A

Lifespan brain structural variation reveals shared organization across mental health conditions

medRxiv

Abstract

Abstract Elucidating the neurobiological basis of neurodevelopmental and psychiatric conditions (NDPCs) remains challenging because brain alterations vary within diagnoses and overlap across them. Whether diverse alterations follow a systematic organization that may reflect shared vulnerabilities remains unknown. Here, we assembled 10,135 individuals with schizophrenia, autism, bipolar, obsessive-compulsive, generalized anxiety, and major depressive disorders, and 11,998 reference participants across six continents through the ENIGMA consortium. Using normative modeling, we quantified individual deviations in cortical thickness, surface area, and subcortical volumes relative to lifespan reference trajectories (5 to 80 years). We show that structural deviations converged along cortical axes reflecting connectome organization, maturation, and cytoarchitectonic diversity. These axes mirrored typical population variation, but their expression differed across diagnoses and partly scaled with symptom severity. Even rare and highly individualized extreme deviations followed this organization, concentrating in densely connected regions. Finally, brain structural deviations overlapped substantially across diagnoses, while differences between them increased toward the association cortex. Together, we provide large-scale evidence that structural deviations across NDPCs are systematically constrained by the brain’s intrinsic architecture. This shared organization provides a framework for reconciling individual variability with transdiagnostic similarities and motivates an integrative, systems-level understanding of mental health.

Authors 99

  1. Meike Dorothee Hettwer corresponding

    Forschungszentrum Jülich · Max Planck Institute for Human Cognitive and Brain Sciences · University of Pennsylvania

    Affiliation as printed

    Brain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Institute of Neuroscience and Medicine, Brain and Behaviour (INM-7), Research Center Jülich, Jülich, Germany

    Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

    Penn Lifespan Informatics and Neuroimaging Center, University of Pennsylvania, Philadelphia, PA, USA

  2. Children's Hospital of Philadelphia · University of Pennsylvania Health System · University of Pennsylvania

    Affiliation as printed

    Brain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Lifespan Brain Institute (LiBI) of Penn Medicine and CHOP, University of Pennsylvania, Philadelphia, PA, USA

    Penn Lifespan Informatics and Neuroimaging Center, University of Pennsylvania, Philadelphia, PA, USA

  3. Forschungszentrum Jülich · Max Planck Institute for Human Cognitive and Brain Sciences · Leipzig University

    Affiliation as printed

    Faculty of Medicine, Leipzig University, Leipzig, Germany

    Institute of Neuroscience and Medicine, Brain and Behaviour (INM-7), Research Center Jülich, Jülich, Germany

    Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

  4. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands

    Radboud University Medical Center, Nijmegen, the Netherlands

  5. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Centre for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital and University of Oslo, Oslo, Norway

    Department of Psychology, University of Oslo, Oslo, Norway

  6. Instituto de Salud Carlos III · Bellvitge University Hospital · Institut d'Investigació Biomédica de Bellvitge · Centro de Investigación Biomédica en Red de Salud Mental · Universitat de Barcelona

    Affiliation as printed

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

    Department of Clinical Sciences, Faculty of Medicine, University of Barcelona, Barcelona, Spain

    Department of Psychiatry, Bellvitge Biomedical Research Institute, Bellvitge University Hospital, Barcelona, Spain

    Psychiatry and Mental Health Group, Institut d’Investigació Biomèrica de Bellvitge (IDIBELL), Bellvitge University Hospital, Barcelona, Spain

  7. Hospital Universitario La Paz · Instituto de Salud Carlos III · Centro de Investigación Biomédica en Red de Salud Mental · Hospital La Paz Institute for Health Research · Universidad Autónoma de Madrid

    Affiliation as printed

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

    Instituto de Investigación del Hospital Universitario La Paz (IdiPAZ), Madrid, Spain

