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Structural Brain Differences in the Alzheimer's Disease Continuum: Insights Into the Heterogeneity From a Large Multisite Neuroimaging Consortium. 阿尔茨海默氏症连续症的大脑结构差异:从大型多站点神经成像联盟中洞察异质性。
Pub Date : 2024-07-30 DOI: 10.1016/j.bpsc.2024.07.019
Tavia E Evans, Natalia Vilor-Tejedor, Gregory Operto, Carles Falcon, Albert Hofman, Agustin Ibáñez, Sudha Seshadari, Louis C S Tan, Michael Weiner, Suverna Alladi, Udunna Anazodo, Juan Domingo Gispert, Hieab H H Adams

Background: Neurodegenerative diseases require collaborative, multisite research to comprehensively grasp their complex and diverse pathological progression; however, there is caution in aggregating global data due to data heterogeneity. In the current study, we investigated brain structure across stages of Alzheimer's disease (AD) and how relationships vary across sources of heterogeneity.

Methods: Using 6 international datasets (N > 27,000), associations of structural neuroimaging markers were investigated in relation to the AD continuum via meta-analysis. We investigated whether associations varied across elements of magnetic resonance imaging acquisition, study design, and populations.

Results: Modest differences in associations were found depending on how data were acquired; however, patterns were similar. Preliminary results suggested that neuroimaging marker-AD relationships differ across ethnic groups.

Conclusions: Diversity in data offers unique insights into the neural substrate of AD; however, harmonized processing and transparency of data collection are needed. Global collaborations should embrace the inherent heterogeneity that exists in the data and quantify its contribution to research findings at the meta-analytical stage.

导言:神经退行性疾病需要多机构合作研究才能全面掌握其复杂多样的病理发展过程,但由于数据的异质性,在汇总全球数据时需要谨慎。本研究调查了阿尔茨海默病(AD)各阶段的大脑结构,以及不同异质性来源之间的关系:利用 6 个国际数据集(n>27,000),通过荟萃分析研究了神经影像结构标记与阿尔茨海默病连续性的关联。我们研究了磁共振成像采集、研究设计和人群等因素之间的关联是否存在差异:结果:根据数据获取方式的不同,相关性略有不同,但模式相似。初步结果表明,不同种族群体的神经影像标记物与AD的关系存在差异:讨论:数据的多样性为了解 AD 的神经基质提供了独特的视角,但数据收集的统一处理和透明度仍有待提高。全球合作应接受数据中存在的固有异质性,并在荟萃分析阶段量化其对研究结果的贡献。
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引用次数: 0
Social Effort Discounting Reveals Domain-General and Social-Specific Motivation Components. 社会努力折扣揭示了领域一般和社会特定的动机成分。
Pub Date : 2024-07-27 DOI: 10.1016/j.bpsc.2024.07.020
Chloe M Savage, Greer E Prettyman, Adrianna C Jenkins, Joseph W Kable, Paige R Didier, Luis Fernando Viegas de Moraes Leme, Daniel H Wolf

Background: Social motivation is crucial for healthy interpersonal connections and is impaired in a subset of the general population and across many psychiatric disorders. However, compared with nonsocial (e.g., monetary) motivation, social motivation has been understudied in quantitative behavioral work, especially regarding willingness to exert social effort. We developed a novel social effort discounting task, paired with a monetary task to examine motivational specificity. We expected that social task performance would relate to general motivation and also show selective relationships with self-reported avoidance tendencies and with sociality.

Methods: An analyzed sample of 397 participants performed the social and nonsocial effort discounting task online, along with self-report measures of various aspects of motivation and psychiatric symptomatology.

Results: Social and nonsocial task motivation correlated strongly (ρ = 0.71, p < .001). Both social and nonsocial task motivation related similarly to self-reported general motivation (social, β = 0.16; nonsocial, β = 0.13) and to self-reported approach motivation (social, β = 0.14; nonsocial, β = 0.11), with this common effect captured by a significant main effect across social and nonsocial conditions. Significant condition interaction effects supported a selective relationship of social task motivation with self-reported sociality and also with avoidance motivation.

Conclusions: Our novel social effort discounting task revealed both domain-general and social-specific components of motivation. In combination with other measures, this approach can facilitate further investigation of common and dissociable neurobehavioral mechanisms to better characterize normative and pathological variation and develop personalized interventions targeting specific contributors to social impairment.

