PMID- 33950164 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20240402 IS - 2168-6238 (Electronic) IS - 2168-622X (Print) IS - 2168-622X (Linking) VI - 78 IP - 7 DP - 2021 Jul 1 TI - Association of Structural Magnetic Resonance Imaging Measures With Psychosis Onset in Individuals at Clinical High Risk for Developing Psychosis: An ENIGMA Working Group Mega-analysis. PG - 753-766 LID - 10.1001/jamapsychiatry.2021.0638 [doi] AB - IMPORTANCE: The ENIGMA clinical high risk (CHR) for psychosis initiative, the largest pooled neuroimaging sample of individuals at CHR to date, aims to discover robust neurobiological markers of psychosis risk. OBJECTIVE: To investigate baseline structural neuroimaging differences between individuals at CHR and healthy controls as well as between participants at CHR who later developed a psychotic disorder (CHR-PS+) and those who did not (CHR-PS-). DESIGN, SETTING, AND PARTICIPANTS: In this case-control study, baseline T1-weighted magnetic resonance imaging (MRI) data were pooled from 31 international sites participating in the ENIGMA Clinical High Risk for Psychosis Working Group. CHR status was assessed using the Comprehensive Assessment of At-Risk Mental States or Structured Interview for Prodromal Syndromes. MRI scans were processed using harmonized protocols and analyzed within a mega-analysis and meta-analysis framework from January to October 2020. MAIN OUTCOMES AND MEASURES: Measures of regional cortical thickness (CT), surface area, and subcortical volumes were extracted from T1-weighted MRI scans. Independent variables were group (CHR group vs control group) and conversion status (CHR-PS+ group vs CHR-PS- group vs control group). RESULTS: Of the 3169 included participants, 1428 (45.1%) were female, and the mean (SD; range) age was 21.1 (4.9; 9.5-39.9) years. This study included 1792 individuals at CHR and 1377 healthy controls. Using longitudinal clinical information, 253 in the CHR-PS+ group, 1234 in the CHR-PS- group, and 305 at CHR without follow-up data were identified. Compared with healthy controls, individuals at CHR exhibited widespread lower CT measures (mean [range] Cohen d = -0.13 [-0.17 to -0.09]), but not surface area or subcortical volume. Lower CT measures in the fusiform, superior temporal, and paracentral regions were associated with psychosis conversion (mean Cohen d = -0.22; 95% CI, -0.35 to 0.10). Among healthy controls, compared with those in the CHR-PS+ group, age showed a stronger negative association with left fusiform CT measures (F = 9.8; P < .001; q < .001) and left paracentral CT measures (F = 5.9; P = .005; q = .02). Effect sizes representing lower CT associated with psychosis conversion resembled patterns of CT differences observed in ENIGMA studies of schizophrenia (rho = 0.35; 95% CI, 0.12 to 0.55; P = .004) and individuals with 22q11.2 microdeletion syndrome and a psychotic disorder diagnosis (rho = 0.43; 95% CI, 0.20 to 0.61; P = .001). CONCLUSIONS AND RELEVANCE: This study provides evidence for widespread subtle, lower CT measures in individuals at CHR. The pattern of CT measure differences in those in the CHR-PS+ group was similar to those reported in other large-scale investigations of psychosis. Additionally, a subset of these regions displayed abnormal age associations. Widespread disruptions in CT coupled with abnormal age associations in those at CHR may point to disruptions in postnatal brain developmental processes. CN - ENIGMA Clinical High Risk for Psychosis Working Group FAU - Jalbrzikowski, Maria AU - Jalbrzikowski M AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Hayes, Rebecca A AU - Hayes RA AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Wood, Stephen J AU - Wood SJ AD - Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia. AD - Orygen, Melbourne, Australia. AD - School of Psychology, University of Birmingham, Birmingham, United Kingdom. FAU - Nordholm, Dorte AU - Nordholm D AD - Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Zhou, Juan H AU - Zhou JH AD - Center for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. AD - Center for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. FAU - Fusar-Poli, Paolo AU - Fusar-Poli P AD - Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy. AD - EPIC Lab, Department of Psychosis Studies, King's College London, London, United Kingdom. FAU - Uhlhaas, Peter J AU - Uhlhaas PJ AD - Department of Child and Adolescent Psychiatry, Charite Universitatsmedizin, Berlin, Germany. AD - Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, United Kingdom. FAU - Takahashi, Tsutomu AU - Takahashi T AD - Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Japan. AD - Research Center for Idling Brain Science, University of Toyama, Toyama, Japan. FAU - Sugranyes, Gisela AU - Sugranyes G AD - Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, 2017SGR-881, Hospital Clinic Barcelona, Institut d'Investigacions Biomediques August Pi i Sunyer, Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Universitat de Barcelona, Barcelona, Spain. FAU - Kwak, Yoo Bin AU - Kwak YB AD - Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. FAU - Mathalon, Daniel H AU - Mathalon DH AD - Department of Psychiatry and Behavioral Sciences, University of California, San Francisco. AD - San Francisco Veterans Affairs Health Care System, San Francisco, California. FAU - Katagiri, Naoyuki AU - Katagiri N AD - Department of Neuropsychiatry, Toho University School of Medicine, Tokyo, Japan. FAU - Hooker, Christine I AU - Hooker CI AD - Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois. FAU - Smigielski, Lukasz AU - Smigielski L AD - Department of Child and Adolescent Psychiatry, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland. AD - Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland. FAU - Colibazzi, Tiziano AU - Colibazzi T AD - Department of Psychiatry, Columbia University, New York, New York. AD - New York State Psychiatric Institute, New York. FAU - Via, Esther AU - Via E AD - Child and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Deu, Barcelona, Spain. AD - Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Deu, Barcelona, Spain. FAU - Tang, Jinsong AU - Tang J AD - Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China. AD - Key Laboratory of Medical Neurobiology of Zhejiang Province, School of Medicine, Zhejiang University Hangzhou, Hangzhou, China. FAU - Koike, Shinsuke AU - Koike S AD - Center for Evolutionary Cognitive Sciences, Graduate School of Art and Sciences, The University of Tokyo, Tokyo, Japan. AD - The University of Tokyo Institute for Diversity and Adaptation of Human Mind, Tokyo, Japan. FAU - Rasser, Paul E AU - Rasser PE AD - Priority Centre for Brain and Mental Health Research, The University of Newcastle, Newcastle, Australia. AD - Priority Research Centre for Stroke and Brain Injury, The University of Newcastle, Newcastle, Australia. FAU - Michel, Chantal AU - Michel C AD - University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Lebedeva, Irina AU - Lebedeva I AD - Mental Health Research Center, Moscow, Russia. FAU - Hegelstad, Wenche Ten Velden AU - Hegelstad WTV AD - Faculty of Social Sciences, University of Stavanger, Stavanger, Norway. AD - TIPS Centre for Clinical Research in Psychosis, Stavanger University Hospital, Stavanger, Norway. FAU - de la Fuente-Sandoval, Camilo AU - de la Fuente-Sandoval C AD - Laboratory of Experimental Psychiatry, Instituto Nacional de Neurologia y Neurocirugia, Mexico City, Mexico. FAU - Waltz, James A AU - Waltz JA AD - Maryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore. FAU - Mizrahi, Romina AU - Mizrahi R AD - Douglas Research Center, Montreal, Quebec, Canada. AD - McGill University, Department of Psychiatry, Montreal, Quebec, Canada. FAU - Corcoran, Cheryl M AU - Corcoran CM AD - Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York. AD - Mental Illness Research, Education and Clinical Center (MIRECC), James J. Peters VA Medical Center, New York, New York. FAU - Resch, Franz AU - Resch F AD - Clinic for Child and Adolescent Psychiatry, University Hospital of Heidelberg, Heidelberg, Germany. FAU - Tamnes, Christian K AU - Tamnes CK AD - Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway. AD - NORMENT, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. AD - PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway. FAU - Haas, Shalaila S AU - Haas SS AD - Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York. FAU - Lemmers-Jansen, Imke L J AU - Lemmers-Jansen ILJ AD - Faculty of Behavioural and Movement Sciences, Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. FAU - Agartz, Ingrid AU - Agartz I AD - Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway. AD - NORMENT, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. AD - Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. FAU - Allen, Paul AU - Allen P AD - Department of Psychology, University of Roehampton, London, United Kingdom. AD - Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. FAU - Amminger, G Paul AU - Amminger GP AD - Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia. AD - Orygen, Melbourne, Australia. FAU - Andreassen, Ole A AU - Andreassen OA AD - NORMENT, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Atkinson, Kimberley