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Flexible brain state engagement predicts cognitive control transdiagnostically.

Jean Ye, Saloni Mehta, Milana Khaitova

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    Flexible brain state engagement supports cognitive control across diverse psychiatric disorders. This brain network flexibility is key to adapting responses, offering insights into mental health variations.

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    Area of Science:

    • Neuroscience
    • Psychiatry
    • Computational Psychiatry

    Background:

    • Cognitive control is crucial for adaptation but its neural basis in psychiatric disorders is unclear.
    • Altered cognitive control is a common feature across various mental health conditions.
    • Understanding the neural mechanisms is vital for developing targeted interventions.

    Purpose of the Study:

    • To investigate if flexible recruitment of brain states serves as an intermediate phenotype for cognitive control.
    • To examine this relationship across transdiagnostic psychiatric samples.
    • To identify shared neural networks supporting cognitive control flexibility.

    Main Methods:

    • Utilized machine learning and external validation on three independent datasets (N>600).
    • Assessed cognitive control components (inhibition, shift) using task and questionnaire data.
    • Employed connectome-based predictive modeling and analyzed brain network dynamics.

    Main Results:

    • Flexible brain state engagement robustly predicted cognitive control metrics across datasets and participant groups.
    • Shared brain networks underpinned flexible brain state engagement in a transdiagnostic manner.
    • Temporal alignment of flexible brain state engagement and network connectivity correlated with better cognitive control.

    Conclusions:

    • Flexible engagement of brain states is a robust intermediate phenotype for cognitive control.
    • This flexibility supports both inter- and intra-individual differences in cognitive control.
    • Findings offer a transdiagnostic neural mechanism linking brain dynamics to cognitive function in mental health.