背景:社交动机对于健康的人际关系至关重要,在一部分普通人群和许多精神疾病中,社交动机都会受到影响。然而,与非社交(如金钱)动机相比,社交动机在定量行为学研究中一直未得到充分研究,尤其是在付出社交努力的意愿方面。我们开发了一个新颖的社交努力折扣任务,并将其与货币任务相结合,以研究动机的特异性。我们预计社交任务的表现与一般动机有关,同时也会显示出与自我报告的回避倾向和社交性的选择性关系:方法:对 397 名参与者进行了分析,他们在线完成了社交和非社交努力折扣任务,并对动机和精神症状的各个方面进行了自我报告测量:结果:社交和非社交任务动机密切相关(rho=0.71 p):我们新颖的社交努力折扣任务揭示了动机的领域一般和社会特定成分。结合其他测量方法,这种方法有助于进一步研究共同的和可分离的神经行为机制,从而更好地描述正常和病理变异,并针对造成社交障碍的特定因素制定个性化干预措施。
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引用次数: 0
Medial Amygdalar Tau Is Associated With Mood Symptoms in Preclinical Alzheimer's Disease. 杏仁内侧 tau 与临床前阿尔茨海默病的情绪症状有关。
Pub Date : 2024-07-25 DOI: 10.1016/j.bpsc.2024.07.012
Joyce S Li, Samantha M Tun, Bronte Ficek-Tani, Wanwan Xu, Selena Wang, Corey L Horien, Takuya Toyonaga, Shreya S Nuli, Caroline J Zeiss, Albert R Powers, Yize Zhao, Elizabeth C Mormino, Carolyn A Fredericks

Background: While the amygdala receives early tau deposition in Alzheimer's disease (AD) and is involved in social and emotional processing, the relationship between amygdalar tau and early neuropsychiatric symptoms in AD is unknown. We sought to determine whether focal tau binding in the amygdala and abnormal amygdalar connectivity were detectable in a preclinical AD cohort and identify relationships between these and self-reported mood symptoms.

Methods: We examined 598 individuals (347 amyloid positive [58% female], 251 amyloid negative [62% female] subset in tau positron emission tomography and functional magnetic resonance imaging cohorts) from the A4 (Anti-Amyloid Treatment in Asymptomatic AD) Study. In the tau positron emission tomography cohort, we used amygdalar segmentations to examine representative nuclei from 3 functional divisions of the amygdala. We analyzed between-group differences in division-specific tau binding in the amygdala in preclinical AD. We conducted seed-based functional connectivity analyses from each division in the functional magnetic resonance imaging cohort. Finally, we conducted exploratory post hoc correlation analyses between neuroimaging biomarkers of interest and anxiety and depression scores.

Results: Amyloid-positive individuals demonstrated increased tau binding in the medial and lateral amygdala, and tau binding in these regions was associated with mood symptoms. Across amygdalar divisions, amyloid-positive individuals had relatively higher regional connectivity from the amygdala to other temporal regions, the insula, and the orbitofrontal cortex, but medial amygdala to retrosplenial cortex connectivity was lower. Medial amygdala to retrosplenial connectivity was negatively associated with anxiety symptoms, as was retrosplenial tau.

Conclusions: Our findings suggest that preclinical tau deposition in the amygdala and associated changes in functional connectivity may be related to early mood symptoms in AD.

