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Mheich, A.

Publications and source records attributed to Mheich, A..

7 recordsLinked to original sources

Transdiagnostic electrophysiological subtypes reveal brain-behavior dimensions in youth psychiatry

Conventional psychiatric diagnoses often fail to reflect the underlying neurobiological and behavioral complexity of mental health conditions. Here, we propose a transdiagnostic, data-driven framework for stratifying youth based on large-scale multisite electroencephalography (EEG) data from 1,707 individuals aged 5-18 years, including healthy controls and individuals diagnosed with attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), anxiety disorders (ANX), and learning disabilities (LD), along with their common comorbidities. By applying normative modeling to quantify individual deviations from typical brain functional maturation, and integrating multidimensional EEG features across spectral, temporal, complexity, and dynamical domains via similarity network fusion clustering, we identified three robust neurophysiological biotypes. These biotypes showed distinct electrophysiological and behavioral profiles, and captured meaningful brain-behavior relationships. Our findings suggest that biologically informed subtypes capture meaningful neuropsychiatric heterogeneity in youth, challenging conventional diagnostic boundaries in psychiatric nosology.

neuroscience↗

Social, cognitive and sensory dimensions of cortical network overconnectivity in young children with autism spectrum disorder

The heterogeneity in both the neurobiological mechanisms and the phenotypic presentation of autism spectrum disorder (ASD) poses a major challenge to clinical and translational research. Early inefficiencies in functional connectivity (FC) have been associated with ASD, yet it remains unclear whether and how abnormal brain network properties may account for individual differences across ASD-related symptomatology and behaviors. We applied source-level reconstruction to resting-state high-definition EEG data in a cohort of 113 young children (40 with ASD) to identify early global and local alterations of cortical network connectivity. We subsequently used regularized canonical correlation analysis (rCCA) to characterize specific FC patterns linked to variation in cognitive, social and sensory dimensions within the autism spectrum. We found increased low-frequency FC in frontotemporal cross-hemispheric networks and lateral-occipital regions of young ASD children. RCCA revealed three distinct FC patterns in recurrent ASD-related networks, each contributing to predict individual differences in cognitive, social and sensory features. These linked FC-behavior dimensions may shed light on atypical brain network topology conferring risk for specific phenotypic manifestations of ASD, which may implicate unique underlying neurobiological mechanisms.

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Characterizing the heterogeneity of neurodegenerative diseases through EEG normative modeling

Neurodegenerative diseases such as Parkinsons (PD) and Alzheimers (AD) exhibit considerable heterogeneity of functional brain features within patient populations, complicating diagnosis, treatment, prognosis, and drug discovery. Here, we use electroencephalography (EEG) and normative modeling to investigate neurophysiological oscillatory mechanisms underpinning this heterogeneity. To this aim, we use resting-state EEG activity collected by 14 clinical units, in healthy older persons (n=499) and patients with PD (n=237) and AD (n=197), aged over 40 years old. Spectral and source connectivity analyses of EEG activity provided EEG features for normative modeling and deviation measures in the PD and AD patients. Normative models confirmed significant deviations of the EEG features in PD and AD patients over population norms, characterized by high heterogeneity and frequency-dependence. The percentage of patients with at least one deviating EEG feature was [~]30% for spectral measures and [~]80% for functional source connectivity. Notably, the spatial overlap of the deviant EEG features did not exceed 60% for spectral analysis and 25% for functional source connectivity analysis. Furthermore, the patient-specific deviations were correlated with relevant clinical measures, such as the UPDRS for PD (=0.24, p=0.025) and the MMSE for AD (=-0.26, p=0.01), indicating that greater deviations from normative EEG features are associated with worsening score values. These results suggest that the deviation percentage from EEG norms may enrich clinical assessment in PD and AD patients at individual levels in the framework of Precision Neurology.

neuroscience↗

Beyond homogeneity: Charting the landscape of heterogeneity in psychiatric electroencephalography

Electroencephalography (EEG) has been thoroughly studied for decades in psychiatry research. Yet its integration into clinical practice as a diagnostic/prognostic tool remains unachieved. We hypothesize that a key reason is the underlying patients heterogeneity, overlooked in psychiatric EEG research relying on a case-control approach. We combine HD-EEG with normative modeling to quantify this heterogeneity using two well-established and extensively investigated EEG characteristics -spectral power and functional connectivity-across a cohort of 1674 patients with attention-deficit/hyperactivity disorder, autism spectrum disorder, learning disorder, or anxiety, and 560 matched controls. Normative models showed that deviations from population norms among patients were highly heterogeneous and frequency-dependent. Deviation spatial overlap across patients did not exceed 40% and 24% for spectral and connectivity, respectively. Considering individual deviations in patients has significantly enhanced comparative analysis, and the identification of patient-specific markers has demonstrated a correlation with clinical assessments, representing a crucial step towards attaining precision psychiatry through EEG.

