23 results match your criteria: "and Center for Psychiatry Research[Affiliation]"

The challenges of antipsychotic polypharmacy.

Lancet Psychiatry

December 2024

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, 70240 Kuopio, Finland; Department of Clinical Neuroscience, Karolinska Institutet, and Center for Psychiatry Research, Stockholm City Council, Stockholm, Sweden; School of Pharmacy, University of Eastern Finland, Kuopio, Finland.

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Identifying digital biomarkers of illness activity and treatment response in bipolar disorder with a novel wearable device (TIMEBASE): protocol for a pragmatic observational clinical study.

BJPsych Open

August 2024

Digital Innovation Group, Bipolar and Depressive Disorders Unit, Institute of Neuroscience, Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Spain; Department of Psychiatry and Psychology, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Department of Medicine, School of Medicine and Health Sciences, University of Barcelona, Spain; and Institute of Neurosciences (UBNeuro), University of Barcelona, Spain.

Background: Bipolar disorder is highly prevalent and consists of biphasic recurrent mood episodes of mania and depression, which translate into altered mood, sleep and activity alongside their physiological expressions.

Aims: The IdenTifying dIgital bioMarkers of illnEss activity and treatment response in BipolAr diSordEr with a novel wearable device (TIMEBASE) project aims to identify digital biomarkers of illness activity and treatment response in bipolar disorder.

Method: We designed a longitudinal observational study including 84 individuals.

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Aberrant type 2 dopamine receptor availability in violent offenders with psychopathy.

Neuroimage

August 2024

Turku PET Centre, University of Turku, Finland; Department of Psychology, University of Turku, Finland; Turku University Hospital, University of Turku, Finland. Electronic address:

Psychopathy is characterized by antisocial behavior, poor behavioral control and lacking empathy, and structural alterations in the corresponding neural circuits. Molecular brain basis of psychopathy remains poorly characterized. Here we studied type 2 dopamine receptor (D2R) and mu-opioid receptor (MOR) availability in convicted violent offenders with high psychopathic traits (n = 11) and healthy matched controls (n = 17) using positron emission tomography (PET).

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Integrative metabolomics-genomics analysis identifies key networks in a stem cell-based model of schizophrenia.

Mol Psychiatry

October 2024

Institute of Molecular Biology & CMBI, Department of Genomics, Stem Cell & Regenerative Medicine, University of Innsbruck, Innsbruck, Austria.

Schizophrenia (SCZ) is a neuropsychiatric disorder, caused by a combination of genetic and environmental factors. The etiology behind the disorder remains elusive although it is hypothesized to be associated with the aberrant response to neurotransmitters, such as dopamine and glutamate. Therefore, investigating the link between dysregulated metabolites and distorted neurodevelopment holds promise to offer valuable insights into the underlying mechanism of this complex disorder.

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Navigated and individual α-peak-frequency-guided transcranial magnetic stimulation in male patients with treatment-refractory schizophrenia.

J Psychiatry Neurosci

March 2024

From the Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio, Finland (Tuppurainen, Hyvärinen, Vaurio, Joensuu, Vanhanen, Aho-Mustonen, Tiihonen); the Department of Clinical Neurophysiology, Kuopio University Hospital, Kuopio, Finland (Määttä, Könönen, Julkunen, Mervaala); the Department of Clinical Radiology, Kuopio University Hospital, Kuopio, Finland (Könönen); the Department of Technical Physics, University of Eastern Finland, Kuopio, Finland (Julkunen); the Primary Health Care Unit, Kuopio University Hospital, Kuopio, Finland (Kautiainen); the Folkhälsan Research Center, Helsinki, Finland (Kautiainen); Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland (Mervaala); the Department of Clinical Neuroscience, Karolinska Institutet, and Center for Psychiatry Research, Stockholm City Council, Stockholm, Sweden (Tiihonen).

Background: Previous electroencephalography (EEG) studies have indicated altered brain oscillatory α-band activity in schizophrenia, and treatment with repetitive transcranial magnetic stimulation (rTMS) using individualized α-frequency has shown therapeutic effects. Magnetic resonance imaging-based neuronavigation methods allow stimulation of a specific cortical region and improve targeting of rTMS; therefore, we sought to study the efficacy of navigated, individual α-peak-frequency-guided rTMS (αTMS) on treatment-refractory schizophrenia.

Methods: We recruited medication-refractory male patients with schizophrenia or schizoaffective disorder in this doubleblind, sham-controlled study.

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Introduction: Although β2-adrenoceptor (β2AR) agonists have been associated with a lower risk of Parkinson's disease (PD), the findings are inconclusive and may reflect confounding by indication. We studied the association between inhaled β2AR agonists and risk of PD in persons with asthma or chronic obstructive pulmonary disease (COPD).

Methods: The nested case-control study was conducted within a register-based Finnish Parkinson's disease study (FINPARK) and included 1406 clinically verified PD cases diagnosed during 1999-2015, who also had asthma/COPD >3 years before PD.

