PSYCHIATRY RESEARCH-NEUROIMAGING

Hierarchical network disruptions in Schizophrenia: A multi-level fMRI study of functional connectivity
Khorev VS, Kurkin SA, Stoyanov D, Paunova R, Najar D, Kandilarova S and Hramov AE
We tested the hypothesis that Schizophrenia (SCZ) involves a systematic breakdown in brain network organization across different levels of graph-theoretical hierarchy.
Exploring the neural mechanisms of anomalous self-experiences in schizophrenia: A fresh perspective on discharge dysfunction
Zhang J and Hou L
This commentary article delves into the study by M. Beño-Ruiz-de-la-Sierra et al., which investigates the role of corollary discharge dysfunction in anomalous self-experiences (ASEs) among schizophrenic patients. The study's findings, while insightful, prompt further exploration into the specific brain regions involved, the statistical methods employed, and the implications for different schizophrenia subtypes. This paper aims to supplement the discussion by suggesting areas for future research and methodological enhancements.
Repetitive transcranial magnetic stimulation for nicotine addiction: A regional homogeneity study based on resting-state fMRI
Li Z, Sha X, Zhang Q, Li S, Xie M, Wang T, Chen D, Xin E and Zhang J
Previous studies have demonstrated the efficacy of transcranial magnetic stimulation (TMS) on treating nicotine addiction. However, the underlying mechanisms remain unclear. This study aims to investigate the effects of repetitive TMS (rTMS) on nicotine addiction using resting-state functional magnetic resonance imaging (rs-fMRI).
Combining static and dynamic brain network analysis with machine learning for enhanced diagnosis of major depressive disorder
Sun C, Feng R, Liu M, Ma S, Tai J, Hu J, Li J and Qiang N
Major Depressive Disorder (MDD) is a common mental disorder that severely impacts patients' quality of life and social functioning. Early diagnosis is crucial for improving treatment outcomes, so rapid and accurate diagnosis of MDD is of significant importance. This paper combines static and dynamic functional connectivity analyses based on fMRI data and proposes a novel feature selection method to identify and classify brain network abnormalities in MDD patients. The advantage of this method lies in enhancing classification accuracy through feature fusion while simultaneously reducing feature dimensionality. First, whole-brain correlation analysis is performed based on fMRI functional connectivity, followed by Rich Club analysis and sliding window methods to investigate the topological properties of the intrinsic functional brain network in MDD patients. Finally, the abnormal brain network is used as a feature to classify and diagnose MDD patients and healthy controls, achieving a classification accuracy of 90.28 %. This result validates that the identified abnormal brain networks in this study have clinical significance for assisting in the diagnosis of MDD.
Phenotypic fitting of whole-brain models to explore functional connectivity dynamics correlates of hallucinations in schizophrenia
Tyras S and Wojnar M
The pathophysiology of schizophrenia and its associated symptoms remains poorly understood despite decades of research utilizing diverse neuroimaging techniques. Recent advancements, such as the analysis of dynamic functional connectivity in resting-state fMRI signals and the application of generative whole-brain models - computational psychiatry tool, offer novel insights into the disorder. In this exploratory study we applied a recently developed phenotypic fitting approach for whole-brain modeling to investigate functional connectivity dynamics correlates of schizophrenia symptoms. Our findings showed that higher hallucination severity was strongly correlated with functional connectivity dynamics resembling those generated by a dynamic mean field model operating with elevated excitation/inhibition balance.
Protocol for a randomised controlled pilot trial for transcranial direct current stimulation enhanced exposure and response prevention with feedback informed post-intervention maintenance of gains for obsessive compulsive disorder
Botha C, Loftus A, Green P and Anderson R
Case studies examining the benefits of transcranial direct current stimulation (tDCS) enhanced exposure response prevention (ERP) reveal clinically significant improvements in symptoms of obsessive-compulsive disorder (OCD). In the absence of control conditions, the validity of these findings requires further study. Efforts are also needed to enhance the longevity of any gains.
Volume of the amygdala, hippocampus, Heschl's gyrus, and planum temporale in epileptic psychosis
Hirakawa N, Oribe N, Hirano Y, Togao O, Ishigami K, Onitsuka T, Hirano S and Nakao T
Schizophrenia and chronic interictal epileptic psychosis (EPS) are thought to have different underlying pathophysiological mechanisms. We aimed to investigate the neural basis of EPS.
