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精神分裂症和双相情感障碍的非洲裔后代静息态功能磁共振成像功能连接性及其临床关联

Resting-state fMRI functional connectivity and clinical correlates in Afro-descendants with schizophrenia and bipolar disorder.

作者信息

Luna Licia P, Sousa Marcia Beatriz, Passinho Jhule S, Nardi Antônio E, Oertel Viola, Veras André Barciela, Alves Gilberto Sousa

机构信息

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA.

Neuroradiology Service, São Domingos Hospital, São Luís, Maranhão, Brazil.

出版信息

Psychiatry Res Neuroimaging. 2023 Jun;331:111628. doi: 10.1016/j.pscychresns.2023.111628. Epub 2023 Mar 13.

Abstract

Schizophrenia (SCZ) and bipolar disorder (BD) exhibited altered activation in several brain areas, including the prefrontal and temporal cortex; however, a less explored topic is how brain connectivity and functional disturbances occur in non-Caucasian samples of SCZ and BD. Individuals with SCZ (n=20), BD (n=21), and healthy controls (HC, n=21) from indigenous and African ethnicity were submitted to clinical screening and functional assessments. Mood, compulsive and psychotic symptoms were also correlated to network dysfunction in each group. Two distinct networks' subcomponents demonstrated significant lower global efficiency (GE) in SCZ versus HC, corresponding to left posterior dorsal attention and medial left ventral attention (VA) networks. Lower GE was found in BD versus controls in four subcomponents, including the left medial and right VA. Higher compulsion scores correlated in BD with lower GE in the left VA, whereas increased report of alcohol abuse was associated with higher GE in left default mode network. Although preliminary, differences in the activation of specific networks, notably the left hemisphere, in SCZ versus controls, and lower activation in VA areas, in BD versus controls. Results highlight default mode and salient network as relevant for the emotional processing of SCZ and BD of indigenous and black ethnicity. Abstract: schizophrenia, bipolar disorder, functional neuroimaging, ethnicity, default network.

摘要

精神分裂症(SCZ)和双相情感障碍(BD)在包括前额叶和颞叶皮质在内的多个脑区表现出激活改变;然而,一个较少被探索的话题是,在非白种人的SCZ和BD样本中,大脑连接性和功能障碍是如何发生的。对来自原住民和非洲裔的20名SCZ患者、21名BD患者以及21名健康对照(HC)进行了临床筛查和功能评估。每组中的情绪、强迫和精神病性症状也与网络功能障碍相关。两个不同网络的子成分显示,与HC相比,SCZ患者的全局效率(GE)显著降低,对应于左后背部注意网络和左内侧腹侧注意(VA)网络。在BD患者与对照组相比的四个子成分中发现GE较低,包括左内侧和右VA。在BD患者中,较高的强迫分数与左VA中较低的GE相关,而酒精滥用报告增加与左默认模式网络中较高的GE相关。虽然是初步的,但SCZ患者与对照组相比,特定网络(特别是左半球)的激活存在差异,BD患者与对照组相比,VA区域的激活较低。结果突出了默认模式和突显网络与原住民和黑人种族的SCZ和BD的情绪加工相关。摘要:精神分裂症、双相情感障碍、功能神经影像学、种族、默认网络

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