Publications by authors named "Schachar R"

Article Synopsis
  • Very large sample sizes are essential for studying autism, and data sharing among diverse studies can help create a unified dataset through data harmonization, which aligns scores from different assessment tools.
  • The study used data from over 700 participants, comparing scores on two adaptive functioning measures (VABS and ABAS) and employed multiple regression techniques to predict VABS scores using ABAS scores and other demographic factors.
  • Results revealed significantly higher VABS scores in the autism group compared to the ABAS scores, with age being a key factor, and all regression techniques performed similarly in predicting outcomes, highlighting the importance of ABAS score, diagnosis, and age in the prediction model.
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With brain structure and function undergoing complex changes throughout childhood and adolescence, age is a critical consideration in neuroimaging studies, particularly for those of individuals with neurodevelopmental conditions. However, despite the increasing use of large, consortium-based datasets to examine brain structure and function in neurotypical and neurodivergent populations, it is unclear whether age-related changes are consistent between datasets and whether inconsistencies related to differences in sample characteristics, such as demographics and phenotypic features, exist. To address this, we built models of age-related changes of brain structure (regional cortical thickness and regional surface area; N = 1218) and function (resting-state functional connectivity strength; N = 1254) in two neurodiverse datasets: the Province of Ontario Neurodevelopmental Network and the Healthy Brain Network.

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  • Autism and ADHD are complex neurodevelopmental disorders with overlapping features, but they are rarely studied together, especially regarding sex differences.
  • The study utilized a large neuroimaging dataset to analyze cortical anatomy linked to autism and ADHD, revealing specific patterns in brain structure for each condition.
  • Findings showed that autism presented with greater cortical thickness in specific areas, while ADHD had more global increases in thickness but lower volume and surface area; also, unique patterns were observed in individuals with both conditions.
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Longitudinal research examining children's mental health (MH) over the course of the COVID-19 pandemic is scarce. We examined trajectories of depression and anxiety over two pandemic years among children with and without MH disorders. Parents and children 2-18 years completed surveys at seven timepoints (April 2020 to June 2022).

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Objectives: Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental condition and is characterized by inattention, hyperactivity, and impulsivity. Research suggests that some populations, such as females and individuals with high intelligence quotients may be a risk for late ADHD diagnosis and subsequent treatment. Our goal is to advance our understanding of ADHD diagnosis, by examining (1) how child sex and cognitive abilities together are related to the age of diagnosis and (2) whether symptom presentation, current internalizing and externalizing symptoms, and demographic factors are related to age of diagnosis.

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The cerebellum, through its connectivity with the cerebral cortex, plays an integral role in regulating cognitive and affective processes, and its dysregulation can result in neurodevelopmental disorder (NDD)-related behavioural deficits. Identifying cerebellar-cerebral functional connectivity (FC) profiles in children with NDDs can provide insight into common connectivity profiles and their correlation to NDD-related behaviours. 479 participants from the Province of Ontario Neurodevelopmental Disorders (POND) network (typically developing = 93, Autism Spectrum Disorder = 172, Attention Deficit/Hyperactivity Disorder = 161, Obsessive-Compulsive Disorder = 53, mean age = 12.

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While 1-2% of individuals meet the criteria for a clinical diagnosis of obsessive-compulsive disorder (OCD), many more (~13-38%) experience subclinical obsessive-compulsive symptoms (OCS) during their life. To characterize the genetic underpinnings of OCS and its genetic relationship to OCD, we conducted the largest genome-wide association study (GWAS) meta-analysis of parent- or self-reported OCS to date (N = 33,943 with complete phenotypic and genome-wide data), combining the results from seven large-scale population-based cohorts from Sweden, the Netherlands, England, and Canada (including six twin cohorts and one cohort of unrelated individuals). We found no genome-wide significant associations at the single-nucleotide polymorphism (SNP) or gene-level, but a polygenic risk score (PRS) based on the OCD GWAS previously published by the Psychiatric Genetics Consortium (PGC-OCD) was significantly associated with OCS (P = 3.

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Article Synopsis
  • * A study analyzed data from 615 neurodiverse children and youth in Ontario to identify predictors of HRQoL, looking at factors like demographics, core features, co-occurring symptoms, and adaptive functioning.
  • * Key findings showed that age and co-occurring symptoms negatively affected HRQoL, while higher socioeconomic status was linked to fewer co-occurring symptoms; a longitudinal analysis is recommended for deeper insights over time.
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How the human eye focuses for near; i.e. accommodates, is still being evaluated after more than 165 years.

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Objective: Racial/ethnic disparities in the prevalence of psychiatric disorders have been reported, but have not accounted for the prevalence of the traits that underlie these disorders. Examining rates of diagnoses in relation to traits may yield a clearer understanding of the degree to which racial/ethnic minority youth in Canada differ in their access to care. We sought to examine differences in self/parent-reported rates of diagnoses for obsessive-compulsive disorder (OCD), attention-deficit/hyperactivity disorder (ADHD) and anxiety disorders after adjusting for differences in trait levels between youth from three racial/ethnic groups: White, South Asian and East Asian.

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Background: Anxiety disorders are the most common psychiatric problems among Canadian youth and typically have an onset in childhood or adolescence. They are characterized by high rates of relapse and chronicity, often resulting in substantial impairment across the lifespan. Genetic factors play an important role in the vulnerability toward anxiety disorders.

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Objective: To examine the theoretical and empirical contribution of Joe Biederman and his colleagues to the understanding of executive function (EF) and ADHD.

Method: We searched PubMed for references to EF in Biederman's publications and conducted a narrative review of this literature.

