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Reviews & Analysis

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  • In this Consensus Statement, Iasiello et al. outline key dimensions of positive mental health and propose a taxonomy to standardize concepts across disciplines, strengthening measurement, intervention design and policy development.

    • M. Iasiello
    • J. van Agteren
    • D. B. Fassnacht
    Consensus Statement
  • Neuroscience research struggles to link neurobiological phenotypes with real-world mental health experiences, especially in youth. Here the authors challenge assumptions in functional neuroimaging studies, proposing alternative methods that reveal complex, individual-specific brain patterns, enhancing predictive models of psychiatric issues and advancing the understanding of adolescent mental health.

    • Erica L. Busch
    • Nicholas B. Turk-Browne
    • Arielle Baskin-Sommers
    Perspective
  • In this Review, the authors examine the evidence for cognitive impairment in individuals with bipolar disorder, explore underlying mechanisms and potential treatments, and advocate for incorporating cognitive screening into routine clinical practice.

    • Kamilla Woznica Miskowiak
    • Hanne Lie Kjærstad
    • Lakshmi N. Yatham
    Review Article
  • In this Review, the authors explore how psychedelics such as LSD and psilocybin may disrupt maladaptive circuits and enhance neuroplasticity in obsessive–compulsive disorder (OCD), potentially offering a therapeutic approach for OCD by resetting pathological patterns and improving network connectivity.

    • Saif S. Ali
    • Robin L. Carhart-Harris
    • Karl G. Sieg
    Review Article
  • In this Perspective, the authors present rumination as a dynamic interpersonal process through the Dynamic Interpersonal Model of Rumination (DIM-Rum), integrating diverse findings to highlight feedback loops, thereby suggesting new avenues for intervention and methodological expansion in mental health studies.

    • Laura Sels
    • Kristof Hoorelbeke
    • Ernst H. W. Koster
    Perspective
  • This Perspective proposes a framework that categorizes autism into type I and type II subtypes based on early developmental features. Utilizing machine learning, it identifies distinct neurobiological mechanisms for enhancing understanding and addressing heterogeneity in autism diagnoses and outcomes.

    • Michael V. Lombardo
    • Ines Severino
    • Veronica Mandelli
    Perspective
  • Adolescence is a crucial period of brain maturation and rising risk for mental health. Using longitudinal neuroimaging and genetic data from over 11,000 youths, this study shows that genetic susceptibility to systemic inflammation is associated with accelerated cortical thinning and increased externalizing psychopathology, suggesting a neuroimmune pathway underlying psychiatric vulnerability.

    Research Briefing
  • In this Perspective, the authors present a dynamical systems perspective to autism emphasizing a more person-focused view in autism research. This framework explains why group-average approaches are often inconclusive, thus underscoring the need for a transition to individual-level, non-Gaussian analytical techniques.

    • Hsiang-Yuan Lin
    • Michael Breakspear
    • Laurent Mottron
    Perspective
  • This Perspective study highlights the necessity for paradigm shifts in psychopathology research, emphasizing resourcefulness, coalition-building and outreach to enhance assessment, diagnosis and treatment methodologies within the field.

    • Lauren S. Hallion
    • Lorenzo Lorenzo-Luaces
    • Colette Delawalla
    Perspective
  • We used artificial intelligence (AI) to map pan-disease dimensions — disease subtypes across an array of organ-specific disorders — from imaging data of the brain, eye and heart that captured shared and organ-specific heterogeneity. We then showed how these AI-derived dimensions can predict future risks of disease and mortality, provide insights into clinical trials, and inform potential drug targets.

    Research Briefing
  • This Perspective considers the addition of ACKR1 genetic testing for identifying ACKR1/DARC-associated neutropenia in patients receiving clozapine, recommending eligibility criteria and testing strategies while estimating substantial cost savings for the UK healthcare system and enhancing equitable treatment access.

    • Stephen Murtough
    • Daisy Mills
    • Elvira Bramon
    Perspective
  • Evidence from national medical records of over 8 million people in the Netherlands shows that autism is associated with increased risk of cardiometabolic conditions. These associations emerged in adolescents and young adults, suggesting earlier onset of such conditions in individuals with autism than in individuals without it.

    Research Briefing

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