Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing

Causal interactions between specific psychiatric symptoms could contribute to the heterogenous clinical trajectories observed in early psychopathology. Current diagnostic approaches merge clinical manifestations that co-occur across subjects and could significantly hinder our understanding of clinic...

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Main Authors: Corrado Sandini, Daniela Zöller, Maude Schneider, Anjali Tarun, Marco Armando, Barnaby Nelson, Paul G Amminger, Hok Pan Yuen, Connie Markulev, Monica R Schäffer, Nilufar Mossaheb, Monika Schlögelhofer, Stefan Smesny, Ian B Hickie, Gregor Emanuel Berger, Eric YH Chen, Lieuwe de Haan, Dorien H Nieman, Merete Nordentoft, Anita Riecher-Rössler, Swapna Verma, Andrew Thompson, Alison Ruth Yung, Patrick D McGorry, Dimitri Van De Ville, Stephan Eliez
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2021-09-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/59811
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author Corrado Sandini
Daniela Zöller
Maude Schneider
Anjali Tarun
Marco Armando
Barnaby Nelson
Paul G Amminger
Hok Pan Yuen
Connie Markulev
Monica R Schäffer
Nilufar Mossaheb
Monika Schlögelhofer
Stefan Smesny
Ian B Hickie
Gregor Emanuel Berger
Eric YH Chen
Lieuwe de Haan
Dorien H Nieman
Merete Nordentoft
Anita Riecher-Rössler
Swapna Verma
Andrew Thompson
Alison Ruth Yung
Patrick D McGorry
Dimitri Van De Ville
Stephan Eliez
author_facet Corrado Sandini
Daniela Zöller
Maude Schneider
Anjali Tarun
Marco Armando
Barnaby Nelson
Paul G Amminger
Hok Pan Yuen
Connie Markulev
Monica R Schäffer
Nilufar Mossaheb
Monika Schlögelhofer
Stefan Smesny
Ian B Hickie
Gregor Emanuel Berger
Eric YH Chen
Lieuwe de Haan
Dorien H Nieman
Merete Nordentoft
Anita Riecher-Rössler
Swapna Verma
Andrew Thompson
Alison Ruth Yung
Patrick D McGorry
Dimitri Van De Ville
Stephan Eliez
author_sort Corrado Sandini
collection DOAJ
description Causal interactions between specific psychiatric symptoms could contribute to the heterogenous clinical trajectories observed in early psychopathology. Current diagnostic approaches merge clinical manifestations that co-occur across subjects and could significantly hinder our understanding of clinical pathways connecting individual symptoms. Network analysis techniques have emerged as alternative approaches that could help shed light on the complex dynamics of early psychopathology. The present study attempts to address the two main limitations that have in our opinion hindered the application of network approaches in the clinical setting. Firstly, we show that a multi-layer network analysis approach, can move beyond a static view of psychopathology, by providing an intuitive characterization of the role of specific symptoms in contributing to clinical trajectories over time. Secondly, we show that a Graph-Signal-Processing approach, can exploit knowledge of longitudinal interactions between symptoms, to predict clinical trajectories at the level of the individual. We test our approaches in two independent samples of individuals with genetic and clinical vulnerability for developing psychosis. Novel network approaches can allow to embrace the dynamic complexity of early psychopathology and help pave the way towards a more a personalized approach to clinical care.
