Younga Lee
Research Fellow, Mass General Brigham
15 active projects
Sleep and psychiatric traits
Scientific Questions Being Studied
We are interested in exploring how sleep measured by Fit-bit data (objective measure) as daily behavior is associated with psychiatric traits (both questionnaire based and EHR based traits) on a phenotypic level. Meanwhile, we would also alike to explore from a genetic perspective and check if the genetic liability differs in different populations.
Project Purpose(s)
- Disease Focused Research (Psychiatric disorders)
- Ancestry
Scientific Approaches
We plan to process the time-series Fit-bit data on sleep. We plan to demonstrate the descriptive difference of sleep in different sub-populations and link with both genetic data and psychiatric traits data (questionnaire-based and EHR based).
Anticipated Findings
We anticipate to find association between sleep and various psychiatric traits (such as depression, schizophrenia, bipolar, etc.), and we anticipate that genetic liability of sleep will be different in sub-populations and thus the associations may vary in different subgroups based on genetic risks.
Demographic Categories of Interest
- Race / Ethnicity
- Geography
Data Set Used
Controlled TierResearch Team
Owner:
- Yingzhe Zhang - Graduate Trainee, Mass General Brigham
- Younga Lee - Research Fellow, Mass General Brigham
Multiancestry genetic studies of neuropsychiatric conditions (v7.2)
Scientific Questions Being Studied
Trans-ethnic genetic analysis can inform the discovery of trait- or disease-associated loci and characterize both shared and unique genetic architectures across populations. Unlike most existing biobank studies, the All of Us Research Program provides unique and valuable resources, notably its large genetic samples collected from participants having diverse racial and ethnic backgrounds. In the present study, we propose to use those diverse genetic samples to characterize genetic underpinnings that are potentially unique and/or shared across populations. We expect the findings from our trans-ethnic genetic investigation would improve the delivery of precision healthcare by facilitating personalized approaches to prevent and treat psychopathology in real-world clinical settings.
Project Purpose(s)
- Population Health
- Ancestry
Scientific Approaches
We plan to leverage both electronic health records and survey measures collected from the All of Us study participants to ascertain neuropsychiatric (both diagnosed and self-reported). Upon ascertainment of these traits, we plan to conduct genome-wide association studies and identity variants that might be associated with neuropsychiatric traits of interest. In addition, we plan to quantify the polygenic contribution to psychopathology (e.g. major depression, schizophrenia) within and across diverse populations.
Anticipated Findings
We anticipate being able to assess both shared and unique aspects in the genetic etiology of psychopathology in diverse samples and additionally evaluate the utility of trans-ethnic polygenic scores to improve risk stratification and prediction of neuropsychiatric conditions, especially among participants from communities that are historically underrepresented from biomedical studies.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierResearch Team
Owner:
- Yingzhe Zhang - Graduate Trainee, Mass General Brigham
- Younga Lee - Research Fellow, Mass General Brigham
Mental health impact of COVID-related policies
Scientific Questions Being Studied
Previous studies have reported substantial variations in the prevalence of psychiatric disorders and the distributions of social determinants of mental health outcomes. However, it remains unknown if we would observe similar patterns during the COVID-19 pandemic. We are interested in exploring social determinants of health that are known to vary substantially across the geographic regions in the United States and examining their relationship with mental health outcomes during the pandemic.
Project Purpose(s)
- Disease Focused Research (psychiatric disorders)
- Population Health
- Social / Behavioral
Scientific Approaches
We plan to use demographic and socioeconomic characteristics measured using the baseline survey, COVID-related measures from both the COPE surveys, and electronic health records in terms of datasets. We will analyze these data using statistical methods ranging from mixed-effects regression models (when modeling repeated COPE survey measurements) to causal inference methods to estimate the potential causal effects of COVID-related policies on mental health outcomes during the pandemic.
Anticipated Findings
Taking into account the regional variations in both the COVID-related policies and baseline prevalence of mental health outcomes would help us minimize confounding by geographic regions and thus allow us to produce potential causal evidence that could inform policies and interventions.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- Yingzhe Zhang - Graduate Trainee, Mass General Brigham
- Karmel Choi - Early Career Tenure-track Researcher, Mass General Brigham
- Devika Godbole - Graduate Trainee, Mass General Brigham
- Chris Kennedy - Early Career Tenure-track Researcher, Mass General Brigham
Covid Mental Health v7
Scientific Questions Being Studied
Our team has been collaborating with ELSA UK and ELSA Brazil cohorts through the International Hundred K+ Cohort Consortium to examine the mental health consequences of the global COVID-19 pandemic in different countries. As the site based in the U.S., we decided to use data from the All of Us Research Program as they reflect the remarkable diversity of the U.S. population and provide a unique opportunity to explore risk/protective factors that shape the mental health impact of the pandemic across various sociodemographic contexts.