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An international research agenda for clozapine-resistant schizophrenia.

Lancet Psychiatry

August 2023

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio, Finland; Department of Clinical Neuroscience, Karolinska Institutet, and Center for Psychiatry Research, Stockholm City Council, Stockholm, Sweden.

Article Synopsis
  • * The article examines the challenges of clozapine-resistant schizophrenia and reviews current guidelines, diagnostic tests, and treatment methods, stressing the lack of research on this condition in low- and middle-income countries.
  • * Suggestions for future research focus on innovative clinical trials, genetic studies, real-world epidemiological research, and interventional studies that include input from patients and caregivers, aiming to improve global understanding and treatment of the condition.
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Primary cilia are antenna-like organelles emanating from the cell surface. They are involved in cell-to-cell communication and bidirectional signal transduction to/from the extracellular environment. During brain formation, cilia critically aid in neurogenesis and maturation of neuronal structures such as axons, dendrites and synapses.

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Safety of Antipsychotic Polypharmacy Versus Monotherapy in a Nationwide Cohort of 61,889 Patients With Schizophrenia.

Am J Psychiatry

May 2023

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio, Finland (Taipale, Tanskanen, Tiihonen); Department of Clinical Neuroscience, Karolinska Institutet, and Center for Psychiatry Research, Stockholm City Council, Stockholm (Taipale, Tanskanen, Tiihonen); School of Pharmacy, University of Eastern Finland, Kuopio, Finland (Taipale); Population Health Unit, Finnish Institute for Health and Welfare, Helsinki (Tanskanen); Neuroscience Center, University of Helsinki, Helsinki (Tiihonen).

Objectives: The authors sought to study the safety of antipsychotic polypharmacy compared with monotherapy in specific dosage categories.

Methods: Patients with schizophrenia (N=61,889; median follow-up, 14.8 years [IQR=7.

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Laughter is a contagious prosocial signal that conveys bonding motivation; adult crying conversely communicates desire for social proximity by signalling distress. Endogenous mu-opioid receptors (MORs) modulate sociability in humans and non-human primates. In this combined PET-fMRI study ( = 17), we tested whether central MOR tone is associated with regional brain responses to social signals of laughter and crying.

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Associations between antipsychotic use, substance use and relapse risk in patients with schizophrenia: real-world evidence from two national cohorts.

Br J Psychiatry

December 2022

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Finland; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Sweden; and Center for Psychiatry Research, Stockholm City Council, Sweden.

Background: Research on the effectiveness of pharmacotherapies for schizophrenia and comorbid substance use disorder (SUD) is very sparse, and non-existent on the prevention of the development of SUDs in patients with schizophrenia.

Aims: To compare the real-world effectiveness of antipsychotics in schizophrenia in decreasing risk of developing an initial SUD, and psychiatric hospital admission and SUD-related hospital admission among patients with an SUD.

Method: Two independent national cohorts including all persons diagnosed with schizophrenia ( = 45 476) were followed up for 22 (Finland: 1996-2017) and 11 (Sweden: 2006-2016) years.

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Brain structural alterations in autism and criminal psychopathy.

Neuroimage Clin

August 2022

Turku PET Centre, University of Turku, Turku, Finland; Department of Psychology, University of Turku, Turku, Finland.

The goal of this study was to elucidate the anatomical brain basis of social cognition through two disorders with distinctively different phenotypes of social interaction. We compared structural MR images of 20 individuals with autism spectrum disorder (ASD), 19 violent offenders with high psychopathic traits, and 19 control participants using voxel-based morphometry (VBM). Our earlier study showed lower grey matter volume (GMV) values in the insula, frontal cortex, and sensorimotor cortex of the offender group compared to controls.

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Several studies highlighted the importance of platelets in the tumor microenvironment due to their ability to interact with other cell types such as leukocytes, endothelial, stromal and cancer cells. Platelets can influence tumor development and metastasis formation through several processes consisting of the secretion of growth factors and cytokines and/or via direct interaction with cancer cells and endothelium. Patients with visceral obesity (VO) are susceptible to pro-thrombotic and pro-inflammatory states and to development of cancer, especially colon cancer.

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Changes over 50 years of research on antipsychotics in schizophrenia have occurred. A scientometric synthesis of such changes over time and a measure of researchers' networks and scientific productivity is currently lacking. We searched Web of Science Core Collection from inception until November 5, 2021, using the appropriate key.

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The Genetic Architecture of Obsessive-Compulsive Disorder: Contribution of Liability to OCD From Alleles Across the Frequency Spectrum.

