Relationship between cognitive abilities and mental health as represented by cognitive abilities at the neural and genetic levels of analysis.

Wang, Yue; Anney, Richard; Pat, Narun · Elife · 2025

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Abstract

Cognitive abilities are closely tied to mental health from early childhood. This study explores how neurobiological units of analysis of cognitive abilities-multimodal neuroimaging and polygenic scores (PGS)-represent this connection. Using data from over 11,000 children (ages 9-10) in the Adolescent Brain Cognitive Development (ABCD) Study, we applied multivariate models to predict cognitive abilities from mental health, neuroimaging, PGS, and environmental factors. Neuroimaging included 45 MRI-derived features (e.g. task/resting-state fMRI, structural MRI, diffusion imaging). Environmental factors encompassed socio-demographics (e.g. parental income/education), lifestyle (e.g. sleep, extracurricular activities), and developmental adverse events (e.g. parental use of alcohol/tobacco, pregnancy complications). Cognitive abilities were predicted by mental health (r = 0.36), neuroimaging (r = 0.54), PGS (r = 0.25), and environmental factors (r = 0.49). Commonality analyses showed that neuroimaging (66%) and PGS (21%) explained most of the cognitive-mental health link. Environmental factors accounted for 63% of the cognitive-mental health link, with neuroimaging and PGS explaining 58% and 21% of this environmental contribution, respectively. These patterns remained consistent over two years. Findings highlight the importance of neurobiological units of analysis for cognitive abilities in understanding the cognitive-mental health connection and its overlap with environmental factors.

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