Using Multimodal Neuroimaging and Real-World Experience Sampling to Understand Negative Affect and Paranoid Ideation in Psychosis

使用多模态神经影像和现实世界经验采样来理解精神病中的负面情绪和偏执观念

• 批准号: 10616744
• 负责人: JACK J. BLANCHARD
• 金额: $ 72.31万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10616744
• 关键词: Acceleration; Acute; Amendment; Amygdaloid structure; Animals; Anterior; Anxiety; Arousal; Belief; Benign; Biological; Brain; Brain imaging; Cellular Phone; Clinical Psychology; Communities; Complex; Cues; Data; Delusions; Development; Diagnosis; Dimensions; Discipline; Disease; Emotional; Enrollment; Environment; Etiology; Face; Fostering; Functional Magnetic Resonance Imaging; Functional disorder; Goals; Human; Image; Individual; Insula of Reil; Intervention; Life; Measures; Mediating; Mental disorders; Methods; Modeling; National Institute of Mental Health; Neurophysiology - biologic function; Neurosciences Research; Paranoia; Pathway interactions; Patients; Pattern; Perception; Perfusion; Play; Prefrontal Cortex; Process; Productivity; Psychiatric Diagnosis; Psychiatry; Psychopathology; Psychoses; Psychotic Disorders; Regulation; Reporting; Research; Research Domain Criteria; Research Personnel; Resistance; Rest; Role; Sampling; Scanning; Schizophrenia; Stimulus; Structure of terminal stria nuclei of preoptic region; Support System; Surveys; Symptoms; System; Technical Expertise; Techniques; Technology; Testing; Therapeutic; Time; United States National Institutes of Health; Work; affective neuroscience; anxious; biopsychosocial; brain based; clinically significant; digital intervention; disease classification; emotional stimulus; experience; ideation; innovation; insight; man; multidisciplinary; multimodal neuroimaging; negative affect; neural; neuroimaging; neurophysiology; novel; public health relevance; response; social; theories; trait; translational model; vigilance

Paranoid ideation—the mistaken belief that intentional harm is likely to occur—spans a continuum, from mild suspicion to persecutory delusions. Among patients with schizophrenia and other psychosis disorders, elevated levels of paranoia are common, debilitating, and challenging to treat. The cues (public environments, strangers) and processes (anxiety) that promote paranoia have grown increasingly clear, but the brain bases of these pathways are unknown, thwarting the development of mechanistic models and, ultimately, the development of more effective or tolerable biological interventions. Leveraging our team’s unique multidisciplinary expertise and productive track record of NIH-sponsored research, this project will use an innovative combination of paranoia assessments, advanced neuroimaging techniques, and smartphone-based experience sampling to clarify the factors governing paranoia. We will enroll the full spectrum of paranoia without gaps or discontinuities—including psychosis patients with frank persecutory delusions and matched community controls. These data will allow us to rigorously examine the hypothesized contribution of brain circuits responsible for triggering anxiety and evaluating the threat potential of everyday social cues, such as faces. Integrating neuroimaging measures with experience-sampling data will enable us to extend these insights to the real world—a key step to establishing therapeutic relevance—for the first time. It has become increasingly clear that categorical psychiatric diagnoses (e.g. schizophrenia) present significant barriers to understanding pathophysiology. Our focus on dimensional measures of paranoia overcomes many of these barriers and dovetails with the National Institute of Mental Health’s Strategic Objectives and Research Domain Criteria (RDoC) initiative. This work would provide a potentially transformative opportunity to test and refine theory, deepen our understanding of etiology, guide the development of new translational models, discover new treatment targets, and provide an integrative biopsychosocial framework for unifying research across investigators, approaches, and scholarly guilds.

