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Background: Investigations of causal pathways for psychosis can be guided by the identification of environmental risk factors. A recently developed composite risk tool, the exposome score for schizophrenia (ES-SCZ), which controls for intercorrelations between risk factors, has shown fair to good performance. We tested the transdiagnostic psychosis classifier performance of the ES-SCZ with the Bipolar-Schizophrenia Network for Intermedial Phenotypes data and examined its relationship with clinical-level outcomes.

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Alterations in Volume and Intrinsic Resting-State Functional Connectivity Detected at Brain MRI in Individuals with Opioid Use Disorder.

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December 2024

From the Department of Radiology & Biomedical Imaging (S.M., J.A., F.T., C.L., R.T.C., D.S.), Department of Internal Medicine (A.I., H.Y.), Department of Urology (S.L.), Department of Pulmonary, Critical Care & Sleep Medicine (I.K.), Department of Psychiatry (S.W.Y., D.T.B.), Child Study Center (S.W.Y., D.T.B., D.S.), Yale Center for Clinical Investigation (C.A.H.), Department of Neurosurgery (R.T.C.), and Department of Statistics & Data Science (D.S.), Yale School of Medicine, 300 Cedar St, New Haven, CT 06519; Department of Health Policy, Vanderbilt University, Nashville, Tenn (H.P.); Interdepartmental Neuroscience Program, Yale University, New Haven, Conn (J.Y., S.W.Y., R.T.C., D.S.); Department of Internal Medicine, Roger Williams Medical Center, Providence, RI (G.S.); Yale School of Nursing, New Haven, Conn (S.L., U.N.E., S.J.); Yale University Program of Aging, Yale University, New Haven Conn (S.T.); Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, Conn (A.R.); Department of Psychiatry, Brigham and Women's Hospital, Boston, Mass (A.S.G.); Department of Biomedical Engineering, Yale School of Engineering and Applied Science, New Haven, Conn (R.T.C., D.S.); Department of Research, APT Foundation, New Haven, Conn (D.T.B.); School of Nursing, University of Connecticut, Mansfield, Conn (N.S.R.); and Clinical Epidemiology Research Center, VA CT Health Care Center, West Haven, Conn (H.Y.).

Article Synopsis
  • Research indicates that structural and functional brain changes are linked to opioid use disorder (OUD), but earlier studies often had small participant groups, especially fewer women, and focused on single types of brain analysis.
  • This study aimed to use comprehensive brain imaging techniques, including T1-weighted MRI and resting-state fMRI, to better identify these brain alterations in OUD patients undergoing methadone treatment compared to healthy controls.
  • Results showed significant differences in brain volumes between the two groups, with OUD participants having smaller thalamus and temporal lobe sizes but larger brainstem and cerebellum volumes, and there were sex-based differences in the medial prefrontal cortex volumes.
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