Alústiza Irene, Radua Joaquim, Albajes-Eizagirre Anton, Domínguez Manuel, Aubá Enrique, Ortuño Felipe
Department of Psychiatry and Clinical Psychology, Clínica Universidad de NavarraPamplona, Spain; Instituto de Investigación Sanitaria de NavarraNavarra, Spain.
Department of Psychosis Studies, Institute of Psychiatry, Kings CollegeLondon, UK; FIDMAG Germanes Hospitalaries Hospital Sant RafaelBarcelona, Spain; Centro de Investigación Biomédicaen Redde Salud MentalBarcelona, Spain.
Front Psychol. 2016 Feb 17;7:192. doi: 10.3389/fpsyg.2016.00192. eCollection 2016.
Timing and other cognitive processes demanding cognitive control become interlinked when there is an increase in the level of difficulty or effort required. Both functions are interrelated and share neuroanatomical bases. A previous meta-analysis of neuroimaging studies found that people with schizophrenia had significantly lower activation, relative to normal controls, of most right hemisphere regions of the time circuit. This finding suggests that a pattern of disconnectivity of this circuit, particularly in the supplementary motor area, is a trait of this mental disease. We hypothesize that a dysfunctional temporal/cognitive control network underlies both cognitive and psychiatric symptoms of schizophrenia and that timing dysfunction is at the root of the cognitive deficits observed. The goal of our study was to look, in schizophrenia patients, for brain structures activated both by execution of cognitive tasks requiring increased effort and by performance of time perception tasks. We conducted a signed differential mapping (SDM) meta-analysis of functional neuroimaging studies in schizophrenia patients assessing the brain response to increasing levels of cognitive difficulty. Then, we performed a multimodal meta-analysis to identify common brain regions in the findings of that SDM meta-analysis and our previously-published activation likelihood estimate (ALE) meta-analysis of neuroimaging of time perception in schizophrenia patients. The current study supports the hypothesis that there exists an overlap between neural structures engaged by both timing tasks and non-temporal cognitive tasks of escalating difficulty in schizophrenia. The implication is that a deficit in timing can be considered as a trait marker of the schizophrenia cognitive profile.
当所需难度或努力程度增加时,时间安排和其他需要认知控制的认知过程就会相互关联。这两种功能相互关联且共享神经解剖学基础。先前一项对神经影像学研究的荟萃分析发现,相对于正常对照组,精神分裂症患者时间回路的大多数右半球区域激活程度明显较低。这一发现表明,该回路的断开连接模式,尤其是在辅助运动区,是这种精神疾病的一个特征。我们假设,功能失调的时间/认知控制网络是精神分裂症认知和精神症状的基础,且时间安排功能障碍是所观察到的认知缺陷的根源。我们研究的目的是在精神分裂症患者中寻找那些在执行需要更多努力的认知任务和进行时间感知任务时均被激活的脑结构。我们对评估精神分裂症患者大脑对认知难度增加的反应的功能神经影像学研究进行了符号差异映射(SDM)荟萃分析。然后,我们进行了多模态荟萃分析,以在该SDM荟萃分析的结果与我们之前发表的关于精神分裂症患者时间感知神经影像学的激活可能性估计(ALE)荟萃分析的结果中识别共同的脑区。当前研究支持这样一种假设,即在精神分裂症中,时间任务和难度不断增加的非时间认知任务所涉及的神经结构之间存在重叠。这意味着时间安排缺陷可被视为精神分裂症认知特征的一个特质标记。