AU - Atkinson K AD - Division of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom. FAU - Bachman, Peter AU - Bachman P AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Baeza, Inmaculada AU - Baeza I AD - Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, 2017SGR-881, Hospital Clinic Barcelona, Institut d'Investigacions Biomediques August Pi i Sunyer, Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Universitat de Barcelona, Barcelona, Spain. FAU - Baldwin, Helen AU - Baldwin H AD - Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. AD - NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College London, London, United Kingdom. FAU - Bartholomeusz, Cali F AU - Bartholomeusz CF AD - Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia. AD - Orygen, Melbourne, Australia. FAU - Borgwardt, Stefan AU - Borgwardt S AD - Department of Psychiatry, University of Basel, Basel, Switzerland. AD - Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, Germany. FAU - Catalano, Sabrina AU - Catalano S AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Chee, Michael W L AU - Chee MWL AD - Center for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. FAU - Chen, Xiaogang AU - Chen X AD - National Clinical Research Center for Mental Disorders and Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. FAU - Cho, Kang Ik K AU - Cho KIK AD - Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. FAU - Cooper, Rebecca E AU - Cooper RE AD - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia. FAU - Cropley, Vanessa L AU - Cropley VL AD - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia. AD - Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University, Melbourne, Australia. FAU - Dolz, Montserrat AU - Dolz M AD - Child and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Deu, Barcelona, Spain. AD - Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Deu, Barcelona, Spain. FAU - Ebdrup, Bjorn H AU - Ebdrup BH AD - Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark. AD - Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. FAU - Fortea, Adriana AU - Fortea A AD - Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, Hospital Clinic Barcelona, Fundacio Clinic Recerca Biomedica, Universitat de Barcelona, Barcelona, Spain. FAU - Glenthoj, Louise Birkedal AU - Glenthoj LB AD - Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Glenthoj, Birte Y AU - Glenthoj BY AD - Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark. AD - Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. FAU - de Haan, Lieuwe AU - de Haan L AD - Department of Psychiatry, Amsterdam University Medical Centre, Amsterdam, the Netherlands. AD - Arkin, Amsterdam, the Netherlands. FAU - Hamilton, Holly K AU - Hamilton HK AD - Department of Psychiatry and Behavioral Sciences, University of California, San Francisco. AD - San Francisco Veterans Affairs Health Care System, San Francisco, California. FAU - Harris, Mathew A AU - Harris MA AD - Division of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom. FAU - Haut, Kristen M AU - Haut KM AD - Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois. FAU - He, Ying AU - He Y AD - National Clinical Research Center for Mental Disorders and Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Heekeren, Karsten AU - Heekeren K AD - Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland. AD - Department of Psychiatry and Psychotherapy I, LVR-Hospital Cologne, Cologne, Germany. FAU - Heinz, Andreas AU - Heinz A AD - Department of Psychiatry and Psychotherapy, Charite Universitatsmedizin, Berlin, Germany. FAU - Hubl, Daniela AU - Hubl D AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Hwang, Wu Jeong AU - Hwang WJ AD - Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. FAU - Kaess, Michael AU - Kaess M AD - University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. AD - Department of Child and Adolescent Psychiatry, Center of Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany. FAU - Kasai, Kiyoto AU - Kasai K AD - The University of Tokyo Institute for Diversity and Adaptation of Human Mind, Tokyo, Japan. AD - Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. AD - The International Research Center for Neurointelligence at The University of Tokyo Institutes for Advanced Study, The University of Tokyo, Tokyo, Japan. FAU - Kim, Minah AU - Kim M AD - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea. AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Kindler, Jochen AU - Kindler J AD - University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Klaunig, Mallory