016/j.bpsc.2025.11.010","url":null,"abstract":"<p><strong>Background: </strong>Accumulating evidence points to the cerebellum's role in executive functioning (EF) and transdiagnostic psychopathology. A general psychopathology p-factor, capturing shared variation across mental disorders, has been associated with EF deficits and structural alterations within the posterior cerebellum. One hypothesis is that the cerebellum contributes to general psychopathology because of its role in executive dysfunctions.</p><p><strong>Methods: </strong>To test this hypothesis, we used functional magnetic resonance imaging (fMRI) data from the University of California, Los Angeles Consortium for Neuropsychiatric Phenomics study including 257 adults (ages 21-50 years) who met diagnostic criteria for schizophrenia, bipolar disorder, or attention-deficit/hyperactivity disorder or were healthy control participants. We examined relationships between p-factor scores and cerebellar activation across participants during 3 fMRI tasks of working memory (spatial capacity), cognitive flexibility (task switching), and response inhibition (stop signal). Specificity analyses of cerebellar activation associated with internalizing, externalizing, and thought disorder factor scores were also conducted.</p><p><strong>Results: </strong>Robust posterior cerebellar activation was identified during all 3 fMRI tasks. Higher p-factor scores were associated with poorer EF performance, greater activation of cerebellar crus I/II and lobule VIIIA/B with increasing working memory difficulty, and greater activation of lobules VI and VIIIA/B during successful inhibition (R<sup>2</sup> range = 0.078-0.108). Associations between cerebellar activation and internalizing, externalizing, and thought disorder factor scores were largely overlapping with associations with the p-factor.</p><p><strong>Conclusions: </strong>These novel results identify functional alterations within the posterior cerebellum during EF in individuals high in general psychopathology. Greater activation of the posterior cerebellum may be a transdiagnostic dysfunction reflecting inefficient information processing during EF present across disorder categories.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696341","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}
Pub Date : 2025-12-04DOI: 10.1016/j.bpsc.2025.11.011
Yanmiao Yang, Xiaodong Zhang, Kun Fu, Qi Liu, Xiaolei Xu, Yuanshu Chen, Xinqi Zhou, Keith M Kendrick, Dezhong Yao, Benjamin Becker, Weihua Zhao
Background: Fear processing is multifaceted, involving dissociable neural and computational pathways that vary depending on its source and context. However, modality-specific fear processing, such as empathic versus subjective fear, remains poorly understood. Moreover, the role of these distinctions in clarifying the high comorbidity between generalized anxiety disorder (GAD) and major depressive disorder (MDD) has been understudied.
Methods: In the current study, we combined functional magnetic resonance imaging with multivariate pattern analysis to develop two neurofunctional models: one for empathic fear (face-induced empathic fear signature [FEFS], n = 81) and another for subjective fear (scene-induced subjective fear signature [SSFS], n = 81) evoked by visual stimuli. After validating these models in the independent cohorts (dynamic stimuli: n = 28), we generalized them to distinguish GAD and MDD during facial emotional-processing (n = 80) and pain empathy (n = 87) tasks.
Results: Our findings revealed that both models engaged distributed brain systems, including cortical regions (e.g., prefrontal, cingulate, insula, and parietal cortices) and subcortical areas (e.g., thalamus and amygdala). Crucially, we identified distinct functional profiles: FEFS-predominant regions were linked to execution, whereas SSFS-predominant regions mapped onto emotion processing. Notably, compared with SSFS, FEFS consistently discriminated between GAD and MDD during both fearful expression and affective pain empathy processing.
Conclusions: These findings demonstrate modality-specific processing of subjective and empathic fear, revealing distinct empathy-related neural signatures that may serve as potential biomarkers for differentiating GAD and MDD, offering new insights into their neurobiological distinctions.