Results: In 50 or more papers using neuropsychological tests, rating scales and measures of mind wandering, Biederman demonstrated that EF are evident in ADHD and closely linked to its underlying neurobiological and genetic risk.

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  • Irritability is explored as a complex aspect of mental health in children and youth through the development of The Irritability and Dysregulation of Emotion Scale (TIDES-13), which aims to identify its different subdimensions.
  • The study involved over 4,400 participants, and analyses revealed a main global irritability dimension and four subdimensions linked to traits like anger and emotional reactivity, showing strong reliability and associations with anxiety and depression.
  • Findings indicate that certain subdimensions of irritability differ by age and gender, with significant connections to behavioral issues like Oppositional Defiant Disorder (ODD) and Attention-Deficit/Hyperactivity Disorder (ADHD), suggesting the need for further research in this area.
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Background: Autism and attention deficit hyperactivity disorder (ADHD) are heterogeneous neurodevelopmental conditions with complex underlying neurobiology. Despite overlapping presentation and sex-biased prevalence, autism and ADHD are rarely studied together, and sex differences are often overlooked. Normative modelling provides a unified framework for studying age-specific and sex-specific divergences in neurodivergent brain development.

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  • Impairing repetitive behaviors are central symptoms in autism spectrum disorder, obsessive-compulsive disorder, and attention-deficit/hyperactivity disorder, highlighting potential neurobiological differences across these disorders.
  • Researchers examined the functional connectivity of the dorsal striatum in 412 participants, including those with neurodevelopmental disorders and typically developing controls, using functional magnetic resonance imaging to explore how diagnostic labels relate to overlapping behaviors.
  • Results indicated unique connectivity patterns in obsessive-compulsive disorder and suggested that lower-order repetitive behaviors like self-injury were common across groups, emphasizing the complexity and variability in these behavioral manifestations within neurodevelopmental disorders.
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For 50 years, attention-deficit/hyperactivity disorder (ADHD) has been considered a disorder of executive control (EC), the higher-order, cognitive skills that support self-regulation, goal attainment and what we generally call "attention." This review surveys our current understanding of the nature of EC as it pertains to ADHD and considers the evidence in support of eight hypotheses that can be derived from the EC theory of ADHD. This paper provides a resource for practitioners to aid in clinical decision-making.

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Article Synopsis
  • OCD is a mental health disorder that affects around 2% of the world but not much is known about its causes.
  • Most genetic studies on OCD so far have mainly focused on people of European ancestry, which could lead to unfair treatment options for those from other backgrounds.
  • The LATINO project is collecting DNA and health information from 5,000 people with OCD from Latin America to improve understanding of the disorder and develop better treatments for everyone.
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To determine the effect of zonular forces on lens capsule topography, a finite element (FE) analyses of lens capsules with no lens stroma and constant and variable thickness with anterior capsulotomies of 1.5 mm-6.5 mm were evaluated when subjected to equatorial (Ez), anterior (Az) and posterior (Pz) zonular forces.

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Article Synopsis
  • The study aimed to assess the executive function (EF) profiles of children and adolescents with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD).
  • The research reviewed 58 peer-reviewed articles, focusing on various cognitive domains such as working memory and attention, and found no significant differences in EF between those with ASD and ADHD.
  • Both groups performed worse in multiple EF areas compared to typically developing peers, indicating that ASD and ADHD may share similar executive function challenges.
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Objective: The authors sought to identify predictive factors of new-onset or novel oppositional defiant disorder or conduct disorder assessed 24 months after traumatic brain injury (TBI).

Methods: Children ages 5 to 14 years who had experienced TBI were recruited from consecutive hospital admissions. Soon after injury, participants were assessed for preinjury characteristics, including psychiatric disorders, socioeconomic status (SES), psychosocial adversity, and family function, and the presence and location of lesions were documented by MRI.

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Background: Parent and child mental health has suffered during the pandemic and transition phase. Structured and shared parenting may be intervention targets beneficial to families who are struggling with parent or child mental health challenges.

Aims: First, we investigated associations between structured and shared parenting and parent depression symptoms.

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Deficits in effective executive function, including inhibitory control are associated with risk for a number of psychiatric disorders and significantly impact everyday functioning. These complex traits have been proposed to serve as endophenotypes, however, their genetic architecture is not yet well understood. To identify the common genetic variation associated with inhibitory control in the general population we performed the first trans-ancestry genome wide association study (GWAS) combining data across 8 sites and four ancestries (N = 14,877) using cognitive traits derived from the stop-signal task, namely - go reaction time (GoRT), go reaction time variability (GoRT SD) and stop signal reaction time (SSRT).

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Article Synopsis
  • - The study examined gene copy number variation (CNV) in a large group of 7,100 children and youth, focusing on its impact on mental health, cognitive functioning, and physical health.
  • - Clinically relevant CNVs were found in 3.9% of participants and were linked to higher ADHD traits, cognitive deficits, and increased occurrence of specific mental health diagnoses like ADHD, autism spectrum disorder, and learning disorders.
  • - The research highlights the role of rare genetic deletions in brain-related gene sets, suggesting they contribute to ADHD characteristics, and sets a baseline for understanding genetic factors in mental health issues among youth during a growing crisis.
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Article Synopsis
  • Obsessive-compulsive disorder (OCD) affects about 2% of people around the world, but we don’t know exactly what causes it.
  • Most research so far has focused mainly on people of European descent, which can leave out important information for people from other backgrounds.
  • The LATINO initiative aims to include 5,000 people with OCD from Latin America and other countries, helping to gather more diverse data to improve our understanding and treatment of OCD globally.
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