背景:阿尔茨海默病(AD)患者的杏仁核早期会出现tau沉积,并参与社交和情感处理,但杏仁核tau与AD早期神经精神症状之间的关系尚不清楚。我们试图确定在临床前阿兹海默症队列中是否能检测到杏仁核中的局灶性tau结合和异常的杏仁核连接,并确定这些与自我报告的情绪症状之间的关系:我们对A4研究中的598人(淀粉样蛋白阳性者347人(58%为女性),淀粉样蛋白阴性者251人(62%为女性);分为tau PET队列和fMRI队列)进行了研究。在 tau PET 队列中,我们使用杏仁核分割来检查杏仁核三个功能分区的代表性核团。我们分析了临床前AD患者杏仁核分部特异性tau结合的组间差异。我们对 fMRI 队列中的每个分区进行了基于种子的功能连接分析。最后,我们对相关神经影像生物标志物与焦虑和抑郁评分进行了探索性事后相关分析:结果:淀粉样蛋白阳性者杏仁核内侧和外侧的 tau 结合增加,这些区域的 tau 结合与情绪症状相关。在杏仁核各分区中,淀粉样蛋白阳性者杏仁核与其他颞区、脑岛和眶额皮层的区域连接性相对较高,但杏仁核内侧与后脾皮层的连接性较低。杏仁核内侧到后脾的连通性与焦虑症状呈负相关,后脾tau也与焦虑症状呈负相关:我们的研究结果表明,杏仁核中临床前tau沉积和相关功能连接的变化可能与AD患者的早期情绪症状有关。
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引用次数: 0
Prefrontal Oscillatory Slowing in Early-Course Schizophrenia Is Associated With Worse Cognitive Performance and Negative Symptoms: A Transcranial Magnetic Stimulation-Electroencephalography Study. 早期精神分裂症患者的前额叶振荡减慢与认知能力下降和阴性症状有关:一项 TMS-EEG 研究。
Pub Date : 2024-07-25 DOI: 10.1016/j.bpsc.2024.07.013
Francesco L Donati, Ahmad Mayeli, Bruno Andry Nascimento Couto, Kamakashi Sharma, Sabine Janssen, Robert J Krafty, Adenauer G Casali, Fabio Ferrarelli

Background: Abnormalities in dorsolateral prefrontal cortex (DLPFC) oscillations are neurophysiological signatures of schizophrenia thought to underlie its cognitive deficits. Transcranial magnetic stimulation with electroencephalography (TMS-EEG) provides a measure of cortical oscillations unaffected by sensory relay functionality and/or patients' level of engagement, which are important confounding factors in schizophrenia. Previous TMS-EEG work showed reduced fast, gamma-range oscillations and a slowing of the main DLPFC oscillatory frequency, or natural frequency, in chronic schizophrenia. However, it is unclear whether this DLPFC natural frequency slowing is present in early-course schizophrenia (EC-SCZ) and is associated with symptom severity and cognitive dysfunction.

Methods: We applied TMS-EEG to the left DLPFC in 30 individuals with EC-SCZ and 28 healthy control participants. Goal-directed working memory performance was assessed using the AX-Continuous Performance Task. The EEG frequency with the highest cumulative power at the stimulation site, or natural frequency, was extracted. We also calculated the local relative spectral power as the average power in each frequency band divided by the broadband power.

Results: Compared with the healthy control group, the EC-SCZ group had reduced DLPFC natural frequency (p = .0000002, Cohen's d = -2.32) and higher DLPFC beta-range relative spectral power (p = .0003, Cohen's d = 0.77). In the EC-SCZ group, the DLPFC natural frequency was inversely associated with negative symptoms. Across all participants, the beta band relative spectral power negatively correlated with AX-Continuous Performance Task performance.

Conclusions: DLPFC oscillatory slowing is an early pathophysiological biomarker of schizophrenia that is associated with its symptom severity and cognitive impairments. Future work should assess whether noninvasive neurostimulation, including repetitive TMS, can ameliorate prefrontal oscillatory deficits and related clinical functions in patients with EC-SCZ.

背景:背外侧前额叶皮层(DLPFC)振荡异常是精神分裂症的神经生理学特征,被认为是其认知缺陷的根源。经颅磁刺激脑电图(TMS-EEG)可测量皮层振荡,不受感觉中继功能和/或患者参与程度的影响,而这些因素是精神分裂症的重要干扰因素。之前的 TMS-EEG 研究表明,慢性精神分裂症患者的快速伽马范围振荡减少,DLPFC 的主要振荡频率或自然频率减慢。然而,目前还不清楚这种DLPFC固有频率减慢是否存在于早期精神分裂症(EC-SCZ)中,并与症状严重程度和认知功能障碍有关:我们对30名EC-SCZ受试者和28名健康对照组(HC)受试者的左侧DLPFC进行了TMS-EEG检测。使用 "AX "连续表现任务(AX-CPT)评估目标定向工作记忆表现。我们提取了刺激部位累积功率最大的脑电图频率,即自然频率。我们还计算了局部相对频谱功率(RSP),即每个频段的平均功率除以宽带功率:结果:与 HC 相比,EC-SCZ 的 DLPFC 自然频率降低(p=0.0000002,Cohen's d=-2.32),DLPFC beta 范围的 RSP 提高(p=0.0003,Cohen's d=0.77)。在EC-SCZ中,DLPFC的自然频率与消极症状成反比。在所有参与者中,β波段RSP与AX-CPT表现呈负相关:结论:DLPFC振荡减慢是精神分裂症的早期病理生理学生物标志物,与症状严重程度和认知障碍有关。未来的工作应评估非侵入性神经刺激能否改善EC-SCZ患者的前额叶振荡缺陷和相关临床功能。
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引用次数: 0
A Reproducible Pipeline for Parcellation of the Anterior Limb of the Internal Capsule. 内囊前缘切口的可重复管道。
Pub Date : 2024-07-23 DOI: 10.1016/j.bpsc.2024.07.008
Karianne Sretavan, Henry Braun, Zoe Liu, Daniel Bullock, Tara Palnitkar, Remi Patriat, Jayashree Chandrasekaran, Samuel Brenny, Matthew D Johnson, Alik S Widge, Noam Harel, Sarah R Heilbronner