背景:恐惧处理是多方面的,涉及可分离的神经和计算途径,这些途径因其来源和环境而异。然而,模态特定的恐惧处理,如共情与主观恐惧,仍然知之甚少。此外,这些区别在阐明广泛性焦虑障碍(GAD)和重度抑郁症(MDD)之间的高共病性方面的作用尚未得到充分研究。方法:在本研究中,我们将fMRI与多变量模式分析相结合,建立了视觉刺激引起的共情恐惧(FEFS, n = 81)和主观恐惧(SSFS, n = 81)两种神经功能模型。在独立队列(动态刺激:n = 28)中验证这些模型后,我们将它们推广到面部情绪处理(n = 80)和疼痛共情(n = 87)任务中区分GAD和MDD。结果:我们的研究结果表明,这两种模型都涉及分布式脑系统,包括皮质区域(如前额叶、扣带、脑岛和顶叶皮质)和皮质下区域(如丘脑和杏仁核)。至关重要的是,我们确定了不同的功能特征:fefs主导区域与执行有关,而ssfs主导区域与情绪处理有关。值得注意的是,与SSFS相比,FEFS在恐惧表达和情感性疼痛共情加工中始终区分GAD和MDD。结论:这些发现证明了主观和共情恐惧的模式特异性加工,揭示了不同的共情相关神经特征,可能作为区分广泛性焦虑症和重度抑郁症的潜在生物标志物,为研究它们的神经生物学差异提供了新的见解。
{"title":"Neural Patterns for Empathic Versus Subjective Fear in Classifying Generalized Anxiety Disorder and Major Depressive Disorder.","authors":"Yanmiao Yang, Xiaodong Zhang, Kun Fu, Qi Liu, Xiaolei Xu, Yuanshu Chen, Xinqi Zhou, Keith M Kendrick, Dezhong Yao, Benjamin Becker, Weihua Zhao","doi":"10.1016/j.bpsc.2025.11.011","DOIUrl":"10.1016/j.bpsc.2025.11.011","url":null,"abstract":"<p><strong>Background: </strong>Fear processing is multifaceted, involving dissociable neural and computational pathways that vary depending on its source and context. However, modality-specific fear processing, such as empathic versus subjective fear, remains poorly understood. Moreover, the role of these distinctions in clarifying the high comorbidity between generalized anxiety disorder (GAD) and major depressive disorder (MDD) has been understudied.</p><p><strong>Methods: </strong>In the current study, we combined functional magnetic resonance imaging with multivariate pattern analysis to develop two neurofunctional models: one for empathic fear (face-induced empathic fear signature [FEFS], n = 81) and another for subjective fear (scene-induced subjective fear signature [SSFS], n = 81) evoked by visual stimuli. After validating these models in the independent cohorts (dynamic stimuli: n = 28), we generalized them to distinguish GAD and MDD during facial emotional-processing (n = 80) and pain empathy (n = 87) tasks.</p><p><strong>Results: </strong>Our findings revealed that both models engaged distributed brain systems, including cortical regions (e.g., prefrontal, cingulate, insula, and parietal cortices) and subcortical areas (e.g., thalamus and amygdala). Crucially, we identified distinct functional profiles: FEFS-predominant regions were linked to execution, whereas SSFS-predominant regions mapped onto emotion processing. Notably, compared with SSFS, FEFS consistently discriminated between GAD and MDD during both fearful expression and affective pain empathy processing.</p><p><strong>Conclusions: </strong>These findings demonstrate modality-specific processing of subjective and empathic fear, revealing distinct empathy-related neural signatures that may serve as potential biomarkers for differentiating GAD and MDD, offering new insights into their neurobiological distinctions.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696337","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}
Pub Date : 2025-12-01DOI: 10.1016/j.bpsc.2025.11.007
Eline F Roelofs, Nynke A Groenewold, Kinga Farkas, Alyssa H Zhu, Si Gao, Tiana Borgers, Udo Dannlowski, Kira Flinkenflügel, Dominik Grotegerd, Tim Hahn, Andreas Jansen, Elisabeth J Leehr, Tilo T J Kircher, Hannah Meinert, Igor Nenadić, Frederike Stein, Benjamin Straube, Tamer Demiralp, Raşit Tükel, P Michiel Westenberg, Jochen Bauer, Anna Kraus, Alexander G G Doruyter, Christine Lochner, David Hofmann, Thomas Straube, André Zugman, Monica E Calkins, Raquel E Gur, Ruben C Gur, Bart S Larsen, Theodore D Satterthwaite, Theresa M Slump, Roman A Vogler, Suzanne N Avery, Jennifer U Blackford, Jacqueline A Clauss, Su Lui, Sophia I Thomopoulos, Robert R J M Vermeiren, Neda Jahanshad, Peter V Kochunov, Paul M Thompson, Daniel S Pine, Dan J Stein, Nic J A van der Wee, Janna Marie Bas-Hoogendam
Background: Studies investigating social anxiety disorder (SAD) have reported inconsistent alterations in white matter (WM) microstructure. The ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis)-Anxiety Working Group investigated differences in the microstructure of 25 WM tracts between individuals with SAD and healthy control (HC) participants in a mega-analysis.