Project Purpose(s)
- Disease Focused Research (disease of mental health)
- Population Health
- Social / Behavioral
Scientific Approaches
We plan to use a mixed-modeling approach to analyze COPE surveys to estimate the time-varying effects of risk/protective factors on mental health outcomes during the COVID-19 pandemic.
Anticipated Findings
We expect that the findings from our study may help discover new insights into predictors of psychological vulnerability and resilience that may be unique to the period of the COVID-19 pandemic.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Registered TierSocial Determinants and Mental Health (v7)
Scientific Questions Being Studied
We will explore the social determinants of health (e.g. social support, neighborhood cohesion, loneliness, housing security, etc.) and their impact on mental disorders such as depression and anxiety by utilizing the survey and EHR data within the All of Us cohort.
Some questions of interest are:
1) Are the determinants associated with risk or protection for mental health disorders such as depression and anxiety?
2) How do the associations look like for different demographics including:
Age, sex assigned at birth, race and ethnicity, residence (urban, suburban, rural), sexual orientation, income, and education.
In the midst of a mental health crisis, accentuated by the COVID-19 pandemic, it is important to find risk and protective factors for mental illnesses in diverse populations. We hope this study will help elucidate this much-needed topic.
Project Purpose(s)
- Population Health
- Social / Behavioral
Scientific Approaches
We will use the EHR data and self-reported survey data on basic demographics and social determinants of health in the All of Us dataset. We will use epidemiological methods to account for possible biases (selection bias, missing data, etc.) in the dataset. We will use R to conduct logistic regression analyses for depression and anxiety separately adjusting for the covariates mentioned above. A Possible limitation is that the reliance on EHR diagnosis of mental disorders may leave room for misclassification.
Anticipated Findings
For this study, we anticipate that depression or anxiety status may be associated with varying levels of social determinants. We expect that this relationship may look different depending on the social demographic group. We believe these findings will be important for developing future targeted interventions.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- Justin Tubbs - Research Fellow, Mass General Brigham
Greenspaces and Well-Being
Scientific Questions Being Studied
The primary aim of this research is to analyze the role of green spaces in influencing physical and psychological well-being (e.g., cardiovascular disease, depression, quality of life, psychological resilience) within a diverse cohort of the All of Us Research Program. Additionally, we aim to explore potential effect modifiers, including age, sex at birth, self-reported race and ethnicity, and neighborhood socioeconomic status, in shaping these relationships. In the present study, we hypothesize that higher levels of greenness in the neighborhood would be associated with better physical and psychological outcomes. In addition, we hypothesize that higher greenness would be more beneficial in certain contexts defined by age, sex assigned at birth, self-reported race and ethnicity, and neighborhood socioeconomic status.
Project Purpose(s)
- Population Health
- Social / Behavioral
Scientific Approaches
To assess exposure to greenness, we will leverage satellite images to calculate the normalized difference vegetation index (NDVI) based on seasonal estimates from Landsat satellite data for each zipcode within the contiguous U.S. from 2010-2022. We intend to identify physician-diagnosed cases of cardiovascular, depression, and anxiety conditions by utilizing billing codes in electronic health records, specifically employing a pre-defined set of SNOMED codes. Furthermore, we plan to examine additional outcomes of well-being, including quality of life, general mental health, loneliness, perceived stress, and psychological resilience measured using self-reported surveys. To analyze the impact of greenness on physical and psychological well-being, we will employ Cox proportional hazards models, while also stratifying the analysis by age, sex assigned at birth, and self-reported race and ethnicity. The R survival package will be utilized to perform this statistical analysis.
Anticipated Findings
We anticipate that findings from the current study will enhance our understanding of the potential protective effects of green spaces on physical and mental health outcomes. By leveraging the All of Us Research Program’s extensive geographic coverage and diverse population, we expect to have sufficient statistical power to explore variations in these relationships across different demographic contexts, thereby identifying vulnerable populations and informing targeted policies and urban planning to reduce health disparities.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierCovid Mental Health v6 (Fixed)
Scientific Questions Being Studied
Our team has been collaborating with ELSA UK and ELSA Brazil cohorts through the International Hundred K+ Cohort Consortium to examine the mental health consequences of the global COVID-19 pandemic in different countries. As the site based in the U.S., we decided to use data from the All of Us Research Program as they reflect the remarkable diversity of the U.S. population and provide a unique opportunity to explore risk/protective factors that shape the mental health impact of the pandemic across various sociodemographic contexts.