Neural markers in excoriation disorder: Systematic review of neuroimaging evidence
Hodgdon EA, Sivils CA, Smith JE, Witherington DC and Ciesielski KTR
Excoriation disorder (ExD), or skin picking disorder, is a chronic body-focused repetitive behavior (BFRB) that leads to severe tissue damage, disfigurement, and psychological distress. Despite its prevalence, the neurobiological etiology of ExD remains poorly understood, hindering early diagnosis and intervention. This systematic review synthesizes findings from neuroimaging studies reporting on neural correlates of ExD. A comprehensive search of PubMed, PsycINFO, and Web of Science identified 18 studies meeting inclusion criteria. Across 784 ExD participants and 530 controls, consistent patterns emerged in brain regions related to sensorimotor inhibition, habit formation, and perceptual-affective interaction. Structural MRI showed smaller volumes in the orbitofrontal cortex, insula, and cerebellum, but increased size of nucleus accumbens, associated in previous studies with deficient inhibitory control. Task-related fMRI showed increased activation in frontal and parietal regions but diminished engagement of posterior cerebellar-prefrontal circuits during sensorimotor coordination, and amplified insula and amygdala responses to aversive stimuli. Resting-state fMRI linked ExD symptom severity with reduced supplementary motor and prefrontal connectivity. The findings consistently point to deviation in networks subserving sensorimotor-emotional integration, one of the earliest stages of brain-behavior development. A hypothesis of ExD as a developmental disorder is suggested, guiding future research to early markers of detection and prevention.
Complex post-traumatic stress disorder moderates functional connectivity in people with psychosis
Panayi P, Varese F, Peters E, Mason L, Bentall R, Hardy A, Berry K, Sellwood W, Dudley R, Underwood R, Steel C, Jafari H and Elliott R
Altered functional connectivity in several functional networks has been found in people with psychosis, especially in the default mode (DMN), salience (SAL) and central executive (CEN) networks. Functional connectivity in people with psychosis is influenced by traumatic life experiences. Trauma histories typical of people with psychosis are associated with complex post-traumatic stress disorder (cPTSD), but no studies have explored whether post-traumatic sequelae contribute to functional dysconnectivity in people with psychosis.
Abnormal EEG activity in major depressive disorder during musical reward experience
Xia L, Su C, Wang J, Xie L, Sun K and Wu D
A major clinical feature of depression is anhedonia, which is closely linked to dysfunction of the reward system. But there is a lack of research on musical reward and its neuroelectrophysiological characteristics in depression. Therefore, we investigated these characteristics of major depressive disorder (MDD).
Hippocampal subfields and psychotic symptoms: Functional connectivity insights from pediatric bipolar disorder
Shen Z, Cui D, Jiao Q, Yang R, Lu S and Gao W
This study aims to investigate the structural and functional abnormalities in the hippocampus of pediatric bipolar disorder (PBD) patients, distinguishing between non-psychotic (NP-PBD) and psychotic (P-PBD) subtypes, compared to healthy controls (HCs).
Escitalopram normalizes decreased left inferior frontal gyrus activation in social anxiety disorder during self-referential processing
Rinne R, Heikkilä R, Raij TT, Komulainen E, Ekelund J and Isometsä E
Social anxiety disorder (SAD) is associated with negatively biased, self-focused attention in social situations. Neural correlates of self-referential processing and effects of selective serotonin reuptake inhibitors (SSRIs) on it remain, however, poorly known. Interestingly, these drugs have been shown to modify brain activation related to negative bias already before symptom relief in major depressive disorder. We hypothesized alteration in self-referential processing and modification of such alteration during short-term use of escitalopram in SAD.
A single dose of cannabidiol modulates the relationship between hippocampal glutamate and learning-related prefrontal activation in individuals at Clinical High Risk of Psychosis
Shi Y, Davies C, Wilson R, Appiah-Kusi E, Lythgoe DJ, Modinos G and Bhattacharyya S
Cannabidiol (CBD) is being studied as a potential intervention for the people at clinical high risk for psychosis (CHR), though the mechanisms underlying its effects are not fully understood. Previous studies indicate that a single dose of CBD can normalize alterations in memory-related brain activation and modulate hippocampal glutamate levels in the early stages of psychosis. This study aimed to examine the acute effects of CBD on the relationship between hippocampal glutamate levels and brain activation during verbal memory in individuals at CHR.
