PMID- 32788085 OWN - NLM STAT- MEDLINE DCOM- 20210603 LR - 20240330 IS - 2451-9030 (Electronic) IS - 2451-9022 (Print) IS - 2451-9022 (Linking) VI - 6 IP - 2 DP - 2021 Feb TI - Neuroimaging Markers of Resiliency in Youth at Clinical High Risk for Psychosis: A Qualitative Review. PG - 166-177 LID - S2451-9022(20)30139-7 [pii] LID - 10.1016/j.bpsc.2020.06.002 [doi] AB - Psychotic disorders are highly debilitating and constitute a major public health burden. Identifying markers of psychosis risk and resilience is a necessary step toward understanding etiology and informing prevention and treatment efforts in individuals at clinical high risk (CHR) for psychosis. In this context, it is important to consider that neural risk markers have been particularly useful in identifying mechanistic determinants along with predicting clinical outcomes. Notably, despite a growing body of supportive literature and the promise of recent findings identifying potential neural markers, the current work on CHR resilience markers has received little attention. The present review provides a brief overview of brain-based risk markers with a focus on predicting symptom course. Next, the review turns to protective markers, examining research from nonpsychiatric and schizophrenia fields to build an understanding of framing, priorities, and potential, applying these ideas to contextualizing a small but informative body of resiliency-relevant CHR research. Four domains (neurocognition, emotion regulation, allostatic load, and sensory and sensorimotor function) were identified and are discussed in terms of behavioral and neural markers. Taken together, the literature suggests significant predictive value for brain-based markers for individuals at CHR for psychosis, and the limited but compelling resiliency work highlights the critical importance of expanding this promising area of inquiry. CI - Copyright (c) 2020 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved. FAU - Vargas, Teresa AU - Vargas T AD - Department of Psychology, Northwestern University, Evanston, Illinois. Electronic address: teresavargas@u.northwestern.edu. FAU - Damme, Katherine S F AU - Damme KSF AD - Department of Psychology, Northwestern University, Evanston, Illinois. FAU - Ered, Arielle AU - Ered A AD - Department of Psychology, Temple University, Philadelphia, Pennsylvania. FAU - Capizzi, Riley AU - Capizzi R AD - Department of Psychology, Temple University, Philadelphia, Pennsylvania. FAU - Frosch, Isabelle AU - Frosch I AD - Department of Psychology, Northwestern University, Evanston, Illinois. FAU - Ellman, Lauren M AU - Ellman LM AD - Department of Psychology, Temple University, Philadelphia, Pennsylvania. FAU - Mittal, Vijay A AU - Mittal VA AD - Department of Psychology, Northwestern University, Evanston, Illinois; Department of Psychiatry, Northwestern University, Evanston, Illinois; Department of Medical Social Sciences, Northwestern University, Evanston, Illinois; Institute for Policy Research, Northwestern University, Evanston, Illinois; Institute for Innovations in Developmental Sciences, Northwestern University, Evanston, Illinois. LA - eng GR - R01 MH112613/MH/NIMH NIH HHS/United States GR - F31 MH119776/MH/NIMH NIH HHS/United States GR - R21 MH110374/MH/NIMH NIH HHS/United States GR - R01 MH118545/MH/NIMH NIH HHS/United States GR - R01 MH112545/MH/NIMH NIH HHS/United States GR - F31 MH119720/MH/NIMH NIH HHS/United States GR - R01 MH120091/MH/NIMH NIH HHS/United States GR - R01 MH120088/MH/NIMH NIH HHS/United States GR - R01 MH116039/MH/NIMH NIH HHS/United States GR - R21 MH119677/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20200610 PL - United States TA - Biol Psychiatry Cogn Neurosci Neuroimaging JT - Biological psychiatry. Cognitive neuroscience and neuroimaging JID - 101671285 RN - 0 (Biomarkers) SB - IM MH - Adolescent MH - Biomarkers MH - Brain/diagnostic imaging MH - Humans MH - Neuroimaging MH - *Psychotic Disorders/diagnosis MH - *Schizophrenia PMC - PMC7725930 MID - NIHMS1603429 OTO - NOTNLM OT - Biomarker OT - Clinical high risk for psychosis OT - Magnetic resonance imaging OT - Neuroimaging OT - Resilience OT - Schizophrenia EDAT- 2020/08/14 06:00 MHDA- 2021/06/04 06:00 PMCR- 2022/02/01 CRDT- 2020/08/14 06:00 PHST- 2020/06/01 00:00 [received] PHST- 2020/06/01 00:00 [revised] PHST- 2020/06/02 00:00 [accepted] PHST- 2020/08/14 06:00 [pubmed] PHST- 2021/06/04 06:00 [medline] PHST- 2020/08/14 06:00 [entrez] PHST- 2022/02/01 00:00 [pmc-release] AID - S2451-9022(20)30139-7 [pii] AID - 10.1016/j.bpsc.2020.06.002 [doi] PST - ppublish SO - Biol Psychiatry Cogn Neurosci Neuroimaging. 2021 Feb;6(2):166-177. doi: 10.1016/j.bpsc.2020.06.002. Epub 2020 Jun 10.