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García-Toro M, Gómez-Juanes R. A unified pathogenic hypothesis for mental disorders based on schismogenesis. Biosystems 2025; 250:105431. [PMID: 40010684 DOI: 10.1016/j.biosystems.2025.105431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2024] [Revised: 02/18/2025] [Accepted: 02/23/2025] [Indexed: 02/28/2025]
Abstract
Major Depressive Disorder, Bipolar Disorder, and Schizophrenia, share significant genetic, epigenetic, and phenotypic overlap, manifesting as dimensional psychopathology and convergent neuroimaging findings. These shared features have led to various models exploring common underlying pathophysiological mechanisms, including excitatory-inhibitory imbalance, the triple network model, network analysis, and social disconnection. While these models offer valuable insights, a unifying framework remains elusive. Schismogenesis, a transdisciplinary construct, is proposed to reconcile divergent perspectives on mental health conditions. Characterized by positive feedback loops leading to functional dissociation due to insufficient inhibitory control, complementary schismogenesis results in rigid hyperactivation and hypoactivation within neural, cognitive, and social networks, compromising system flexibility. This pathological process underlies the core features of Major Depressive Disorder, Bipolar Disorder, and Schizophrenia, depending on its location within networks. The schismogenesis hypothesis suggests that when individuals are overwhelmed by excessive stress or tension, they may experience a breakdown or disconnection to prevent irreversible damage, reflecting evolutionary adaptations. Importantly, the potential reversibility of schismogenesis, particularly through interventions that facilitate system reintegration, suggests promising therapeutic avenues for further exploration.
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Affiliation(s)
- Mauro García-Toro
- Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Carlos III Health Institute, Madrid, Spain; University Institute of Health Science Research (IUNICS), University of the Balearic Islands, Palma, Spain; Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain; Department of Medicine, University of the Balearic Islands, Palma, Spain.
| | - Rocío Gómez-Juanes
- Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Carlos III Health Institute, Madrid, Spain; University Institute of Health Science Research (IUNICS), University of the Balearic Islands, Palma, Spain; Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain; Department of Medicine, University of the Balearic Islands, Palma, Spain
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Metzen D, Genç E, Getzmann S, Larra MF, Wascher E, Ocklenburg S. Frontal and parietal EEG alpha asymmetry: a large-scale investigation of short-term reliability on distinct EEG systems. Brain Struct Funct 2021; 227:725-740. [PMID: 34676455 PMCID: PMC8843903 DOI: 10.1007/s00429-021-02399-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 09/28/2021] [Indexed: 11/29/2022]
Abstract
EEG resting-state alpha asymmetry is one of the most widely investigated forms of functional hemispheric asymmetries in both basic and clinical neuroscience. However, studies yield inconsistent results. One crucial prerequisite to obtain reproducible results is the reliability of the index of interest. There is a body of research suggesting a moderate-to-good reliability of EEG resting-state alpha asymmetry, but unfortunately sample sizes in these studies are typically small. This study presents the first large-scale short-term reliability study of frontal and parietal EEG resting-state alpha asymmetry. We used the Dortmund Vital Study data set containing 370 participants. In each participant, EEG resting state was recorded eight times, twice with their eyes opened, twice with their eyes-closed, each on two different EEG systems. We found good reliability of EEG alpha power and alpha asymmetry on both systems for electrode pairs. We also found that alpha power asymmetry reliability is higher in the eyes-closed condition than in the eyes-open condition. The frontomedial electrode pair showed weaker reliability than the frontolateral and parietal electrode pairs. Interestingly, we found no population-level alpha asymmetry in frontal electrodes, one of the most investigated electrode sites in alpha asymmetry research. In conclusion, our results suggest that while EEG alpha asymmetry is an overall reliable measure, frontal alpha asymmetry should be assessed using multiple electrode pairs.
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Affiliation(s)
- Dorothea Metzen
- Department of Biopsychology, Faculty of Psychology, Institute of Cognitive Neuroscience, Ruhr University Bochum, Universitätsstraße 150, 44801, Bochum, Germany.