    School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain

  8. Hartford Hospital · Yale University

    Affiliation as printed

    Department of Psychiatry, Yale School of Medicine, New Haven, CN, USA

    Olin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, Hartford, CN, USA

  9. University of Lübeck

    Affiliation as printed

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

  10. National Institute of Mental Health and Neurosciences

    Affiliation as printed

    Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India

  11. Fondazione Santa Lucia · Istituti di Ricovero e Cura a Carattere Scientifico

    Affiliation as printed

    Laboratory of Neuropsychiatry, Department of Clinical Neuroscience and Neurorehabilitation, Santa Lucia Foundation Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy

  12. University of Minnesota

    Affiliation as printed

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

    University of Minnesota, Masonic Institute for the Developing Brain (MIDB), Minneapolis, MN, USA

  13. Universidade de São Paulo · Pontifícia Universidade Católica de São Paulo

    Affiliation as printed

    Department of Methods and Techniques in Psychology, Pontifical Catholic University, São Paulo, SP, Brazil

    Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil

  14. Leiden University Medical Center

    Affiliation as printed

    Leiden University Medical Center (LUMC), Department of Psychiatry, Leiden, the Netherlands

  15. Vita-Salute San Raffaele University · IRCCS Ospedale San Raffaele

    Affiliation as printed

    Psychiatry and Clinical Psychobiology Unit, Division of Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale San Raffaele, Milan, Italy

    University Vita-Salute San Raffaele, Milan, Italy

  16. Instituto de Salud Carlos III · Bellvitge University Hospital · Institut d'Investigació Biomédica de Bellvitge · Centro de Investigación Biomédica en Red de Salud Mental · Universitat de Barcelona

    Affiliation as printed

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

    Department of Clinical Sciences, Faculty of Medicine, University of Barcelona, Barcelona, Spain

    Psychiatry and Mental Health Group, Institut d’Investigació Biomèrica de Bellvitge (IDIBELL), Bellvitge University Hospital, Barcelona, Spain

  17. Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit · Friedrich Schiller University Jena

    Affiliation as printed

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany

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

  18. Fondazione Stella Maris

    Affiliation as printed

    Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Fondazione Stella Maris, Pisa, Italy

  19. University of Copenhagen · Virginia Commonwealth University

    Affiliation as printed

    Department of Clinical Medicine, Child and Adolescent Psychiatry, University of Copenhagen, Copenhagen, Denmark

    Virginia Commonwealth University, Richmond, VA, USA

  20. Affiliation as printed

    KabScientific

  21. Curtin University · Region Stockholm · Karolinska Institutet · Stockholm Health Care Services

    Affiliation as printed

    Center of Neurodevelopmental Disorders (KIND), Department of Women’s and Children’s Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden

    Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm, Sweden

    Curtin Autism Research Group, Curtin School of Allied Health, Curtin University, Perth, Australia

  22. University of Lübeck

    Affiliation as printed

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

  23. Fondazione Stella Maris

    Affiliation as printed

    Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Fondazione Stella Maris, Pisa, Italy

  24. University of Milan · Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Affiliation as printed

    Department of Neurosciences and Mental Health, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

    Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy

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

    Affiliation as printed

    Psychiatry and Clinical Psychobiology Unit, Institute of Experimental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy

  26. Harvard University · McLean Hospital

    Affiliation as printed

    McLean Hospital, Harvard Medical School, Belmont, MA, USA

  27. Leiden University · Amsterdam Neuroscience · Amsterdam University Medical Centers · University of Amsterdam

    Affiliation as printed

    Amsterdam Neuroscience, Amsterdam, The Netherlands

    Amsterdam University Medical Center, University of Amsterdam, Department of Psychiatry, Amsterdam, The Netherlands

    Section Forensic Family and Youth Care, Institute of Education and Child Studies, Leiden University, Leiden, the Netherlands

  28. Universidade de São Paulo · Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

    Affiliation as printed

    Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil

  29. Hunter Medical Research Institute · University of Newcastle Australia

    Affiliation as printed

    Hunter Medical Research Institute, New Lambton, Australia

    School of Biomedical Sciences and Pharmacy, The University of Newcastle, Callaghan, Australia