Methods: We analyzed data from 487 individuals with SAD and 1604 HC participants (ages 8-65 years) from 12 cohorts worldwide. Analyses and quality control were performed using standardized ENIGMA diffusion tensor imaging protocols. We primarily examined fractional anisotropy (FA) as the main parameter of WM microstructure. Linear mixed-effects analyses were conducted to compare individuals with SAD with HC participants in the total sample. Next, adult (age >21) and adolescent (age ≤21) samples were analyzed separately. In sensitivity analyses, additional effects of sex, medication, symptom severity, and comorbid psychiatric disorders were investigated.
Results: In the total sample, individuals with SAD showed lower FA in several tracts, including the corpus callosum and fornix, compared with HC participants. Widespread sex × diagnosis interactions were observed, mostly driven by lower FA in females with SAD. Adults with SAD showed lower FA in multiple tracts, while age × diagnosis interactions were observed in adolescents.
Conclusions: Using a mega-analytic approach, several differences in WM microstructure were found between individuals with SAD and HC participants, both in the full sample and in age group-specific sensitivity analyses. Some neurobiological changes in WM tracts in individuals with SAD may vary with age and sex, whereas others may relate to broader transdiagnostic neurobiological features underlying psychopathology. Further research should investigate these issues in more detail.
{"title":"White Matter Microstructure Alterations in Social Anxiety Disorder: A Mega-Analysis Across Twelve Cohorts in the ENIGMA-Anxiety Working Group.","authors":"Eline F Roelofs, Nynke A Groenewold, Kinga Farkas, Alyssa H Zhu, Si Gao, Tiana Borgers, Udo Dannlowski, Kira Flinkenflügel, Dominik Grotegerd, Tim Hahn, Andreas Jansen, Elisabeth J Leehr, Tilo T J Kircher, Hannah Meinert, Igor Nenadić, Frederike Stein, Benjamin Straube, Tamer Demiralp, Raşit Tükel, P Michiel Westenberg, Jochen Bauer, Anna Kraus, Alexander G G Doruyter, Christine Lochner, David Hofmann, Thomas Straube, André Zugman, Monica E Calkins, Raquel E Gur, Ruben C Gur, Bart S Larsen, Theodore D Satterthwaite, Theresa M Slump, Roman A Vogler, Suzanne N Avery, Jennifer U Blackford, Jacqueline A Clauss, Su Lui, Sophia I Thomopoulos, Robert R J M Vermeiren, Neda Jahanshad, Peter V Kochunov, Paul M Thompson, Daniel S Pine, Dan J Stein, Nic J A van der Wee, Janna Marie Bas-Hoogendam","doi":"10.1016/j.bpsc.2025.11.007","DOIUrl":"10.1016/j.bpsc.2025.11.007","url":null,"abstract":"<p><strong>Background: </strong>Studies investigating social anxiety disorder (SAD) have reported inconsistent alterations in white matter (WM) microstructure. The ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis)-Anxiety Working Group investigated differences in the microstructure of 25 WM tracts between individuals with SAD and healthy control (HC) participants in a mega-analysis.</p><p><strong>Methods: </strong>We analyzed data from 487 individuals with SAD and 1604 HC participants (ages 8-65 years) from 12 cohorts worldwide. Analyses and quality control were performed using standardized ENIGMA diffusion tensor imaging protocols. We primarily examined fractional anisotropy (FA) as the main parameter of WM microstructure. Linear mixed-effects analyses were conducted to compare individuals with SAD with HC participants in the total sample. Next, adult (age >21) and adolescent (age ≤21) samples were analyzed separately. In sensitivity analyses, additional effects of sex, medication, symptom severity, and comorbid psychiatric disorders were investigated.</p><p><strong>Results: </strong>In the total sample, individuals with SAD showed lower FA in several tracts, including the corpus callosum and fornix, compared with HC participants. Widespread sex × diagnosis interactions were observed, mostly driven by lower FA in females with SAD. Adults with SAD showed lower FA in multiple tracts, while age × diagnosis interactions were observed in adolescents.</p><p><strong>Conclusions: </strong>Using a mega-analytic approach, several differences in WM microstructure were found between individuals with SAD and HC participants, both in the full sample and in age group-specific sensitivity analyses. Some neurobiological changes in WM tracts in individuals with SAD may vary with age and sex, whereas others may relate to broader transdiagnostic neurobiological features underlying psychopathology. Further research should investigate these issues in more detail.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673141","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}
Pub Date : 2025-11-29DOI: 10.1016/j.bpsc.2025.11.008
Jesca E De Jager, Monique van der Weijden-Germann, Edwin van Dellen, Erik F J de Vries, Iris E C Sommer, Jasper O Nuninga
Background: The structure and tissue composition of the cortex may be sensitive to loss of synapses. However, the relation between measurements of synaptic density, cortical thickness and microstructure remains unknown. These measures are reduced in schizophrenia spectrum disorders (SSD) and to a lesser degree in unaffected relatives. Here, we investigated if synaptic density and cortical (micro)structure are related in healthy subjects, and if these associations are altered in patients with SSD and unaffected siblings.