Cortical thickness alterations in afro-descendants with schizophrenia and bipolar disorder: An exploratory analysis
Silva RKP, de Freitas MBL, Luna LP, Vinent K, Alves CHL, Bittencourt L, Trovão L, Nardi AE, Oertel V, Veras AB, de Lucena DF and Alves GS
The impact of schizophrenia (SZ) and bipolar. disorder (BD) on brain structure is not fully understood, with most evidence derived from European, North American, and Asian populations. Our study aims to evaluate these morphometric changes in cortical thickness(CT) among Afro-descendants and indigenous people. We included neuroimaging data from 23 SZ patients, 20 BD patients, and 21 healthy controls (HC), aged between 22 and 31 years (mean age = 25 years). CT of 68 regions, as defined by the Desikan-Killiany atlas, was obtained using FreeSurfer. Statistical analysis involved analysis of covariance (ANCOVA) controlling for age, with Bonferroni correction for false discovery rate. BD patients showed significantly decreased CT in the right lateral orbitofrontal cortex and left pars orbitalis compared to SZ and HC. In a subset of clinical patients (SZ and BD), depressive symptoms, as measured by Diagnostic Interview for Psychosis and Affective Disorders(DIPAD) subscores, correlated negatively with left parahippocampal gyrus thickness, while manic symptoms correlated negatively with right lateral orbitofrontal CT. These findings underscore the importance of including underrepresented populations in neuroimaging research to better understand the structural brain alterations associated with psychiatric disorders.
Real-time fMRI neurofeedback modulates auditory cortex activity and connectivity in schizophrenia patients with auditory hallucinations: A controlled study
Bauer CCC, Zhang J, Morfini F, Hinds O, Wighton P, Lee Y, Stone L, Awad A, Okano K, Hwang M, Hammoud J, Nestor P, Whitfield-Gabrieli S, Shinn AK and Niznikiewicz MA
Auditory hallucinations (AHs) affect 60-80 % of schizophrenia patients and often resist antipsychotic treatment. AHs involve superior temporal gyrus (STG) hyperactivity and disrupted auditory-cognitive control connectivity. Real-time fMRI neurofeedback (NFB) enables voluntary modulation of targeted brain regions. We previously showed STG-targeted NFB with mindfulness meditation reduced STG activation and AHs in one session. However, whether effects are specific to hallucination-related regions versus placebo, and whether NFB modulates broader networks, remained unclear.
Characteristic indicators for mild-cognitive-impairment obtained from dimension reduction of brain networks
Weng X, Xu M and Wu Z
Alzheimer's Disease (AD) is irreversible. Mild cognitive impairment (MCI) is the first symptomatic stage of AD. Distinguishing MCI patients from healthy controls (HCs) through appropriate techniques is critical for early therapeutic interventions and prolonging patients' health. In this study, we explored characteristic indicators for MCI through dimension reduction of brain networks. After the brains (100 HCs and 100 MCIs from ADNI dataset) were partitioned into 360 parcels, one-dimension time series was extracted from diffusion and resting-state functional magnetic resonance imaging (MRI) data using network dimension-reduction techniques. Power-spectrum was then employed to transform the time series into frequency domain, to find characteristic indicators for MCI. Statistical tests indicate that the indicators (mean square frequency, and center frequency) estimated with brain network reductions could differentiate MCIs from HCs more significantly, compared with those of BOLD time series of specific AD-related subregions (hippocampus, and parieto-temporal subregions). Power-spectrum of one-dimension time series extracted with network reductions might be a viable method for distinguishing MCI progression stages. This approach could potentially facilitate earlier and more precise differentiation between MCIs and HCs, showing future clinical applicability.