  30. University of Pisa · Fondazione Stella Maris

    Affiliation as printed

    Department of Clinical and Experimental Medicine, University of Pisa, Pisa (Italy)

    Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Fondazione Stella Maris, Pisa, Italy

  31. Georgia Institute of Technology · Emory University · Georgia State University · Center for Translational Research in Neuroimaging and Data Science

    Affiliation as printed

    Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State University/Georgia Institute of Technology/Emory University, Atlanta, GA, USA

  32. Centro de Investigación Biomédica en Red de Salud Mental · Hospital Clínic de Barcelona · Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · Universitat de Barcelona

    Affiliation as printed

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

    Department of Child and Adolescent Psychiatry and Psychology, Hospital Clinic of Barcelona, Barcelona, Spain

    Department of Medicine, Faculty of Medicine and Health Sciences, Institute of Neurosciences, University of Barcelona, Barcelona, Spain

    Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain

  33. Instituto de Salud Carlos III · Hospital de Sant Pau · Centro de Investigación Biomédica en Red de Salud Mental · Institut de Recerca Sant Pau

    Affiliation as printed

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

    Sant Pau Mental Health Research Group, Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain

  34. UNSW Sydney · Monash University

    Affiliation as printed

    Monash University, Melbourne, Australia

    School of Clinical Medicine, University of New South Wales, Sydney, Australia

  35. Swinburne University of Technology

    Affiliation as printed

    Centre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Australia

  36. The University of Melbourne

    Affiliation as printed

    Department of Psychiatry, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Parkville, Australia

  37. Cardiff University

    Affiliation as printed

    Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK

  38. The University of Queensland

    Affiliation as printed

    Faculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, Australia

  39. Kaohsiung Medical University

    Affiliation as printed

    Biomedical Artificial Intelligence Academy, Kaohsiung Medical University, Kaohsiung, Taiwan

    Department of Occupational Therapy, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan

  40. Brigham Young University

    Affiliation as printed

    Department of Psychology and Neuroscience, Brigham Young University, Provo, UT, USA

  41. IRCCS Ospedale San Raffaele

    Affiliation as printed

    Psychiatry and Clinical Psychobiology Unit, Division of Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale San Raffaele, Milan, Italy

  42. University of Minho

    Affiliation as printed

    ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal

    Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal

  43. 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 (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

    University hospital virgen del Rocío, ibis / CSIC, Sevilla, Spain

    University of Sevilla, Sevilla, Spain

  44. University of Minnesota

    Affiliation as printed

    University of Minnesota, Child and Adolescent Mental Health (CAMH) Division, Minneapolis, MN, USA

  45. Bielefeld University · University of Münster · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    Center for Intervention and Research on Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C-I-R-C), partner site Halle-Jena-Magdeburg, Germany

    Department of Psychiatry, Medical School and University Medical Center OWL, Protestant Hospital of the Bethel Foundation, Bielefeld University, Bielefeld, Germany

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

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

  46. University of California, Los Angeles

    Affiliation as printed

    Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA) School of Medicine, Los Angeles, CA, USA

    Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA

    The Ahmanson Lovelace Brain Mapping Center, University of California, Los Angeles, CA, USA

  47. Child Mind Institute

    Affiliation as printed

    Child Mind Institute, Autism Center, New York, NY, USA

  48. Yale University

    Affiliation as printed

    Anxiety Disorders Center, Institute of Living, Hartford, CN, USA

    Department of Psychiatry, Yale School of Medicine, New Haven, CN, USA

  49. Utrecht University · University Medical Center Utrecht · Amsterdam University Medical Centers · University of Amsterdam

    Affiliation as printed

    Amsterdam University Medical Center, University of Amsterdam, Department of Psychiatry, Amsterdam, The Netherlands

    Department of Psychiatry, Utrecht University Medical Center (UMC), Utrecht, the Netherlands

  50. Universidade de São Paulo · Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

    Affiliation as printed

    Laboratory of Psychiatric Neuroimaging (LIM-21), Departamento e Instituto de Psiquiatria, Hospital das Clinicas, Faculdade de Medicina Universidade de São Paulo (HCFMUSP), Faculdade de Medicina Universidade de São Paulo, Brazil

