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Episodes 31 & 32 | Biomarkers of Accelerated Aging in Severe Mental Illness - With Dr. Lisa Eyler (Parts 1 and 2)


Overview

Episode 31:

Severe mental illness (SMI) refers to mental disorders that result in significant functional impairment (e.g., schizophrenia and bipolar disorder). In this episode, we bring you Part 1 of our conversation with Lisa Eyler, Ph.D., about inflammation in individuals with SMI, how inflammation is associated with accelerated aging and other health problems, and the clinical utility of functional magnetic resonance imaging (fMRI) in this population. We also contrast the approaches of the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) and the Research Domain Criteria (RDoC).

Episode 32:

We are bringing you the second part of our conversation with Lisa Eyler, Ph.D., on age-related changes in the functional connectivity of individuals with severe mental illness (SMI). Dr. Eyler also summarizes the literature on the biomarkers of SMI in accelerated aging and the clinical utility of these biomarkers independently and in combination with behavioral strategies. After the conversation, we provide our own commentary and discuss the use of biomarkers in clinical practice.



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Lisa Eyler
Instructor Credentials

Dr. Lisa Eyler is a Professor in the University of California San Diego (UCSD) Department of Psychiatry, co-director of the Neuroimaging Unit of the San Diego VA Mental Illness, Research and Education and Clinical Center (MIRECC), and a steering committee member of UCSD’s Center for Healthy Aging. Dr. Eyler’s research focuses on understanding individual differences in cognitive and emotional functioning using neurobiological measures including structural and functional brain imaging. In particular, she has examined the relationship between cognitive deficits in schizophrenia and abnormalities of brain function and how these relationships may change with age. She completed an NIMH-funded R01 project that examined whether brain structure and function appear to age more rapidly among individuals with bipolar disorder and how this related to increasing cognitive deficits with age. An ongoing longitudinal study investigates how blood-based inflammatory markers and mood variability relate to short- and long-term cognitive changes in bipolar disorder. Dr. Eyler is also a co-investigator on a grant examining accelerated biological and inflammatory aging in schizophrenia. Additionally, she serves as a co-investigator in the Autism Center of Excellence at UCSD studying how neuroimaging measures in infants and toddlers at risk for autism can be used to predict language outcomes. She is a licensed clinical psychologist with training in neuropsychological and diagnostic assessment.


Topics Covered
  • N/A
Educational Objectives
  • Describe the nature of accelerated aging in severe mental illness (SMI).
  • Explain proposed models of the relationships between genetic profiles, immune functioning, psychiatric symptoms, and physical co-morbidities (e.g., cardiovascular, metabolic) in SMI.
  • Discuss the basic function and utility of functional magnetic resonance imaging (fMRI) for research and clinical purposes, generally, and when applied to functional connectivity and aging more specifically.
  • List some caveats that should be accounted for when interpreting results of fMRI research findings.
  • Describe the evidence for biomarkers of aging (e.g., oxidative stress, telomere length, functional connectivity) in severe mental illness (SMI).
  • Explain the “whole body approach” to SMI.
Target Audience
  • Introductory
Availability
  • Date Available: 2020-05-13
  • You may obtain CE for this podcast at any time.
Offered for CE
  • Yes
Cost
  • Members $20
  • Non-Members $25
Refund Policy
  • This podcast is not eligible for refunds
CE Credits
  • 1.5 Credit(s)
Disclosures
  • N/A
Resources
  • N/A
Bibliography
  • Dev, S. I., Moore, R. C., Soontornniyomkij, B., Achim, C. L., Jeste, D. V., & Eyler, L. T. (2017). Peripheral inflammation related to lower fMRI activation during a working memory task and resting functional connectivity among older adults: a preliminary study. Int J Geriatr Psychiatry, 32(3), 341-349.
  • Dev, S. I., Nguyen, T. T., McKenna, B. S., Sutherland, A. N., Bartsch, H., Theilmann, R. J., et al. (2017). Steeper Slope of Age-Related Changes in White Matter Microstructure and Processing Speed in Bipolar Disorder. Am J Geriatr Psychiatry, 25(7), 744-752.
  • Lee, E. E., Eyler, L. T., Wolkowitz, O. M., Martin, A. S., Reuter, C., Kraemer, H., et al. (2016). Elevated plasma F2-isoprostane levels in schizophrenia. Schizophr Res, 176(2-3), 320-326.
  • Lee, E. E., Liu, J., Tu, X., Palmer, B. W., Eyler, L. T., & Jeste, D. V. (2018). A widening longevity gap between people with schizophrenia and general population: A literature review and call for action. Schizophr Res, 196, 9-13.
  • Moore, R. C., Eyler, L. T., Mausbach, B. T., Zlatar, Z. Z., Thompson, W. K., Peavy, G., et al. (2015). Complex interplay between health and successful aging: role of perceived stress, resilience, and social support. Am J Geriatr Psychiatry, 23(6), 622-632.
  • Nguyen, T. T., Eyler, L. T., & Jeste, D. V. (2018). Systemic Biomarkers of Accelerated Aging in Schizophrenia: A Critical Review and Future Directions. Schizophr Bull, 44(2), 398-408.
  • Nguyen, T. T., Kovacevic, S., Dev, S. I., Lu, K., Liu, T. T., & Eyler, L. T. (2017). Dynamic functional connectivity in bipolar disorder is associated with executive function and processing speed: A preliminary study. Neuropsychology, 31(1), 73-83.
  • Palmer, B. W., Moore, R. C., Eyler, L. T., Pinto, L. L., Saks, E. R., & Jeste, D. V. (2018a). Avoidance of accelerated aging in schizophrenia?: Clinical and biological characterization of an exceptionally high functioning individual. Schizophr Res, 196, 45-52.
  • Palmer, B. W., Moore, R. C., Eyler, L. T., Pinto, L. L., Saks, E. R., & Jeste, D. V. (2018b). Avoidance of accelerated aging in schizophrenia?: Clinical and biological characterization of an exceptionally high functioning individual. Schizophr Res, 196, 45-52.