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Kummerfeld, E.

Publications and source records attributed to Kummerfeld, E..

3 recordsLinked to original sources

Executive and Attentional Resting-State Hubs of the Human Cortical Connectome Revealed by a Causal Discovery Method for Data-Driven Effective Connectivity Analysis

We demonstrate a data-driven approach for calculating a "causal connectome" of directed connectivity from resting-state fMRI data using a greedy adjacency search and pairwise non-Gaussian edge orientations. We used this approach to construct n=442 causal connectomes. These connectomes were very sparse in comparison to typical Pearson correlation-based graphs (roughly 2.25% edge density) yet were fully connected in nearly all cases. Prominent highly connected hubs of the causal connectome were situated in attentional (dorsal attention) and executive (frontoparietal and cingulo-opercular) networks. These hub networks had distinctly different connectivity profiles: attentional networks shared incoming connections with sensory regions and outgoing connections with higher cognitive networks, while executive networks primarily connected to other higher cognitive networks and had a high degree of bidirected connectivity. Virtual lesion analyses accentuated these findings, demonstrating that attentional and executive hub networks are points of critical vulnerability in the human causal connectome. These data highlight the central role of attention and executive control networks in the human cortical connectome and set the stage for future applications of data-driven causal connectivity analysis in psychiatry.

neuroscience↗

Explainable Machine Learning Analysis Reveals Gender Differences in the Phenotypic and Neurobiological Markers of Cannabis Use Disorder

BackgroundCannabis Use Disorder (CUD) has been linked to environmental, personality, mental health, neurocognitive and neurobiological risk factors. While many studies have revealed gender differences in CUD, the relative importance of these complex factors by gender has not been described. MethodsWe conducted a data-driven examination of gender differences in CUD in a community sample of young adults (Human Connectome Project [HCP]; n = 1204, 54% female). We employed state-of-the-art machine learning methods [gradient tree boosting, XGBoost] in combination with novel factor ranking tools [SHapleys Additive exPlanations (SHAP)] as an explainable machine learning approach in the multimodal data collected by the HCP (phenotypic and brain data). ResultsWe were able to successfully classify both cannabis dependence and cannabis use levels. Previously identified environmental, personality, mental health, neurocognitive, and brain factors highly contributed to the classification. Predominantly-male risk factors included personality (high openness), mental health (high externalizing, high childhood conduct disorder, high fear somaticism), neurocognitive (impulsive delay discounting, slow working memory performance) and brain (low hippocampal volume) factors. Conversely, predominantly-female risk factors included environmental (low education level, low instrumental support) factors. ConclusionsOur data-driven analysis of gender differences in the multimodal risk factors underlying cannabis dependence and use levels demonstrate that environmental factors contribute more strongly to CUD in women, whereas individual factors such as personality, mental health and neurocognitive factors have a larger importance in men. This warrants further investigations, and suggests the importance of understanding how these differences relate to the development of effective treatment approaches.

neuroscience↗

An Integrated Multimodal Model of Alcohol Use Disorder Generated by Data-Driven Causal Discovery Analysis

ObjectiveAlcohol use disorder (AUD) has high prevalence and adverse societal impacts, but our understanding of the factors driving AUD is hampered by a lack of studies that describe the complex multifactorial mechanisms driving AUD. MethodsWe used Causal Discovery Analysis (CDA) with data from the Human Connectome Project (HCP; n = 926 [54% female], 22% AUD [37% female]). Our outcome variable was number of AUD symptoms. We applied exploratory factor analysis (EFA) to parse phenotypic measures into underlying constructs, and assessed functional connectivity within 12 resting-state brain networks as an indicator of brain function. We then employed data-driven CDA to generate an integrated model relating phenotypic factors, fMRI network connectivity, and AUD symptom severity. ResultsEFA extracted 18 factors representing the wide HCP phenotypic space (100 measures). CDA produced an integrated multimodal model, highlighting a limited set of causes of AUD. The model proposed a hierarchy with causal influence propagating from brain function to cognition (fluid/crystalized cognition, language & working memory) to social (agreeableness/social support) to affective/psychiatric function (negative affect, low conscientiousness/attention, externalizing symptoms) and ultimately AUD severity. Every edge in the model was present at p < .001, and the SEM model overall provided a good fit (RMSEA = .06, Tucker-Lewis Index = .91). ConclusionsOur data-driven model confirmed hypothesized influences of cognitive and affective factors on AUD, while underscoring that traditional addiction models need to be expanded to highlight the importance of social factors, amongst others. Results further demonstrated that it is possible to extract a limited set of causal factors of AUD, which can inform future research aimed at tracking factors that dynamically predict alcohol use trajectories. Lastly, the presented model identified potential treatment targets for AUD, including neuromodulation of the frontoparietal network, cognitive/affective interventions, and social interventions.

neuroscience↗