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Conceptualizing mental disorders as deviations from normative functioning.

Andre F Marquand1,2,3, Seyed Mostafa Kia4,5, Mariam Zabihi4,5

  • 1Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands. a.marquand@donders.ru.nl.

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Summary
This summary is machine-generated.

Normative models analyze individual biological data to understand mental disorders, moving beyond group averages. These statistical tools help identify unique patient variations, paving the way for precision medicine in psychiatry.

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Area of Science:

  • Psychiatry
  • Statistical modeling
  • Neuroscience

Background:

  • Mental disorders exhibit significant biological heterogeneity.
  • Current approaches often average data, masking individual differences.
  • Normative models offer a framework to analyze individual variations within clinical cohorts.

Purpose of the Study:

  • To provide a unifying review of normative modeling theory and applications in psychiatry.
  • To propose a conceptual framework linking diverse normative modeling methodologies.
  • To guide future applications of normative modeling in mental health research.

Main Methods:

  • Review of existing literature on normative modeling.
  • Focus on applications using quantitative neuroimaging biomarkers.
  • Development of a conceptual framework for normative modeling approaches.

Main Results:

  • Normative models provide statistically grounded inferences at the individual participant level.
  • These models effectively parse heterogeneity in clinical cohorts.
  • Applications in neuroimaging demonstrate utility for psychiatric biomarkers.

Conclusions:

  • Normative modeling is crucial for analyzing individual differences in heterogeneous mental disorders.
  • It bridges the gap between theoretical importance and practical data analysis.
  • Normative modeling represents a promising avenue for precision medicine in psychiatry.