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精神分裂症默认模式网络成分及其与异常自我体验的关系:一项 rs-fMRI 探索性研究。

Default mode network components and its relationship with anomalous self-experiences in schizophrenia: A rs-fMRI exploratory study.

机构信息

Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain.

Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain.

出版信息

Psychiatry Res Neuroimaging. 2022 Aug;324:111495. doi: 10.1016/j.pscychresns.2022.111495. Epub 2022 May 24.

Abstract

Anomalous self-experiences (ASEs) in schizophrenia have been under research for the last 20 years. However, no neuroimage studies have provided insight of the possible biological underpinning of ASEs. In this novel approach, the connectivity within the default mode network, calculated through a ROI-based analysis of functional magnetic resonance imaging data, was correlated to the ASEs scores assessed by the Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) in a sample of 22 schizophrenia patients. The Pearson's correlation coefficients between IPASE scores and intrahemispheric connectivity of the parahippocampal gyrus with the isthmus cingulate cortex in both hemispheres, and right parahippocampal gyrus with the right rostral anterior cingulate cortex were positive and significant suggesting a relation between hyperactive functional connectivity and anomalous self-experiences intensity. Prior literature reported these areas to have a role in self-processing and consciousness as well as being anatomically connected. Further research with larger sample size and comparison with controls are needed to confirm the relationship of this connectivity with anomalous self-experiences.

摘要

异常的自我体验(ASEs)在精神分裂症中已经被研究了 20 年。然而,目前还没有神经影像学研究能够深入了解 ASEs 的可能生物学基础。在这种新方法中,通过对功能磁共振成像数据进行基于 ROI 的分析来计算默认模式网络内的连接,然后将其与 22 名精神分裂症患者的精神病样异常自我体验量表(IPASE)评估的 ASEs 评分进行相关分析。IPAES 评分与双侧海马旁回与扣带峡部、右侧海马旁回与右侧额前扣带皮质的半球内连接之间的 Pearson 相关系数为正且显著,表明功能连接过度活跃与异常自我体验的强度之间存在关系。先前的文献报道这些区域在自我处理和意识中起作用,并且在解剖上是相互连接的。需要进行更大样本量的进一步研究,并与对照组进行比较,以确认这种连接与异常自我体验之间的关系。

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