  51. Amsterdam Neuroscience · Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

    Affiliation as printed

    Amsterdam Neuroscience, Compulsivity, Impulsivity and Attention program, Amsterdam, The Netherlands

    Amsterdam University Medical Center, Department of Psychiatry, Department of Anatomy and Neuroscience, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands

  52. Goethe University Frankfurt · University Hospital Frankfurt

    Affiliation as printed

    Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany

  53. TransDeN Lab · Technische Universität Dresden

    Affiliation as printed

    Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany

  54. Nathan Kline Institute for Psychiatric Research · New York University

    Affiliation as printed

    Clinical Research, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA

    Department of Psychiatry, New York University Grossman School of Medicine, New York, NY, USA

  55. University of Minnesota

    Affiliation as printed

    Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA

    Institute of Child Development, University of Minnesota, Minneapolis, MN, USA

    University of Minnesota, Masonic Institute for the Developing Brain (MIDB), Minneapolis, MN, USA

  56. University of Minho

    Affiliation as printed

    Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal

  57. Centre for Addiction and Mental Health · University of Toronto · Hospital for Sick Children · Region Stockholm · Karolinska Institutet

    Affiliation as printed

    Center of Neurodevelopmental Disorders (KIND), Department of Women’s and Children’s Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden

    The Centre for Addiction and Mental Health, Hospital for Sick Children, Toronto, ON, Canada

    University of Toronto, Toronto, ON, Canada

  58. The University of Texas at Austin

    Affiliation as printed

    Charmaine and Gordon McGill Center for Psychedelic Research and Therapy, Department of Psychiatry and Behavioral Sciences, The University of Texas at Austin Dell Medical School, Austin, TX, USA

  59. Instituto de Salud Carlos III · Centro de Investigación Biomédica en Red de Salud Mental · Fidmag Sisters Hospitallers

    Affiliation as printed

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

    FIDMAG Sisters Hospitallers Research Foundation, Barcelona, Spain

  60. Harvard University

    Affiliation as printed

    Harvard Graduate School of Education, Cambridge, MA, USA

    Harvard University, Cambridge, MA, USA

  61. Oxford Health NHS Foundation Trust · University of Oxford

    Affiliation as printed

    Department of Psychiatry, University of Oxford, Oxford, UK

    Oxford Health NHS Foundation Trust, Oxford, UK

  62. Centre for Addiction and Mental Health · Hospital for Sick Children

    Affiliation as printed

    The Centre for Addiction and Mental Health, Hospital for Sick Children, Toronto, ON, Canada

  63. Ege University

    Affiliation as printed

    Standardization of Computational Anatomy Techniques for Cognitive and Behavioral Sciences (SoCAT) Lab, Department of Psychiatry, Faculty of the Medicine, Ege University, Izmir, Türkiye

  64. Stanford University

    Affiliation as printed

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

  65. Universitätsmedizin Greifswald · German Center for Neurodegenerative Diseases · Universität Greifswald

    Affiliation as printed

    Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany

    German Center of Neurodegenerative Diseases (DZNE) Site Rostock/Greifswald, Greifswald, Germany

  66. UNSW Sydney

    Affiliation as printed

    School of Clinical Medicine, University of New South Wales, Sydney, Australia

  67. University of Münster

    Affiliation as printed

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

  68. Heidelberg University

    Affiliation as printed

    Section for Experimental Psychopathology and Neuroimaging, Department of General Psychiatry, Heidelberg University, Heidelberg, Germany

  69. Yale University

    Affiliation as printed

    Department of Psychiatry, Yale School of Medicine, New Haven, CN, USA

  70. Yale University

    Affiliation as printed

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

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

    Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA

  71. Children's Hospital of Philadelphia · University of Pennsylvania

    Affiliation as printed

    Brain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA, USA

  72. Children's Hospital of Philadelphia · University of Pennsylvania

    Affiliation as printed

    Brain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA, USA

  73. University of Surrey

    Affiliation as printed

    School of Psychology, University of Surrey, Guildford, UK

  74. University of Bergen

    Affiliation as printed

    Department of Clinical and Biological Psychology, University of Bergen, Bergen, Norway

