A novel longitudinal clustering approach to psychopathology across diagnostic entities in the hospital-based PsyCourse study
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A novel longitudinal clustering approach to psychopathology across diagnostic entities in the hospital-based PsyCourse study. / Schulte, Eva C; Kondofersky, Ivan; Budde, Monika; Papiol, Sergi; Senner, Fanny; Schaupp, Sabrina K; Reich-Erkelenz, Daniela; Klöhn-Saghatolislam, Farahnaz; Kalman, Janos L; Gade, Katrin; Hake, Maria; Comes, Ashley L; Anderson-Schmidt, Heike; Adorjan, Kristina; Juckel, Georg; Schmauß, Max; Zimmermann, Jörg; Reimer, Jens; Wiltfang, Jens; Reininghaus, Eva Z; Anghelescu, Ion-George; Konrad, Carsten; Figge, Christian; von Hagen, Martin; Jäger, Markus; Dietrich, Detlef E; Spitzer, Carsten; Witt, Stephanie H; Forstner, Andreas J; Rietschel, Marcella; Nöthen, Markus M; Falkai, Peter; Heilbronner, Urs; Mueller, Nikola S; Schulze, Thomas G.
In: SCHIZOPHR RES, Vol. 244, 06.2022, p. 29-38.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A novel longitudinal clustering approach to psychopathology across diagnostic entities in the hospital-based PsyCourse study
AU - Schulte, Eva C
AU - Kondofersky, Ivan
AU - Budde, Monika
AU - Papiol, Sergi
AU - Senner, Fanny
AU - Schaupp, Sabrina K
AU - Reich-Erkelenz, Daniela
AU - Klöhn-Saghatolislam, Farahnaz
AU - Kalman, Janos L
AU - Gade, Katrin
AU - Hake, Maria
AU - Comes, Ashley L
AU - Anderson-Schmidt, Heike
AU - Adorjan, Kristina
AU - Juckel, Georg
AU - Schmauß, Max
AU - Zimmermann, Jörg
AU - Reimer, Jens
AU - Wiltfang, Jens
AU - Reininghaus, Eva Z
AU - Anghelescu, Ion-George
AU - Konrad, Carsten
AU - Figge, Christian
AU - von Hagen, Martin
AU - Jäger, Markus
AU - Dietrich, Detlef E
AU - Spitzer, Carsten
AU - Witt, Stephanie H
AU - Forstner, Andreas J
AU - Rietschel, Marcella
AU - Nöthen, Markus M
AU - Falkai, Peter
AU - Heilbronner, Urs
AU - Mueller, Nikola S
AU - Schulze, Thomas G
N1 - Copyright © 2022. Published by Elsevier B.V.
PY - 2022/6
Y1 - 2022/6
N2 - Biological research and clinical management in psychiatry face two major impediments: the high degree of overlap in psychopathology between diagnoses and the inherent heterogeneity with regard to severity. Here, we aim to stratify cases into homogeneous transdiagnostic subgroups using psychometric information with the ultimate aim of identifying individuals with higher risk for severe illness. 397 participants of the PsyCourse study with schizophrenia- or bipolar-spectrum diagnoses were prospectively phenotyped over 18 months. Factor analysis of mixed data of different rating scales and subsequent longitudinal clustering were used to cluster disease trajectories. Five clusters of longitudinal trajectories were identified in the psychopathologic dimensions. Clusters differed significantly with regard to Global Assessment of Functioning, disease course, and-in some cases-diagnosis while there were no significant differences regarding sex, age at baseline or onset, duration of illness, or polygenic burden for schizophrenia. Longitudinal clustering may aid in identifying transdiagnostic homogeneous subgroups of individuals with severe psychiatric disease.
AB - Biological research and clinical management in psychiatry face two major impediments: the high degree of overlap in psychopathology between diagnoses and the inherent heterogeneity with regard to severity. Here, we aim to stratify cases into homogeneous transdiagnostic subgroups using psychometric information with the ultimate aim of identifying individuals with higher risk for severe illness. 397 participants of the PsyCourse study with schizophrenia- or bipolar-spectrum diagnoses were prospectively phenotyped over 18 months. Factor analysis of mixed data of different rating scales and subsequent longitudinal clustering were used to cluster disease trajectories. Five clusters of longitudinal trajectories were identified in the psychopathologic dimensions. Clusters differed significantly with regard to Global Assessment of Functioning, disease course, and-in some cases-diagnosis while there were no significant differences regarding sex, age at baseline or onset, duration of illness, or polygenic burden for schizophrenia. Longitudinal clustering may aid in identifying transdiagnostic homogeneous subgroups of individuals with severe psychiatric disease.
KW - Bipolar Disorder/diagnosis
KW - Cluster Analysis
KW - Hospitals
KW - Humans
KW - Mental Disorders/diagnosis
KW - Psychopathology
U2 - 10.1016/j.schres.2022.05.001
DO - 10.1016/j.schres.2022.05.001
M3 - SCORING: Journal article
C2 - 35567871
VL - 244
SP - 29
EP - 38
JO - SCHIZOPHR RES
JF - SCHIZOPHR RES
SN - 0920-9964
ER -