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024 7 _ |a 10.1093/schbul/sbaf078
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024 7 _ |a 0586-7614
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024 7 _ |a 1745-1701
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037 _ _ |a FZJ-2026-01140
082 _ _ |a 610
100 1 _ |a Franz, Marlene
|b 0
245 _ _ |a Orbitofrontal Thickness and Network Associations as Transdiagnostic Signature of Amotivation Along the Bipolar-Schizophrenia Spectrum
260 _ _ |a Oxford
|c 2025
|b Oxford Univ. Press
336 7 _ |a article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a Background and Hypothesis: Negative symptoms of schiz-ophrenia (SCZ), particularly amotivation, are prominentacross both SCZ and bipolar disorder (BD). While orbit-ofrontal cortex (OFC) alterations have been implicated inthe development of negative symptoms, their contributionsacross disorders remain to be established. Here, we exam-ined how OFC thickness and network associations relate toamotivation compared to diminished expression across theBD-SCZ spectrum.Study Design: We included 50 individuals with SCZ, 49with BD, and 122 controls. We assessed amotivation anddiminished expression and estimated thickness in the me-dial and lateral OFC as regions of interest as well as 64other cortical regions.Study Results: Across BD and SCZ, reduced right lateraland bilateral medial OFC thickness were specifically asso-ciated with amotivation, but not diminished expression orother clinical factors. We then generated intra-individualOFC structural covariance networks to evaluate how thesystem-level embedding of the OFC would link to brain-wide cortical maps of negative symptoms. We found thatmedial OFC covariance networks spatially correlatedwith the brain-wide cortical alterations of both negativesymptom dimensions. Further analyses in independentSCZ data from the ENIGMA consortium (n = 4474) re-vealed associations with lateral OFC covariance networks.Finally, the brain-wide cortical alterations of amotivationwere significantly correlated with normative functional andstructural white-matter connectivity profiles of the rightmedial and left lateral OFC as well as adjacent prefrontaland limbic regions.Conclusions: Our work identifies OFC alterations as a pos-sible transdiagnostic signature of amotivation and providesinsights into network associations underlying the system-wide cortical alterations of negative symptoms across SCZand BD
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700 1 _ |a Kebets, Valeria
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700 1 _ |a Berg, Xaver
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700 1 _ |a Georgiadis, Foivos
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700 1 _ |a Milano, Beatrice A
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700 1 _ |a Burrer, Achim
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700 1 _ |a Brakowski, Janis
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700 1 _ |a Kaiser, Stefan
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700 1 _ |a Seifritz, Erich
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700 1 _ |a Homan, Philipp
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700 1 _ |a Walton, Esther
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700 1 _ |a van Erp, Theo G M
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700 1 _ |a Turner, Jessica A
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700 1 _ |a Misic, Bratislav
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700 1 _ |a Valk, Sofie L
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700 1 _ |a Yeo, B T Thomas
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700 1 _ |a Bernhardt, Boris C
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700 1 _ |a Kirschner, Matthias
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773 _ _ |a 10.1093/schbul/sbaf078
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910 1 _ |a Forschungszentrum Jülich
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Marc 21