Background: The anterior limb of the internal capsule (ALIC) is a white matter structure that connects the prefrontal cortex (PFC) to the brainstem, thalamus, and subthalamic nucleus. It is a target for deep brain stimulation for obsessive-compulsive disorder. There is strong interest in improving deep brain stimulation targeting by using diffusion tractography to reconstruct and target specific ALIC fiber pathways, but this methodology is susceptible to errors and lacks validation. To address these limitations, we developed a novel diffusion tractography pipeline that generates reliable and biologically validated ALIC white matter reconstructions.

Methods: Following algorithm development and refinement, we analyzed 43 control participants, each with 2 sets of 3T magnetic resonance imaging data and a subset of 5 control participants with 7T data from the Human Connectome Project. We generated 22 segmented ALIC fiber bundles (11 per hemisphere) based on PFC regions of interest, and we analyzed the relationships among bundles.

Results: We successfully reproduced the topographies established by previous anatomical work using images acquired at both 3T and 7T. Quantitative assessment demonstrated significantly smaller intraparticipant variability than interparticipant variability for both test and retest groups across all but one PFC region. We examined the overlap between fibers from different PFC regions and a response tract for obsessive-compulsive disorder deep brain stimulation, and we reconstructed the PFC hyperdirect pathway using a modified version of our pipeline.

Conclusions: Our diffusion magnetic resonance imaging algorithm reliably generates biologically validated ALIC white matter reconstructions, thereby allowing for more precise modeling of fibers for neuromodulation therapies.

