Publications by authors named "Julio Sanjuan"

Background: The association between cannabis and psychosis is established, but the role of underlying genetics is unclear. We used data from the EU-GEI case-control study and UK Biobank to examine the independent and combined effect of heavy cannabis use and schizophrenia polygenic risk score (PRS) on risk for psychosis.

Methods: Genome-wide association study summary statistics from the Psychiatric Genomics Consortium and the Genomic Psychiatry Cohort were used to calculate schizophrenia and cannabis use disorder (CUD) PRS for 1098 participants from the EU-GEI study and 143600 from the UK Biobank.

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  • - The study investigates the link between urban living conditions (urbanicity) and schizotypy, a potential precursor to psychosis, suggesting this relationship varies significantly between North-western and Southern Europe.
  • - Researchers assessed 1080 individuals across 14 sites in both regions, measuring urbanicity through local population density and controlling for factors like age and childhood experiences.
  • - Findings reveal that higher population density is strongly associated with increased schizotypy in North-western Europe, while the effect is notably weaker in Southern Europe, indicating that urbanization’s impact on mental health is not uniform across different contexts.
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Childhood adversity is associated with various clinical dimensions in psychosis; however, how genetic vulnerability shapes the adversity-associated psychopathological signature is yet to be studied. We studied data of 583 First Episode Psychosis (FEP) cases from the EU-GEI FEP case-control study, including Polygenic risk scores for major depressive disorder (MDD-PRS), bipolar disorder (BD-PRS) and schizophrenia (SZ-PRS); childhood adversity measured with the total score of the Childhood Trauma Questionnaire (CTQ); and positive, negative, depressive and manic psychopathological domains from a factor model of transdiagnostic dimensions. Genes and environment interactions were explored as a departure from a multiplicative effect of PRSs and total CTQ on each dimension.

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  • The study investigates how current cannabis use and high-potency cannabis affect DNA methylation patterns in individuals experiencing first-episode psychosis (FEP), comparing them to non-users.
  • Researchers analyzed blood samples from 682 participants, identifying a significant CpG site associated with cannabis use that could influence mental health through epigenetic changes.
  • Findings suggest cannabis use affects genes related to immune and mitochondrial functions, with implications for understanding how cannabis may impact mental health, especially in those with psychosis.
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  • The study investigates the relationship between setting-level deprivation and cannabis use in affecting the incidence of first-episode psychotic disorders (FEP).
  • Researchers used data from 14 settings in the EU-GEI study to analyze how factors like owner-occupancy and daily cannabis use correlate with FEP incidence among individuals aged 18-64.
  • Findings revealed that lower owner-occupancy rates were linked to higher rates of psychosis, while daily cannabis use was specifically associated with affective psychoses, suggesting environmental factors play a significant role in psychotic disorder incidence.
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The DDR1 locus is associated with the diagnosis of schizophrenia and with processing speed in patients with schizophrenia and first-episode psychosis. Here, we investigated whether DDR1 variants are associated with bipolar disorder (BD) features. First, we performed a case‒control association study comparing DDR1 variants between patients with BD and healthy controls.

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  • - The study investigates the variation of subclinical psychosis (SP) measures, such as schizotypy and psychotic-like experiences (PLEs), across different geographic regions and how this correlates with the incidence of first-episode psychosis (FEP) in those areas.
  • - Through analysis of data from 1497 controls in 16 sites across 6 countries, researchers found that schizotypy showed significant variation related to site characteristics, while PLEs exhibited less variation; local incidences of FEP were associated with reduced unexplained variance in schizotypy.
  • - Findings highlight that younger, migrant, unmarried, unemployed, and less educated individuals, along with factors like cannabis use and childhood adversity, are linked to SP
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Background: Childhood adversity and cannabis use are considered independent risk factors for psychosis, but whether different patterns of cannabis use may be acting as mediator between adversity and psychotic disorders has not yet been explored. The aim of this study is to examine whether cannabis use mediates the relationship between childhood adversity and psychosis.

Methods: Data were utilised on 881 first-episode psychosis patients and 1231 controls from the European network of national schizophrenia networks studying Gene-Environment Interactions (EU-GEI) study.

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Background: Previous longitudinal magnetic resonance imaging studies have shown progressive gray matter (GM) reduction during the earliest phases of schizophrenia. It is unknown whether these progressive processes are homogeneous in all groups of patients. One way to obtain more valid findings is to focus on the symptoms.

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Introduction: Auditory hallucinations (AH) are one of the most prevalent symptoms of schizophrenia. They might cause several brain alterations, especially changes in the volumes of hippocampus and amygdala, regions related to the relay and processing of auditory cues and emotional memories.

Material And Methods: We have recruited 41 patients with schizophrenia and persistent AH, 35 patients without AH, and 55 healthy controls.

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  • Illegal stimulant use is linked to a higher risk of first-episode psychosis (FEP), with 14.5% of patients experiencing FEP reporting lifetime stimulant use compared to 10.8% of controls.
  • The study analyzed 1,130 FEP patients and 1,497 controls across Europe and Brazil, using logistic regression to determine the relationship between stimulant use and FEP risk.
  • Findings suggest that eliminating stimulant use could potentially prevent 3.35% to 7.61% of FEP cases, indicating a significant public health concern that varies by country.
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This study investigated if the association between childhood maltreatment and cognition among psychosis patients and community controls was partially accounted for by genetic liability for psychosis. Patients with first-episode psychosis (N = 755) and unaffected controls (N = 1219) from the EU-GEI study were assessed for childhood maltreatment, intelligence quotient (IQ), family history of psychosis (FH), and polygenic risk score for schizophrenia (SZ-PRS). Controlling for FH and SZ-PRS did not attenuate the association between childhood maltreatment and IQ in cases or controls.