J AU - Klaunig MJ AD - Department of Psychology, University of Maryland, Baltimore County, Baltimore. FAU - Koppel, Alex AU - Koppel A AD - Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada. FAU - Kristensen, Tina D AU - Kristensen TD AD - Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. AD - Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark. FAU - Kwon, Jun Soo AU - Kwon JS AD - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea. AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Lawrie, Stephen M AU - Lawrie SM AD - Division of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom. FAU - Lee, Jimmy AU - Lee J AD - Department of Psychosis, Institute of Mental Health, Singapore. AD - Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore. FAU - Leon-Ortiz, Pablo AU - Leon-Ortiz P AD - Laboratory of Experimental Psychiatry, Instituto Nacional de Neurologia y Neurocirugia, Mexico City, Mexico. FAU - Lin, Ashleigh AU - Lin A AD - Telethon Kids Institute, The University of Western Australia, Perth, Australia. FAU - Loewy, Rachel L AU - Loewy RL AD - Department of Psychiatry and Behavioral Sciences, University of California, San Francisco. FAU - Ma, Xiaoqian AU - Ma X AD - National Clinical Research Center for Mental Disorders and Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - McGorry, Patrick AU - McGorry P AD - Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia. AD - Orygen, Melbourne, Australia. FAU - McGuire, Philip AU - McGuire P AD - Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. FAU - Mizuno, Masafumi AU - Mizuno M AD - Department of Neuropsychiatry, Toho University School of Medicine, Tokyo, Japan. FAU - Moller, Paul AU - Moller P AD - Department for Mental Health Research and Development, Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Lier, Norway. FAU - Moncada-Habib, Tomas AU - Moncada-Habib T AD - Laboratory of Experimental Psychiatry, Instituto Nacional de Neurologia y Neurocirugia, Mexico City, Mexico. FAU - Munoz-Samons, Daniel AU - Munoz-Samons D AD - Child and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Deu, Barcelona, Spain. AD - Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Deu, Barcelona, Spain. FAU - Nelson, Barnaby AU - Nelson B AD - Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia. AD - Orygen, Melbourne, Australia. FAU - Nemoto, Takahiro AU - Nemoto T AD - Department of Neuropsychiatry, Toho University School of Medicine, Tokyo, Japan. FAU - Nordentoft, Merete AU - Nordentoft M AD - Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Omelchenko, Maria A AU - Omelchenko MA AD - Mental Health Research Center, Moscow, Russia. FAU - Oppedal, Ketil AU - Oppedal K AD - Stavanger Medical Imaging Laboratory, Department of Radiology, Stavanger University Hospital, Stavanger, Norway. FAU - Ouyang, Lijun AU - Ouyang L AD - National Clinical Research Center for Mental Disorders and Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. AD - Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China. FAU - Pantelis, Christos AU - Pantelis C AD - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia. AD - Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University, Melbourne, Australia. AD - Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia. FAU - Pariente, Jose C AU - Pariente JC AD - Magnetic Resonance Imaging Core Facility, Institut d'Investigacions Biomediques August Pi i Sunyer, Barcelona, Spain. FAU - Raghava, Jayachandra M AU - Raghava JM AD - Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark. AD - Department of Clinical Physiology, Nuclear Medicine and PET, Functional Imaging Unit, University of Copenhagen, Glostrup, Denmark. FAU - Reyes-Madrigal, Francisco AU - Reyes-Madrigal F AD - Laboratory of Experimental Psychiatry, Instituto Nacional de Neurologia y Neurocirugia, Mexico City, Mexico. FAU - Roach, Brian J AU - Roach BJ AD - Department of Psychiatry and Behavioral Sciences, University of California, San Francisco. AD - San Francisco Veterans Affairs Health Care System, San Francisco, California. FAU - Rossberg, Jan I AU - Rossberg JI AD - NORMENT, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Rossler, Wulf AU - Rossler W AD - Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland. AD - Department of Psychiatry and Psychotherapy, Charite Universitatsmedizin, Berlin, Germany. FAU - Salisbury, Dean F AU - Salisbury DF AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Sasabayashi, Daiki AU - Sasabayashi D AD - Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Japan. AD - Research Center for Idling Brain Science, University of Toyama, Toyama, Japan. FAU - Schall, Ulrich AU - Schall U AD - Priority Centre for Brain and Mental Health Research, The University of Newcastle, Newcastle, Australia. AD - Priority Research Centre Grow Up Well, The University of Newcastle, Newcastle, Australia. FAU - Schiffman, Jason AU - Schiffman J AD - Department of Psychology, University of Maryland, Baltimore County, Baltimore. AD - Department of Psychological Science, University of California, Irvine. FAU - Schlagenhauf, Florian AU - Schlagenhauf F AD - Department of Psychiatry and Psychotherapy, Charite Universitatsmedizin, Berlin, Germany. FAU - Schmidt, Andre AU - Schmidt A AD - Department of Psychiatry, University of Basel, Basel, Switzerland. FAU - Sorensen, Mikkel E AU - Sorensen ME AD - Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark. FAU - Suzuki, Michio AU - Suzuki M AD - Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Japan. AD - Research Center for Idling Brain Science, University of Toyama, Toyama, Japan. FAU - Theodoridou, Anastasia AU - Theodoridou A AD - Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland. FAU - Tomyshev, Alexander S AU - Tomyshev AS AD - Mental Health Research Center, Moscow, Russia. FAU - Tor, Jordina AU - Tor J AD - Child and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Deu, Barcelona, Spain. AD - Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Deu, Barcelona, Spain. FAU - Vaernes, Tor G AU - Vaernes TG AD - NORMENT, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. AD - Early Intervention in Psychosis Advisory Unit for South-East Norway, TIPS Sor-Ost, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. FAU - Velakoulis, Dennis AU - Velakoulis D AD - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia. AD - Neuropsychiatry, The Royal Melbourne Hospital, Melbourne, Australia. FAU - Venegoni, Gloria D AU - Venegoni GD AD - Division of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom. AD - Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands. FAU - Vinogradov, Sophia AU - Vinogradov S AD - Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis. FAU - Wenneberg, Christina AU - Wenneberg C AD - Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Westlye, Lars T AU - Westlye LT AD - NORMENT, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. AD - Department of Psychology, University of Oslo, Oslo, Norway. FAU - Yamasue, Hidenori AU - Yamasue H AD - Department of Psychiatry, Hamamatsu University School of Medicine, Hamamatsu City, Japan. FAU - Yuan, Liu AU - Yuan L AD - National Clinical Research Center for Mental Disorders and Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. AD - Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China. FAU - Yung, Alison R AU - Yung AR AD - Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia. AD - Orygen, Melbourne, Australia. AD - School of Health Sciences, University of Manchester, Manchester, United Kingdom. FAU - van Amelsvoort, Therese A M J AU - van Amelsvoort TAMJ AD - Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands. FAU - Turner, Jessica A AU - Turner JA AD - Department of Psychology, Georgia State University, Atlanta. FAU - van Erp, Theo G M AU - van Erp TGM AD - Center for the Neurobiology of Learning and Memory, Irvine, California. AD - Clinical Translational Neuroscience Laboratory, Department of Psychiatry and Human Behavior, University of California, Irvine. FAU - Thompson, Paul M AU - Thompson PM AD - Imaging Genetics Center, Mark and Mary Stevens Institute for Neuroimaging and Informatics, Keck School of Medicine of USC, University of Southern California, Los Angeles. FAU - Hernaus, Dennis AU - Hernaus D AD - Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands. LA - eng GR - K23 MH085063/MH/NIMH NIH HHS/United States GR - UK G0700995/MRC_/Medical Research Council/United Kingdom GR - R01 MH115031/MH/NIMH NIH HHS/United States GR - R01 MH105246/MH/NIMH NIH HHS/United States GR - R01 MH107558/MH/NIMH NIH HHS/United States GR - MR/L011689/1/MRC_/Medical Research Council/United Kingdom GR - R01 MH094524/MH/NIMH NIH HHS/United States GR - R01 MH113564/MH/NIMH NIH HHS/United States GR - KL2 TR002387/TR/NCATS NIH HHS/United States GR - K23 MH086618/MH/NIMH NIH HHS/United States GR - T32 MH015144/MH/NIMH NIH HHS/United States GR - R01 MH112612/MH/NIMH NIH HHS/United States GR - MR/N003403/1/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom GR - K01 MH112774/MH/NIMH NIH HHS/United States GR - R21 MH117434/MH/NIMH NIH HHS/United States GR - R01 MH100043/MH/NIMH NIH HHS/United States GR - R01 MH076989/MH/NIMH NIH HHS/United States GR - R01 MH113533/MH/NIMH NIH HHS/United States