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Displaying One Session

Session Type
Clinical/Therapeutic
Date
Sat, 04.06.2022
Session Time
12:30 - 14:00
Room
On Demand 1
Session Description
Bipolar disorders are mood disorders that rank among the leading causes of disability worldwide. Although regarded as a single clinical entity, bipolar disorders are complex and heterogeneous and could present significant inter-individual differences. This motivates efforts to characterize valid clinical and neurobiological markers of disease expression, in order to facilitate adequate diagnosis and treatment. In particular, there is an increasing understanding about the neurobiological core of bipolar disorders at both the genetic level and the brain organization. In parallel, new perspectives are emerging for improving the clinical characterisation of the disease. It has been recently argued that the optimal management of bipolar patients requires the evaluation of patient’s personal characteristics. Accordingly, it is essential to evaluate premorbid characteristics, such as temperament traits, and environmental risk factors, including childhood maltreatment, which has been emerged as one of the most important course modifiers of bipolar disorders. In this symposium, the genetic underpinnings of affective temperaments will be presented. Neuroimaging correlates have recently confirmed the importance of childhood trauma in bipolar disorders. Specifically, data on the effect of early adverse events on subcortical brain structures will be described. Moreover, the symposium will provide further new research perspectives focusing on the role of machine learning in the clinical characterisation of the disease. The understanding of clinical and neurobiological markers of bipolar disorders is essential to tailor therapeutic interventions and preventions strategies. Accordingly, data on long-term effectiveness of psychoducation in patients with bipolar disorders will be also presented.
Session Icon
On Demand

The Genetic Underpinnings of Affective Temperaments: Identifying Novel Risk Variants with a Whole Genome Analytical Approach

Session Type
Clinical/Therapeutic
Date
Sat, 04.06.2022
Session Time
12:30 - 14:00
Room
On Demand 1
Session Icon
On Demand
Lecture Time
12:30 - 12:50

Abstract

Abstract Body

One reason behind the failure to understand the neurobiological background of affective disorders and develop more effective treatments is their heterogeneity warranting identification of clinically meaningful endophenotypes. Affective temperaments, considered subclinical manifestations and pathoplastic contributors of affective illnesses may constitute such endophenotypes. 775 general population subjects were phenotyped for affective temperaments using TEMPS-A, and genotyped using Illumina's CoreExom PsychChip yielding 573141 variants. Primary SNP-based association tests were calculated using linear regression models assuming an additive genetic effect with the first 10 calculated principal components, gender, age, and other affective temperaments as covariates; a Bonferroni-corrected genome-wide significance threshold set at p≤5.0×10−8, and suggestive significance threshold set at p≤1.0x10-5. SNP-level relevances were aggregated to gene-level with the PEGASUS method, with a Bonferroni-corrected significance level set at 2.0×10-6, and suggestive significance thrshold set at p≤4.0×10-4. Functional effects of most significant SNPs as reported in public open databases based on expression quantitative trait loci (eQTL) and 3D-chromatin interactions were explored using FUMA v1.3.5. In SNP-based tests a novel genome-wide significant variant, rs3798978 (p=4.44x10-8) and several other suggestively significant SNPs in ADGRB3 were found for anxious temperament along with suggestively significant SNPs for the other four affective temperaments. In gene-based tests suggestively significant findings emerged for all five temperaments. Functional analysis suggested that several of the identified variants influence gene-expression levels or participate in chromatin interactions in brain areas implicated in affective disorders. In the next step these findings should be investigated in patient samples, and in other models of affective disorders and related phenotypes.

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Neuroimaging Correlates of Childhood Trauma in Bipolar Disorders

Session Type
Clinical/Therapeutic
Date
Sat, 04.06.2022
Session Time
12:30 - 14:00
Room
On Demand 1
Session Icon
On Demand
Lecture Time
12:50 - 13:10

Long-Term Effectiveness of Psychoeducational Interventions in Bipolar Disorders

Session Type
Clinical/Therapeutic
Date
Sat, 04.06.2022
Session Time
12:30 - 14:00
Room
On Demand 1
Session Icon
On Demand
Lecture Time
13:10 - 13:30