背景:内囊前肢(ALIC)是连接前额叶皮质(PFC)与脑干、丘脑和丘脑下核的白质结构。它是治疗强迫症的脑深部刺激(DBS)靶点。人们对通过使用弥散束成像技术重建和定位特定的 ALIC 纤维通路来改善 DBS 定位有浓厚的兴趣,但这种方法容易出错,而且缺乏验证。为了解决这些局限性,我们开发了一种新型扩散束成像管道,可生成可靠且经过生物学验证的 ALIC 白质重建:在算法开发和改进之后,我们分析了 43 名对照组受试者的 2 组 3T MRI 数据,以及 5 名对照组受试者的子集,这些数据来自人类连接组计划的 7T 数据。我们根据感兴趣的前额叶 PFC 区域生成了 22 个分段 ALIC 纤维束(每个半球 11 个),并分析了纤维束之间的关系:结果:我们利用 3T 和 7T 获取的图像,成功地再现了先前解剖学工作所建立的拓扑图。定量评估结果表明,除一个前脑功能区外,测试组和复测组的受试者内变异性明显小于受试者间变异性。我们检查了来自不同 PFC 区域的纤维与强迫症深部脑刺激反应束之间的重叠情况,并使用我们管道的改进版本重建了 PFC 超直达通路:我们的 dMRI 算法能可靠地生成经过生物学验证的 ALIC 白质重建,从而为神经调控疗法提供更精确的纤维建模。
{"title":"A Reproducible Pipeline for Parcellation of the Anterior Limb of the Internal Capsule.","authors":"Karianne Sretavan, Henry Braun, Zoe Liu, Daniel Bullock, Tara Palnitkar, Remi Patriat, Jayashree Chandrasekaran, Samuel Brenny, Matthew D Johnson, Alik S Widge, Noam Harel, Sarah R Heilbronner","doi":"10.1016/j.bpsc.2024.07.008","DOIUrl":"10.1016/j.bpsc.2024.07.008","url":null,"abstract":"<p><strong>Background: </strong>The anterior limb of the internal capsule (ALIC) is a white matter structure that connects the prefrontal cortex (PFC) to the brainstem, thalamus, and subthalamic nucleus. It is a target for deep brain stimulation for obsessive-compulsive disorder. There is strong interest in improving deep brain stimulation targeting by using diffusion tractography to reconstruct and target specific ALIC fiber pathways, but this methodology is susceptible to errors and lacks validation. To address these limitations, we developed a novel diffusion tractography pipeline that generates reliable and biologically validated ALIC white matter reconstructions.</p><p><strong>Methods: </strong>Following algorithm development and refinement, we analyzed 43 control participants, each with 2 sets of 3T magnetic resonance imaging data and a subset of 5 control participants with 7T data from the Human Connectome Project. We generated 22 segmented ALIC fiber bundles (11 per hemisphere) based on PFC regions of interest, and we analyzed the relationships among bundles.</p><p><strong>Results: </strong>We successfully reproduced the topographies established by previous anatomical work using images acquired at both 3T and 7T. Quantitative assessment demonstrated significantly smaller intraparticipant variability than interparticipant variability for both test and retest groups across all but one PFC region. We examined the overlap between fibers from different PFC regions and a response tract for obsessive-compulsive disorder deep brain stimulation, and we reconstructed the PFC hyperdirect pathway using a modified version of our pipeline.</p><p><strong>Conclusions: </strong>Our diffusion magnetic resonance imaging algorithm reliably generates biologically validated ALIC white matter reconstructions, thereby allowing for more precise modeling of fibers for neuromodulation therapies.</p>","PeriodicalId":93900,"journal":{"name":"Biological psychiatry. Cognitive neuroscience and neuroimaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763217","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}
引用次数: 0
Sensorimotor Feedback Control Dysfunction as a Marker of Posttraumatic Stress Disorder. 作为创伤后应激障碍标志的感觉运动反馈控制功能障碍
Pub Date : 2024-07-23 DOI: 10.1016/j.bpsc.2024.07.010
Jonathon R Howlett, Heekyeong Park, Martin P Paulus

Background: Posttraumatic stress disorder (PTSD) is characterized not only by its direct association with traumatic events but also by a potential deficit in inhibitory control across emotional, cognitive, and sensorimotor domains. Recent research has shown that a continuous sensorimotor feedback control task, the rapid assessment of motor processing paradigm, can yield reliable measures of individual sensorimotor control performance. This study used this paradigm to investigate control deficits in PTSD compared with both a healthy volunteer group and a non-PTSD psychiatric comparison group.

Methods: We examined control processing using the rapid assessment of motor processing paradigm in a sample of 40 individuals with PTSD, matched groups of 40 individuals with mood and anxiety complaints, and 40 healthy control participants. We estimated Kp (drive) and Kd (damping) parameters using a proportional-derivative control modeling approach.

Results: The Kp parameter was lower in the PTSD group than in the healthy control (Cohen's d = 0.86) and mood and anxiety (Cohen's d = 0.63) groups. After controlling for color-word inhibition, Kp remained lower in the PTSD group than in the healthy control (Cohen's d = 0.79) and mood and anxiety (Cohen's d = 0.62) groups. Mediation analysis showed that Kd significantly mediated the relationship between PTSD and control deficits in the Kp parameter, with 96% of the effect being mediated by Kd.

Conclusions: These findings underscore the potential of using dynamic control paradigms to elucidate the control dysfunctions in PTSD and suggest that different psychiatric conditions may distinctly influence subcomponents of sensorimotor control.

