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早期精神病性症状患者默认模式网络子系统的功能连接性。

Functional connectivity of subsystems of the default-mode network in patients with early psychotic symptoms.

作者信息

Lute Nicky, Lemmers-Jansen Imke, Krabbendam Lydia, van Buuren Mariët

机构信息

Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences. Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands.

Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands.

出版信息

Neuroimage Rep. 2025 Mar 11;5(1):100248. doi: 10.1016/j.ynirp.2025.100248. eCollection 2025 Mar.

Abstract

Resting-state connectivity of the default-mode network (DMN) is aberrant in patients with chronic psychotic disorders as well in individuals with early stage psychosis. Studies of the DMN in healthy volunteers revealed that the DMN comprises several subnetworks. However, it is not yet clear if connectivity between and within these DMN subnetworks is aberrant in patients with early psychotic symptoms nor whether these connectivity patterns are related to symptomatology. This initial investigation examined functional connectivity between and within the DMN subnetworks in patients with early psychotic symptoms and in healthy volunteers, and probed how these connectivity patterns were related to the severity of clinical symptomatology. Functional connectivity was measured during resting-state in 30 patients with early psychotic symptoms and in 39 controls using functional MRI. We did not observe differences in connectivity within and between the subnetworks of the DMN between the control group and the early psychosis group. However, lower functional connectivity between the medial prefrontal and posterior medial subnetworks and between medial prefrontal and anterior temporal subnetworks of the DMN did predict the severity of the negative symptoms. The findings of this initial investigation provide insight into the associations between functional connectivity of DMN subnetworks and symptomatology in patients with early psychotic symptoms.

摘要

在慢性精神障碍患者以及早期精神病患者中,默认模式网络(DMN)的静息态连接异常。对健康志愿者的DMN研究表明,DMN由几个子网络组成。然而,目前尚不清楚在有早期精神病症状的患者中,这些DMN子网络之间及内部的连接是否异常,也不清楚这些连接模式是否与症状学相关。这项初步研究检查了有早期精神病症状的患者和健康志愿者中DMN子网络之间及内部的功能连接,并探究了这些连接模式与临床症状严重程度的关系。使用功能磁共振成像在静息状态下测量了30名有早期精神病症状的患者和39名对照者的功能连接。我们没有观察到对照组和早期精神病组之间DMN子网络内部及之间连接的差异。然而,DMN的内侧前额叶与后内侧子网络之间以及内侧前额叶与前颞叶子网络之间较低的功能连接确实可以预测阴性症状的严重程度。这项初步研究的结果为了解早期精神病症状患者中DMN子网络功能连接与症状学之间的关联提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e85/12172822/7c849c0aa14d/gr1.jpg

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