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Increased Brain-Age Gap in Young Adults With Psychotic Experiences

Year: 2025
Type: article
Abstract: Psychotic experiences (PEs) are linked to structural brain variation, but their relation to magnetic resonance imaging (MRI) derived brain-age is unclear. We hypothesized that young adults reporting PEs would show an increased brain-age gap (predicted – chronological age) and that this gap would diverge over ten years. A multilayer perceptron (2,628 training scans; age 6–50 years; mean absolute error = 4.3 years, R 2 = 0.72) estimated brain-age from T1-weighted MRIs in the Avon Longitudinal Study of Parents and Children. Participants were scanned at age around 20 years ( n = 245; 124 PEs+) and again at around 30 years ( n = 279; 69 PEs+); 113 contributed both scans. Linear mixed-effects models tested case–control, severity and time-by-group effects. At the initial timepoint, individuals with PEs showed a larger brain-age gap than controls ( d [95 % CI] = 0.70 [0.14, 1.27]; q = .029). The brain-age gap showed a trend association with PE severity ( d [95 % CI] = 1.32 [0.00, 2.64]; q = .098). At the follow-up, the group difference was non-significant ( d [95 % CI] = 0.22 [-0.08, 0.51]; q = .153). No longitudinal case–control divergence reached significance, likely reflecting limited power. Young adults who report PEs display an older-looking brain in early adulthood, consistent with atypical brain maturation. However, the gap does not clearly widen or contract by age 30. Multimodal, longitudinal cohorts spanning adolescence to mid-adulthood are needed to map psychosis-related atypical brain maturation.
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,700
OpenAlex ID: W4415682091
FWCI:
Cites: 47
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