Am J Psychiatry

March 2022

Seaver Autism Center for Research and Treatment (Mahjani, Reichenberg, Sandin, Buxbaum, Grice),Division of Tics, Obsessive-Compulsive Disorder (OCD), and Related Disorders (Mahjani, Grice), Department of Psychiatry (Mahjani, Reichenberg, Sandin, Buxbaum, Grice),Mindich Child Health and Development Institute (Reichenberg, Buxbaum, Grice),Department of Genetics and Genomic Sciences (Buxbaum),Department of Neuroscience (Buxbaum), and Friedman Brain Institute (Buxbaum, Grice), Icahn School of Medicine at Mount Sinai, New York; Department of Medical Epidemiology and Biostatistics (Mahjani, Mattheisen, Halvorsen, Pedersen, Bulik, Landén, Fundín, Sandin, Hultman, Crowley) and Center for Psychiatry Research, Department of Clinical Neuroscience (Boberg, de Schipper, Mataix-Cols, Rück), Karolinska Institutet, Stockholm; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh (Klei, Devlin); Department of Psychiatry and Department of Community Health and Epidemiology, Dalhousie University, Halifax, Canada (Mattheisen); Department of Biomedicine-Human Genetics and the iSEQ Center, Aarhus University, Aarhus, Denmark (Mattheisen); Institute of Psychiatric Phenomics and Genomics, University Hospital, LMU Munich, Munich (Mattheisen); Department of Genetics (Halvorsen, Crowley) Department of Psychiatry (Bulik), and Department of Nutrition (Bulik), University of North Carolina at Chapel Hill; Department of Statistics and the Computational Biology Department, Carnegie Mellon University, Pittsburgh (Roeder); Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden (Landén); Health Care Services, Region Stockholm, Stockholm (Rück).

Article Synopsis
  • The study investigates the genetic heritability of obsessive-compulsive disorder (OCD) using two cohorts, comparing findings with previous research.
  • It analyzed data from 2,090 OCD-affected individuals and 4,567 controls, examining over 400,000 genetic variants to understand inherited risk.
  • Results showed that inherited genetic variation accounts for about 29% of OCD heritability, with low-frequency SNPs contributing significantly, supporting the idea that many genetic loci influence OCD risk.
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The atypical antipsychotic clozapine is the only effective medication for treatment-resistant schizophrenia. However, it can also induce serious adverse drug reactions, including agranulocytosis and neutropenia. The mechanism by which it does so is largely unknown, but there is evidence for contributing genetic factors.

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Psychopathy is characterized by persistent antisocial behavior, impaired empathy, and egotistical traits. These traits vary also in normally functioning individuals. Here, we tested whether such antisocial personalities are associated with similar structural and neural alterations as those observed in criminal psychopathy.

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Heavy alcohol use is one of the top causes of disease and death in the world. The brain is a key organ affected by heavy alcohol use. Here, our aim was to measure changes caused by heavy alcohol use in the human brain metabolic profile.

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Introduction: Playgroups are community-based programs for children and families aiming to improve child outcomes, enhance family and community networks and increase parenting capacity. Despite the prevalence of playgroups in Australian communities there is a lack of research clearly articulating the key components of playgroups, specifically from the perspective of parents attending these groups. This study aimed to identify the key components of supported and therapeutic playgroups impacting on perceived effectiveness from the perspective of parents with a child with a developmental delay and/or disability.

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Presynaptic dysfunction in CASK-related neurodevelopmental disorders.

Transl Psychiatry

September 2020

Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Department of Women's and Children's Health, Karolinska Institutet, and Center for Psychiatry Research, Region Stockholm, Sweden.

CASK-related disorders are genetically defined neurodevelopmental syndromes. There is limited information about the effects of CASK mutations in human neurons. Therefore, we sought to delineate CASK-mutation consequences and neuronal effects using induced pluripotent stem cell-derived neurons from two mutation carriers.

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Forensic psychiatric patients are known to have reduced life expectancy. The aim of this study was to explore to what extent substance abuse disorders account for this increased mortality. Data up to December 31, 2016 for mortality (causes of death register) and substance abuse (forensic psychiatric examinations) were collected for all of the 950 patients committed to involuntary forensic psychiatric hospital care in Finland during 1980-2009 and discharged no later than December 31, 2016.

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Self-image and 12-month outcome in females with eating disorders: extending previous findings.

J Eat Disord

May 2019

Department of Clinical Neuroscience, Karolinska Institute, and Center for Psychiatry Research, Stockholm County Council, Norra Stationsgatan 69, SE-11364 Stockholm, Sweden.

Background: The interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome.

Objective: We studied the association between initial self-image according to the SASB and 12-month outcome, in five diagnostic groups of female ED patients. Based on previous findings, we expected autonomy related variables (self-control/autonomy) would strongly predict outcome in anorexia nervosa (AN) groups, whereas variables related to affiliation (self-attack/love) would moderately predict outcome in bulimia nervosa (BN).

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Copy number variation and neuropsychiatric problems in females and males in the general population.

Am J Med Genet B Neuropsychiatr Genet

September 2019

Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Neurodevelopmental problems (NPs) are more common in males, whereas anxiety and depression are more common in females. Rare copy number variants (CNVs) have been implicated in neurodevelopmental disorders. The aim of this study was to characterize the relationship between rare CNVs with NPs, anxiety, and depression in a childhood population sample, as well as to examine sex-specific effects.

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