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精神分裂症患者固有额顶叶网络连接和症状的侧化。

Lateralization of intrinsic frontoparietal network connectivity and symptoms in schizophrenia.

机构信息

Department of Psychiatry, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan.

Department of Psychiatry, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan.

出版信息

Psychiatry Res Neuroimaging. 2017 Feb 28;260:23-28. doi: 10.1016/j.pscychresns.2016.12.007. Epub 2016 Dec 16.

Abstract

It has been frequently reported that schizophrenia patients have reduced functional lateralization in the areas related to language processing. Furthermore, there is evidence supporting that schizophrenia patients have disrupted functional connectivity in the bilateral frontoparietal networks (FPNs), of which the left is strongly associated with a cognition-language paradigm, using resting-state functional magnetic resonance imaging (rsfMRI). To examine the laterality of resting-state functional connectivity in schizophrenia, we investigated the bilateral FPNs. We investigated 41 schizophrenia and 35 healthy participants using independent component analysis for rsfMRI. We extracted mean connectivity values of both left and right FPNs and calculated their laterality index by (left - right)/(left + right). Subsequently, we investigated group differences of these values and the correlation between these values and symptoms. In schizophrenia, mean connectivity values of both left and right FPNs were significantly lower than in healthy controls, whereas their laterality indices were not significantly different. However, correlation analyses revealed that the laterality index was negatively correlated with positive symptoms, and that mean connectivity of left FPN was negatively correlated with depressive symptoms in schizophrenia. Our results suggest that language-related networks and their laterality might be one of the neural correlates of schizophrenia symptoms.

摘要

已有大量研究报道称,精神分裂症患者的语言处理相关区域的功能侧化程度降低。此外,有证据表明,精神分裂症患者的双侧额顶网络(FPN)的功能连接中断,其中左侧与认知-语言范式密切相关,使用静息态功能磁共振成像(rsfMRI)。为了研究精神分裂症静息态功能连接的偏侧性,我们研究了双侧 FPN。我们使用 rsfMRI 的独立成分分析研究了 41 名精神分裂症患者和 35 名健康对照者。我们提取了左右 FPN 的平均连接值,并通过(左-右)/(左+右)计算其偏侧指数。随后,我们研究了这些值在组间的差异以及这些值与症状之间的相关性。在精神分裂症中,左右 FPN 的平均连接值均显著低于健康对照组,而其偏侧指数无显著差异。然而,相关分析显示,偏侧指数与阳性症状呈负相关,左 FPN 的平均连接与精神分裂症患者的抑郁症状呈负相关。我们的结果表明,语言相关网络及其偏侧性可能是精神分裂症症状的神经相关之一。

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