背景:创伤后应激障碍(PTSD创伤后应激障碍(PTSD)的特点不仅在于它与创伤事件的直接联系,还在于它在情绪、认知和感觉运动领域的抑制控制方面可能存在缺陷。最近的研究表明,一种连续的感觉运动反馈控制任务--运动处理快速评估(RAMP)范式--可以对个体的感觉运动控制表现进行可靠的测量。本研究利用该范式调查了创伤后应激障碍患者相对于健康志愿者和非创伤后应激障碍精神疾病对比组的控制缺陷:方法:我们使用 RAMP 范式对 40 名创伤后应激障碍患者以及 40 名情绪和焦虑(MA)症状患者和 40 名健康对照组(HC)进行了控制处理研究。我们使用比例-衍生(PD)控制模型方法估算了Kp(驱动)和Kd(阻尼)参数:结果:与 HC 组(Cohen's d = 0.86)和 MA 组(Cohen's d = 0.63)相比,创伤后应激障碍组的 Kp 参数较低。在对颜色词抑制进行控制后,创伤后应激障碍组的 Kp 仍低于 HC 组(Cohen's d = 0.79)和 MA 组(Cohen's d = 0.62)。中介分析表明,Kd对创伤后应激障碍与Kp参数控制缺陷之间的关系有明显的中介作用,96%的影响由Kd中介:这些发现强调了使用动态控制范式来阐明创伤后应激障碍中的控制功能障碍的潜力,并表明不同的精神疾病可能会对感觉运动控制的子组件产生不同的影响。
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引用次数: 0
Linking Mitochondrial Dysfunction, Neurotransmitter, and Neural Network Abnormalities and Mania: Elucidating Neurobiological Mechanisms of the Therapeutic Effect of the Ketogenic Diet in Bipolar Disorder. 将线粒体功能障碍、神经递质、神经网络异常和躁狂症联系起来:阐明生酮饮食对躁郁症治疗效果的神经生物学机制。
Pub Date : 2024-07-23 DOI: 10.1016/j.bpsc.2024.07.011
Zachary Freyberg, Ana C Andreazza, Colleen A McClung, Mary L Phillips

There is growing interest in the ketogenic diet as a treatment for bipolar disorder (BD), and there are promising anecdotal and small case study reports of efficacy. However, the neurobiological mechanisms by which diet-induced ketosis might ameliorate BD symptoms remain to be determined, particularly in manic and hypomanic states-defining features of BD. Identifying these mechanisms will provide new markers to guide personalized interventions and provide targets for novel treatment developments for individuals with BD. In this critical review, we describe recent findings highlighting 2 types of neurobiological abnormalities in BD: 1) mitochondrial dysfunction and 2) neurotransmitter and neural network functional abnormalities. We link these abnormalities to mania/hypomania and depression in BD and then describe the biological underpinnings by which the ketogenic diet may have a beneficial effect in individuals with BD. We end the review by describing approaches that can be employed in future studies to elucidate the neurobiology that underlies the therapeutic effect of the ketogenic diet in BD. Doing this may provide marker predictors to identify individuals who will respond well to the ketogenic diet, as well as offer neural targets for novel treatment developments for BD.

人们对将生酮饮食作为双相情感障碍(BD)治疗方法的兴趣日益浓厚,有关生酮饮食疗效的传闻和小型病例研究报告令人鼓舞。然而,饮食诱导酮病可能改善双相情感障碍症状的神经生物学机制仍有待确定,尤其是在狂躁和躁狂状态下--这是双相情感障碍的决定性特征。因此,确定这些机制将为指导个性化干预提供新的标记,并为 BD 患者的新型治疗发展提供目标。在这篇重要综述中,我们将介绍最近的研究发现,其中强调了 BD 两种类型的神经生物学异常:1)线粒体功能障碍;2)神经递质和神经网络功能异常。因此,我们将把这些异常与 BD 患者的狂躁/躁狂和抑郁联系起来,然后描述生酮饮食可能对 BD 患者产生有益影响的生物学基础。在综述的最后,我们介绍了未来可用于阐明生酮饮食对 BD 治疗效果的神经生物学基础的方法。这样做可以为识别对生酮饮食反应良好的个体提供标志性预测指标,并为 BD 的新型治疗开发提供神经靶点。
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引用次数: 0
Psychometric Properties of a Novel Affective Bias Task and Its Application in Clinical and Nonclinical Populations. 新型情感偏差任务的心理特性及其在临床和非临床人群中的应用
Pub Date : 2024-07-18 DOI: 10.1016/j.bpsc.2024.07.004
Prathik Kalva, Kourtney Kanja, Brian A Metzger, Xiaoxu Fan, Brian Cui, Bailey Pascuzzi, John Magnotti, Madaline Mocchi, Raissa Mathura, Kelly R Bijanki

To mitigate limitations of self-reported mood assessments, we introduce a novel affective bias task. The task quantifies instantaneous emotional state by leveraging the phenomenon of affective bias, in which people interpret external emotional stimuli in a manner consistent with their current emotional state. This study establishes task stability in measuring and tracking depressive symptoms in clinical and nonclinical populations. Initial assessment in a large nonclinical sample established normative ratings. Depressive symptoms were measured and compared with task performance in a nonclinical sample, as well as in a clinical cohort of individuals who were undergoing surgical evaluation for severe epilepsy. In both cohorts, a stronger negative affective bias was associated with a higher Beck Depression Inventory-II score. The affective bias task exhibited high stability and interrater reliability as well as construct validity in predicting depression levels in both cohorts, suggesting that the task is a reliable proxy for mood and a diagnostic tool for detecting depressive symptoms.

