Publications by authors named "Kathrine Skak Madsen"

Background: Schizophrenia and bipolar disorder are characterized by social cognitive impairments, and recent research has identified alterations of the social brain. However, it is unknown whether familial high risk (FHR) of these disorders is associated with neurobiological alterations already present in childhood.

Methods: As part of the Danish High Risk and Resilience Study-VIA 11, we examined children at FHR of schizophrenia (n = 121, 50% female) or bipolar disorder (n = 75, 47% female) and population-based control children (PBCs) (n = 128, 48% female).

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Background: Early diagnosis of cerebral palsy (CP) is important to enable intervention at a time when neuroplasticity is at its highest. Current mean age at diagnosis is 13 months in Denmark. Recent research has documented that an early-diagnosis set-up can lower diagnostic age in high-risk infants.

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Article Synopsis
  • - The study analyzed brain MRIs from almost 4,000 healthy adults and found no link between short sleep duration and brain atrophy or decline in brain structure.
  • - Cross-sectional data suggested an optimal sleep duration of around 6.5 hours for better brain health, rather than the commonly recommended longer durations.
  • - Genetic analyses indicated complex relationships between sleep duration and brain health, reinforcing that normal, healthy brains may require less sleep than currently advised, challenging existing beliefs about short sleep causing brain atrophy.
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Background And Hypotheses: Impaired executive control is a potential prognostic and endophenotypic marker of schizophrenia (SZ) and bipolar disorder (BP). Assessing children with familial high-risk (FHR) of SZ or BP enables characterization of early risk markers and we hypothesize that they express impaired executive control as well as aberrant brain activation compared to population-based control (PBC) children.

Study Design: Using a flanker task, we examined executive control together with functional magnetic resonance imaging (fMRI) in 11- to 12-year-old children with FHR of SZ (FHR-SZ) or FHR of BP (FHR-BP) and PBC children as part of a register-based, prospective cohort-study; The Danish High Risk and Resilience study-VIA 11.

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Background And Hypothesis: Individuals with schizophrenia or bipolar disorder have attenuated auditory mismatch negativity (MMN) responses, indicating impaired sensory information processing. Computational models of effective connectivity between brain areas underlying MMN responses show reduced connectivity between fronto-temporal areas in individuals with schizophrenia. Here we ask whether children at familial high risk (FHR) of developing a serious mental disorder show similar alterations.

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Article Synopsis
  • Many individuals sleep less than the recommended amount but do not experience daytime sleepiness, raising questions about the impact of reduced sleep on brain health and cognitive function.
  • A study involving over 47,000 participants found that some "short sleepers" demonstrated larger brain volumes compared to those who also slept less but experienced sleep issues or daytime sleepiness.
  • Despite these larger brain volumes, all short sleepers exhibited slightly lower general cognitive ability, suggesting that the relationship between sleep duration and cognitive performance is complex and requires further investigation.
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  • - A study looked at how lifestyle-related factors like obesity, sedentary behavior, sleep deprivation, smoking, and alcohol use impact brain structure, focusing on hippocampal and total grey matter volumes across 3838 European participants.
  • - Key findings showed that high alcohol consumption and obesity were linked to smaller brain volumes, but other factors didn't show significant effects, and a cumulative unhealthy lifestyle score correlated with lower total grey matter volume.
  • - The study highlights that lifestyle factors shouldn't be considered separately, as having multiple unhealthy behaviors can lead to a greater decline in overall brain volume.
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Hippocampal-cortical networks play an important role in neurocognitive development. Applying the method of Connectivity-Based Parcellation (CBP) on hippocampal-cortical structural covariance (SC) networks computed from T1-weighted magnetic resonance images, we examined how the hippocampus differentiates into subregions during childhood and adolescence (N = 1105, 6-18 years). In late childhood, the hippocampus mainly differentiated along the anterior-posterior axis similar to previous reported functional differentiation patterns of the hippocampus.

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Adolescence is characterized by significant brain development and marks a period of the life span with an increased incidence of mood disorders, especially in females. The risk of developing mood disorders is also higher in individuals scoring high on neuroticism, a personality trait characterized by a tendency to experience negative and anxious emotions. We previously found in a cross-sectional study that neuroticism is associated with microstructural left-right asymmetry of the fronto-limbic white matter involved in emotional processing, with opposite effects in female and male adolescents.

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Article Synopsis
  • - The study examined people's willingness to take a hypothetical brain health test to assess risk for brain diseases like Alzheimer's, using a cross-sectional online survey during 2019-2020 with over 27,000 respondents.
  • - Results showed that more than 91% of participants were open to taking the test, even if it revealed untreatable conditions, primarily motivated by the desire to make informed lifestyle changes if at risk.
  • - The findings indicate significant public interest in brain health, especially among men, less educated individuals, and those reporting poor cognitive health, which may influence future public health initiatives regarding brain testing.
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It is well documented that some brain regions, such as association cortices, caudate, and hippocampus, are particularly prone to age-related atrophy, but it has been hypothesized that there are individual differences in atrophy profiles. Here, we document heterogeneity in regional-atrophy patterns using latent-profile analysis of 1,482 longitudinal magnetic resonance imaging observations. The results supported a 2-group solution reflecting differences in atrophy rates in cortical regions and hippocampus along with comparable caudate atrophy.

