A

Transdiagnostic alterations in white matter microstructure associated with suicidal thoughts and behaviours in the ENIGMA Suicidal Thoughts and Behaviours consortium

medRxiv

Abstract

Abstract Previous studies have suggested that alterations in white matter (WM) microstructure are implicated in suicidal thoughts and behaviours (STBs). However, findings of diffusion tensor imaging (DTI) studies have been inconsistent. In this large-scale mega-analysis conducted by the ENIGMA Suicidal Thoughts and Behaviours (ENIGMA-STB) consortium, we examined WM alterations associated with STBs. Data processing was standardised across sites, and resulting WM microstructure measures (fractional anisotropy, axial diffusivity, mean diffusivity and radial diffusivity) for 25 WM tracts were pooled across 40 cohorts. We compared these measures among individuals with a psychiatric diagnosis and lifetime history of suicide attempt ( n =652; mean age=35.4±14.7; female=71.8%), individuals with a psychiatric diagnosis but no STB (i.e., clinical controls; n =1871; mean age=34±14.8; female=59.8%), and individuals with no mental disorder diagnosis and no STB (i.e., healthy controls; n =642; mean age=29.6±13.1; female=62.9%). We also compared these measures among individuals with recent suicidal ideation ( n =714; mean age=36.3±15.3; female=66.1%), clinical controls ( n =1184; mean age=36.8±15.6; female=63.1%), and healthy controls ( n =1240; mean age= 31.6±15.5; female=61.0%). We found subtle but statistically significant effects, such as lower fractional anisotropy associated with a history of suicide attempt, over and above the effect of psychiatric diagnoses. These effects were strongest in the corona radiata, thalamic radiation, fornix/stria terminalis, corpus callosum and superior longitudinal fasciculus. Effect sizes were small (Cohen’s d < 0.25). Recent suicidal ideation was not associated with alterations in WM microstructure. This large-scale coordinated mega-analysis revealed subtle regional and global alterations in WM microstructure in individuals with a history of suicide attempt. Longitudinal studies are needed to confirm whether these alterations are a risk factor for suicidal behaviour.

Authors 96

  1. Laura S. van Velzen corresponding

    The University of Melbourne · Orygen

    Affiliation as printed

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia

    Orygen, Parkville, VIC, Australia

  2. Yale University · Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

    Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

  3. The University of Queensland · QIMR Berghofer Medical Research Institute

    Affiliation as printed

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

    School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia

  4. University of Cambridge · University of Birmingham

    Affiliation as printed

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK

  5. Yale University

    Affiliation as printed

    Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

  6. The University of Melbourne

    Affiliation as printed

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia

    Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Victoria, Australia

  7. The University of Melbourne · Orygen · Erasmus University Rotterdam

    Affiliation as printed

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia

    Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, the Netherlands

    Orygen, Parkville, VIC, Australia

  8. Deakin University · The University of Melbourne

    Affiliation as printed

    Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Victoria, Australia

    School of Psychology, Deakin University, Victoria, Australia

  9. University of Southern California

    Affiliation as printed

    Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

  10. Regeneron (United States)

    Affiliation as printed

    Regeneron Genetics Center, Tarrytown, NY, USA

  11. University of Southern California

    Affiliation as printed

    Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

  12. University of Oslo · Region Stockholm · Karolinska Institutet · Diakonhjemmet Hospital · Stockholm Health Care Services

    Affiliation as printed

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

    Centre for Psychiatry Research, Department of Clinical Ne

  13. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  14. Universidad de Cantabria · Marqués de Valdecilla University Hospital · Instituto de Investigación Marqués de Valdecilla

    Affiliation as printed

    Department of Psychiatry. Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

    Department of Psychiatry, Marqus de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

  15. National Institutes of Health · National Institute of Mental Health

    Affiliation as printed

    Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda MD, USA

  16. Fondazione Santa Lucia

    Affiliation as printed

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

  17. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  18. University of Minnesota

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA

  19. University Hospital Münster

    Affiliation as printed

    Clinic for Radiology, University Hospital Münster, Münster, Germany

    Clinic for Radiology, University Hospital Munster, Munster, Germany

  20. IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele

    Affiliation as printed

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

  21. University of Münster

    Affiliation as printed

    Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany

    Institute of Epidemiology and Social Medicine, University of Munster, Munster, Germany