| | - Erhan Genç
- Department of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors, Technical University of Dortmund (IfADo), 44139, Dortmund, Germany
| | - Stephan Getzmann
- Department of Ergonomics, Leibniz Research Centre for Working Environment and Human Factors, Technical University of Dortmund (IfADo), 44139, Dortmund, Germany
| | - Mauro F Larra
- Department of Ergonomics, Leibniz Research Centre for Working Environment and Human Factors, Technical University of Dortmund (IfADo), 44139, Dortmund, Germany
| | - Edmund Wascher
- Department of Ergonomics, Leibniz Research Centre for Working Environment and Human Factors, Technical University of Dortmund (IfADo), 44139, Dortmund, Germany
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Ocklenburg S, Friedrich P, Schmitz J, Schlüter C, Genc E, Güntürkün O, Peterburs J, Grimshaw G. Beyond frontal alpha: investigating hemispheric asymmetries over the EEG frequency spectrum as a function of sex and handedness. Laterality 2018; 24:505-524. [PMID: 30388061 DOI: 10.1080/1357650x.2018.1543314] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Frontal alpha EEG asymmetry, an indirect marker of asymmetries in relative frontal brain activity, are widely used in research on lateralization of emotional processing. While most authors focus on frontal electrode pairs (e.g., F3/F4 or F7/F8), several recent studies have indicated that EEG asymmetries can also be observed outside the frontal lobe and in frequency bands other than alpha. Because the focus of most EEG asymmetry research is on the correlations between asymmetry and other traits, much less is known about the distribution of patterns of asymmetry at the population level. To systematically assess these asymmetries in a representative sample, we determined EEG asymmetries across the head in the alpha, beta, delta and theta frequency bands in 235 healthy adults. We found significant asymmetries in all four frequency bands and across several brain areas, indicating that EEG asymmetries are not limited to frontal alpha. Asymmetries were not modulated by sex. They were modulated by direction of hand preference, with stronger right-handedness predicting greater right (relative to left) alpha power, or greater left (relative to right) activity. Taken together, the present results show that EEG asymmetries other than frontal alpha represent markers of asymmetric brain function that should be explored further.
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Affiliation(s)
- Sebastian Ocklenburg
- a Department of Psychology , Institute of Cognitive Neuroscience, Biopsychology, Ruhr-University Bochum , Bochum , Germany
| | - Patrick Friedrich
- a Department of Psychology , Institute of Cognitive Neuroscience, Biopsychology, Ruhr-University Bochum , Bochum , Germany
| | - Judith Schmitz
- a Department of Psychology , Institute of Cognitive Neuroscience, Biopsychology, Ruhr-University Bochum , Bochum , Germany
| | - Caroline Schlüter
- a Department of Psychology , Institute of Cognitive Neuroscience, Biopsychology, Ruhr-University Bochum , Bochum , Germany
| | - Erhan Genc
- a Department of Psychology , Institute of Cognitive Neuroscience, Biopsychology, Ruhr-University Bochum , Bochum , Germany
| | - Onur Güntürkün
- a Department of Psychology , Institute of Cognitive Neuroscience, Biopsychology, Ruhr-University Bochum , Bochum , Germany
| | - Jutta Peterburs
- b Biological Psychology , Heinrich-Heine University Düsseldorf , Bochum , Germany
| | - Gina Grimshaw
- c Cognitive and Affective Neuroscience Lab , School of Psychology, Victoria University of Wellington , Wellington , New Zealand
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O'Reilly MA, Bathelt J, Sakkalou E, Sakki H, Salt A, Dale NJ, de Haan M. Frontal EEG asymmetry and later behavior vulnerability in infants with congenital visual impairment. Clin Neurophysiol 2017; 128:2191-2199. [PMID: 28950152 PMCID: PMC6609275 DOI: 10.1016/j.clinph.2017.08.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Revised: 06/26/2017] [Accepted: 08/13/2017] [Indexed: 12/26/2022]
Abstract
OBJECTIVE Young children with congenital visual impairment (VI) are at increased risk of behavioral vulnerabilities. Studies on 'at risk' populations suggest that frontal EEG asymmetry may be associated with behavioral risk. We investigated frontal asymmetry at 1year (Time 1), behavior at 2years (Time 2) and their longitudinal associations within a sample of infants with VI. Frontal asymmetry in the VI sample at 1year was also compared cross-sectionally to an age-matched typically sighted (TS) group. METHODS At Time 1, 22 infants with VI and 10 TS infants underwent 128-channel EEG recording. Frontal asymmetry ratios were calculated from power spectral density values in the alpha frequency band. At Time 2, Achenbach Child Behavior Checklist data was obtained for the VI sample. RESULTS 63.6% of the VI sample and 50% of the TS sample showed left frontal asymmetry; no significant difference in frontal asymmetry was found between the two groups. 22.7% of the VI sample had subclinical to clinical range 'internalizing' behavior difficulties. Greater left frontal asymmetry at one year was significantly associated with greater emotionally reactive scores at two years within the VI sample (r=0.50, p=0.02). CONCLUSIONS Left frontal asymmetry correlates with later behavior risk within this vulnerable population. SIGNIFICANCE These findings make an important first contribution regarding the utility of frontal EEG asymmetry as a method to investigate risk in infants with VI.