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  • This study explored the relationship between depressive symptoms and brain structures in both clinical patients and the general population, focusing on regions like the medial orbitofrontal cortex and hippocampus.
  • Analyzing data from 3,447 individuals aged 18-89, results indicated that individuals with depression exhibited reduced brain thickness and volume in specific areas, with stronger effects seen in those with moderate-to-severe depression.
  • Interestingly, while significant associations were found in clinical cohorts, similar links were not observed in population-based cohorts, implying that lower brain structures are more pronounced in severe cases rather than mild depressive symptoms.
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Higher general cognitive ability (GCA) is associated with lower risk of neurodegenerative disorders, but neural mechanisms are unknown. GCA could be associated with more cortical tissue, from young age, i.e.

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  • Research shows that children of parents with severe mental illness, like schizophrenia and bipolar disorder, are at a higher risk for developing mental health issues and negative life outcomes.
  • The Danish High-Risk and Resilience Study, which began in 2012, follows 522 children (with varying parental mental health backgrounds) through comprehensive assessments at ages 7, 11, and now 15, focusing on numerous factors affecting their development.
  • The study utilizes various methods, including brain scans and assessments of psychological and social factors, to analyze how these children are affected by their home environments and parental mental health.
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Objectives: To investigate public perspectives on brain health.

Design: Cross-sectional multilanguage online survey.

Setting: Lifebrain posted the survey on its website and social media and shared it with stakeholders.

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  • Loneliness is most common in adolescence and older age, impacting mental health and cognitive decline, which led researchers to explore its relationship with memory and brain structure.
  • The study analyzed three cohorts (children, adolescents, and older adults) to determine how loneliness affects verbal memory and brain volume over time.
  • Findings indicated that increased loneliness correlated with memory decline in older adults, particularly those with progressive cognitive issues, but no significant brain structural changes were observed related to loneliness.
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Higher socio-economic status (SES) has been proposed to have facilitating and protective effects on brain and cognition. We ask whether relationships between SES, brain volumes and cognitive ability differ across cohorts, by age and national origin. European and US cohorts covering the lifespan were studied (4-97 years, N = 500 000; 54 000 w/brain imaging).

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Ageing leads to a decline in white matter microstructure and dexterous function of the hand. In adolescents, it has previously been shown that the degree of right-left asymmetry in the corticospinal tract (CST) is linearly related with right-left asymmetry in dexterity. Here, we tested whether this association is also expressed in older adults.

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Verbal fluency is the ability to retrieve lexical knowledge quickly and efficiently and develops during childhood and adolescence. Few studies have investigated associations between verbal fluency performance and brain structural variation in children. Here we examined associations of verbal fluency performance with structural measures of frontal and temporal language-related brain regions and their connections in 73 typically-developing children aged 7-13 years.

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Background: Evidence suggests that fronto-limbic brain regions and connecting white matter fibre tracts in the left hemisphere are more sensitive to glucocorticoids than in the right hemisphere. It is unknown whether treatment with glucocorticoids in childhood is associated with microstructural differences of the uncinate fasciculus and cingulum bundle, which connect fronto-limbic brain regions. Here, we tested the hypothesis that prior glucocorticoid treatment would be associated with differences in fractional anisotropy (FA) of the left relative to right uncinate fasciculus and cingulum bundle.

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Brain health is a multi-faceted concept used to describe brain physiology, cognitive function, mental health and well-being. Diseases of the brain account for one third of the global burden of disease and are becoming more prevalent as populations age. Diet, social interaction as well as physical and cognitive activity are lifestyle factors that can potentially influence facets of brain health.

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Multiple Sclerosis (MS) is characterized by demyelination and neurodegeneration of the central nervous system and causes excessive fatigue in more than 80% of the patients. The pathophysiologic mechanisms causing fatigue are still largely unknown. In 46 right-handed patients with relapsing-remitting MS and 25 right-handed controls, we performed diffusion MRI and applied streamline based probabilistic tractography to derive unilateral anatomical connectivity maps for the white matter of the right and left hemispheres.

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Children, adolescents, and young adults with at least one first-degree relative [familial high-risk (FHR)] with either schizophrenia (SZ) or bipolar disorder (BD) have a one-in-two risk of developing a psychiatric disorder. Here, we review functional magnetic resonance imaging (fMRI) studies which examined task-related brain activity in young individuals with FHR-SZ and FHR-BD. A systematic search identified all published task-related fMRI studies in children, adolescents, and young adults below an age of 27 years with a first-degree relative with SZ or BD, but without manifest psychotic or affective spectrum disorder themselves.

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The ability to effectively suppress motor response tendencies is essential for focused and goal-directed behavior. Here, we tested the hypothesis that developmental improvement in the ability to cancel a motor response is reflected by maturational changes in the white matter underlying the right presupplementary motor area (preSMA) and posterior inferior frontal gyrus (IFG), two cortical key areas of the fronto-basal ganglia "stopping" network. Eighty-eight typically-developing children and adolescents, aged 7-19 years, were longitudinally assessed with the stop-signal task (SST) and diffusion tensor imaging (DTI) of the brain over a period of six years.

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