  22. Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

  23. Feinstein Institute for Medical Research · Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Institute of Behavioral Sciences, Feinstein Institutes for Medical Research, Manhasset, NY, USA

    Institute of Behavioral Sciences, Feinstein Institutes for Medical Research, Manhass

  24. Centro de Investigación Biomédica en Red de Salud Mental · Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII)

    Mental Health Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain

    Mental Health Service, Hospital Universitario Virgen del Rocio, Sevilla, Spain

  25. Uppsala University · Region Stockholm · Karolinska Institutet · Stockholm Health Care Services

    Affiliation as printed

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Medical Sciences, Psychiatry, Uppsala University, Uppsala, Sweden

  26. Inserm · Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Bicêtre Hospital

    Affiliation as printed

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

    MOODS Team, INSERM 1018, CESP, Universite Paris-Saclay, Faculte de Medecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicetre, Assistance Publique-Hpitaux de Paris, Hopitaux, Universitaires Paris-Saclay, Hospital de Bicetre, Le Kreml

  27. Florida State University

    Affiliation as printed

    Department of Biomedical Sciences, Florida State University, Tallahassee, FL

    Department of Biomedical Sciences, Florida State University, Tallahassee, FL, USA

  28. Inserm · Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Bicêtre Hospital

    Affiliation as printed

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

    MOODS Team, INSERM 1018, CESP, Universite Paris Saclay, Faculte de Medecine Paris Saclay, Service Hospitalo Universitaire de Psychiatrie de Bicetre, Assistance Publique Hospitaux de Paris, Hopitaux, Universitaires Paris Saclay, Hospital de Bicetre, Le Kre

  29. Centre National de la Recherche Scientifique · Inserm · Hôpital Lapeyronie · Institut de Génomique Fonctionnelle

    Affiliation as printed

    Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France

    IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France

  30. Centre National de la Recherche Scientifique · Institut national de recherche en sciences et technologies du numérique · Inserm · The University of Queensland · Sorbonne Université · Institut des Sciences Moléculaires · Assistance Publique – Hôpitaux de Paris · Pitié-Salpêtrière Hospital · Institut du Cerveau · Institute for Molecular Bioscience

    Affiliation as printed

    Institute for Molecular Bioscience, the University of Queensland, St Lucia, QLD, Australia

    Sorbonne University, Paris Brain Institute - ICM, CNRS, Inria, Inserm, AP-HP, Hôpital de la Pitié Salpêtrière, F-75013, Paris, France

    Institute for Molecular Bioscience, The University of Queensland, St Lucia, QLD, Australia

    Sorbonne University, Paris Brain Institute - ICM, CNRS, Inria, Inserm, AP-HP, Hospital de la Pitie Salpetriere, F 75013, Paris, France

  31. Consejo Superior de Investigaciones Científicas · Instituto de Salud Carlos III · Centro de Investigación Biomédica en Red de Salud Mental · Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III (CIBERSAM), Madrid, Spain

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII)

    Mental Health Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain

    Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Ca

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla, CIBERSAM (ISCIII)

    Mental Health Service, Hospital Universitario Virgen del Rocio, Sevilla, Spain

  32. University of Minnesota

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA

  33. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  34. Université de Montpellier · Hôpital Gui de Chauliac

    Affiliation as printed

    Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

    Institut d'Imagerie Fonctionnelle Humaine, I2FH, Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

    Institut dImagerie Fonctionnelle Humaine, I2FH, Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

  35. University of California, Los Angeles · Universidad de Antioquia

    Affiliation as printed

    Center for Neurobehavioral Genetics,Semel Institute for Neuroscience and Behavior David Geffen School of Medicine, University of California Los Angeles

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Columbia

    Center for Neurobehavioral Genetics, Semel Institute for Neuroscience and Behavior, David Geffen School of Medicine, University of California Los Angeles

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de An

  36. Dalhousie University

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  37. National Institutes of Health · National Institute of Mental Health

    Affiliation as printed

    Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda MD, USA

  38. Emory University

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, USA

  39. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  40. University of Colorado Boulder

    Affiliation as printed

    Institute for Behavioral Genetics and Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA

  41. Stanford University

    Affiliation as printed

    Department of Psychology, Stanford University, Stanford, CA 94305 USA

    Department of Psychology, Stanford University, Stanford, CA, USA

  42. University of Cape Town

    Affiliation as printed

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  43. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  44. Dalhousie University

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  45. Washington University in St. Louis

    Affiliation as printed

    Department of Psychological & Brain Sciences, Washington University in St. Louis

  46. University of Münster

    Affiliation as printed

    Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany

    Institute of Epidemiology and Social Medicine, University of Munster, Munster, Germany

  47. The University of Sydney

    Affiliation as printed

    The University of Sydney, Sydney, Australia

  48. Kanazawa University · University of Fukui · Hamamatsu University · Chiba University · The University of Osaka

    Affiliation as printed

    Research Center for Child Mental Development, Chiba University

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui

  49. University of California, Los Angeles

    Affiliation as printed

    Brain Research Institute, University of California, Los Angeles, Los Angeles, CA, USA

    Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA

  50. Chiba University

    Affiliation as printed

    Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University

    Research Center for Child Mental Development, Chiba University

  51. The University of Sydney

    Affiliation as printed

    The University of Sydney, Sydney, Australia

  52. University of Cape Town

    Affiliation as printed

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  53. Østfold University of Applied Sciences · Universidade Federal de São Paulo

    Affiliation as printed

    Universidade Federal de São Paulo, Brazil

    Østfold University College Department of Education, ICT and Learning, Halden, Norway

    Ostfold University College Department of Education, ICT and Learning, Halden, Norway

    Universidade Federal de Sao Paulo, Brazil

  54. Inserm · Université Paris Cité · Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Centre Hospitalier Universitaire de Nîmes · Bicêtre Hospital · McGill University

    Affiliation as printed

    Department of psychiatry, CHU Nîmes, Nîmes, France

    Department of psychiatry, McGill University, Montreal, Canada

    Faculty of medicine, University Paris-Saclay & Bicetre hospital, APHP, Le Kremlin-Bicetre, France

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

    Bicetre, France

    Department of Psychiatry, CHU Nimes, Nimes, France

    Department of Psychiatry, McGill University, Montreal, Canada

    Faculty of Medicine, University Paris

    MOODS Team, INSERM 1018, CESP, Universit

  55. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  56. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  57. University of Cape Town

    Affiliation as printed

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  58. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  59. Philipps University of Marburg · University Hospital Bonn

    Affiliation as printed

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Department of Psychiatry, University Hospital Bonn, Bonn, Germany

  60. Université de Montpellier · Hôpital Gui de Chauliac

    Affiliation as printed

    Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

    Institut d'Imagerie Fonctionnelle Humaine, I2FH, Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

    Institut dImagerie Fonctionnelle Humaine, I2FH, Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

  61. University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Munster, Munster, Germany

  62. Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

  63. The University of Texas at Austin

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, Dell Medical School, University of Texas at Austin

    University of Texas at Austin

  64. Universidad de Antioquia

    Affiliation as printed

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Columbia

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Colombia

  65. University of Edinburgh

    Affiliation as printed

    Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom

  66. Harvard University · University of Oregon

    Affiliation as printed

    Ballmer Institute for Children's Behavioral Health, University of Oregon

    Department of Psychology, Harvard University

  67. Dalhousie University

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  68. University of Münster

    Affiliation as printed

    Institute for Translational Neuroscience, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Translational Neuroscience, University of Munster, Munster, Germany

  69. IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele

    Affiliation as printed

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

  70. UNSW Sydney

    Affiliation as printed

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

  71. The University of Texas Health Science Center at Houston

    Affiliation as printed

    Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston

    UTHealth Houston School of Behavioral Health Sciences

  72. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  73. University of Oslo · Diakonhjemmet Hospital

    Affiliation as printed

    Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  74. Centre National de la Recherche Scientifique · Inserm · Hôpital Lapeyronie · Institut de Génomique Fonctionnelle

    Affiliation as printed

    Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France

    IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France

  75. Universidad de Cantabria · Marqués de Valdecilla University Hospital · Instituto de Investigación Marqués de Valdecilla

    Affiliation as printed

    Department of Psychiatry. Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

    Department of Psychiatry, Marques de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