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Background: A history of childhood adversity is associated with psychotic disorder, with an increase in risk according to the number of exposures. However, it is not known why only some exposed individuals go on to develop psychosis. One possibility is pre-existing polygenic vulnerability.

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Background: While cannabis use is a well-established risk factor for psychosis, little is known about any association between reasons for first using cannabis (RFUC) and later patterns of use and risk of psychosis.

Methods: We used data from 11 sites of the multicentre European Gene-Environment Interaction (EU-GEI) case-control study. 558 first-episode psychosis patients (FEPp) and 567 population controls who had used cannabis and reported their RFUC.

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  • Studies suggest that DNA-methylation (DNAm) may be influenced by childhood adversity (CA) and could play a role in the development of psychotic disorders, although the specific mediating effects remain unexplored.
  • Researchers conducted an epigenome-wide association study comparing first-episode psychosis patients (n=366) to healthy controls (n=517) using the Childhood Trauma Questionnaire to create adversity scores, but found that no specific CpG sites significantly mediated the relationship between CA and psychosis after statistical corrections.
  • While several genes showed differential methylation related to CA, and previous studies linked some of these genes to psychosis, the analysis did not identify conclusive biological pathways, hinting at potential factors such as mitochondrial
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  • The study explored the link between the exposome score for schizophrenia (ES-SCZ), which represents cumulative environmental exposures, and cognitive impairments in individuals with schizophrenia spectrum disorders (SSD), their unaffected siblings, and healthy controls.
  • Using assessments like the WAIS-III, DFAR, and BFR, researchers analyzed a sample of 1200 patients, 1371 siblings, and 1564 healthy subjects to evaluate cognitive performance across different domains.
  • The findings showed no significant relationship between ES-SCZ and cognitive abilities in SSD patients; however, siblings and healthy controls exhibited a negative correlation with cognitive scores, indicating that environmental factors may impact those without the disorder differently.
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Introduction: This systematic review aimed to answer whether we can predict subsequent social functioning in first episode psychosis (FEP) by means of an initial cognitive examination. In order to do this, we gathered longitudinal studies which evaluated neurocognition and/or social cognition regarding their impact on long-term social functioning of FEP patients.

Methods: The MOOSE method was employed and 28 studies covering data from a total of 2572 patients with longitudinal trajectories from 2 months to 5 years were reviewed.

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  • - The study developed and validated a diagnostic model to quickly identify individuals at risk for first episode psychosis (FEP) by analyzing data from 2,627 participants across six countries.
  • - A binary logistic regression model was used, incorporating 22 predictor variables, and achieved high accuracy in distinguishing between individuals with FEP and controls, with specificity and sensitivity rates indicating strong overall performance.
  • - Despite showing some signs of overfitting in certain countries, the model demonstrated good discrimination and calibration, suggesting it could be broadly applicable in diverse ethnic settings.
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Introduction: An updated summary of the most used instruments assessing auditory hallucinations in population with psychosis, allows us to underline the scarceness and need of Spanish versions of important instruments. The aim of the study is to examine the psychometric characteristics of two different and complementary instruments for assessing auditory hallucinations, the Spanish version of the Auditory Vocal Hallucination Scale (AVHRS) and the Spanish version of the Positive and Useful Voices Inquiry (PUVI).

Materials And Methods: A sample of 68 patients from four different centres, with a DSM-IV diagnosis of schizophrenia or schizoaffective disorder presenting with auditory hallucinations were included.

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  • * Researchers found that individuals from migrant backgrounds, particularly those from non-Western countries, experienced higher rates of CM and that this exposure was linked to greater incidence of FEP.
  • * The findings suggest that although migrant status weakens the direct link between CM and FEP, these groups still face a significant risk and should be targeted in policies aimed at reducing child maltreatment.
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Background: To date, a large number of functional magnetic resonance imaging (fMRI) studies have been conducted on psychosis. However, little is known about changes in brain functioning in psychotic patients using an emotional auditory paradigm at different stages of the disease. Such knowledge is important for advancing our understanding of the disorder and thus creating more targeted interventions.

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Schizophrenia is frequently accompanied with social cognitive disturbances. Cannabis represents one established environmental factor associated with the onset and progression of schizophrenia. The present cross-sectional study aimed to investigate the association of facial emotion recognition (FER) performance with cannabis use in 2039 patients with schizophrenia, 2141 siblings, and 2049 healthy controls (HC).

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Objective: Neurological correlates of impaired insight in non-affective psychosis remain unclear. This study aimed to review and meta-analyze the studies assessing the grey matter volumetric correlates of impaired insight in non-affective psychosis.

Methods: This study consisted of a systematic review of 23 studies, and a meta-analysis with SDM-PSI of the 11 studies that were whole-brain and reported maps or peaks of correlation of studies investigating the grey matter volumetric correlates of insight assessments of non-affective psychosis, PubMed and OVID datasets were independently reviewed for articles reporting neuroimaging correlates of insight in non-affective psychosis.

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Introduction: The neural correlates of the cognitive dysfunction in first-episode psychosis (FEP) are still unclear. The present review and meta-analysis provide an update of the location of the abnormalities in the fMRI-measured brain response to cognitive processes in individuals with FEP.

Methods: Systematic review and voxel-based meta-analysis of cross-sectional fMRI studies comparing neural responses to cognitive tasks between individuals with FEP and healthy controls (HC) according to PRISMA guidelines.

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