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Functional brain connectivity and deactivation in new onset schizophrenia: A pilot study

Published online by Cambridge University Press:  16 April 2020

A. Norton
Affiliation:
Department of Psychiatry, Hospital de São João, Oporto, Portugal
S. Reis
Affiliation:
Department of Psychiatry, Hospital de São João, Oporto, Portugal
A.J. Bastos-Leite
Affiliation:
Department of Medical Imaging, University of Oporto, Faculty of Medicine, Oporto, Portugal Lysholm Department of Neuroradiology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
C. Silveira
Affiliation:
Department of Psychiatry, Hospital de São João, Oporto, Portugal Department of Psychiatry and Mental Health, University of Oporto, Faculty of Medicine, Oporto
A. Andrade
Affiliation:
Institute of Biophysics and Biomedical Engineering, University of Lisbon, Faculty of Sciences, Lisbon, Portugal

Background/introduction

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There has been previous evidence of aberrant functional connectivity in the so-called “default-mode” network (DMN) in patients with schizophrenia.

Objective

The purpose of this study was to test whether such aberrant connectivity, if existent, can be modulated by a task involving the challenge of attention, working memory and executive functioning.

Methods

A functional magnetic resonance imaging (fMRI) experiment alternating between periods of “rest” and periods of visual stimulation with successive series of pictures extracted from the Wechsler Adult Intelligence Scale-III was carried out in seven patients with new onset schizophrenia according to the DSM-IV criteria and in six healthy control subjects matched for sex, age, and education. The DMN was extracted by using independent component analysis (ICA). The degree of deactivation during periods of stimulation was tested by means of a correlation analysis. To determine the existence of differences in deactivation between patients and controls, we used a non-parametric statistical test.

Results

An overall increased activation of the DMN in patients with schizophrenia relative to control subjects seems to occur. There was also an almost significant difference in the degree of deactivation between the two groups (controls>patients, p = 0.05).

Conclusions

Aberrant connectivity of the DMN is indeed a consistent feature in schizophrenia. An altered deactivation of the DMN during a highly demanding task in patients with schizophrenia confirms previous results suggesting an abnormal behaviour of networks in the transition from “rest” to goal-directed activity.

Type
P02-350
Copyright
Copyright © European Psychiatric Association 2011
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