  76. Universidade Federal de São Paulo

    Affiliation as printed

    Universidade Federal de São Paulo, Brazil

    Universidade Federal de Sao Paulo, Brazil

  77. Centre Hospitalier Universitaire de Nîmes · Université de Nîmes

    Affiliation as printed

    Division for clinical research and innovation, University Hospital Center of Nimes, Nimes, France

    MIPA, Université de Nîmes, Nimes, France

    MIPA, Universite de Nimes, Nimes, France

  78. University of Colorado Boulder · IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele

    Affiliation as printed

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Institute for Behavioral Genetics, University of Colorado Boulder, Boulder, CO, USA

  79. University of Colorado Boulder · UNSW Sydney

    Affiliation as printed

    Institute for Behavioral Genetics, University of Colorado Boulder, Boulder, CO, USA

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

  80. Consejo Superior de Investigaciones Científicas · University of Cambridge · UNSW Sydney · Centro de Investigación Biomédica en Red de Salud Mental · Instituto de Biomedicina de Sevilla · Universidad de Sevilla

    Affiliation as printed

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla, CIBERSAM (ISCIII)

  81. Harvard University · University of Cambridge · Massachusetts General Hospital · Centro de Investigación Biomédica en Red de Salud Mental · Instituto de Biomedicina de Sevilla · Universidad de Sevilla

    Affiliation as printed

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII)

    Meditation Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

  82. Universidade Federal do Rio Grande do Sul · Harvard University · Massachusetts General Hospital · Hospital de Clínicas de Porto Alegre · Child Mind Institute

    Affiliation as printed

    Meditation Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Child Mind Institute, New York

    Universidade Federal do Rio Grande do Sul, Hospital de Clinicas de Porto Alegre, Brazil

  83. Universidade Federal do Rio Grande do Sul · University of Aberdeen · Hospital de Clínicas de Porto Alegre · Child Mind Institute

    Affiliation as printed

    Child Mind Institute, New York

    Universidade Federal do Rio Grande do Sul, Hospital de Clinicas de Porto Alegre - Porto Alegre, Brazil

    Aberdeen Biomedical Imaging Centre, University of Aberdeen, Aberdeen, UK

  84. University of Aberdeen · Region Stockholm · Karolinska Institutet · Stockholm Health Care Services

    Affiliation as printed

    Aberdeen Biomedical Imaging Centre, University of Aberdeen, Aberdeen, UK

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

  85. Kanazawa University · University of Fukui · Hamamatsu University · Chiba University · Region Stockholm · Karolinska Institutet · Stockholm Health Care Services · The University of Osaka

    Affiliation as printed

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

    Department of Cognitive Behavioral Physiolo

    Research Center for Child Mental Development, Chiba University

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui

  86. Kanazawa University · University of Fukui · Hamamatsu University · Chiba University · University of Colorado Boulder · The University of Osaka

    Affiliation as printed

    Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University

    Research Center for Child Mental Development, Chiba University

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui

    Institute for Cognitive Science, University of Colorado Boulder, Boulder, CO, USA

  87. University of Colorado Boulder · The University of Texas Health Science Center at Houston

    Affiliation as printed

    Institute for Cognitive Science, University of Colorado Boulder, Boulder, CO, USA

    Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston

  88. Baylor College of Medicine · Fondazione Santa Lucia · The University of Texas Health Science Center at Houston

    Affiliation as printed

    Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston

    UTHealth Houston School of Behavioral Health Sciences

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

    Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA

  89. University of Dundee · Baylor College of Medicine · Fondazione Santa Lucia

    Affiliation as printed

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

    Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA

    Division of Imaging Science and Technology, Medical School, University of Dundee, Dundee, UK

  90. Philipps University of Marburg · University of Dundee

    Affiliation as printed

    Division of Imaging Science and Technology, Medical School, University of Dundee, Dundee UK

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  91. South African Medical Research Council · University of Cape Town · Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town

  92. South African Medical Research Council · University of Cape Town · Philipps University of Marburg

    Affiliation as printed

    SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  93. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  94. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  95. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  96. Centre National de la Recherche Scientifique · Inserm · Philipps University of Marburg · Sorbonne Université · Institut du Cerveau

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Centre de Neuro-Imagerie de Recherche, CENIR, ICM, Paris, France

    Institut du Cerveau et de la Moelle epiniere, ICM, Inserm U 1127, CNRS UMR 7225, Sorbonne Universite, Paris, France

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References 60