Employing graph attention networks to decode psycho-metabolic interactions in Schizophrenia

Psychiatry Res. 2024 May:335:115841. doi: 10.1016/j.psychres.2024.115841. Epub 2024 Mar 11.

Abstract

Schizophrenia is a severe mental disorder characterized by intricate and underexplored interactions between psychological symptoms and metabolic health, presenting challenges in understanding the disease mechanisms and designing effective treatment strategies. To delve deeply into the complex interactions between mental and metabolic health in patients with schizophrenia, this study constructed a psycho-metabolic interaction network and optimized the Graph Attention Network (GAT). This approach reveals complex data patterns that traditional statistical analyses fail to capture. The results show that weight management and medication management play a central role in the interplay between psychiatric disorders and metabolic health. Furthermore, additional analysis revealed significant correlations between the history of psychiatric symptoms and physical health indicators, as well as the key roles of biochemical markers(e.g., triglycerides and low-density lipoprotein cholesterol), which have not been sufficiently emphasized in previous studies. This highlights the importance of medication management approaches, weight management, psychological treatment, and biomarker monitoring in comprehensive treatment and underscores the significance of the biopsychosocial model. This study is the first to utilize a GNN to explore the interactions between schizophrenia symptoms and metabolic features, providing new insights into understanding psychiatric disorders and guiding the development of more comprehensive treatment strategies for schizophrenia.

Keywords: Complex network analysis; Graph Attention Networks (GATs); Graph neural networks (gnns); Link Prediction; Metabolic health; Psychiatric health.

MeSH terms

  • Cholesterol, LDL
  • Humans
  • Research Design
  • Schizophrenia* / complications
  • Triglycerides

Substances

  • Cholesterol, LDL
  • Triglycerides