为了减少自我报告情绪评估的局限性,我们引入了一种新颖的情感偏差任务(ABT)。该任务利用情感偏差现象来量化瞬时情感状态,在情感偏差现象中,人们会根据自己当前的情感状态来解释外部情感刺激。这项研究确定了在临床和非临床人群中测量和跟踪抑郁症状的任务稳定性。在大量非临床样本中进行的初步评估确定了标准评级。在非临床样本和接受严重癫痫手术评估的临床人群中,对抑郁症状的任务表现进行了追踪。在这两个队列中,较强的负性情感偏差与较高的贝克抑郁量表(BDI-II)得分有关。ABT 在两个队列中均表现出较高的稳定性和互测可靠性,以及预测抑郁水平的建构有效性,这表明该任务是一种可靠的情绪替代指标,也是检测抑郁症状的诊断工具。
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引用次数: 0
Manifold Learning Uncovers Nonlinear Interactions Between the Adolescent Brain and Environment That Predict Emotional and Behavioral Problems. 多面性学习揭示了青少年大脑与环境之间的非线性相互作用,这种相互作用可预测青少年的情绪和行为问题。
Pub Date : 2024-07-14 DOI: 10.1016/j.bpsc.2024.07.001
Erica L Busch, May I Conley, Arielle Baskin-Sommers

Background: To progress adolescent mental health research beyond our present achievements-a complex account of brain and environmental risk factors without understanding neurobiological embedding in the environment-we need methods to uncover relationships between the developing brain and real-world environmental experiences.

Methods: We investigated associations between brain function, environments, and emotional and behavioral problems using participants from the Adolescent Brain Cognitive Development (ABCD) Study (n = 2401 female). We applied manifold learning, a promising technique for uncovering latent structure from high-dimensional biomedical data such as functional magnetic resonance imaging. Specifically, we developed exogenous PHATE (potential of heat-diffusion for affinity-based trajectory embedding) (E-PHATE) to model brain-environment interactions. We used E-PHATE embeddings of participants' brain activation during emotional and cognitive processing tasks to predict individual differences in cognition and emotional and behavioral problems both cross-sectionally and longitudinally.

Results: E-PHATE embeddings of participants' brain activation and environments at baseline showed moderate-to-large associations with total, externalizing, and internalizing problems at baseline, across several subcortical regions and large-scale cortical networks, compared with the zero-to-small effects achieved by voxelwise data or common low-dimensional embedding methods. E-PHATE embeddings of the brain and environment at baseline were also related to emotional and behavioral problems 2 years later. These longitudinal predictions showed a consistent moderate effect in the frontoparietal and attention networks.

Conclusions: The embedding of the adolescent brain in the environment yields enriched insight into emotional and behavioral problems. Using E-PHATE, we demonstrated how the harmonization of cutting-edge computational methods with longstanding developmental theories advances the detection and prediction of adolescent emotional and behavioral problems.