Altered neural reward activation predicts clinical depression improvement after a novel loving-kindness meditation: a multimodal neuroimaging study
Chen Z, Cui C, Sun X, Xiang W, Liang F and Dai Q
Major depressive disorder (MDD) has become the second largest risk factor affecting human health, with a progress in its treatment especially non-pharmacological therapies. The loving-kindness meditation (LKM) has been introduced to depression but is not popular due to requirement on awareness and concentration, and its utilization in clinical MDD is absent as well as exploration on neural mechanism. This study aims to develop a more feasible novel therapy-loving-kindness meditation integrating cognition and behavior (LKM-CB), examine its effect on clinical depression, and further explore its neural mechanism by multimodal neuroimaging.
fMRI features in recent suicide attempters performing the future imagination task
Esmaeil-Zadeh M, Fattahi M, Rasouli N, Soltanian-Zadeh H, Sisara MA, Rajab E, Jafari A and Malakouti SK
A negative future outlook increases vulnerability to depression and suicide. Understanding neural mechanisms of future-oriented thinking may reveal insights into suicide risk. This study used fMRI to identify brain activation patterns during future imagination in individuals with recent suicide attempts.
Neuroanatomical subtyping for schizophrenia with machine learning
Sungur I, Selek S, Keskin K, Hinc AC, Yazici F, Aktas EO, Erdogan Y and Gonul AS
Schizophrenia is a heterogeneous disorder with significant variability in neurobiological and clinical presentations. In this study, we aimed to investigate neuroanatomical subtypes of schizophrenia using a data-driven machine-learning algorithm. Structural MRI data from 222 participants (136 schizophrenia patients and 86 healthy controls) were analyzed. Subtypes were identified using HYDRA (Heterogeneity Through Discriminative Analysis), a semi-supervised machine learning algorithm designed to reveal disease-related patterns while minimizing the influence of normal anatomical variation followed by voxel-based morphometry (VBM) analysis to compare these subtypes with healthy controls. The study identified two subtypes among schizophrenia patients. Subtype 1 showed widespread lower grey matter volumes in several cortical regions, mainly in the insula, cingulate, frontal, and temporal regions. Subtype 2 demonstrated increased subcortical volumes, pallidal volumes relative to controls and thalamus, hippocampus relative to subtype 1. Despite significant neuroanatomical differences, the subtypes did not differ in demographic or clinical characteristics. These findings highlight the potential of machine learning to disentangle structural heterogeneity in schizophrenia, offering a refined framework for neuroanatomical subtyping. Identifying distinct subtypes may contribute to personalized treatment approaches and enhance the precision of future clinical and research efforts.
Increased functional connectivity between motor and arousal brainstem nuclei and sensorimotor cortex in therapy resistant depression
Houjaije Z, Schülke R, Sinke C, Mahmoudi N, Wattjes MP, Krüger THC, Bastami A, Gaspert A, Schütze L, Heim S, Neyazi A, Bleich S, Frieling H and Maier HB
The neural correlates of treatment-resistant depression (TRD) are not fully elucidated. Brainstem functional connectivity (FC) in TRD has rarely been investigated, despite the assumed role of several brainstem nuclei in depression. 23 patients and 23 sex- and age-matched healthy controls underwent resting-state functional MRI. Seed-based connectivity (SBC) was calculated for 37 brainstem seeds with motor and arousal functions. Correlations between significant FC and somatic symptom severity were computed. FC of dorsal raphe nucleus, locus coeruleus, cuneiform nucleus and periaqueductal gray to the precentral and postcentral gyrus was increased. The anterior division of the mesencephalic reticular formation showed increased FC to left frontal pole, left superior frontal gyrus and middle temporal gyrus, whereas its lateral division showed decreased FC to frontal orbital and insular cortex, compared to healthy subjects. FC of bilateral locus coeruleus to bilateral postcentral gyrus were positively correlated with depressive symptoms and the intensity of somatic symptoms. We found increased FC between brainstem and sensorimotor and frontal cortical regions in TRD patients compared to healthy controls. Increased brainstem-cortical FC appeared to be linked with depressive and somatic symptom severity.
Neurophysiological impact of childhood sexual abuse in men: A diffusion tensor imaging study
Vezarov M, Fall C, Moorman J, Fang Z, Romano E and Smith A
Childhood sexual abuse (CSA) can cause lasting neurodevelopmental changes, posing significant challenges for survivors. Its specific impact on men remains heavily stigmatized and under-researched. This study examined neurophysiological correlates of CSA in men using diffusion tensor imaging (DTI).
