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Article ; Online: Transdiagnostic neuroimaging in psychiatry: A review.

Mitelman, Serge A

2019 Volume 277, Page(s) 23–38

Abstract: Transdiagnostic approach has a long history in neuroimaging, predating its recent ascendance as a paradigm for new psychiatric nosology. Various psychiatric disorders have been compared for commonalities and differences in neuroanatomical features and ... ...

Abstract	Transdiagnostic approach has a long history in neuroimaging, predating its recent ascendance as a paradigm for new psychiatric nosology. Various psychiatric disorders have been compared for commonalities and differences in neuroanatomical features and activation patterns, with different aims and rationales. This review covers both structural and functional neuroimaging publications with direct comparison of different psychiatric disorders, including schizophrenia, bipolar disorder, major depressive disorder, autism spectrum disorder, obsessive-compulsive disorder, attention-deficit/hyperactivity disorder, conduct disorder, anorexia nervosa, and bulimia nervosa. Major findings are systematically presented along with specific rationales for each comparison.
MeSH term(s)	Adult ; Female ; Humans ; Male ; Mental Disorders/diagnostic imaging ; Neuroimaging/methods ; Psychiatry/methods
Language	English
Publishing date	2019-01-08
Publishing country	Ireland
Document type	Journal Article ; Review
ZDB-ID	445361-x
ISSN	1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7123 ; 1872-7506
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.psychres.2019.01.026
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Article ; Online: The impact of scaffolded and non-scaffolded suicidal virtual human interaction training on clinician emotional self-awareness, empathic communication, and clinical efficacy.

Yao, Heng / Gomes de Siqueira, Alexandre / Rogers, Megan L / Bloch-Elkouby, Sarah / Lawrence, Olivia / Sarli, Giuseppe / Foster, Adriana / Mitelman, Serge A / Galynker, Igor / Lok, Benjamin

BMC medical education

2024 Volume 24, Issue 1, Page(s) 413

Abstract: Background: Clinicians working with patients at risk of suicide often experience high stress, which can result in negative emotional responses (NERs). Such negative emotional responses may lead to less empathic communication (EC) and unintentional ... ...

Abstract	Background: Clinicians working with patients at risk of suicide often experience high stress, which can result in negative emotional responses (NERs). Such negative emotional responses may lead to less empathic communication (EC) and unintentional rejection of the patient, potentially damaging the therapeutic alliance and adversely impacting suicidal outcomes. Therefore, clinicians need training to effectively manage negative emotions toward suicidal patients to improve suicidal outcomes. Methods: This study investigated the impact of virtual human interaction (VHI) training on clinicians' self-awareness of their negative emotional responses, assessed by the Therapist Response Questionnaire Suicide Form, clinicians' verbal empathic communication assessed by the Empathic Communication and Coding System, and clinical efficacy (CE). Clinical efficacy was assessed by the likelihood of subsequent appointments, perceived helpfulness, and overall interaction satisfaction as rated by individuals with lived experience of suicide attempts. Two conditions of virtual human interactions were used: one with instructions on verbal empathic communication and reminders to report negative emotional responses during the interaction (scaffolded); and the other with no such instructions or reminders (non-scaffolded). Both conditions provided pre-interaction instructions and post-interaction feedback aimed at improving clinicians' empathic communication and management of negative emotions. Sixty-two clinicians participated in three virtual human interaction sessions under one of the two conditions. Linear mixed models were utilized to evaluate the impact on clinicians' negative emotional responses, verbal empathic communication, and clinical efficacy; and to determine changes in these outcomes over time, as moderated by the training conditions. Results: Clinician participants' negative emotional responses decreased after two training sessions with virtual human interactions in both conditions. Participants in the scaffolded condition exhibited enhanced empathic communication after one training session, while two sessions were required for participants in the non-scaffolded condition. Surprisingly, after two training sessions, clinical efficacy was improved in the non-scaffolded group, while no similar improvements were observed in the scaffolded group. Conclusion: Lower clinical efficacy after virtual human interaction training in clinicians with higher verbal empathic communication suggests that nonverbal expressions of empathy are critical when interacting with suicidal patients. Future work should explore virtual human interaction training in both nonverbal and verbal empathic communication.
MeSH term(s)	Humans ; Empathy ; Suicidal Ideation ; Emotions ; Communication ; Treatment Outcome
Language	English
Publishing date	2024-04-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-024-05371-9
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Article ; Online: Four-modality imaging of unmedicated subjects with schizophrenia:

Buchsbaum, Monte S / Mitelman, Serge A / Christian, Bradley T / Merrill, Brian M / Buchsbaum, Bradley R / Mitelman, Danielle / Mukherjee, Jogeshwar / Lehrer, Douglas S

Psychiatry research. Neuroimaging

2021 Volume 320, Page(s) 111428

Abstract: Diminished prefrontal function, dopaminergic abnormalities in the striatum and thalamus, reductions in white matter integrity and frontotemporal gray matter deficits are the most replicated findings in schizophrenia. We used four imaging modalities ( ...

Abstract	Diminished prefrontal function, dopaminergic abnormalities in the striatum and thalamus, reductions in white matter integrity and frontotemporal gray matter deficits are the most replicated findings in schizophrenia. We used four imaging modalities (
MeSH term(s)	Benzamides ; Diffusion Tensor Imaging ; Fluorodeoxyglucose F18 ; Humans ; Magnetic Resonance Imaging ; Positron-Emission Tomography ; Schizophrenia/diagnosis
Chemical Substances	Benzamides ; Fluorodeoxyglucose F18 (0Z5B2CJX4D) ; fallypride (G9FWZ369GX)
Language	English
Publishing date	2021-12-18
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	445361-x
ISSN	1872-7506 ; 1872-7123 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7506 ; 1872-7123
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.pscychresns.2021.111428
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Article ; Online: Fluorodeoxyglucose positron emission tomography scans in patients with alcohol use disorder.

Bralet, Marie-Cécile / Mitelman, Serge A / Goodman, Chelain R / Lincoln, Samantha / Hazlett, Erin A / Buchsbaum, Monte S

Alcoholism, clinical and experimental research

2022 Volume 46, Issue 6, Page(s) 994–1010

Abstract: Background: Diminished uptake of fluorodeoxyglucose (FDG) has been observed in patients with alcohol use disorder (AUD) but little statistical contrast of the regional brain deficits has been undertaken. This study examined prefrontal cortex inter- ... ...

Abstract	Background: Diminished uptake of fluorodeoxyglucose (FDG) has been observed in patients with alcohol use disorder (AUD) but little statistical contrast of the regional brain deficits has been undertaken. This study examined prefrontal cortex inter-regional Brodmann area differences to delineate patterns associated with behavioral, neurotransmitter, and general toxicity hypotheses of cerebral involvement in AUD. Methods: We obtained data from FDG positron emission tomography (PET) and anatomical magnetic resonance imaging (MRI) for 87 patients with AUD and 41 age- and sex-matched healthy volunteers. Patients were alcohol dependent and had negative breathalyzer tests at the time of imaging. They were assessed with the Beck Depression Inventory, Alcohol Urge Questionnaire, Obsessive Compulsive Drinking Scale, Spielberger State/Trait Anxiety Scale, Buss-Durkee Hostility Inventory, and the Drinker Inventory of Consequences (DrInC). PET images were co-registered to MRI and both voxel × voxel statistical mapping and stereotaxic regions of interest were obtained. Results: Compared with healthy volunteers, patients with AUD had lower relative metabolic rates in the frontal, temporal, and parietal lobes, localizable most prominently to the dorsolateral and nearly all orbital prefrontal cortex, superior temporal gyrus, and inferior parietal lobule. In contrast, metabolic rates in the medial orbitofrontal and anterior cingulate cortex, and the subcortical structures (thalamus, cerebellum, ventral striatum, and the dorsal raphe nucleus) in patients were significantly greater. The severity of alcohol-related consequences as assessed by the DrInC scale was most highly associated with lower metabolism in the caudate, dorsolateral prefrontal, frontopolar, and anteroposterior cingulate cortex. Conclusions: Despite widespread metabolic abnormalities, decreases in AUD were most marked in frontal executive areas, consistent with diminished impulse control, and increases were most prominent in the striatum and cingulate areas, consistent with a suppressed reward system.
MeSH term(s)	Alcoholism/metabolism ; Brain/metabolism ; Brain Mapping ; Fluorodeoxyglucose F18/metabolism ; Humans ; Magnetic Resonance Imaging ; Positron-Emission Tomography
Chemical Substances	Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2022-05-10
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	428999-7
ISSN	1530-0277 ; 0145-6008
ISSN (online)	1530-0277
ISSN	0145-6008
DOI	10.1111/acer.14845
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Article ; Online: Reading abilities and dopamine D