背景:要使青少年心理健康研究超越目前的成就--在不了解环境中神经生物学嵌入的情况下对大脑和环境风险因素进行复杂的描述--我们需要一些方法来揭示发育中的大脑与真实世界环境经历之间的关系:方法:我们利用青少年大脑和认知发展研究(Adolescent Brain and Cognitive Development Study)的参与者(N=2,401 名女性)调查了大脑功能、环境、情绪和行为问题之间的关联。我们应用了流形学习,这是一种从功能磁共振成像(fMRI)等高维生物医学数据中发现潜在结构的有效技术。具体来说,我们开发了外源 PHATE(E-PHATE)来模拟大脑与环境的相互作用。我们使用 E-PHATE 嵌入参与者在情绪和认知处理过程中的大脑激活情况,来预测认知、情绪和行为问题的个体差异:基线时参与者大脑激活和环境的 E-PHATE 嵌入显示,在多个皮层下区域和大规模皮层网络中,与基线时的总问题、外化问题和内化问题存在中度到高度的关联,而体素或 PHATE 方法的影响则为零到很小。基线时大脑和环境的 E-PHATE 嵌入也与两年后的情绪和行为问题有关。这些纵向预测显示,在前顶叶和注意力网络中存在一致的、适度的影响:结论:青少年大脑在环境中的嵌入可丰富对情绪和行为问题的洞察力。通过使用 E-PHATE,我们展示了如何将前沿计算方法与长期发展理论相协调,从而推进对青少年情绪和行为问题的检测和预测。
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引用次数: 0
The Influence of Maternal and Paternal Parenting on Adolescent Brain Structure. 母亲和父亲的养育方式对青少年大脑结构的影响。
Pub Date : 2024-07-01 DOI: 10.1016/j.bpsc.2024.06.013
Qingwen Ding, Xinying Li, Divyangana Rakesh, Siya Peng, Jiahua Xu, Jie Chen, Nengzhi Jiang, Yu Luo, Xuebing Li, Shaozheng Qin, Sarah Whittle

Background: Adolescents raised in families with different maternal and paternal parenting combinations exhibit variations in neurocognition and psychopathology; however, whether neural differences exist remains unexplored. This study used a longitudinal twin sample to delineate how different parenting combinations influence adolescent brain structure and to elucidate the genetic contribution.

Methods: A cohort of 216 twins participated in parenting assessments during early adolescence and underwent magnetic resonance imaging scanning during middle adolescence. We utilized latent profile analysis to distinguish between various maternal and paternal parenting profiles and subsequently investigated their influences on brain anatomy. Biometric analysis was applied to assess genetic influences on brain structure, and associations with internalizing symptoms were explored.

Results: In early adolescence, 4 parenting profiles emerged, which were characterized by levels of harshness and hostility in one or both parents. Compared with adolescents in "catparent" families (low harshness/hostility in both parents), those raised in "tigermom" families (harsh/hostile mother only) exhibited a smaller nucleus accumbens volume and larger temporal cortex surface area; those in "tigerdad" families demonstrated larger thalamus volumes; and those in "tigerparent" families displayed smaller volumes in the midanterior corpus callosum. Genetic risk factors contributed significantly to the observed brain structural heterogeneity and internalizing symptoms. However, the influences of parenting profiles and brain structure on internalizing symptoms were not significant.

Conclusions: The findings underscore distinct brain structural features linked to maternal and paternal parenting combinations, particularly in terms of subcortical volume and cortical surface area. This study suggests an interdependent role of maternal and paternal parenting in shaping adolescent neurodevelopment.

背景:在母亲和父亲不同养育组合的家庭中长大的青少年在神经认知和心理病理学方面表现出差异;然而,神经差异是否存在仍有待探索。本研究使用纵向双胞胎样本来描述不同的养育组合如何影响青少年的大脑结构,并阐明其中的遗传因素:方法:216对双胞胎在青春期早期参加了养育评估,并在青春期中期接受了核磁共振成像扫描。我们利用潜在特征分析来区分母亲和父亲的各种养育特征,随后研究了它们对大脑解剖的影响。我们还运用生物计量分析评估了遗传对大脑结构的影响,并探讨了与内化症状的关联:在青春期早期,出现了四种以父母一方或双方的严厉和敌意程度为特征的养育方式。与 "猫父母 "家庭(父母双方的严厉/敌意程度低)中的青少年相比,"虎妈妈 "家庭(只有母亲严厉/敌意)中的青少年表现出较小的伏隔核体积和较大的颞叶皮层表面积;"虎爸爸 "家庭中的青少年表现出较大的丘脑体积;"虎父母 "家庭中的青少年表现出较小的胼胝体中前部体积。遗传风险因素在很大程度上导致了所观察到的大脑结构异质性和内化症状。然而,养育方式和大脑结构对内化症状的影响并不显著:研究结果强调了与母亲和父亲的养育组合相关的不同大脑结构特征,尤其是在皮层下体积和皮层表面积方面。这项研究表明,母亲和父亲的养育方式在青少年神经发育过程中起着相互依存的作用。
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Biological psychiatry. Cognitive neuroscience and neuroimaging
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