Project Purpose(s)
- Disease Focused Research (disease of mental health)
- Population Health
- Social / Behavioral
Scientific Approaches
We plan to use a mixed-modeling approach to analyze COPE surveys to estimate the time-varying effects of risk/protective factors on mental health outcomes during the COVID-19 pandemic.
Anticipated Findings
We expect that the findings from our study may help discover new insights into predictors of psychological vulnerability and resilience that may be unique to the period of the COVID-19 pandemic.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Registered TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- Karmel Choi - Early Career Tenure-track Researcher, Mass General Brigham
Covid Mental Health v6
Scientific Questions Being Studied
Our team has been collaborating with ELSA UK and ELSA Brazil cohorts through the International Hundred K+ Cohort Consortium to examine the mental health consequences of the global COVID-19 pandemic in different countries. As the site based in the U.S., we decided to use data from the All of Us Research Program as they reflect the remarkable diversity of the U.S. population and provide a unique opportunity to explore risk/protective factors that shape the mental health impact of the pandemic across various sociodemographic contexts.
Project Purpose(s)
- Disease Focused Research (disease of mental health)
- Population Health
- Social / Behavioral
Scientific Approaches
We plan to use a mixed-modeling approach to analyze COPE surveys to estimate the time-varying effects of risk/protective factors on mental health outcomes during the COVID-19 pandemic.
Anticipated Findings
We expect that the findings from our study may help discover new insights into predictors of psychological vulnerability and resilience that may be unique to the period of the COVID-19 pandemic.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Registered TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- Karmel Choi - Early Career Tenure-track Researcher, Mass General Brigham
Covid Mental Health v5
Scientific Questions Being Studied
Our team has been collaborating with ELSA UK and ELSA Brazil cohorts through the International Hundred K+ Cohort Consortium to examine the mental health consequences of the global COVID-19 pandemic in different countries. As the site based in the U.S., we decided to use data from the All of Us Research Program as they reflect the remarkable diversity of the U.S. population and provide a unique opportunity to explore risk/protective factors that shape the mental health impact of the pandemic across various sociodemographic contexts.
Project Purpose(s)
- Disease Focused Research (disease of mental health)
- Population Health
- Social / Behavioral
Scientific Approaches
We plan to use a mixed-modeling approach to analyze COPE surveys to estimate the time-varying effects of risk/protective factors on mental health outcomes during the COVID-19 pandemic.
Anticipated Findings
We expect that the findings from our study may help discover new insights into predictors of psychological vulnerability and resilience that may be unique to the period of the COVID-19 pandemic.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Registered TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- Karmel Choi - Early Career Tenure-track Researcher, Mass General Brigham
Trans-ethnic genetic studies of neuropsychiatric conditions (v7)
Scientific Questions Being Studied
Trans-ethnic genetic analysis can inform the discovery of trait- or disease-associated loci and characterize both shared and unique genetic architectures across populations. Unlike most existing biobank studies, the All of Us Research Program provides unique and valuable resources, notably its large genetic samples collected from participants having diverse racial and ethnic backgrounds. In the present study, we propose to use those diverse genetic samples to characterize genetic underpinnings that are potentially unique and/or shared across populations. We expect the findings from our trans-ethnic genetic investigation would improve the delivery of precision healthcare by facilitating personalized approaches to prevent and treat psychopathology in real-world clinical settings.
Project Purpose(s)
- Population Health
- Ancestry
Scientific Approaches
We plan to leverage both electronic health records and survey measures collected from the All of Us study participants to ascertain neuropsychiatric (both diagnosed and self-reported). Upon ascertainment of these traits, we plan to conduct genome-wide association studies and identity variants that might be associated with neuropsychiatric traits of interest. In addition, we plan to quantify the polygenic contribution to psychopathology (e.g. major depression, schizophrenia) within and across diverse populations.
Anticipated Findings
We anticipate being able to assess both shared and unique aspects in the genetic etiology of psychopathology in diverse samples and additionally evaluate the utility of trans-ethnic polygenic scores to improve risk stratification and prediction of neuropsychiatric conditions, especially among participants from communities that are historically underrepresented from biomedical studies.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- Yingzhe Zhang - Graduate Trainee, Mass General Brigham
Genetic investigation of participation bias (v6)
Scientific Questions Being Studied
We are interested in examining the genetic underpinnings of potential participation bias in this volunteer-based sample.
