Irritability cuts across many pediatric disorders and is a common presenting complaint in child psychiatry; however, its neural mechanisms remain unclear. One core pathophysiological deficit of irritability is aberrant responses to frustrative nonreward. Here, we conducted a preliminary fMRI study to examine the ability of functional connectivity during frustrative nonreward to predict irritability in a transdiagnostic sample. This study included 69 youths (mean age = 14.55 years) with varying levels of irritability across diagnostic groups: disruptive mood dysregulation disorder (n = 20), attention-deficit/hyperactivity disorder (n = 14), anxiety disorder (n = 12), and controls (n = 23). During fMRI, participants completed a frustrating cognitive flexibility task. Frustration was evoked by manipulating task difficulty such that, on trials requiring cognitive flexibility, “frustration” blocks had a 50% error rate and some rigged feedback, while “nonfrustration” blocks had a 10% error rate. Frustration and nonfrustration blocks were randomly interspersed. Child and parent reports of the affective reactivity index were used as dimensional measures of irritability. Connectome-based predictive modeling, a machine learning approach, with tenfold cross-validation was conducted to identify networks predicting irritability. Connectivity during frustration (but not nonfrustration) blocks predicted child-reported irritability (ρ = 0.24, root mean square error = 2.02, p = 0.03, permutation testing, 1000 iterations, one-tailed). Results were adjusted for age, sex, medications, motion, ADHD, and anxiety symptoms. The predictive networks of irritability were primarily within motor-sensory networks; among motor-sensory, subcortical, and salience networks; and between these networks and frontoparietal and medial frontal networks. This study provides preliminary evidence that individual differences in irritability may be associated with functional connectivity during frustration, a phenotype-relevant state.

No abstract

No abstract

Memory deficits are observed in a range of psychiatric disorders, but it is unclear whether memory deficits arise from a shared brain correlate across disorders or from various dysfunctions unique to each disorder. Connectome-based predictive modeling is a computational method that captures individual differences in functional connectomes associated with behavioral phenotypes such as memory. We used publicly available task-based functional MRI data from patients with schizophrenia (n = 33), bipolar disorder (n = 34), attention deficit hyper-activity disorder (n = 32), and healthy controls (n = 73) to model the macroscale brain networks associated with working, short- and long-term memory. First, we use 10-fold and leave-group-out analyses to demonstrate that the same macroscale brain networks subserve memory across diagnostic groups and that individual differences in memory performance are related to individual differences within networks distributed throughout the brain, including the subcortex, default mode network, limbic network, and cerebellum. Next, we show that diagnostic groups are associated with significant differences in whole-brain functional connectivity that are distinct from the predictive models of memory. Finally, we show that models trained on the transdiagnostic sample generalize to novel, healthy participants (n = 515) from the Human Connectome Project. These results suggest that despite significant differences in whole-brain patterns of functional connectivity between diagnostic groups, the core macroscale brain networks that subserve memory are shared.

Predictive modeling using neuroimaging data has the potential to improve our understanding of the neurobiology underlying psychiatric disorders and putatively information interventions. Accordingly, there is a plethora of literature reviewing published studies, the mathematics underlying machine learning, and the best practices for using these approaches. As our knowledge of mental health and machine learning continue to evolve, we instead aim to look forward and “predict” topics that we believe will be important in current and future studies. Some of the most discussed topics in machine learning, such as bias and fairness, the handling of dirty data, and interpretable models, may be less familiar to the broader community using neuroimaging-based predictive modeling in psychiatry. In a similar vein, transdiagnostic research and targeting brain-based features for psychiatric intervention are modern topics in psychiatry that predictive models are well-suited to tackle. In this work, we target an audience who is a researcher familiar with the fundamental procedures of machine learning and who wishes to increase their knowledge of ongoing topics in the field. We aim to accelerate the utility and applications of neuroimaging-based predictive models for psychiatric research by highlighting and considering these topics. Furthermore, though not a focus, these ideas generalize to neuroimaging-based predictive modeling in other clinical neurosciences and predictive modeling with different data types (e.g., digital health data).

Aberrant brain dynamics putatively characterize bipolar disorder (BD) and schizophrenia (SCZ). Previous studies often adopted a state discretization approach when investigating how individuals recruited recurring brain states. Since multiple brain states are likely engaged simultaneously at any given moment, focusing on the dominant state can obscure changes in less prominent but critical brain states in clinical populations. To address this limitation, we introduced a novel framework to simultaneously assess brain state engagement for multiple rain states, and we examined how brain state engagement differs in patients with BD or SCZ compared to healthy controls (HC). Using task-based data from the Human Connectome Project, we applied nonlinear manifold learning and K-means clustering to identify four recurring brain states. We then examined how the engagement and transition variability of these four states differed between patients with BD, SCZ, and HC across two other international, open-source datasets. Comparing these measures across groups revealed significantly altered state transition variability, but not engagement, across all four states in individuals with BD and SCZ during both resting-state and task-based fMRI. In our post hoc and exploratory analysis, we also observed associations between state transition variability and age as well as avolition. Our results suggest that disrupted state transition variability affects multiple brain states in BD and SCZ. By studying several brain states simultaneously, our framework more comprehensively reveals how brain dynamics differ across individuals and in psychiatric disorders.

No abstract

Importance:We show that three common approaches to clinical deficits (cognitive phenotype, disease group, disease severity) each offer useful and perhaps complimentary explanations for the brain's underlying functional architecture as affected by psychiatric disease. Objective:To understand how different clinical frameworks are represented in the brain's functional connectome. Design:We use an openly available dataset to create predictive models based on multiple connectomes built from task-based functional MRI data. We use these models to predict individual traits corresponding to multiple cognitive constructs across disease category. We also show that these same connectomes statistically differ depending on disease category and symptom burden.Setting: This was a population-based study with data collected in UCLA.Participants: Healthy adults were recruited by community advertisements from the Los Angeles area. Participants with adult ADHD, bipolar disorder, and schizophrenia were recruited using a patient-oriented strategy involving outreach to local clinics and online portals (separate from the methods used to recruit healthy volunteers)