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White Matter Integrity According to the Stage of Mental Disorder in Youth
Journal article   Peer reviewed

White Matter Integrity According to the Stage of Mental Disorder in Youth

Dashiell Sacks, Jim Lagopoulos, Sean N Hatton, Frank Iorfino, Joanne S Carpenter, Jacob J Crouse, Sharon L Naismith, Elizabeth M Scott, Ian B Hickie and Daniel Hermens
Psychiatry Research: Neuroimaging, Vol.307, 111218
2021
Appears in  Thompson Institute Research Collection
url
https://doi.org/10.1016/j.pscychresns.2020.111218View
Published Version

Abstract

white matter diffusion tensor imaging clinical staging psychiatric disorder youth cognition neuroimaging Youth mental health Thompson Institute Special Collection UniSC Diversity Area - Disability and Inclusion UniSC Diversity Area - Life Stages
The present study investigated differences in white matter (WM) integrity between 96 young people with affective and/or psychotic symptoms classified at an early stage of mental disorder (i.e. ‘attenuated syndrome’; stage 1b), 85 young people classified at a more advanced stage of mental disorder (i.e. ‘discrete disorder’; stage 2), and 81 demographically matched healthy controls using diffusion tensor imaging. The relationship between WM integrity (indexed by fractional anisotropy; FA) across the tracts and neuropsychological functioning was also investigated. A significant reduction in FA was identified in those with more advanced disorder in the body of the corpus callosum. Clinical stage groups were associated with significant neuropsychological impairment, which was significantly greater in those with discrete disorders. Compared to those in the earlier stage of disorder, participants at the later clinical stage showed decreased FA in the body of the corpus callosum that was associated with worse performance in attentional set formation maintenance, shifting and flexibility. These results provide further support for clinical staging of mental disorder and highlight the potential for utilising neuroanatomical biomarkers to support the classification of stages of mental disorder in the future.

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Clinical Neurology
Neuroimaging
Psychiatry

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