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. 2023 May;1(5):304-315.
doi: 10.1038/s44220-023-00057-5. Epub 2023 May 10.

Precision behavioral phenotyping as a strategy for uncovering the biological correlates of psychopathology

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Precision behavioral phenotyping as a strategy for uncovering the biological correlates of psychopathology

Jeggan Tiego et al. Nat Ment Health. 2023 May.

Abstract

Our capacity to measure diverse aspects of human biology has developed rapidly in the past decades, but the rate at which these techniques have generated insights into the biological correlates of psychopathology has lagged far behind. The slow progress is partly due to the poor sensitivity, specificity and replicability of many findings in the literature, which have in turn been attributed to small effect sizes, small sample sizes and inadequate statistical power. A commonly proposed solution is to focus on large, consortia-sized samples. Yet it is abundantly clear that increasing sample sizes will have a limited impact unless a more fundamental issue is addressed: the precision with which target behavioral phenotypes are measured. Here, we discuss challenges, outline several ways forward and provide worked examples to demonstrate key problems and potential solutions. A precision phenotyping approach can enhance the discovery and replicability of associations between biology and psychopathology.

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Figures

Fig. 1 |
Fig. 1 |. The HiTOP model.
The broadest dimensions, reflecting common liabilities to psychopathology, are situated at the top of the hierarchy with the narrowest traits and symptom components situated at the bottom, reflecting liabilities to specific problems. Gray boxes with broken lines indicate hypothesized, but not yet confirmed, constructs. The broken single-headed arrows pointing to ‘Mania’ reflect preliminary relationships awaiting further confirmatory evidence.
Fig. 2 |
Fig. 2 |. The reflective latent variable model.
Reflective latent variable (common factor) model in which the unobserved psychobiological attribute (factor or latent construct; ξ), is conceptualized as explaining the variance/covariance in the measured variables (x1,1–x1,4) via their factor loadings (λx1,1λx1,4), which are linear regression coefficients. The indicator error variances (also residual variances or uniquenesses; θε1,1θε1,4) capture the variance in each measured variable not explained by the factor (that is, variance not shared with the other indicator variables).
Fig. 3 |
Fig. 3 |. Precision psychiatric phenotyping.
Example workflow for a precision psychiatric phenotyping approach in the context of a biology–psychopathology association study.

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