Methods: Brain uptake of the tracer [11C]UCB-J, measured in-vivo with positron emission tomography (PET) was used as a proxy measure for synaptic density. Healthy subjects (n=25), patients with SSD (n=24) and unaffected siblings (n=25) underwent [11C]UCB-J PET, T1-weighted MRI and diffusion weighted imaging scans.
Results: We found a positive relation between [11C]UCB-J BPND and cortical thickness (β=0.61, p=.02) and showed a similar (yet non-significant) positive relation in unaffected siblings (β=0.41, p=.09). This relation was not present in patients with SSD (β=0.03, p=.90). Additionally, [11C]UCB-J BPND had a negative relation with mean diffusivity (MD) in controls (β=-0.54, p=.01) and unaffected siblings (β=-0.47, p=.01). In patients with SSD, again, this relation was disrupted (β=0.07, p=.78).
Conclusion: We found a robust association between synaptic density and cortical (micro)structure in healthy individuals. The lost relation in patients suggest that SSD-related synapse loss is not proportional to the number and organization of grey matter constituents. Despite the shared genetic risk, unaffected siblings preserve this relation, suggesting absence of a second hit inducing excessive synaptic pruning.
{"title":"Relationship between synaptic density and cortical (micro)structure in healthy subjects, patients with schizophrenia spectrum disorder and unaffected siblings: a multimodal [<sup>11</sup>C]UCB-J PET and MRI study.","authors":"Jesca E De Jager, Monique van der Weijden-Germann, Edwin van Dellen, Erik F J de Vries, Iris E C Sommer, Jasper O Nuninga","doi":"10.1016/j.bpsc.2025.11.008","DOIUrl":"https://doi.org/10.1016/j.bpsc.2025.11.008","url":null,"abstract":"<p><strong>Background: </strong>The structure and tissue composition of the cortex may be sensitive to loss of synapses. However, the relation between measurements of synaptic density, cortical thickness and microstructure remains unknown. These measures are reduced in schizophrenia spectrum disorders (SSD) and to a lesser degree in unaffected relatives. Here, we investigated if synaptic density and cortical (micro)structure are related in healthy subjects, and if these associations are altered in patients with SSD and unaffected siblings.</p><p><strong>Methods: </strong>Brain uptake of the tracer [<sup>11</sup>C]UCB-J, measured in-vivo with positron emission tomography (PET) was used as a proxy measure for synaptic density. Healthy subjects (n=25), patients with SSD (n=24) and unaffected siblings (n=25) underwent [<sup>11</sup>C]UCB-J PET, T1-weighted MRI and diffusion weighted imaging scans.</p><p><strong>Results: </strong>We found a positive relation between [<sup>11</sup>C]UCB-J BP<sub>ND</sub> and cortical thickness (β=0.61, p=.02) and showed a similar (yet non-significant) positive relation in unaffected siblings (β=0.41, p=.09). This relation was not present in patients with SSD (β=0.03, p=.90). Additionally, [<sup>11</sup>C]UCB-J BP<sub>ND</sub> had a negative relation with mean diffusivity (MD) in controls (β=-0.54, p=.01) and unaffected siblings (β=-0.47, p=.01). In patients with SSD, again, this relation was disrupted (β=0.07, p=.78).</p><p><strong>Conclusion: </strong>We found a robust association between synaptic density and cortical (micro)structure in healthy individuals. The lost relation in patients suggest that SSD-related synapse loss is not proportional to the number and organization of grey matter constituents. Despite the shared genetic risk, unaffected siblings preserve this relation, suggesting absence of a second hit inducing excessive synaptic pruning.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656757","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}
Pub Date : 2025-11-24DOI: 10.1016/j.bpsc.2025.11.005
Yizhou Lyu, Anna Corriveau, Hanna Molla, Harriet de Wit, Monica D Rosenberg
Background: Between-subjects studies suggest that psychostimulants can shift whole-brain functional connectivity (FC) toward patterns linked to heightened sustained attention. In this study, we examined how a single dose of methamphetamine (MA) (20 mg) changes sustained attention and associated network-level functional organization in healthy adults.
