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Chunk #66 — Introduction — ENIGMA Disease Working Groups

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The ENIGMA Consortium: large-scale collaborative analyses of neuroimaging and genetic data.
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One limitation of ENIGMA to date is that the sites contributing to the meta-analysis include a clinically somewhat heterogeneous group of population-based studies, and case–control cohorts from multiple psychiatric and neurological diseases. ENIGMA’s working groups on psychiatric disorders are meta-analyzing representative datasets from schizophrenia, bipolar, depressed, ADHD, autism, OCD, 22q deletion syndrome, HIV, addiction, and other cohorts worldwide. Eventually, cross-disorder comparisons should be able to identify common and distinctive patterns of brain morphometry, and how they depend on genetic variation, and diagnostic criteria. Psychiatric cohorts vary in their inclusion and exclusion criteria, and in duration of illness, medication history, ethnicity, and in other demographics. Some studies include patients with co-morbid conditions deliberately excluded by other studies. The diversity of psychiatric cohorts in ENIGMA suggests a second wave of analyses to understand cohort-specific factors that might account for, or contribute to, the heterogeneity in results across sites. Recent work by the Psychiatric Genomics Consortium Cross-Disorders working group has identified considerable genetic overlap between several major disorders, at the level of common genetic variants (Lee et al. 2013). ENIGMA may be able