Evidence map›Paper›PMID 40448350›Full record

ArticleSchizophrenia bulletin2026

Brain Age Disparities in Psychosis Across DSM Diagnoses and B-SNIP Biotypes.

Liisi Promet, Shashwath A Meda, Ney Alliey-Rodriguez, Brett A Clementz, Elliott S Gershon, Scot K Hill, Elena I Ivleva, Sarah K Keedy, Matcheri S Keshavan, Jennifer E McDowell and 3 more

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Liisi PrometDepartment of Psychiatry, School of Medicine, Yale University, New Haven, CT 06511, United States.ORCID 0000-0001-6267-6645
Shashwath A MedaOlin Neuropsychiatry Research Center, Institute of Living, Hartford, CT 06106, United States.
Ney Alliey-RodriguezDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, United States.ORCID 0000-0001-8594-5676
Brett A ClementzDepartment of Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens, GA 30602, United States.
Elliott S GershonDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, United States.
Scot K HillDepartment of Psychology, Rosalind Franklin University of Medicine and Science, Chicago, IL 60064, United States.
Elena I IvlevaDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Sarah K KeedyDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, United States.
Matcheri S KeshavanDepartment of Psychiatry, Beth Israel Deaconess Medical Centre, Harvard Medical School, Boston, MA 02215, United States.
Jennifer E McDowellDepartment of Psychology, University of Georgia, Athens, GA 30602, United States.
David A ParkerDepartment of Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens, GA 30602, United States.ORCID 0000-0002-0240-4741
Carol A TammingaDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Godfrey D PearlsonDepartment of Psychiatry, School of Medicine, Yale University, New Haven, CT 06511, United States.ORCID 0000-0002-7525-5185

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
Psychosis-related Physiological and Neuronal Phenotypes in 22q11 Deletion SyndromeR01MH117315 · NIMH · EMORY UNIVERSITY · PI CUBELLS, JOSEPH F., DUNCAN, ERICA J · 2019 to 2023
$3.4M
3/4-Psychosis & Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096957 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2013 to 2015
$983k
Psychosis and Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096913 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2013 to 2015
$950k
4/6 Psychosis and Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096942 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KESHAVAN, MATCHERI S. · 2013 to 2015
$783k
4/4-Psychosis and Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096900 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2013 to 2015
$223k
NCATS NIH HHS TL1 TR002382NCATS NIH HHS TL1TR002382NCATS NIH HHS UL1 TR002378NCATS NIH HHS UL1TR002378NIH HHS R01MH117315NIMH NIH HHS MH096900NIMH NIH HHS MH096913NIMH NIH HHS MH096942NIMH NIH HHS MH096957NIMH NIH HHS R01 MH096900NIMH NIH HHS R01 MH096913NIMH NIH HHS R01 MH096942NIMH NIH HHS R01 MH096957NIMH NIH HHS R01 MH117315
6 · The paper itself

Abstract

background and hypothesisThe brain age gap (BAG) quantifies the difference between predicted brain age and chronological age. Prior research implicates higher BAG in psychotic disorders, suggesting accelerated brain aging. We hypothesized distinct brain aging profiles among biological subtypes of psychosis and intermediate BAG in their relatives. STUDY

designBrain age gap values were quantified in 348 healthy controls (HCs), 950 psychosis probands classified by both DSM diagnoses of psychotic bipolar disorder, type I (BP, n = 247), schizoaffective disorder (SAD, n = 313), and schizophrenia (SZ, n = 390), and Bipolar-Schizophrenia Network for Intermediate Phenotypes (B-SNIP) Biotypes (301 Biotype 1, 304 Biotype 2, and 345 Biotype 3), and 491 of their non-psychotic first-degree relatives. We calculated brain age values from structural T1-weighted images using the pre-trained, open-source brain age package, brainageR. In probands, we assessed associations between BAG and clinical characteristics, comorbid disorders, medications, and polygenic risk scores for SZ (PRS-SZ). STUDY

resultsAll DSM diagnosis and Biotype groups had higher BAG than HC. While no significant differences were observed between BP, SAD, or SZ, Biotypes 1 and 2 had significantly higher BAG compared to Biotype 3. Relatives exhibited intermediate BAG values between HC and probands, with the highest BAG in relatives of those with SAD. Brain age gap was not linked to comorbid disorders or PRS-SZ, but was associated with symptom severity, cognition, functioning, and psychotropic medication use.

conclusionsBipolar-Schizophrenia Network for Intermediate Phenotypes Biotypes better captured age-related brain structural differences in psychosis than DSM diagnoses. Associations between BAG and medication underscore the potential influence of pharmacotherapy on brain aging in psychosis.

Indexed as

AgingBipolar DisorderBrainPsychotic DisordersSchizophreniaAdolescentAdultDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung Adultaccelerated agingbipolar disorderschizoaffective disorderschizophreniastructural magnetic resonance imaging

Identifiers

PMID40448350
PMCPMC12809854

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.