![]() However, brain health enabled more accurate differentiation between distinct neuropsychiatric diagnoses than body health (schizophrenia-other: mean AUC for body = 0.70 and mean AUC for brain = 0.79 bipolar disorder-other: mean AUC for body = 0.60 and mean AUC for brain = 0.65 depression-other: mean AUC for body = 0.61 and mean AUC for brain = 0.65 anxiety-other: mean AUC for body = 0.63 and mean AUC for brain = 0.66 [95% CI, 0.65-0.66).Ĭonclusions and Relevance In this cross-sectional study, neuropsychiatric disorders shared a substantial and largely overlapping imprint of poor body health. Poor body health was a more pronounced illness manifestation compared to brain changes in schizophrenia (AUC for body = 0.81 AUC for brain = 0.79 ), bipolar disorder (AUC for body = 0.67 AUC for brain = 0.58 ), depression (AUC for body = 0.67 AUC for brain = 0.58 ), and anxiety (AUC for body = 0.63 AUC for brain = 0.57 ). Body health, especially scores indexing metabolic, hepatic, and immune health, deviated from normative reference ranges for all 4 neuropsychiatric disorders studied. Results There were 85 748 participants with preselected neuropsychiatric disorders (36 324 male) and 87 420 healthy control individuals (40 560 male) included in this study. Secondary outcomes included accuracy of classifying diagnoses (disease vs control) and differentiating between diagnoses (disease vs disease), measured using the area under the receiver operating characteristic curve (AUC). Main Outcomes and Measures Deviations from normative reference ranges for composite health scores indexing the health and function of the brain and 7 body systems. Adults aged 18 to 95 years with a lifetime diagnosis of 1 or more common neuropsychiatric disorders, including schizophrenia, bipolar disorder, depression, generalized anxiety disorder, and a healthy comparison group were included. Data were analyzed from October 18, 2021, to July 21, 2022. Cross-sectional data acquired between March 2006 and December 2020 were used to study organ health. Objective To evaluate the health status of the brain and 7 body systems across common neuropsychiatric disorders.ĭesign, Setting, and Participants Brain imaging phenotypes, physiological measures, and blood- and urine-based markers were harmonized across multiple population-based neuroimaging biobanks in the US, UK, and Australia, including UK Biobank Australian Schizophrenia Research Bank Australian Imaging, Biomarkers, and Lifestyle Flagship Study of Ageing Alzheimer’s Disease Neuroimaging Initiative Prospective Imaging Study of Ageing Human Connectome Project–Young Adult and Human Connectome Project–Aging. A multiorgan, systemwide characterization of brain and body health in neuropsychiatric disorders may enable systematic evaluation of brain-body health status in patients and potentially identify new therapeutic targets. NIMH Identifier No.Importance Physical health and chronic medical comorbidities are underestimated, inadequately treated, and often overlooked in psychiatry. Find more information about stress and anxiety and getting help. If you’re struggling to cope or the symptoms of your stress or anxiety begin to interfere with your everyday life, it may be time to talk to a professional.
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