Abnormal eye movement patterns in adolescent and early adulthood MDD patients with and without psychotic symptoms: A multi-paradigm feature-based study
Huang XC, Guan QY, Jiang MJ, Yu QT, Ou WQ, Wang YY, Xiao Z, Zhang JF, Liu XC, Hou CL and Chen M
Major depressive disorder (MDD) heterogeneity is frequently overlooked in current diagnostic approaches, despite evidence that certain subtypes, particularly MDD with psychotic symptoms (MDDwP), are associated with poorer prognoses. Eye movement assessment has demonstrated promise as a potential biomarker for psychiatric disorders; however, research into eye movement patterns in MDD with and without psychotic features is scarce. This study aimed to investigate the potential value of eye movement as a biomarker for MDD.
Incarcerated adolescents scoring high on the Brown Attention-Deficit Disorder Scale are characterized by impairments within brain regions associated with executive control: A source-based morphometry study
Maurer JM, Allen CH, Rodriguez SN, Harenski KA, Stephenson DD, Edwards BG, Anderson NE, Harenski CL, Calhoun VD and Kiehl KA
Initially designed to assess executive control deficits for individuals meeting criteria for attention-deficit/hyperactivity disorder (ADHD), the Brown Attention-Deficit Disorder Scale (BADDS) is now frequently used to assess such deficits more broadly. However, no existing studies have investigated whether individuals scoring high on the BADDS are characterized by impairments within higher-order brain regions associated with executive control. Here, we investigated this association among incarcerated adolescents (205 boys and 35 girls). We incorporated the use of source-based morphometry (SBM), a data-driven, multivariate approach to identify large-scale structural brain networks. In separate analyses performed with incarcerated boys and girls, we observed that higher BADDS total scores were related to reduced loading coefficients in SBM components comprised of brain regions associated with executive control (e.g., superior/middle frontal gyrus, superior/inferior parietal lobule, and middle temporal gyrus). These structural impairments suggest participants scoring high on the BADDS are characterized by executive control deficits, including domains such as self-regulation, working memory, and sustained attention. Our results add to a growing body of literature suggesting that the BADDS serves as a reliable measure of executive control deficits. Further, our results support the use of the BADDS in samples beyond individuals strictly meeting criteria for ADHD.
Exploring the feasibility and acceptability of using fMRI to measure pain responses in women with and without postpartum depression
Lara-Cinisomo S, Nutlis MM, Ramirez Olarte A, Sutton BP, Larsen RJ and Schwarb H
Little is known about differences in pain perception among depressed versus non-depressed postpartum women. This novel study aimed to determine the feasibility and acceptability of enrolling non-depressed and depressed postpartum women in a laboratory-induced pain study using fMRI. Eleven non-depressed and two depressed postpartum women participated in a cold pain-induced experiment using fMRI. Feasibility and acceptability were assessed. Brain activation of the pain-associated regions of interest was measured. Participants provided subjective pain ratings (i.e., intensity and unpleasantness). The results indicated that enrolling postpartum women in a laboratory-induced pain study using fMRI is feasible. Participants found the study acceptable. The findings showed that the study's pain device activated the amygdala and insula in the non-depressed group, with activation in the anterior cingulate cortex being marginally significant. Exploratory analyses of differences in brain activation by depression status were not statistically significant. There was a significant and positive association between depressive symptoms and pain unpleasantness. Subjective pain ratings differed by depression status but were not statistically significant. This study showed that conducting a pain experiment using fMRI with postpartum women is feasible and acceptable. Future research should include a larger sample to confirm findings and investigate the impact of depression on pain responses.