Mitelman, Serge A / Buchsbaum, Monte S / Vyas, Nora S / Christian, Bradley T / Merrill, Brian M / Buchsbaum, Bradley R / Mitelman, Alexis M / Mukherjee, Jogeshwar / Lehrer, Douglas S

Brain and language

2021 Volume 223, Page(s) 105046

Abstract: Reading impairments are prominent trait-like features of cognitive deficits in schizophrenia, predictive of overall cognitive functioning and presumably linked to dopaminergic abnormalities. To evaluate this, we ... ...

Abstract	Reading impairments are prominent trait-like features of cognitive deficits in schizophrenia, predictive of overall cognitive functioning and presumably linked to dopaminergic abnormalities. To evaluate this, we used
MeSH term(s)	Cognition ; Dopamine ; Humans ; Positron-Emission Tomography ; Reading ; Receptors, Dopamine D2/metabolism ; Receptors, Dopamine D3/metabolism ; Schizophrenia/diagnostic imaging ; Schizophrenia/metabolism
Chemical Substances	Receptors, Dopamine D2 ; Receptors, Dopamine D3 ; Dopamine (VTD58H1Z2X)
Language	English
Publishing date	2021-11-08
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	7448-2
ISSN	1090-2155 ; 0093-934X
ISSN (online)	1090-2155
ISSN	0093-934X
DOI	10.1016/j.bandl.2021.105046
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Article ; Online: Relationship between white matter glucose metabolism and fractional anisotropy in healthy and schizophrenia subjects.

Mitelman, Serge A / Buchsbaum, Monte S / Christian, Bradley T / Merrill, Brian M / Adineh, Mehdi / DeCastro, Alex / Buchsbaum, Bradley R / Lehrer, Douglas S

Psychiatry research. Neuroimaging

2020 Volume 299, Page(s) 111060

Abstract: Decreased fractional anisotropy and increased glucose utilization in the white matter have been reported in schizophrenia. These findings may be indicative of an inverse relationship between these measures of white matter integrity and metabolism. We ... ...

Abstract	Decreased fractional anisotropy and increased glucose utilization in the white matter have been reported in schizophrenia. These findings may be indicative of an inverse relationship between these measures of white matter integrity and metabolism. We used
MeSH term(s)	Anisotropy ; Corpus Callosum/physiopathology ; Diffusion Tensor Imaging ; Female ; Glucose/metabolism ; Humans ; Male ; Positron-Emission Tomography ; Schizophrenia/physiopathology ; White Matter/physiopathology ; Young Adult
Chemical Substances	Glucose (IY9XDZ35W2)
Language	English
Publishing date	2020-02-26
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	445361-x
ISSN	1872-7506 ; 1872-7123 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7506 ; 1872-7123
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.pscychresns.2020.111060
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Article ; Online: Positive association between cerebral grey matter metabolism and dopamine D

Mitelman, Serge A / Buchsbaum, Monte S / Christian, Bradley T / Merrill, Brian M / Buchsbaum, Bradley R / Mukherjee, Jogeshwar / Lehrer, Douglas S

The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry

2019 Volume 21, Issue 5, Page(s) 368–382

Abstract: Objectives: ...