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spelling doaj.art-a5a6f78b8748495e96329648594987192022-12-22T02:01:59ZengeLife Sciences Publications LtdeLife2050-084X2021-09-011010.7554/eLife.59811Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processingCorrado Sandini0https://orcid.org/0000-0003-2933-1607Daniela Zöller1https://orcid.org/0000-0002-7049-0696Maude Schneider2https://orcid.org/0000-0001-7147-8915Anjali Tarun3Marco Armando4Barnaby Nelson5Paul G Amminger6Hok Pan Yuen7Connie Markulev8Monica R Schäffer9Nilufar Mossaheb10Monika Schlögelhofer11Stefan Smesny12Ian B Hickie13Gregor Emanuel Berger14Eric YH Chen15Lieuwe de Haan16Dorien H Nieman17Merete Nordentoft18Anita Riecher-Rössler19Swapna Verma20Andrew Thompson21Alison Ruth Yung22Patrick D McGorry23Dimitri Van De Ville24https://orcid.org/0000-0002-2879-3861Stephan Eliez25Developmental Imaging and Psychopathology Laboratory, University of Geneva School of Medicine, Geneva, SwitzerlandDevelopmental Imaging and Psychopathology Laboratory, University of Geneva School of Medicine, Geneva, Switzerland; Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, SwitzerlandDevelopmental Imaging and Psychopathology Laboratory, University of Geneva School of Medicine, Geneva, Switzerland; Center for Contextual Psychiatry, Research Group Psychiatry, Department of Neuroscience, KU Leuven, Leuven, BelgiumInstitute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, SwitzerlandDevelopmental Imaging and Psychopathology Laboratory, University of Geneva School of Medicine, Geneva, SwitzerlandOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, AustraliaOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Department of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University Vienna, Vienna, AustriaOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, AustraliaOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, AustraliaThe Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Department of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University Vienna, Vienna, AustriaDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University Vienna, Vienna, AustriaDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University Vienna, Vienna, AustriaDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University Vienna, Vienna, AustriaDepartment of Psychiatry, University Hospital Jena, Jena, GermanyBrain and Mind Centre, University of Sydney, Sydney, AustraliaChild and Adolescent Psychiatric Service of the Canton of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, University of Hong Kong, Hong Kong, ChinaDepartment of Psychiatry, Amsterdam University Medical Centers, Amsterdam, NetherlandsPsychiatric Centre Bispebjerg, Copenhagen, DenmarkUniversity of Basel, Basel, SwitzerlandInstitute of Mental Health, Singapore, SingaporeOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, United Kingdom; North Warwickshire Early Intervention in Psychosis Service, Conventry and Warwickshire National Health Service Partnership Trust, Coventry, United KingdomOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Division of Psychology and Mental Health, University of Manchester, Manchester, United Kingdom; Greater Manchester Mental Health NHS Foundation Trust, Manchester, United KingdomOrygen, Parkville, Australia; The Centre for Youth Mental Health, The University of Melbourne, Melbourne, AustraliaInstitute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland; Department of Radiology and Medical Informatics, University of Geneva, Geneva, SwitzerlandDevelopmental Imaging and Psychopathology Laboratory, University of Geneva School of Medicine, Geneva, Switzerland; Department of Genetic Medicine and Development, University of Geneva School of Medicine, Geneva, SwitzerlandCausal interactions between specific psychiatric symptoms could contribute to the heterogenous clinical trajectories observed in early psychopathology. Current diagnostic approaches merge clinical manifestations that co-occur across subjects and could significantly hinder our understanding of clinical pathways connecting individual symptoms. Network analysis techniques have emerged as alternative approaches that could help shed light on the complex dynamics of early psychopathology. The present study attempts to address the two main limitations that have in our opinion hindered the application of network approaches in the clinical setting. Firstly, we show that a multi-layer network analysis approach, can move beyond a static view of psychopathology, by providing an intuitive characterization of the role of specific symptoms in contributing to clinical trajectories over time. Secondly, we show that a Graph-Signal-Processing approach, can exploit knowledge of longitudinal interactions between symptoms, to predict clinical trajectories at the level of the individual. We test our approaches in two independent samples of individuals with genetic and clinical vulnerability for developing psychosis. Novel network approaches can allow to embrace the dynamic complexity of early psychopathology and help pave the way towards a more a personalized approach to clinical care.https://elifesciences.org/articles/59811schizophrenianetwork analysis22q11.2 deletion syndromeaffective pathway
spellingShingle Corrado Sandini
Daniela Zöller
Maude Schneider
Anjali Tarun
Marco Armando
Barnaby Nelson
Paul G Amminger
Hok Pan Yuen
Connie Markulev
Monica R Schäffer
Nilufar Mossaheb
Monika Schlögelhofer
Stefan Smesny
Ian B Hickie
Gregor Emanuel Berger
Eric YH Chen
Lieuwe de Haan
Dorien H Nieman
Merete Nordentoft
Anita Riecher-Rössler
Swapna Verma
Andrew Thompson
Alison Ruth Yung
Patrick D McGorry
Dimitri Van De Ville
Stephan Eliez
Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
eLife
schizophrenia
network analysis
22q11.2 deletion syndrome
affective pathway
title Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
title_full Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
title_fullStr Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
title_full_unstemmed Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
title_short Characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
title_sort characterization and prediction of clinical pathways of vulnerability to psychosis through graph signal processing
topic schizophrenia
network analysis
22q11.2 deletion syndrome
affective pathway
url https://elifesciences.org/articles/59811
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