Methods: We conducted a within-subject study in which 76 healthy participants completed 2 functional magnetic resonance imaging (fMRI) scanning sessions after taking MA or placebo. We tested whether MA selectively affects behavioral and fMRI connectivity signatures of sustained attention and arousal.
Results: Under MA, participants showed improved sustained attention task performance as well as FC signatures of higher sustained attention and arousal. These network changes emerged consistently across resting-state and task-based fMRI, indicating that MA influences attention- and arousal-related networks regardless of cognitive context. Furthermore, a support vector classifier distinguished FC patterns observed during the MA and placebo conditions, identifying connections overlapping with networks related to arousal.
Conclusions: Together, these findings are consistent with previous work on other psychostimulants such as methylphenidate, showing that MA modulates sustained attention and related large-scale brain networks. By revealing how MA modulates attention-relevant brain connectivity patterns, our results highlight the utility of psychostimulants as causal tools for probing the robustness, generalizability, and interpretability of brain-based biomarkers of behavior.
{"title":"Methamphetamine Modulates Functional Connectivity Signatures of Sustained Attention and Arousal.","authors":"Yizhou Lyu, Anna Corriveau, Hanna Molla, Harriet de Wit, Monica D Rosenberg","doi":"10.1016/j.bpsc.2025.11.005","DOIUrl":"10.1016/j.bpsc.2025.11.005","url":null,"abstract":"<p><strong>Background: </strong>Between-subjects studies suggest that psychostimulants can shift whole-brain functional connectivity (FC) toward patterns linked to heightened sustained attention. In this study, we examined how a single dose of methamphetamine (MA) (20 mg) changes sustained attention and associated network-level functional organization in healthy adults.</p><p><strong>Methods: </strong>We conducted a within-subject study in which 76 healthy participants completed 2 functional magnetic resonance imaging (fMRI) scanning sessions after taking MA or placebo. We tested whether MA selectively affects behavioral and fMRI connectivity signatures of sustained attention and arousal.</p><p><strong>Results: </strong>Under MA, participants showed improved sustained attention task performance as well as FC signatures of higher sustained attention and arousal. These network changes emerged consistently across resting-state and task-based fMRI, indicating that MA influences attention- and arousal-related networks regardless of cognitive context. Furthermore, a support vector classifier distinguished FC patterns observed during the MA and placebo conditions, identifying connections overlapping with networks related to arousal.</p><p><strong>Conclusions: </strong>Together, these findings are consistent with previous work on other psychostimulants such as methylphenidate, showing that MA modulates sustained attention and related large-scale brain networks. By revealing how MA modulates attention-relevant brain connectivity patterns, our results highlight the utility of psychostimulants as causal tools for probing the robustness, generalizability, and interpretability of brain-based biomarkers of behavior.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12674003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643929","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}
Pub Date : 2025-11-21DOI: 10.1016/j.bpsc.2025.11.003
Lea Teutenberg, Nooshin Javaheripour, Sarah Alizadeh, Bita Shariatpanahi, Elina Stocker, Frederike Stein, Florian Thomas-Odenthal, Paula Usemann, Susanne Meinert, Elisabeth Leehr, Kira Flinkenflügel, Tiana Borgers, Linda Bonnekoh, Nils R Winter, Felix Bernhard, Martin Walter, Igor Nenadić, Nina Alexander, Benjamin Straube, Andreas Jansen, Tim Hahn, Udo Dannlowski, Tilo Kircher, Hamidreza Jamalabadi
Background: Major depressive disorder (MDD) involves subtle, distributed alterations across multiple large-scale resting-state brain networks (RSNs), highlighting the need for integrative approaches to uncover synergistic network patterns driving clinical symptoms.