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Impaired dynamics of prefrontal beta-band networks during cognitive action control in Parkinson's disease

Among the cognitive symptoms that are associated with Parkinsons disease (PD), alterations in cognitive action control (CAC) are commonly reported in patients. CAC enables the suppression of an automatic action, in favor of a goal-directed one. The implementation of CAC is time-resolved and arguably associated with dynamic changes in functional brain networks. However, the electrophysiological functional networks involved, their dynamic changes, and how these changes are affected by PD, still remain unknown. In this study, to address this gap of knowledge, 21 PD patients and 10 healthy controls (HC) underwent a Simon task while high-density electroencephalography (HD-EEG) was recorded. Source-level dynamic connectivity matrices were estimated using the phase-locking value in the beta (12-25 Hz) and gamma (30-45 Hz) frequency bands. Temporal independent component analyses were used as a dimension reduction tool to isolate the group-specific brain network states that were dominant during the task. Typical microstate metrics were quantified to investigate the presence of these states at the subject-level. Our results first confirmed that PD patients experienced difficulties in inhibiting automatic responses during the task. At the group-level, HC displayed a significant functional network state that involved typical CAC-related prefrontal and cingulate nodes (e.g., inferior frontal cortex). Both group- and subject-level analyses showed that this network was less present in PD to the benefit of other networks involving lateralized temporal and insular components. The presence of this prefrontal network was associated with decreased reaction time. In the gamma band, two networks (fronto-cingulate and fronto-temporal) followed one another in HC, while 3 partially overlapping networks that included fronto-temporal, fronto-occipital and cross-hemispheric temporal connections were found in PD. At the subject-level, differences between PD and HC were less marked. Altogether, this study showed that the functional brain networks observed during CAC and their temporal changes were different in PD patients as compared to HC, and that these differences partially relate to behavioral changes. This study also highlights that task-based dynamic functional connectivity is a promising approach in understanding the cognitive dysfunctions observed in PD and beyond. HighlightsO_LICognitive action control is associated with dynamic functional networks C_LIO_LIPrefrontal and cingulate beta connectivity are prominent in healthy controls C_LIO_LIPD patients have different dynamic networks in which prefrontal nodes are absent C_LIO_LIThe occurrence of prefrontal beta networks was associated with a decreased reaction time C_LIO_LIFunctional networks in the gamma band were temporally organized in HC, but overlapping in PD patients C_LI

neuroscience↗

Decreased integration of EEG source-space networks in disorders of consciousness

Increasing evidence links disorders of consciousness (DOC) with disruptions in functional connectivity between distant brain areas. However, to which extent the balance of brain network segregation and integration is modified in DOC patients remains unclear. Using high-density electroencephalography (EEG), the objective of our study was to characterize the local and global topological changes of DOC patients functional brain networks.\n\nResting state high-density-EEG data were collected and analyzed from 82 participants: 61 DOC patients recovering from coma with various levels of consciousness (EMCS (n=6), MCS+ (n=29), MCS- (n=17) and UWS (n=9)), and 21 healthy subjects (i.e., controls). Functional brain networks in five different EEG frequency bands and the broadband signal were estimated using an EEG connectivity approach at the source level. Graph theory-based analyses were used to evaluate group differences between healthy volunteers and patient groups.\n\nResults showed that networks in DOC patients are characterized by impaired global information processing (network integration) and increased local information processing (network segregation) as compared to controls. The large-scale functional brain networks had integration decreasing with lower level of consciousness.

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Psychological resilience correlates with EEG source-space brain network flexibility

ObjectiveWe aimed at identifying the potential relationship between the dynamical properties of the human functional network at rest and one of the most prominent traits of personality, namely resilience.\n\nApproachTo tackle this issue, we used resting-state EEG data recorded from 45 healthy subjects. Resilience was quantified using the 10-items Connor-Davidson Resilience Scale (CD-RISC). Using a sliding windows approach, brain networks in each EEG frequency band (delta, theta, alpha and beta) were constructed using the EEG source-space connectivity method. Brain networks dynamics were evaluated using the network flexibility, linked with the tendency of a given node to change its modular affiliation over time.\n\nMain ResultsThe results revealed a negative correlation between the psychological resilience and the brain network flexibility for a limited number of brain regions within the delta, alpha and beta bands.\n\nSignificanceThis study provides evidence that network flexibility, a metric of dynamic functional networks, is strongly correlated with psychological resilience as assessed from personality testing. Beyond this proof-of-principle that reliable EEG-based quantities representative of personality traits can be identified, this motivates further investigation regarding the full spectrum of personality aspects and their relationship with functional networks.

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