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Affiliation(s)
- Michelle A O'Reilly
- Clinical Neurosciences Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, London, UK
| | - Joe Bathelt
- MRC Cognition & Brain Sciences Unit, University of Cambridge, UK; Cognitive Neuroscience and Neuropsychiatry Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, UK
| | - Elena Sakkalou
- Clinical Neurosciences Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, London, UK
| | - Hanna Sakki
- Clinical Neurosciences Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, London, UK
| | - Alison Salt
- Clinical Neurosciences Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, London, UK; Developmental Vision Service, Great Ormond Street Hospital NHS Foundation Trust, London, UK
| | - Naomi J Dale
- Clinical Neurosciences Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, London, UK; Developmental Vision Service, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
| | - Michelle de Haan
- Cognitive Neuroscience and Neuropsychiatry Section, Developmental Neurosciences Programme, UCL Great Ormond Street Institute of Child Health, UK
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Savage JE, Sawyers C, Roberson-Nay R, Hettema JM. The genetics of anxiety-related negative valence system traits. Am J Med Genet B Neuropsychiatr Genet 2017; 174:156-177. [PMID: 27196537 PMCID: PMC5349709 DOI: 10.1002/ajmg.b.32459] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 05/05/2016] [Indexed: 01/11/2023]
Abstract
NIMH's Research Domain Criteria (RDoC) domain of negative valence systems (NVS) captures constructs of negative affect such as fear and distress traditionally subsumed under the various internalizing disorders. Through its aims to capture dimensional measures that cut across diagnostic categories and are linked to underlying neurobiological systems, a large number of phenotypic constructs have been proposed as potential research targets. Since "genes" represent a central "unit of analysis" in the RDoC matrix, it is important for studies going forward to apply what is known about the genetics of these phenotypes as well as fill in the gaps of existing knowledge. This article reviews the extant genetic epidemiological data (twin studies, heritability) and molecular genetic association findings for a broad range of putative NVS phenotypic measures. We find that scant genetic epidemiological data is available for experimentally derived measures such as attentional bias, peripheral physiology, or brain-based measures of threat response. The molecular genetic basis of NVS phenotypes is in its infancy, since most studies have focused on a small number of candidate genes selected for putative association to anxiety disorders (ADs). Thus, more research is required to provide a firm understanding of the genetic aspects of anxiety-related NVS constructs. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Jeanne E. Savage
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA
| | - Chelsea Sawyers
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA
| | - Roxann Roberson-Nay
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA,Department of Psychiatry, Virginia Commonwealth University, Richmond, VA
| | - John M. Hettema
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA,Department of Psychiatry, Virginia Commonwealth University, Richmond, VA
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Christou AI, Wallis Y, Bair H, Crawford H, Frisson S, Zeegers MP, McCleery JP. BDNF Val(66)Met and 5-HTTLPR Genotype are Each Associated with Visual Scanning Patterns of Faces in Young Children. Front Behav Neurosci 2015. [PMID: 26217202 PMCID: PMC4500100 DOI: 10.3389/fnbeh.2015.00175] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Previous studies have documented both neuroplasticity-related BDNF Val(66)Met and emotion regulation-related 5-HTTLPR polymorphisms as genetic variants that contribute to the processing of emotions from faces. More specifically, research has shown the BDNF Met allele and the 5-HTTLPR Short allele to be associated with mechanisms of negative affectivity that relate to susceptibility for psychopathology. We examined visual scanning pathways in response to angry, happy, and neutral faces in relation to BDNF Val(66)Met and 5-HTTLPR genotyping in 49 children aged 4-7 years. Analyses revealed that variations in the visual processing of facial expressions of anger interacted with BDNF Val(66)Met genotype, such that children who carried at least one low neuroplasticity Met allele exhibited a vigilance-avoidance pattern of visual scanning compared to homozygotes for the high neuroplasticity Val allele. In a separate investigation of eye gaze towards the eye versus mouth regions of neutral faces, we observed that short allele 5-HTTLPR carriers exhibited reduced looking at the eye region compared with those with the higher serotonin uptake Long allele. Together, these findings suggest that genetic mechanisms early in life may influence the establishment of patterns of visual scanning of environmental stressors, which in conjunction with other factors such as negative life events, may lead to psychological difficulties and disorders in the later adolescent and adult years.
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Affiliation(s)
| | - Yvonne Wallis
- West Midlands Regional Genetics Laboratory, Birmingham Women's Hospital, NHS Foundation Trust , Birmingham , UK
| | - Hayley Bair
- West Midlands Regional Genetics Laboratory, Birmingham Women's Hospital, NHS Foundation Trust , Birmingham , UK
| | - Hayley Crawford
- Centre for Research in Psychology, Behaviour and Achievement, Coventry University , Coventry , UK ; Cerebra Centre for Neurodevelopmental Disorders, School of Psychology, University of Birmingham , Birmingham , UK
| | - Steven Frisson
- School of Psychology, University of Birmingham , Birmingham , UK
| | - Maurice P Zeegers
- Department of Complex Genetics, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University , Maastricht , Netherlands
| | - Joseph P McCleery
- School of Psychology, University of Birmingham , Birmingham , UK ; Center for Autism Research, Children's Hospital of Philadelphia , Philadelphia, PA , USA
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