"Average is good, extremes are bad" - Non-linear inverted U-shaped relationship between neural mechanisms and functionality of mental features
2019 (English)In: Neuroscience and Biobehavioral Reviews, ISSN 0149-7634, E-ISSN 1873-7528, Vol. 104, p. 11-25Article, review/survey (Refereed) Published
Abstract [en]
Traditionally, studies emphasize differences in neural measures between pathological and healthy groups, assuming a binary distinction between the groups, and a linear relationship between neural measures and symptoms. Here, we present four examples that show a continuous relation across the divide of normal and pathological states between neural measures and mental functions. This relation can be characterized by a nonlinear inverted-U shaped curve. Along this curve, mid-range or average expression of a neural measure is associated with optimal function of a mental feature (in healthy states), whereas extreme expression, either high or low, is associated with sub-optimal function, and occurs in different neural disorders. Neural expression between the optimal or intermediate and pathological or extreme values is associated with sub-optimal function and atrisk mental states. Thus, this model of neuro-mental relationship can be summarized as "average is good, extremes are bad". By focussing on neuro-mental relationships, this model can facilitate the transition of psychiatry from a categorical to a dimensional and individualized approach needed in the era of precision medicine.
Place, publisher, year, edition, pages
PERGAMON-ELSEVIER SCIENCE LTD , 2019. Vol. 104, p. 11-25
Keywords [en]
Optimal, Neuro-mental relationship, Inverted-U shape model, Psychiatric diagnosis, RDoC
National Category
Neurosciences
Identifiers
URN: urn:nbn:se:uu:diva-394721DOI: 10.1016/j.neubiorev.2019.06.030ISI: 000483640500002PubMedID: 31251964OAI: oai:DiVA.org:uu-394721DiVA, id: diva2:1360150
Funder
EU, Horizon 2020, 7859072019-10-112019-10-112019-10-11Bibliographically approved