Project Purpose(s)
- Population Health
- Ancestry
Scientific Approaches
As the first step, we plan to compare the sociodemographic characteristics between the overall All of Us sample and the subset that contributed genetic data.
Anticipated Findings
We expect to observe substantial healthy volunteer bias among participants who contributed their genetic samples to the All of Us Research Program.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierGenetic investigation of participation bias (v7)
Scientific Questions Being Studied
We are interested in examining the genetic underpinnings of potential participation bias in this volunteer-based sample.
Project Purpose(s)
- Population Health
- Ancestry
Scientific Approaches
As the first step, we plan to compare the sociodemographic characteristics between the overall All of Us sample and the subset that contributed genetic data.
Anticipated Findings
We expect to observe substantial healthy volunteer bias among participants who contributed their genetic samples to the All of Us Research Program.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierDuplicate of Social Determinants and Mental Health
Scientific Questions Being Studied
We will explore the social determinants of health (e.g. social support, neighborhood cohesion, loneliness, housing security, etc.) and their impact on mental disorders such as depression and anxiety by utilizing the survey and EHR data within the All of Us cohort.
Some questions of interest are:
1) Are the determinants associated with risk or protection for mental health disorders such as depression and anxiety?
2) How do the associations look like for different demographics including:
Age, sex assigned at birth, race and ethnicity, residence (urban, suburban, rural), sexual orientation, income, and education.
In the midst of a mental health crisis, accentuated by the COVID-19 pandemic, it is important to find risk and protective factors for mental illnesses in diverse populations. We hope this study will help elucidate this much-needed topic.
Project Purpose(s)
- Population Health
- Social / Behavioral
Scientific Approaches
We will use the EHR data and self-reported survey data on basic demographics and social determinants of health in the All of Us dataset. We will use epidemiological methods to account for possible biases (selection bias, missing data, etc.) in the dataset. We will use R to conduct logistic regression analyses for depression and anxiety separately adjusting for the covariates mentioned above. A Possible limitation is that the reliance on EHR diagnosis of mental disorders may leave room for misclassification.
Anticipated Findings
For this study, we anticipate that depression or anxiety status may be associated with varying levels of social determinants. We expect that this relationship may look different depending on the social demographic group. We believe these findings will be important for developing future targeted interventions.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Controlled TierCovid Mental Health
Scientific Questions Being Studied
There is a rapidly growing body of literature--both national and international--reporting increased incidence of mental health conditions due to the COVID-19 pandemic. However, most of the risk and protective factors reported by recent COVID studies are known predictors of major psychiatric conditions. Further, most prior studies focus on the association of one risk factor with mental health risk at a time using linear models and do not examine multiple risk factors concurrently. More flexible machine learning (ML) approaches that can automatically detect main and interaction effects may provide novel insights for psychopathology by capturing the hidden nonlinear dependence between risk/protective characteristics.
Project Purpose(s)
- Disease Focused Research (disease of mental health)
Scientific Approaches
We plan to leverage interpretable ML models to discover actionable insights into the factors associated with psychological vulnerability and resilience using high-dimensional data including sociodemographic, clinical, survey, and lifestyle features.
Anticipated Findings
We expect that the findings from our study may help discover new insights into predictors of psychological vulnerability and resilience that may be unique to the period of the COVID-19 pandemic.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Registered TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
Collaborators:
- zhaowen liu - Research Fellow, Mass General Brigham
- Karmel Choi - Early Career Tenure-track Researcher, Mass General Brigham
participation_analysis
Scientific Questions Being Studied
In this analysis, we aim to compare the characteristics of allofUS participants vs. the general population. This will inform if the allofUS participants are representative of the general population and if different participation characteristics vary across ancestry groups. This is important because to generalize the results observed in allofUS to the entire US population we need to understand how representative is this study.
Project Purpose(s)
- Methods Development
Scientific Approaches
We will select specific socio-demographic variables that are available in allofUS and in the US census: education level, health and labour market. We will then compare the distribution of the individuals within each category in allofUS and in the US census. We will run these analyses separately for each ethnicity.
Anticipated Findings
We will provide a better understanding of how representative is allofUS compared to the general US population. This might information can be used to "re-weight" analysis obtained from allofUS to be representative of the general US population.
Demographic Categories of Interest
This study will not center on underrepresented populations.
Data Set Used
Registered TierResearch Team
Owner:
- Younga Lee - Research Fellow, Mass General Brigham
- andrea ganna - Early Career Tenure-track Researcher, Broad Institute
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