Browsing by Author "Cadenhead, Kristin"

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    Robust Brain Correlates of Cognitive Performance in Psychosis and Its Prodrome
    (Elsevier, 2025) Ward, Heather Burrell; Beermann, Adam; Xie, Jing; Yildiz, Gulcan; Felix, Karlos Manzanarez; Addington, Jean; Bearden, Carrie E.; Cadenhead, Kristin; Cannon, Tyrone D.; Cornblatt, Barbara; Keshavan, Matcheri; Mathalon, Daniel; Perkins, Diana O.; Seidman, Larry; Stone, William S.; Tsuang, Ming T.; Walker, Elaine F.; Woods, Scott; Coleman, Michael J.; Bouix, Sylvain; Holt, Daphne J.; Öngür, Dost; Breier, Alan; Shenton, Martha E.; Heckers, Stephan; Halko, Mark A.; Lewandowski, Kathryn E.; Brady, Roscoe O., Jr.; Psychiatry, School of Medicine
    Background: Neurocognitive impairment is a well-known phenomenon in schizophrenia that begins prior to psychosis onset. Connectome-wide association studies have inconsistently linked cognitive performance to resting-state functional magnetic resonance imaging. We hypothesized that a carefully selected cognitive instrument and refined population would allow identification of reliable brain-behavior associations with connectome-wide association studies. To test this hypothesis, we first identified brain-cognition correlations via a connectome-wide association study in early psychosis. We then asked, in an independent dataset, if these brain-cognition relationships would generalize to individuals who develop psychosis in the future. Methods: The Seidman Auditory Continuous Performance Task (ACPT) effectively differentiates healthy participants from those with psychosis. Our connectome-wide association study used the HCP-EP (Human Connectome Project for Early Psychosis) (n = 183) to identify links between connectivity and ACPT performance. We then analyzed data from the NAPLS2 (North American Prodrome Longitudinal Study 2) (n = 345), a multisite prospective study of individuals at risk for psychosis. We tested the connectome-wide association study-identified cognition-connectivity relationship in both individuals at risk for psychosis and control participants. Results: Our connectome-wide association study in early-course psychosis identified robust associations between better ACPT performance and higher prefrontal-somatomotor connectivity (p < .005). Prefrontal-somatomotor connectivity was also related to ACPT performance in at-risk individuals who would develop psychosis (n = 17). This finding was not observed in nonconverters (n = 196) or control participants (n = 132). Conclusions: This connectome-wide association study identified reproducible links between connectivity and cognition in separate samples of individuals with psychosis and at-risk individuals who would later develop psychosis. A carefully selected task and population improves the ability of connectome-wide association studies to identify reliable brain-phenotype relationships.