Methods: In this study, we used a dynamic systems approach to investigate patterns of simultaneous RSN activation-i.e., coactivation-in 867 participants, including 487 healthy control participants (HCs), 175 patients with current MDD (cMDD), and 205 patients with remitted MDD (rMDD) from the Marburg-Münster Affective Disorders Cohort Study. Using a pairwise maximum entropy model, we estimated RSN coactivation probabilities based on resting-state fMRI data of 7 RSNs-default mode network (DMN), frontoparietal network (FPN), sensorimotor network (SMN), visual network (VIS), salience network, dorsal attention network (DAN), and language network (LAN)-capturing 128 possible states of coactivation.
Results: General linear models revealed elevated coactivation probabilities in cMDD, particularly for states involving the DMN, FPN, and VIS, with the coactivation state involving the DMN, VIS, DAN, FPN, and LAN showing the strongest association with MDD diagnosis, clinical status, and symptom severity. Furthermore, canonical correlation analysis (CCA) on the total sample identified 2 distinct network-symptom profiles: canonical variate (CV) 1 linked high DMN and DAN coactivation probabilities to cognitive, insomnia, and mood/anhedonia symptoms, while CV2 tied the SMN and VIS to cognitive and somatic symptom domains.
Conclusions: These results demonstrate that MDD, especially during acute episodes, is marked by a dominance of DMN, FPN, and VIS coactivation, pointing to altered dynamic network organization. Further, the results highlight how changes in brain state dynamics are linked to MDD symptoms.
背景:重度抑郁症(MDD)涉及多个大尺度静息状态脑网络(rsn)的微妙、分布式改变,强调需要综合方法来揭示驱动临床症状的协同网络模式。方法:在本研究中,我们采用动态系统方法研究了867名参与者的RSN同时激活模式(即共激活),其中包括487名健康对照(HC), 175名当前MDD (cMDD)患者,以及来自marburg - m nster情感障碍队列研究的205名缓解型MDD (rMDD)患者。利用两两最大熵模型(pairwise Maximum Entropy Model),基于7个RSN的静息状态fMRI数据(默认模式网络(DMN)、额顶叶网络(FPN)、感觉运动网络(SMN)、视觉网络(VIS)、显著性网络、背侧注意网络(DAN)和语言网络(LAN))估计了RSN共激活概率,并捕获了128种可能的共激活状态。结果:一般线性模型显示cMDD的共激活概率升高,特别是涉及DMN、FPN和VIS的共激活状态,涉及DMN、VIS、DAN、FPN和LAN的共激活状态与MDD诊断、临床状态和症状严重程度的相关性最强。全样本的典型相关分析(CCA)进一步确定了两种不同的网络症状概况:典型变量(CV) 1将DMN和DAN的高共激活概率与认知、失眠和情绪/快感缺乏症状联系起来,而CV2将SMN和VIS与认知和躯体症状联系起来。结论:这些结果表明,重度抑郁症,特别是在急性发作期间,以DMN、FPN和VIS共激活为主为特征,表明动态网络组织发生了变化。他们强调了大脑状态动态变化与重度抑郁症症状的关系。
{"title":"Synergistic Coactivation Probabilities of Large-Scale Resting-State Networks in Major Depressive Disorder.","authors":"Lea Teutenberg, Nooshin Javaheripour, Sarah Alizadeh, Bita Shariatpanahi, Elina Stocker, Frederike Stein, Florian Thomas-Odenthal, Paula Usemann, Susanne Meinert, Elisabeth Leehr, Kira Flinkenflügel, Tiana Borgers, Linda Bonnekoh, Nils R Winter, Felix Bernhard, Martin Walter, Igor Nenadić, Nina Alexander, Benjamin Straube, Andreas Jansen, Tim Hahn, Udo Dannlowski, Tilo Kircher, Hamidreza Jamalabadi","doi":"10.1016/j.bpsc.2025.11.003","DOIUrl":"10.1016/j.bpsc.2025.11.003","url":null,"abstract":"<p><strong>Background: </strong>Major depressive disorder (MDD) involves subtle, distributed alterations across multiple large-scale resting-state brain networks (RSNs), highlighting the need for integrative approaches to uncover synergistic network patterns driving clinical symptoms.