精神分裂症中代理网络的失连接:一项功能磁共振成像研究。

Dysconnectivity of the Agency Network in Schizophrenia: A Functional Magnetic Resonance Imaging Study.

作者信息

Koreki Akihiro, Maeda Takaki, Okimura Tsukasa, Terasawa Yuri, Kikuchi Toshiaki, Umeda Satoshi, Nishikata Shiro, Yagihashi Tatsuhiko, Kasahara Mari, Nagai Chiyoko, Moriyama Yasushi, Den Ryosuke, Watanabe Tamotsu, Kikumoto Hirotsugu, Kato Motoichiro, Mimura Masaru

机构信息

Department of Neuropsychiatry, School of Medicine, Keio University, Tokyo, Japan.

Center for Psychiatry and Behavioral Science, Komagino Hospital, Tokyo, Japan.

出版信息

Front Psychiatry. 2019 Apr 3;10:171. doi: 10.3389/fpsyt.2019.00171. eCollection 2019.

Abstract

Self-disturbances in schizophrenia have recently been explained by an abnormality in the sense of agency (SoA). The cerebral structures of SoA in healthy people are considered to mainly include the insula and inferior parietal lobule. In contrast, the functional lesion of aberrant SoA in schizophrenia is not yet fully understood. Considering the recent explanation of establishing SoA from the standpoint of associative learning, the "agency network" may include not only the insula and inferior parietal lobule but also the striatum. We hypothesized that aberrant SoA in schizophrenia is based on a deficit in the "agency network." Functional magnetic resonance imaging data were acquired while patients with schizophrenia ( = 15) and matched controls ( = 15) performed our adaptation method of agency attribution task on a trial-by-trial basis to assess participants' explicit experience of the temporal causal relationship between an action and an external event with temporal biases. Analysis of functional connectivity was done using the right supramarginal gyrus and the right middle frontal gyrus as seed regions. In healthy controls, analyses revealed increased activation of the right inferior parietal lobule (mainly the supramarginal gyrus), right insula, and right middle frontal gyrus as an activation of the agency condition. We defined activated Brodmann areas shown in the agency condition of healthy controls as the seed region for connectivity analysis. The connectivity analysis revealed lower connectivity between the head of the left caudate nucleus and right supramarginal gyrus in the patients compared to healthy controls. This dysconnectivity of the agency network in schizophrenia may lead to self-disturbance through deficits in associative learning of SoA. These findings may explain why pathological function of the striatum in schizophrenia leads to self-disturbance.

摘要

精神分裂症中的自我干扰最近被解释为代理感(SoA)异常。健康人的SoA大脑结构主要被认为包括脑岛和顶下小叶。相比之下,精神分裂症中异常SoA的功能损伤尚未完全明确。从联想学习的角度考虑近期对SoA建立的解释,“代理网络”可能不仅包括脑岛和顶下小叶,还包括纹状体。我们假设精神分裂症中异常的SoA基于“代理网络”的缺陷。在精神分裂症患者(n = 15)和匹配的对照组(n = 15)逐次执行我们的代理归因任务适应方法时,获取功能磁共振成像数据,以评估参与者对具有时间偏差的动作与外部事件之间时间因果关系的明确体验。使用右侧缘上回和右侧额中回作为种子区域进行功能连接分析。在健康对照组中,分析显示右侧顶下小叶(主要是缘上回)、右侧脑岛和右侧额中回激活增加,作为代理条件的激活。我们将健康对照组代理条件下显示激活的布罗德曼区域定义为连接性分析的种子区域。连接性分析显示,与健康对照组相比,患者左侧尾状核头部与右侧缘上回之间的连接性较低。精神分裂症中这种代理网络的断开连接可能通过SoA联想学习缺陷导致自我干扰。这些发现可能解释了为什么精神分裂症中纹状体的病理功能会导致自我干扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa1a/6456683/cf4abb13b617/fpsyt-10-00171-g0001.jpg

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