Abstract	Objectives:
MeSH term(s)	Benzamides ; Dopamine ; Fluorine Radioisotopes ; Fluorodeoxyglucose F18 ; Gray Matter/diagnostic imaging ; Gray Matter/metabolism ; Humans ; Positron-Emission Tomography ; Receptors, Dopamine D2/metabolism ; Receptors, Dopamine D3/metabolism ; Schizophrenia/diagnostic imaging
Chemical Substances	Benzamides ; Fluorine Radioisotopes ; Receptors, Dopamine D2 ; Receptors, Dopamine D3 ; Fluorodeoxyglucose F18 (0Z5B2CJX4D) ; fallypride (G9FWZ369GX) ; Dopamine (VTD58H1Z2X)
Language	English
Publishing date	2019-10-07
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2051402-5
ISSN	1814-1412 ; 1562-2975
ISSN (online)	1814-1412
ISSN	1562-2975
DOI	10.1080/15622975.2019.1671609
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Article ; Online: Dopamine receptor density and white mater integrity:

Mitelman, Serge A / Buchsbaum, Monte S / Christian, Bradley T / Merrill, Brian M / Buchsbaum, Bradley R / Mukherjee, Jogeshwar / Lehrer, Douglas S

Brain imaging and behavior

2018 Volume 14, Issue 3, Page(s) 736–752

Abstract: Dopaminergic dysfunction and changes in white matter integrity are among the most replicated findings in schizophrenia. A modulating role of dopamine in myelin formation has been proposed in animal models and healthy human brain, but has not yet been ... ...

Abstract	Dopaminergic dysfunction and changes in white matter integrity are among the most replicated findings in schizophrenia. A modulating role of dopamine in myelin formation has been proposed in animal models and healthy human brain, but has not yet been systematically explored in schizophrenia. We used diffusion tensor imaging and
MeSH term(s)	Animals ; Anisotropy ; Benzamides ; Brain/diagnostic imaging ; Diffusion Tensor Imaging ; Dopamine ; Humans ; Magnetic Resonance Imaging ; Positron-Emission Tomography ; Schizophrenia/diagnostic imaging
Chemical Substances	Benzamides ; fallypride (G9FWZ369GX) ; Dopamine (VTD58H1Z2X)
Language	English
Publishing date	2018-12-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2377165-3
ISSN	1931-7565 ; 1931-7557
ISSN (online)	1931-7565
ISSN	1931-7557
DOI	10.1007/s11682-018-0012-0
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Article ; Online: Increased white matter metabolic rates in autism spectrum disorder and schizophrenia.

Mitelman, Serge A / Buchsbaum, Monte S / Young, Derek S / Haznedar, M Mehmet / Hollander, Eric / Shihabuddin, Lina / Hazlett, Erin A / Bralet, Marie-Cecile

Brain imaging and behavior

2018 Volume 12, Issue 5, Page(s) 1290–1305

Abstract: Both autism spectrum disorder (ASD) and schizophrenia are often characterized as disorders of white matter integrity. Multimodal investigations have reported elevated metabolic rates, cerebral perfusion and basal activity in various white matter regions ... ...