Multimodal approach for early diagnosis of Parkinson's disease using PET imaging, tremor detection, and machine learning
Chowdhury N, Das UK, Sazzad S, Chowdhury A and Das P
Parkinson's disease (PD) is a progressive neurodegenerative disorder that presents diagnostic challenges, particularly in its early stages. This study proposes a multimodal approach to PD classification that integrates neurological imaging, motor symptom analysis, and non-motor clinical features. Dopamine depletion, a core biomarker of PD, is assessed using PET imaging, where active brain regions are quantified through color segmentation and image processing. A reduction in the active area correlates with disease progression. Tremor detection is performed using the Hough Transform algorithm applied to line-drawing tests, effectively identifying motor irregularities. Non-motor features are analyzed using a publicly available dataset, and the XGBoost algorithm achieves a classification accuracy exceeding 95.42%. The combined approach demonstrates high potential for early, accurate, and interpretable PD diagnosis.
High-resolution mapping of alcohol-related brain connectivity in adults using 7T fMRI and multivoxel pattern classification
Francis AN and Salloum IM
Emerging evidence suggests that alcohol use disrupts large-scale brain network interactions, particularly within the triple network model-comprising the Salience Network (SN), Default Mode Network (DMN), and Frontoparietal Network (FPN). However, few studies have examined how these connectivity alterations vary across the full spectrum of alcohol consumption, especially using ultra-high-field imaging and data-driven approaches. This study leverages 7 Tesla resting-state fMRI and multivariate pattern analysis (MVPA) to characterize distinct brain connectivity patterns across heavy, moderate, and non-drinking adults, aiming to identify neural signatures that differentiate alcohol use severity levels.
Occipital structure is linked to vagal tone in borderline personality but not in major depressive disorder
Camacho-Téllez V, Castro MN, De Pino G, Duarte-Abritta B, Wainsztein AE, Lahitou Herlyn D, Goldberg X, Costanzo EY, Cardoner N, Menchón JM, Soriano-Mas C, Guinjoan SM and Villarreal MF
Major depressive (MDD) and borderline personality disorders (BPD) are highly prevalent and frequently comorbid psychiatric conditions, both characterized by emotion dysregulation yet likely arising from distinct etiologies. Nonetheless, the specific features of autonomic central-peripheral relationships in these disorders remain poorly understood. We investigated the association between brain structure and vagal activity, and explored the resting-state functional connectivity of brain regions found to be associated with vagal tone, in 19 MDD, 18 BPD and 20 healthy controls (HC). We found that the cortical thinning in the right lateral occipital region was associated with increased parasympathetic tone in BPD, a relationship not observed in MDD. Moreover, in BPD, this region was functionally connected to the anterior insula and prefrontal areas, linked to the central autonomic system and emotion regulation processes. Accordingly, this region was also linked to emotion dysregulation in BPD. Our findings highlight distinct central-peripheral autonomic integration in these disorders and emphasize the occipital region's structural and functional involvement in emotional and autonomic regulation in BPD. Further research is needed to clarify how occipital structure and function, well as vagal activity, may contribute as potential biomarkers for BPD.
Transcranial direct current stimulation may enhance attention performance in a difficult task among patients with Graves' disease practicing mindfulness intervention
Lin SH, Huang SM and Yang YK
This study investigated the effect of transcranial direct current stimulation (tDCS) on sustained attention performance following a mindfulness intervention in seventeen patients with Graves' Disease. Significant improvements in the performance of the masked continuous performance test were observed among patients who received 2 weeks of active tDCS (10 sessions). These findings reaffirm that tDCS may enhance cognitive function.
Moderating effect of insulin resistance on the relationship between cortical surface area and cognitive function in patients with first-episode schizophrenia
Lin C, Gou M, Pan S, Tong J, Zhou Y, Xie T, Yu T, Li Y, Cui Y, Tian B, Tan S, Wang Z, Luo X, Zhang P, Huang J, Chen S, Yin Y and Tan Y
The mechanisms underlying cognitive deficits in schizophrenia remain unclear. Accumulating evidence suggests that insulin resistance (IR) is closely related to brain structure and cognitive impairment. We aimed to determine whether IR mediates or moderates the association between cortical surface area (CSA) and cognitive function in patients with first-episode schizophrenia (PFES).
Effects of anorexia nervosa on structural morphometry of the brain in adolescents and adults after weight recovery: A systematic review
Leverett SD, Cherubin S, Roche-Dean M and Weller BE
To systematically review the evidence for 1) the effect of acute anorexia nervosa and weight recovery on aspects of structural morphometry of the brain, and 2) how these effects may differ between adolescents and adults.