Regional cerebral blood flow in patients with schizophrenia : Relevance to symptom structures

Regional cerebral blood flow (rCBF) was measured with technetium-99m hexamethylpropyleneamine oxime single photon emission computed tomography in 38 neuroleptic-treated schizophrenic patients. To improve the validity of the evaluation of symptomatology, we applied findings previously derived in a pr...

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Veröffentlicht in:Psychiatry research 1996-05, Vol.67 (1), p.49-58
Hauptverfasser: KAWASAKI, Y, MAEDA, Y, SAKAI, N, HIGASHIMA, M, YAMAGUCHI, N, KOSHINO, Y, HISADA, K, SUZUKI, M, MATSUDA, H
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container_end_page 58
container_issue 1
container_start_page 49
container_title Psychiatry research
container_volume 67
creator KAWASAKI, Y
MAEDA, Y
SAKAI, N
HIGASHIMA, M
YAMAGUCHI, N
KOSHINO, Y
HISADA, K
SUZUKI, M
MATSUDA, H
description Regional cerebral blood flow (rCBF) was measured with technetium-99m hexamethylpropyleneamine oxime single photon emission computed tomography in 38 neuroleptic-treated schizophrenic patients. To improve the validity of the evaluation of symptomatology, we applied findings previously derived in a principal component analysis (PCA) of the Positive and Negative Syndrome Scale. The PCA had disclosed five orthogonal independent symptom structures (i.e., negative, hostile/excited, thought disordered, delusional/hallucinatory, and depressive components), and obtained factor scores for 70 schizophrenic subjects, including the present sample. Stepwise regression analysis elucidated some of the cortical regions in which relative rCBF predicted the severity of symptoms--namely, lateral and orbital prefrontal, lateral temporal, inferior parietal, and medial temporal regions. Findings suggested that symptom structures derived from PCA could prove helpful in elucidating the pathophysiology of neural mechanisms.
doi_str_mv 10.1016/0925-4927(96)02685-6
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Adult and adolescent clinical studies
Biological and medical sciences
Delusions - psychology
Female
Functional Laterality
Hallucinations - psychology
Humans
Male
Medical sciences
Middle Aged
Prefrontal Cortex - blood supply
Prefrontal Cortex - physiopathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Regional Blood Flow
Schizophrenia
Schizophrenia - physiopathology
Schizophrenic Psychology
Temporal Lobe - blood supply
Temporal Lobe - physiopathology
Tomography, Emission-Computed, Single-Photon - methods
title Regional cerebral blood flow in patients with schizophrenia : Relevance to symptom structures
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