Abstract	Both autism spectrum disorder (ASD) and schizophrenia are often characterized as disorders of white matter integrity. Multimodal investigations have reported elevated metabolic rates, cerebral perfusion and basal activity in various white matter regions in schizophrenia, but none of these functions has previously been studied in ASD. We used
MeSH term(s)	Adult ; Autism Spectrum Disorder/diagnostic imaging ; Autism Spectrum Disorder/metabolism ; Brain/diagnostic imaging ; Brain/metabolism ; Female ; Fluorodeoxyglucose F18 ; Functional Laterality ; Gray Matter/diagnostic imaging ; Gray Matter/metabolism ; Humans ; Male ; Positron-Emission Tomography ; Radiopharmaceuticals ; Schizophrenia/diagnostic imaging ; Schizophrenia/metabolism ; White Matter/diagnostic imaging ; White Matter/metabolism
Chemical Substances	Radiopharmaceuticals ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2018-01-30
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	2377165-3
ISSN	1931-7565 ; 1931-7557
ISSN (online)	1931-7565
ISSN	1931-7557
DOI	10.1007/s11682-017-9785-9
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Article ; Online: FDG-PET scans in patients with Kraepelinian and non-Kraepelinian schizophrenia.

Bralet, Marie-Cécile / Buchsbaum, Monte S / DeCastro, Alex / Shihabuddin, Lina / Mitelman, Serge A

European archives of psychiatry and clinical neuroscience

2016 Volume 266, Issue 6, Page(s) 481–494

Abstract: We recruited 14 unmedicated patients with Kraepelinian schizophrenia (12 men and 2 women; mean age = 47 years old), 27 non-Kraepelinian patients (21 men and 6 women; mean age = 36.4 years old) and a group of 56 age- and sex-matched healthy volunteers. ... ...

Abstract	We recruited 14 unmedicated patients with Kraepelinian schizophrenia (12 men and 2 women; mean age = 47 years old), 27 non-Kraepelinian patients (21 men and 6 women; mean age = 36.4 years old) and a group of 56 age- and sex-matched healthy volunteers. FDG positron emission tomography and MRI scans were coregistered for both voxel-by-voxel statistical mapping and stereotaxic regions of interest analysis. While both Kraepelinian and non-Kraepelinian patients showed equally lower uptake than healthy volunteers in the frontal lobe, the temporal lobes (Brodmann areas 20 and 21) showed significantly greater decreases in Kraepelinian than in non-Kraepelinian patients. Kraepelinian patients had lower FDG uptake in parietal regions 39 and 40, especially in the right hemisphere, while non-Kraepelinian patients had similar reductions in the left. Only non-Kraepelinian patients had lower caudate FDG uptake than healthy volunteers. While both patient groups had lower uptake than healthy volunteers in the medial dorsal nucleus of the thalamus, Kraepelinian patients alone had higher uptake in the ventral nuclei of the thalamus. Kraepelinian patients also showed higher metabolic rates in white matter. Our results are consistent with other studies indicating that Kraepelinian schizophrenia is a subgroup of schizophrenia, characterized by temporal and right parietal deficits and normal rather than reduced caudate uptake. It suggests that Kraepelinian schizophrenia may be more primarily characterized by FDG uptake decreased in both the frontal and temporal lobes, while non-Kraepelinian schizophrenia may have deficits more limited to the frontal lobe. This is consistent with some neuropsychological and prognosis reports of disordered sensory information processing in Kraepelinian schizophrenia in addition to deficits in frontal lobe executive functions shared with the non-Kraepelinian subtype.
MeSH term(s)	Adult ; Aged ; Analysis of Variance ; Brain/diagnostic imaging ; Brain/pathology ; Case-Control Studies ; Catatonia/complications ; Catatonia/diagnostic imaging ; Dementia/complications ; Dementia/diagnostic imaging ; Female ; Fluorodeoxyglucose F18 ; Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neuropsychological Tests ; Positron-Emission Tomography ; Schizophrenia/complications ; Schizophrenia/diagnostic imaging ; Serial Learning/physiology
Chemical Substances	Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2016-09
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1045583-8
ISSN	1433-8491 ; 0175-758X ; 0940-1334
ISSN (online)	1433-8491
ISSN	0175-758X ; 0940-1334
DOI	10.1007/s00406-015-0633-x
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