Evermann Ulrika, Gaser Christian, Meller Tina, Pfarr Julia-Katharina, Grezellschak Sarah, Nenadić Igor
Cognitive Neuropsychiatry Lab, Department of Psychiatry and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
Center for Mind, Brain and Behavior (CMBB), Marburg, Germany.
Hum Brain Mapp. 2021 Oct 15;42(15):5075-5088. doi: 10.1002/hbm.25601. Epub 2021 Jul 24.
Schizotypy and psychotic-like experiences (PLE) form part of the wider psychosis continuum and may have brain structural correlates in nonclinical cohorts. This study aimed to compare the effects of differential schizotypy dimensions, PLE, and their interaction on hippocampal subfields and amygdala volumes in the absence of clinical psychopathology. In a cohort of 367 psychiatrically healthy individuals, we assessed schizotypal traits using the Oxford-Liverpool Inventory of Life Experiences (O-LIFE) and PLE using the short form of the Prodromal Questionnaire (PQ-16). Based on high-resolution structural MRI scans, we used automated segmentation to estimate volumes of limbic structures. Sex and total intracranial volume (Step 1), PLE and schizotypy dimensions (Step 2), and their interaction terms (Step 3) were entered as regressors for bilateral amygdala and hippocampal subfield volumes in hierarchical multiple linear regression models. Positive schizotypy, but not PLE, was negatively associated with left amygdala and subiculum volumes. O-LIFE Impulsive Nonconformity, as well as the two-way interaction between positive schizotypy and PLE, were associated with larger left subiculum volumes. None of the estimators for right hemispheric hippocampal subfield volumes survived correction for multiple comparisons. Our findings support differential associations of hippocampus subfield volumes with trait dimensions rather than PLE, and support overlap and interactions between psychometric positive schizotypy and PLE. In a healthy cohort without current psychosis risk syndromes, the positive association between PLE and hippocampal subfield volume occurred at a high expression of positive schizotypy. Further studies combining stable, transient, and genetic parameters are required.
分裂型特质与类精神病体验(PLE)构成了更广泛的精神病连续体的一部分,并且在非临床人群中可能存在脑结构相关性。本研究旨在比较在无临床精神病理学情况下,不同分裂型维度、PLE及其相互作用对海马亚区和杏仁核体积的影响。在一个由367名精神健康个体组成的队列中,我们使用牛津-利物浦生活经历量表(O-LIFE)评估分裂型特质,并使用前驱症状问卷简版(PQ-16)评估PLE。基于高分辨率结构磁共振成像扫描,我们使用自动分割技术来估计边缘系统结构的体积。在分层多元线性回归模型中,将性别和总颅内体积(第一步)、PLE和分裂型维度(第二步)及其交互项(第三步)作为双侧杏仁核和海马亚区体积的回归变量。阳性分裂型特质而非PLE与左侧杏仁核和下托体积呈负相关。O-LIFE冲动非从众性以及阳性分裂型特质与PLE之间的双向交互作用与左侧下托体积增大有关。右侧海马亚区体积的所有估计值在多重比较校正后均无统计学意义。我们的研究结果支持海马亚区体积与特质维度而非PLE之间存在不同的关联,并支持心理测量学上的阳性分裂型特质与PLE之间的重叠和相互作用。在一个无当前精神病风险综合征的健康队列中,PLE与海马亚区体积之间的正相关在阳性分裂型特质高表达时出现。需要进一步结合稳定、短暂和遗传参数的研究。