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Chunk #18 — Discussion

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The association of polygenic risk for schizophrenia, bipolar disorder, and depression with neural connectivity in adolescents and young adults: examining developmental and sex differences.
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Further, we found striking sex differences wherein polygenic risk for SCZ was associated with increased parietal-occipital and -central alpha coherence among males ages 15–19, and with fronto-central alpha coherence among females ages 25–31, mapping onto key periods of risk for the onset of psychotic illness in each group. Interestingly, this was in contrast to findings for polygenic risk for MDD, where the most robust associations were observed with central-parietal alpha coherence in both males and females at age 25, also mirroring the later clinical onset of MDD. Findings from this study support a century of theory positing SCZ as a neurodevelopmental disorder, with perturbations in brain development occurring well before the onset of symptoms. We note however, that these PRS effects are subtle (R2 values < 0.02). Findings also demonstrate the critical importance of examining sex differences in neuropsychiatric PRS-EEG coherence associations throughout development.