Characterizing and Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The COVID-19 Pandemic

To date, most longitudinal studies of adolescents’ internalizing symptoms during the COVID-19 pandemic include few time points, limiting knowledge about the long-term course of adolescents’ mental health during the pandemic. Moreover, examining intraindividual variability in symptoms, which may have important implications for adolescents’ adjustment beyond mean or “typical” symptoms, requires multiple time points. We examined the course of internalizing symptoms in 271 Ontario adolescents (mean n = 193 across time points) during the first year of the pandemic (March 2020–April 2021) via mixed-effect location scale models, drawing upon established internalizing symptom risk factors as predictors of mean trends and intraindividual variability. Adolescents’ internalizing symptoms were relatively stable and generally low over the first year of the pandemic, with severity peaking in February and April 2021. Girls showed more symptoms on average and greater intraindividual variability in symptoms. Parents’ depressive symptoms predicted intraindividual variability in adolescents’ anxious and depressive symptoms. Adolescents’ symptoms were stable and generally below clinical cutoffs. However, female adolescents and those whose parents experienced more depressive symptoms were most vulnerable to the stress of the pandemic. Implications for intervention and prevention efforts are discussed

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

GWAS meta-analysis of intrahepatic cholestasis of pregnancy implicates multiple hepatic genes and regulatory elements

Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy-specific liver disorder affecting 0.5–2% of pregnancies. The majority of cases present in the third trimester with pruritus, elevated serum bile acids and abnormal serum liver tests. ICP is associated with an increased risk of adverse outcomes, including spontaneous preterm birth and stillbirth. Whilst rare mutations affecting hepatobiliary transporters contribute to the aetiology of ICP, the role of common genetic variation in ICP has not been systematically characterised to date. Here, we perform genome-wide association studies (GWAS) and meta-analyses for ICP across three studies including 1138 cases and 153,642 controls. Eleven loci achieve genome-wide significance and have been further investigated and fine-mapped using functional genomics approaches. Our results pinpoint common sequence variation in liver-enriched genes and liver-specific cis-regulatory elements as contributing mechanisms to ICP susceptibility

Stress sensitivity and stress sensitization in psychopathology: an introduction to the special section.

The goal of this special section is to examine the mechanisms of enhanced sensitivity and sensitization to stress as they influence the etiology and pathophysiology of psychopathology. The 12 articles in the section focus on some of the most crucial and unanswered questions regarding the underlying mechanisms and functional consequences of stress sensitivity and stress sensitization in psychopathology. They address the constructs of stress sensitivity and stress sensitization using state-of-the-art, and often novel, methodologies. The special section also focuses on an important terminological distinction between two related but distinct stress mechanisms that are often conflated. Individuals who are sensitive to stress possess this characteristic as a putative trait that develops through genetically mediated transactional relations between temperamental characteristics and the early contextual environment. In contrast, individuals who are sensitized to stress become so over time through repeated exposure to external, as well as endogenous, stressors. Enhanced stress sensitivity and sensitization have been included in conceptual models of psychopathology. Yet, the specific mechanisms by which these stress processes impact the onset and course of psychiatric disorders are not fully understood. These articles focus on several mechanistic accounts of stress sensitivity and sensitization