  75. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Centre for Research and Education in Forensic Psychiatry, Department of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway

    Department of Adult Psychiatry, Institute of Clinical Medicine, University of Oslo, Norway

  76. University of Newcastle Australia

    Affiliation as printed

    ASRB University of Newcastle, NSW, Australia

    School of Medicine and Public Health, University of Newcastle, NSW, Australia

  77. Ege University · İzmir Şehir Hastanesi

    Affiliation as printed

    Izmir City Hospital, Izmir, Turkey

    Standardization of Computational Anatomy Techniques for Cognitive and Behavioral Sciences (SoCAT) Lab, Department of Psychiatry, Faculty of the Medicine, Ege University, Izmir, Türkiye

  78. Chiba University · The University of Osaka

    Affiliation as printed

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, The University of Osaka, Suita, Japan

  79. Shanghai Jiao Tong University · Shanghai Mental Health Center

    Affiliation as printed

    Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China

  80. The University of Queensland · National Imaging Facility · Swinburne University of Technology

    Affiliation as printed

    Australian National Imaging Facility, The University of Queensland, St Lucia, Australia

    Centre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Australia

  81. University of Naples Federico II

    Affiliation as printed

    School of Psychiatry, Department of Neuroscience, University of Naples “Federico II”, Naples, Italy

  82. University of Southern California

    Affiliation as printed

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

  83. University of Cape Town

    Affiliation as printed

    Department of Psychiatry and Mental Health, Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  84. The University of Texas Health Science Center at Houston

    Affiliation as printed

    Center of Excellence on Mood Disorders, Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences at McGovern Medical School, UTHealth Houston, TX, USA

  85. George Mason University

    Affiliation as printed

    Department of Psychology, George Mason University, Fairfax, VA, USA

  86. Università Cattolica del Sacro Cuore · Agostino Gemelli University Polyclinic

    Affiliation as printed

    Department of Neuroscience, Head-Neck and Chest, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

    Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Rome, Italy

  87. Hospital General Universitario Gregorio Marañón · Instituto de Investigación Sanitaria Gregorio Marañón

    Affiliation as printed

    Instituto de Investigación Sanitaria del Hospital Gregorio Marañón (IISGM), Madrid, Spain

  88. University of British Columbia

    Affiliation as printed

    Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, Canada

  89. Georgia State University

    Affiliation as printed

    Psychology Department, Georgia State University, Atlanta, GA, USA

  90. University of Hong Kong

    Affiliation as printed

    Department of Psychology, The University of Hong Kong, Hong Kong

  91. University Hospital of Geneva

    Affiliation as printed

    Division of Adult Psychiatry, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland

  92. Hiroshima University

    Affiliation as printed

    Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

  93. University of Southern California

    Affiliation as printed

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

  94. Instituto de Salud Carlos III · Centro de Investigación Biomédica en Red de Salud Mental · Fidmag Sisters Hospitallers

    Affiliation as printed

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

    FIDMAG Sisters Hospitallers Research Foundation, Barcelona, Spain

  95. Humboldt-Universität zu Berlin

    Affiliation as printed

    Department of Psychology, Humboldt University of Berlin, Berlin, Germany

  96. Centre for Addiction and Mental Health

    Affiliation as printed

    Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, Toronto, ON, Canada

  97. Seoul National University · Seoul National University Hospital

    Affiliation as printed

    Department of Neuropsychiatry, Seoul National University Hospital, Seoul, South Korea

    Department of Psychiatry, Seoul National University College of Medicine, Seoul, South Korea

    Institute of Human Behavioral Medicine, SNU-MRC, Seoul, South Korea

  98. TransDeN Lab · Technische Universität Dresden

    Affiliation as printed

    Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany

  99. Philipps University of Marburg

    Affiliation as printed

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

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