Linking cerebellar functional gradients to transdiagnostic behavioral dimensions of psychopathology

Abstract

High co-morbidity and substantial overlap across psychiatric disorders encourage a transition in psychiatry research from categorical to dimensional approaches that integrate neuroscience and psychopathology. Cerebellum is involved in a wide range of nonmotor cognitive functions and mental disorders. An important question thus centers on the extent to which cerebellar function can be linked to transdiagnostic dimensions of psychopathology. Here, this question is investigated using partial least squares to identify latent dimensions linking cerebellar connectome properties as assessed by macroscale spatial gradients of connectivity to a large set of clinical and behavioral measures in 198 participants across diagnostic categories. This analysis reveals significant correlated patterns of cerebellar connectivity gradients and behavioral measures that could be represented into four latent dimensions: general psychopathology, general lack of attention regulation, internalizing symptoms, and dysfunctional memory. Each dimension is associated with a distinct spatial pattern of cerebellar connectivity gradients. These findings highlight the relevance of cerebellar connectivity as a necessity for the study and classification of transdiagnostic dimensions of psychopathology.