</p><p><strong>Methods: </strong>In this study, we used a dynamic systems approach to investigate patterns of simultaneous RSN activation-i.e., coactivation-in 867 participants, including 487 healthy control participants (HCs), 175 patients with current MDD (cMDD), and 205 patients with remitted MDD (rMDD) from the Marburg-Münster Affective Disorders Cohort Study. Using a pairwise maximum entropy model, we estimated RSN coactivation probabilities based on resting-state fMRI data of 7 RSNs-default mode network (DMN), frontoparietal network (FPN), sensorimotor network (SMN), visual network (VIS), salience network, dorsal attention network (DAN), and language network (LAN)-capturing 128 possible states of coactivation.</p><p><strong>Results: </strong>General linear models revealed elevated coactivation probabilities in cMDD, particularly for states involving the DMN, FPN, and VIS, with the coactivation state involving the DMN, VIS, DAN, FPN, and LAN showing the strongest association with MDD diagnosis, clinical status, and symptom severity. Furthermore, canonical correlation analysis (CCA) on the total sample identified 2 distinct network-symptom profiles: canonical variate (CV) 1 linked high DMN and DAN coactivation probabilities to cognitive, insomnia, and mood/anhedonia symptoms, while CV2 tied the SMN and VIS to cognitive and somatic symptom domains.</p><p><strong>Conclusions: </strong>These results demonstrate that MDD, especially during acute episodes, is marked by a dominance of DMN, FPN, and VIS coactivation, pointing to altered dynamic network organization. Further, the results highlight how changes in brain state dynamics are linked to MDD symptoms.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145590316","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}
Pub Date : 2025-11-21DOI: 10.1016/j.bpsc.2025.11.004
Xiaoyu Dong, Jessica A Cooper, Erin K Moran, Deanna M Barch
Background: Effort-cost decision making (ECDM) is a core component of motivational deficits across diagnostic boundaries, but the mechanisms underlying ECDM deficits are not yet fully understood. Importantly, similar behavioral phenotypes during ECDM paradigms may be associated with distinct underlying cognitive and affective processes across individuals.
Methods: We used a person-centered modeling approach to examine individual decision-making phenotypes (systematic or nonsystematic decision making) during both physical and cognitive ECDM in 5 diagnostic groups: healthy control (n = 90), schizophrenia spectrum disorder (SSD) (n = 67), current major depression (n = 70), remitted major depression (n = 52), and bipolar I disorder (n = 64). We examined the associations between ECDM phenotype, cognitive functioning, motivation, and diagnostic group.
Results: We found significant diagnostic group differences in the ECDM phenotype, such that individuals with an SSD, but not current or remitted major depression or bipolar disorder, were less likely to incorporate changing trialwise reward value information in cognitive effort exertion, with the same trend for physical effort. In all diagnostic groups, nonsystematic decision making was associated with lower cognitive functioning but not lower motivation. In addition, individuals with an SSD showed steeper effort discounting during both physical and cognitive ECDM paradigms.
Conclusions: These findings point toward substantial individual differences in ECDM phenotypes both within and across diagnostic boundaries, suggesting that deficits in subjective value representation may be more prevalent in psychosis compared with in mood disorders.
