Cortical thinning in temporo-parietal junction (TPJ) in non-affective first-episode of psychosis patients with persistent negative symptoms

Negative symptoms represent an unmet therapeutic need in many patients with schizophrenia. In an extension to our previous voxel-based morphometry findings, we employed a more specific, vertex-based approach to explore cortical thinning in relation to persistent negative symptoms (PNS) in non-affect...

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Veröffentlicht in:PloS one 2014-06, Vol.9 (6), p.e101372-e101372
Hauptverfasser: Bodnar, Michael, Hovington, Cindy L, Buchy, Lisa, Malla, Ashok K, Joober, Ridha, Lepage, Martin
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creator Bodnar, Michael
Hovington, Cindy L
Buchy, Lisa
Malla, Ashok K
Joober, Ridha
Lepage, Martin
description Negative symptoms represent an unmet therapeutic need in many patients with schizophrenia. In an extension to our previous voxel-based morphometry findings, we employed a more specific, vertex-based approach to explore cortical thinning in relation to persistent negative symptoms (PNS) in non-affective first-episode of psychosis (FEP) patients to advance our understanding of the pathophysiology of primary negative symptoms. This study included 62 non-affective FEP patients and 60 non-clinical controls; 16 patients were identified with PNS (i.e., at least 1 primary negative symptom at moderate or greater severity sustained for at least 6 consecutive months). Using cortical thickness analyses, we explored for differences between PNS and non-PNS patients as well as between each patient group and healthy controls; cut-off threshold was set at p
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In an extension to our previous voxel-based morphometry findings, we employed a more specific, vertex-based approach to explore cortical thinning in relation to persistent negative symptoms (PNS) in non-affective first-episode of psychosis (FEP) patients to advance our understanding of the pathophysiology of primary negative symptoms. This study included 62 non-affective FEP patients and 60 non-clinical controls; 16 patients were identified with PNS (i.e., at least 1 primary negative symptom at moderate or greater severity sustained for at least 6 consecutive months). Using cortical thickness analyses, we explored for differences between PNS and non-PNS patients as well as between each patient group and healthy controls; cut-off threshold was set at p&lt;0.01, corrected for multiple comparisons. 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A thinner cortex prominently in the right superior temporal gyrus extending into the temporo-parietal junction (TPJ), right parahippocampal gyrus, and left orbital frontal gyrus was identified in PNS patients vs. non-PNS patients. Compared with healthy controls, PNS patients showed a thinner cortex prominently in the right superior temporal gyrus, right parahippocampal gyrus, and right cingulate; non-PNS patients showed a thinner cortex prominently in the parahippocampal gyrus bi-laterally. Cortical thinning in the early stages of non-affective psychosis is present in the frontal and temporo-parietal regions in patients with PNS. With these brain regions strongly related to social cognitive functioning, our finding suggests a potential link between primary negative symptoms and social cognitive deficits through common brain etiologies.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24979583</pmid><doi>10.1371/journal.pone.0101372</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Antipsychotics
Biology and Life Sciences
Brain
Cognitive ability
Cortex
Cortex (cingulate)
Cortex (frontal)
Cortex (parietal)
Cortex (temporal)
Development and progression
Early intervention
Emotional behavior
Etiology
Female
Frontal gyrus
Health aspects
Humans
Illnesses
Magnetic Resonance Imaging
Male
Medical imaging
Medicine and Health Sciences
Mental disorders
Mental health
Morphometry
Neurology
Neurosurgery
Parahippocampal gyrus
Parietal Lobe - pathology
Parietal Lobe - physiopathology
Patients
Prevention
Psychiatry
Psychosis
Psychotic Disorders - diagnosis
Psychotic Disorders - pathology
Psychotropic drugs
Schizophrenia
Studies
Superior temporal gyrus
Temporal gyrus
Temporal lobe
Temporal Lobe - pathology
Temporal Lobe - physiopathology
Thinning
title Cortical thinning in temporo-parietal junction (TPJ) in non-affective first-episode of psychosis patients with persistent negative symptoms
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