Faculty of Psychology and Educational Sciences, University of Geneva, Developmental Clinical Psychology Research Unit.
University of Geneva School of Medicine, Department of Psychiatry, Developmental NeuroImaging and Psychopathology Laboratory.
Schizophr Bull. 2018 Oct 15;44(suppl_2):S501-S511. doi: 10.1093/schbul/sby031.
The mirror-gazing task (MGT) experimentally induces illusions, ranging from simple color changes in the specular image of oneself, to depersonalization-like anomalous self-experiences (ASE) as in experiencing one's specular image as someone else. The objective was to characterize how connectivity in resting-state networks (RSNs) differed in adolescents reporting such depersonalization-like ASEs during the MGT, in a cross-sectional (Y1) and in a longitudinal manner (a year after). 75 adolescents were recruited; for the cross-sectional analysis, participants were split into 2 groups: those who reported depersonalization-like ASEs on the MGT (ASE), and those who did not (NoASE). For the longitudinal analysis, participants were split into 3 groups whether they experienced MGT depersonalization-like ASEs: only at Y1 (Remitters), both times (Persisters), or never (Controls). Participants also filled out self-reports assessing schizotypal personality (Schizotypal Personality Questionnaire [SPQ]), and underwent resting-state functional MRI procedure (rs-fMRI). A group level Independent Component Analysis (ICA) was conducted and voxel-wise inter-group differences within RSNs were examined. The rs-fMRI analysis revealed lower connectivity of specific visual areas within the primary visual network (PVN), and higher connectivity of regions within the Default Mode Network (DMN) when contrasting the ASE and NoASE groups. The areas that were atypically connected within the PVN further presented differential pattern of connectivity in the longitudinal analysis. Atypical connectivity of visual area within the DMN at Y1 was associated with higher scores on the disorganized dimension of schizotypy at the second evaluation. The present study uncovers a subtle signature in the RSNs of non-clinical adolescents who experienced task-induced ASEs.
镜像注视任务(MGT)实验性地诱导幻觉,范围从自身镜面图像的简单颜色变化,到类似人格解体的异常自我体验(ASE),例如将自己的镜面图像体验为他人。目的是描述在 MGT 中报告这种类似人格解体的 ASE 的青少年在静息态网络(RSN)中的连接性如何在横断面(Y1)和纵向(一年后)方面有所不同。共招募了 75 名青少年;对于横断面分析,参与者分为两组:在 MGT 上报告类似人格解体的 ASE(ASE)的参与者和未报告的参与者(NoASE)。对于纵向分析,参与者分为三组,他们是否经历了 MGT 类似人格解体的 ASE:仅在 Y1 时(缓解者),两次(持续者)或从未(对照组)。参与者还填写了评估精神分裂症人格特质的自我报告(精神分裂症人格问卷 [SPQ]),并进行了静息态功能磁共振成像程序(rs-fMRI)。进行了组水平独立成分分析(ICA),并检查了 RSN 内的组间差异。rs-fMRI 分析显示,在对比 ASE 和 NoASE 组时,初级视觉网络(PVN)内特定视觉区域的连接性降低,默认模式网络(DMN)内的区域连接性增加。在 PVN 内异常连接的区域在纵向分析中进一步呈现出不同的连接模式。在 Y1 时 DMN 内视觉区域的异常连接与第二次评估时精神分裂症特质的混乱维度上的更高分数相关。本研究揭示了经历任务诱导 ASE 的非临床青少年 RSN 中的微妙特征。