GR - R01 MH081051/MH/NIMH NIH HHS/United States PT - Journal Article PT - Meta-Analysis PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - JAMA Psychiatry JT - JAMA psychiatry JID - 101589550 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Case-Control Studies MH - Cerebral Cortex/diagnostic imaging/*pathology MH - Child MH - Disease Progression MH - *Disease Susceptibility MH - Female MH - Follow-Up Studies MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - *Neuroimaging MH - Prodromal Symptoms MH - Psychotic Disorders/diagnostic imaging/*pathology MH - Risk MH - Young Adult PMC - PMC8100913 COIS- Conflict of Interest Disclosures: Dr Fusar-Poli has received grants from Lundbeck; personal fees from Angelini Pharma and Menarini Group; and nonfinancial support from Boehringer Ingelheim. Dr Uhlhaas has received grants from Lundbeck and Eli Lilly UK. Dr Takahashi has received personal fees from Toyama Hospital, Taikoyama Hospital, Saiseikai Toyama Hospital, and Greenhills Wakakusa Hospital. Dr Mathalon has served as a consultant to Boehringer Ingelheim, Cadent Therapeutics, Syndesi Therapeutics, and Recognify. Drs Via and Dolz have received personal fees from Janssen-Cilag. Dr Koike has received grants from Agency for Medical Research and Development, Japan Society for the Promotion of Science, the Naito Foundation, and Takeda Science Foundation. Dr Andreassen has received personal fees from Lundbeck and Sunovion and has served as a consultant for HealthLytix. Dr Baeza has received personal fees from Angelini Pharma, Janssen Pharmaceuticals, and Otsuka-Lundbeck. Dr Chee has served as a sleep consultant for the AIA Vitality Program. Dr Ebdrup has received personal fees for serving on advisory boards from Eli Lilly Denmark, Janssen-Cilag, Lundbeck, and Takeda and has received lecture fees from Bristol Myers Squibb, Otsuka Pharma Scandinavia, Eli Lilly and Company, Boehringer Ingelheim Denmark, and Lundbeck. Dr Fortea has received honoraria from Otsuka-Lundbeck. Dr Birte Glenthoj is the leader of a Lundbeck Foundation Centre of Excellence for Clinical Intervention and Neuropsychiatric Schizophrenia Research, which is partially funded by an independent grant from the Lundbeck Foundation and partially funded by the Mental Health Services in the Capital Region of Denmark, the University of Copenhagen, and other foundations. Dr Kaess has received grants from German Federal Ministry of Education and Research, Swiss National Science Foundation, German Research Foundation, Dietmar Hopp Foundation, Baden-Wuerttemberg Foundation, and National Health, Medical and Research Council. Dr Kasai has received grants from Novartis, Astellas, Merck Sharp and Dohme, Eli Lily and Company, Dainippon-Sumitomo Corporation, Eisai, Otsuka, Shionogi, Ono, Tanabe-Mitsubishi, and Takeda; personal fees from Otsuka, Fuji-Film, Yoshitomi, Kyowa, Janssen Pharmaceuticals, Astellas, Meiji Seika Pharma, Sumitomo Dainippon Pharma, and Takeda; and serves on the funding committees of Takeda Science Foundation and Astellas. Dr Kindler has received grants from the Swiss National Science Foundation. Dr Kristensen has received grants from Lundbeck Foundation. Dr Lawrie has received personal fees from Janssen Pharmaceuticals and Sunovion. Dr Leon-Ortiz has received personal fees from Janssen Pharmaceuticals. Dr Loewy has received grants from National Institute of Mental Health and California Mental Health Services Authority. Dr Nemoto has received grants from Otsuka as well as personal fees from Astellas, Eisai, Janssen Pharmaceuticals, Meiji Seika Pharma, Sumitomo Dainippon Pharma, and Takeda. Dr Pantelis has received grants and personal fees from Lundbeck Foundation. Dr Reyes-Madrigal has received speaker fees from Janssen (Johnson & Johnson). Dr Rossler is supported by the Zurich Program for Sustainable Development of Mental Health Services. Dr Suzuki had received personal fees from Nakagawa Hospital. Ms Tor has received personal fees from Fundacion Alicia Koplowitz. Dr Vinogradov served as a member of an advisory board for Alkermes and is an unpaid scientific collaborator for PositScience Inc. Dr Hernaus has received consulting fees from P1vital Products. No other disclosures were reported. EDAT- 2021/05/06 06:00 MHDA- 2022/01/18 06:00 PMCR- 2022/05/05 CRDT- 2021/05/05 12:29 PHST- 2021/05/06 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/05/05 12:29 [entrez] PHST- 2022/05/05 00:00 [pmc-release] AID - 2779599 [pii] AID - yoi210019 [pii] AID - 10.1001/jamapsychiatry.2021.0638 [doi] PST - ppublish SO - JAMA Psychiatry. 2021 Jul 1;78(7):753-766. doi: 10.1001/jamapsychiatry.2021.0638.