偏执观念——认为故意伤害可能发生的错误信念——跨越了一个连续体，从轻度到 怀疑被害妄想。在精神分裂症和其他精神病患者中， 偏执的程度很常见，使人衰弱，而且治疗起来很困难。线索（公共环境、陌生人） 促进偏执的过程（焦虑）已经变得越来越清晰，但这些过程的大脑基础 途径未知，阻碍了机械模型的发展，并最终阻碍了 更有效或可耐受的生物干预措施。利用我们团队独特的多学科专业知识和 NIH 资助的研究的富有成果的记录，该项目将使用偏执狂的创新组合 评估、先进的神经影像技术和基于智能手机的经验采样，以澄清 控制偏执的因素。我们将毫无间隙或间断地记录所有偏执狂——包括 患有明显的迫害妄想的精神病患者和匹配的社区控制。这些数据将使我们 严格检查负责引发焦虑的大脑回路的假设贡献 评估日常社交线索（例如面孔）的潜在威胁。将神经影像学测量与 经验采样数据将使我们能够将这些见解扩展到现实世界——这是建立 治疗相关性——首次。越来越明显的是，明确的精神病学诊断 （例如精神分裂症）给理解病理生理学带来了重大障碍。我们专注于维度 偏执狂的措施克服了许多这些障碍，并与国家心理研究所的研究相吻合 卫生战略目标和研究领域标准 (RDoC) 倡议。这项工作将提供一个 测试和完善理论、加深我们对病因学的理解、指导 开发新的转化模型，发现新的治疗靶点，并提供综合的 用于统一跨研究者、方法和学术团体的研究的生物心理社会框架。

项目成果

Reforming clinical psychological science training: The importance of collaborative decision-making with trainees.

改革临床心理科学培训：与受训者协作决策的重要性。

• DOI: 10.1177/21677026221129820
• 发表时间: 2024
• 期刊: Clinical psychological science : a journal of the Association for Psychological Science
• 作者: Gee,DylanG;Shackman,AlexanderJ
• 通讯作者: Shackman,AlexanderJ

Training the Next Generation of Clinical Psychological Scientists: A Data-Driven Call to Action.

• DOI: 10.1146/annurev-clinpsy-081219-092500
• 发表时间: 2022-05-09
• 期刊: ANNUAL REVIEW OF CLINICAL PSYCHOLOGY
• 影响因子: 18.4
• 作者: Gee, Dylan G.;DeYoung, Kathryn A.;McLaughlin, Katie A.;Tillman, Rachael M.;Barch, Deanna M.;Forbes, Erika E.;Krueger, Robert F.;Strauman, Timothy J.;Weierich, Mariann R.;Shackman, Alexander J.
• 通讯作者: Shackman, Alexander J.

Precision behavioral phenotyping as a strategy for uncovering the biological correlates of psychopathology.

• DOI: 10.1038/s44220-023-00057-5
• 发表时间: 2023-05
• 期刊: Nature. Mental health
• 作者: Tiego, Jeggan;Martin, Elizabeth A;DeYoung, Colin G;Hagan, Kelsey;Cooper, Samuel E;Pasion, Rita;Satchell, Liam;Shackman, Alexander J;Bellgrove, Mark A;Fornito, Alex
• 通讯作者: Fornito, Alex

A Hierarchical Taxonomy of Psychopathology (HiTOP) Primer for Mental Health Researchers.

• DOI: 10.1177/21677026211017834
• 发表时间: 2022-03
• 期刊: CLINICAL PSYCHOLOGICAL SCIENCE
• 影响因子: 4.8
• 作者: Conway, Christopher C.;Forbes, Miriam K.;South, Susan C.
• 通讯作者: South, Susan C.

Personality Neuroscience: An Emerging Field with Bright Prospects.

• DOI: 10.5964/ps.7269
• 发表时间: 2022-10
• 期刊: Personality Science
• 作者: C. DeYoung;R. Beaty;E. Genç;R. Latzman;L. Passamonti;M. Servaas;A. Shackman;L. Smillie;R. N. Spreng;E. Viding;Jan Wacker