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

Authors: Sandini, Corrado; Zoeller, Daniela; Schneider, Maude; Tarun, Anjali; Armondo, Marco; Nelson, Barnaby; Amminger, Paul G; +19 Authors

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

Abstract

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.

Keywords

Life Sciences & Biomedicine - Other Topics, Male, medicine, 0601 Biochemistry and Cell Biology, SCHIZOPHRENIA, Longitudinal Studies, Biology (General), Precision Medicine, network analysis, UTILITY, OUTCOMES, 616.0757, affective pathway, Q, PSYCHOPATHOLOGY, R, 2 deletion syndrome, NEGATIVE SYNDROME SCALE, PSYCHIATRY, Medicine, Network analysis, Female, Psychotic Disorders / physiopathology, Life Sciences & Biomedicine, Human, Adult, Affective pathway, DISORDERS, QH301-705.5, Science, 610, DIAGNOSIS, 616, Humans, human, VALIDITY, Biology, Science & Technology, 42 Health sciences, 31 Biological sciences, 32 Biomedical and clinical sciences, 22q11, schizophrenia, Psychotic Disorders, ULTRA-HIGH RISK, 616.89, 22q11.2 deletion syndrome, Schizophrenia, RC

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Top 10%
Green
gold