Department of Psychiatry and Psychotherapy III, University of Ulm, Leimgrubenweg 12-14 89075 Ulm, Germany.
Prog Neuropsychopharmacol Biol Psychiatry. 2009 Nov 13;33(8):1464-73. doi: 10.1016/j.pnpbp.2009.07.032. Epub 2009 Aug 8.
Functional neuroimaging studies on cognitive dysfunction in schizophrenia have suggested regional brain activation changes in the dorsolateral prefrontal cortex and the medial temporal lobe. However, less is known about the functional coupling of these areas during cognitive performance. In this study, we used functional magnetic resonance imaging, a verbal working memory (WM) task and multivariate statistical techniques to investigate the functional coupling of temporally anticorrelated neural networks during cognitive processing in patients with schizophrenia (n=16) compared to healthy controls (n=16). Independent component analysis identified 18 independent components (ICs) among which two ICs were selected for further analyses. These ICs included temporally anticorrelated networks which were most highly associated with the delay period of the task in both healthy controls and patients with schizophrenia. Functional network abnormalities in patients with schizophrenia were detected within a "task-positive" lateral frontoparietal network, where increased functional connectivity was found in bilateral dorsolateral prefrontal regions. In addition, aberrant functional coupling of the hippocampal cortex in patients with schizophrenia was detected within a "task-negative" medial frontotemporal network. In patients with schizophrenia, functional connectivity indices in the left dorsolateral prefrontal cortex and the right hippocampal cortex were positively correlated with accuracy during the WM task, while the connectivity strength in the right dorsolateral prefrontal cortex was negatively correlated with measures of symptom severity. These data suggest that within two temporally anticorrelated network states, patients with schizophrenia exhibit increased and persistent dorsolateral prefrontal and hippocampal connectivity during WM performance.
功能神经影像学研究表明,精神分裂症患者存在认知功能障碍,其背外侧前额叶皮层和内侧颞叶存在区域性脑激活改变。然而,对于这些区域在认知表现过程中的功能耦合知之甚少。在这项研究中,我们使用功能磁共振成像、言语工作记忆 (WM) 任务和多变量统计技术,比较了精神分裂症患者(n=16)和健康对照组(n=16)在认知加工过程中时间上负相关神经网络的功能耦合。独立成分分析在 18 个独立成分 (IC) 中确定了两个 IC 用于进一步分析。这些 IC 包括与任务延迟期相关性最高的时间上负相关网络,在健康对照组和精神分裂症患者中均如此。在“任务正”侧额顶网络中发现了精神分裂症患者的功能网络异常,在双侧背外侧前额叶区域发现了功能连接增加。此外,还检测到精神分裂症患者的海马皮层内“任务负”内侧额颞网络的异常功能耦合。在精神分裂症患者中,左侧背外侧前额叶皮层和右侧海马皮层的功能连接指数与 WM 任务的准确性呈正相关,而右侧背外侧前额叶皮层的连接强度与症状严重程度的测量值呈负相关。这些数据表明,在两个时间上负相关的网络状态中,精神分裂症患者在 WM 表现期间表现出持续增强的背外侧前额叶和海马连接。
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