The IMAGEN cohort: perspectives and problems of longitudinal research

• Published in: Nervenarzt 2021-03, Vol.92 (3), p.228
• Main Authors: Heinz, A, Mascarell Maricic, L, Liu, S, Walter, H, Schumann, G, Beck, A
• Format: Article
• Language: ger
• Subjects: Adolescent; Behavior, Addictive; Cohort Studies; Female; Humans; Longitudinal Studies; Neuroimaging; Pregnancy; Substance-Related Disorders
• ISSN: 1433-0407
• DOI: 10.1007/s00115-020-01034-4

Genetic risk factors for major mental disorders identified in psychiatric research show a substantial overlap. Therefore, it has been suggested that neurobiological research should focus on intermediate phenotypes that reflect shared aspects of different mental disorders due to overlapping genetic effects and environmental factors. Longitudinal studies are required to assess the interaction between genetic variability and modifying environmental factors and to investigate the effects on intermediate phenotypes and (mediated by them) on the expression of individual mental disorders. Discussion of the possibilities and limitations of longitudinal cohort studies using the IMAGEN study as an example. The results of the European IMAGEN study are presented with a focus on addiction. The longitudinal assessments of the IMAGEN cohort revealed that neuroimaging data indicating a low activation of the dopaminergic reinforcement system detected at the age of 14 years are predictive for increased drug use. In addition to genetic factors, environmental influences such as maternal smoking during pregnancy were correlated with this low activation. Longitudinal neurobiological basic research can validate the effects of candidate genes and reveal relevant environmental factors. Relevant modifiable factors indicated by the IMAGEN study and related datasets include drug use during pregnancy, trauma and other experiences of violence, social disadvantage and exclusion.