{"title":"Understanding Effort-Cost Decision-Making Mechanisms in Mood and Psychotic Disorders: A Computational Modeling Approach Across Physical and Cognitive Effort Paradigms.","authors":"Xiaoyu Dong, Jessica A Cooper, Erin K Moran, Deanna M Barch","doi":"10.1016/j.bpsc.2025.11.004","DOIUrl":"10.1016/j.bpsc.2025.11.004","url":null,"abstract":"<p><strong>Background: </strong>Effort-cost decision making (ECDM) is a core component of motivational deficits across diagnostic boundaries, but the mechanisms underlying ECDM deficits are not yet fully understood. Importantly, similar behavioral phenotypes during ECDM paradigms may be associated with distinct underlying cognitive and affective processes across individuals.</p><p><strong>Methods: </strong>We used a person-centered modeling approach to examine individual decision-making phenotypes (systematic or nonsystematic decision making) during both physical and cognitive ECDM in 5 diagnostic groups: healthy control (n = 90), schizophrenia spectrum disorder (SSD) (n = 67), current major depression (n = 70), remitted major depression (n = 52), and bipolar I disorder (n = 64). We examined the associations between ECDM phenotype, cognitive functioning, motivation, and diagnostic group.</p><p><strong>Results: </strong>We found significant diagnostic group differences in the ECDM phenotype, such that individuals with an SSD, but not current or remitted major depression or bipolar disorder, were less likely to incorporate changing trialwise reward value information in cognitive effort exertion, with the same trend for physical effort. In all diagnostic groups, nonsystematic decision making was associated with lower cognitive functioning but not lower motivation. In addition, individuals with an SSD showed steeper effort discounting during both physical and cognitive ECDM paradigms.</p><p><strong>Conclusions: </strong>These findings point toward substantial individual differences in ECDM phenotypes both within and across diagnostic boundaries, suggesting that deficits in subjective value representation may be more prevalent in psychosis compared with in mood disorders.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145590336","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}
Pub Date : 2025-11-19DOI: 10.1016/j.bpsc.2025.11.002
Michael S Jacob, Brian J Roach, Daniel H Mathalon, Judith M Ford
Background: Neuroimaging methods rely on models of neurovascular coupling that assume hemodynamic responses are canonical, evolving seconds after changes in neural activity. However, emerging evidence reveals noncanonical blood oxygen level-dependent (BOLD) responses that are delayed under stress and aberrant in neuropsychiatric conditions.
Methods: We simultaneously recorded electroencephalography (EEG) and functional magnetic resonance imaging data in people with schizophrenia (n = 57) and psychiatrically unaffected participants (n = 46) during a resting-state paradigm. We focused on alpha band power to examine correlations with voxelwise, time-lagged BOLD signals as a dynamic measure of EEG-BOLD coupling.
Results: We found pronounced diversity in the temporal profile of alpha-BOLD coupling across the brain. This included early coupling (0-2 seconds BOLD lag) for more posterior regions of the default mode network (DMN), thalamus, and brainstem. Anterior regions of the DMN showed coupling at more canonical lags (4-6 seconds), although some participants showed greater than expected lags associated with self-reported measures of stress and there were greater lag scores in participants with schizophrenia. Overall, noncanonical alpha-BOLD coupling is widespread across the DMN and other noncortical regions and is delayed in people with schizophrenia.
Conclusions: These findings suggest that hemodynamic signals are dynamically coupled to ongoing neural activity across distributed networks and that the hemoneural lag may be associated with subjective arousal or stress. Our work highlights the need for more studies of neurovascular coupling in psychiatric conditions.
{"title":"Noncanonical Neural-Hemodynamic Coupling by Default and in Schizophrenia.","authors":"Michael S Jacob, Brian J Roach, Daniel H Mathalon, Judith M Ford","doi":"10.1016/j.bpsc.2025.11.002","DOIUrl":"10.1016/j.bpsc.2025.11.002","url":null,"abstract":"<p><strong>Background: </strong>Neuroimaging methods rely on models of neurovascular coupling that assume hemodynamic responses are canonical, evolving seconds after changes in neural activity. However, emerging evidence reveals noncanonical blood oxygen level-dependent (BOLD) responses that are delayed under stress and aberrant in neuropsychiatric conditions.</p><p><strong>Methods: </strong>We simultaneously recorded electroencephalography (EEG) and functional magnetic resonance imaging data in people with schizophrenia (n = 57) and psychiatrically unaffected participants (n = 46) during a resting-state paradigm. We focused on alpha band power to examine correlations with voxelwise, time-lagged BOLD signals as a dynamic measure of EEG-BOLD coupling.</p><p><strong>Results: </strong>We found pronounced diversity in the temporal profile of alpha-BOLD coupling across the brain. This included early coupling (0-2 seconds BOLD lag) for more posterior regions of the default mode network (DMN), thalamus, and brainstem. Anterior regions of the DMN showed coupling at more canonical lags (4-6 seconds), although some participants showed greater than expected lags associated with self-reported measures of stress and there were greater lag scores in participants with schizophrenia. Overall, noncanonical alpha-BOLD coupling is widespread across the DMN and other noncortical regions and is delayed in people with schizophrenia.</p><p><strong>Conclusions: </strong>These findings suggest that hemodynamic signals are dynamically coupled to ongoing neural activity across distributed networks and that the hemoneural lag may be associated with subjective arousal or stress. Our work highlights the need for more studies of neurovascular coupling in psychiatric conditions.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575095","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}