Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women

ABSTRACT Background Psychotic‐like experiences (PLE) represent a risk factor for later psychotic disorders and a marker for general mental distress. The connectivity and microstructure of key brain white matter pathways, including fronto–temporal trajectories, have been implicated in psychosis and p...

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Main Authors: Rikka Kjelkenes, Sara Fernandez‐Cabello, Irene Voldsbekk, Madelene Christin Holm Bukhari, Andreas Dahl, Ingvild Sandø Lofthus, Henning Stople Rise, Christian K. Tamnes, Ivan I. Maximov, Lars T. Westlye
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Brain and Behavior
Online Access:https://doi.org/10.1002/brb3.70587
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author Rikka Kjelkenes
Sara Fernandez‐Cabello
Irene Voldsbekk
Madelene Christin Holm Bukhari
Andreas Dahl
Ingvild Sandø Lofthus
Henning Stople Rise
Christian K. Tamnes
Ivan I. Maximov
Lars T. Westlye
author_facet Rikka Kjelkenes
Sara Fernandez‐Cabello
Irene Voldsbekk
Madelene Christin Holm Bukhari
Andreas Dahl
Ingvild Sandø Lofthus
Henning Stople Rise
Christian K. Tamnes
Ivan I. Maximov
Lars T. Westlye
author_sort Rikka Kjelkenes
collection DOAJ
description ABSTRACT Background Psychotic‐like experiences (PLE) represent a risk factor for later psychotic disorders and a marker for general mental distress. The connectivity and microstructure of key brain white matter pathways, including fronto–temporal trajectories, have been implicated in psychosis and psychosis‐risk. Although sex differences in PLE prevalence and characteristics have been reported, most neuroimaging studies of PLE have primarily included mixed‐sex, samples and little research has been carried out in females only. This study examines the associations between PLE and white matter characteristics in young to middle‐aged females. Methods We analyzed cross‐sectional diffusion magnetic resonance imaging (dMRI) and self‐reported data from 661 females aged 9–44 years using the 15‐item version of The Community Assessment of Psychic Experiences (CAPE) questionnaire. Associations between CAPE subscales and other psychopathology measures were tested. Using linked independent component analysis (LICA), we decomposed the voxel‐wise data from 24 dMRI metrics across five different diffusion models into 10 spatially independent components. We then examined the association between the LICA subject weights and age. Next, we tested for associations between the LICA subject weights and both CAPE total and subscales scores using Bayesian statistics. Results PLE were broadly associated with various domains of psychopathology and psychosocial factors. Moderate evidence emerged for an association between PLE and an LICA component reflecting a broad and complex pattern of diffusivity in major pathways, including the inferior fronto– occipital fasciculus, anterior thalamic radiation, and forceps minor. The persecutory ideations subscale showed the strongest evidence of an effect. Conclusion PLE in young females are associated with a distinct multimodal white matter pattern reflecting microstructural characteristics in key commissural, association, and thalamocortical pathways in young females. The findings support that LICA is a valuable tool for fusing and decomposing advanced dMRI metrics to delineate white matter patterns that show sensitivity to PLE and mental distress.
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spelling doaj-art-3267b3bca97048b7b8c069893cfc57442025-08-20T03:36:37ZengWileyBrain and Behavior2162-32792025-06-01156n/an/a10.1002/brb3.70587Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young WomenRikka Kjelkenes0Sara Fernandez‐Cabello1Irene Voldsbekk2Madelene Christin Holm Bukhari3Andreas Dahl4Ingvild Sandø Lofthus5Henning Stople Rise6Christian K. Tamnes7Ivan I. Maximov8Lars T. Westlye9Department of Psychology University of Oslo Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayDivision of Mental Health and Substance Abuse Diakonhjemmet Hospital Oslo NorwayCenter for Precision Psychiatry, Division of Mental Health and Addiction Oslo University Hospital Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayABSTRACT Background Psychotic‐like experiences (PLE) represent a risk factor for later psychotic disorders and a marker for general mental distress. The connectivity and microstructure of key brain white matter pathways, including fronto–temporal trajectories, have been implicated in psychosis and psychosis‐risk. Although sex differences in PLE prevalence and characteristics have been reported, most neuroimaging studies of PLE have primarily included mixed‐sex, samples and little research has been carried out in females only. This study examines the associations between PLE and white matter characteristics in young to middle‐aged females. Methods We analyzed cross‐sectional diffusion magnetic resonance imaging (dMRI) and self‐reported data from 661 females aged 9–44 years using the 15‐item version of The Community Assessment of Psychic Experiences (CAPE) questionnaire. Associations between CAPE subscales and other psychopathology measures were tested. Using linked independent component analysis (LICA), we decomposed the voxel‐wise data from 24 dMRI metrics across five different diffusion models into 10 spatially independent components. We then examined the association between the LICA subject weights and age. Next, we tested for associations between the LICA subject weights and both CAPE total and subscales scores using Bayesian statistics. Results PLE were broadly associated with various domains of psychopathology and psychosocial factors. Moderate evidence emerged for an association between PLE and an LICA component reflecting a broad and complex pattern of diffusivity in major pathways, including the inferior fronto– occipital fasciculus, anterior thalamic radiation, and forceps minor. The persecutory ideations subscale showed the strongest evidence of an effect. Conclusion PLE in young females are associated with a distinct multimodal white matter pattern reflecting microstructural characteristics in key commissural, association, and thalamocortical pathways in young females. The findings support that LICA is a valuable tool for fusing and decomposing advanced dMRI metrics to delineate white matter patterns that show sensitivity to PLE and mental distress.https://doi.org/10.1002/brb3.70587
spellingShingle Rikka Kjelkenes
Sara Fernandez‐Cabello
Irene Voldsbekk
Madelene Christin Holm Bukhari
Andreas Dahl
Ingvild Sandø Lofthus
Henning Stople Rise
Christian K. Tamnes
Ivan I. Maximov
Lars T. Westlye
Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women
Brain and Behavior
title Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women
title_full Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women
title_fullStr Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women
title_full_unstemmed Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women
title_short Linking Psychotic‐Like Experiences and Brain White Matter Microstructure in Young Women
title_sort linking psychotic like experiences and brain white matter microstructure in young women
url https://doi.org/10.1002/brb3.70587
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