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Yao Y, Zhang S, Wang B, Lin X, Zhao G, Deng H, Chen Y. Neural dysfunction underlying working memory processing at different stages of the illness course in schizophrenia: a comparative meta-analysis. Cereb Cortex 2024; 34:bhae267. [PMID: 38960703 DOI: 10.1093/cercor/bhae267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 06/04/2024] [Accepted: 06/06/2024] [Indexed: 07/05/2024] Open
Abstract
Schizophrenia, as a chronic and persistent disorder, exhibits working memory deficits across various stages of the disorder, yet the neural mechanisms underlying these deficits remain elusive with inconsistent neuroimaging findings. We aimed to compare the brain functional changes of working memory in patients at different stages: clinical high risk, first-episode psychosis, and long-term schizophrenia, using meta-analyses of functional magnetic resonance imaging studies. Following a systematic literature search, 56 whole-brain task-based functional magnetic resonance imaging studies (15 for clinical high risk, 16 for first-episode psychosis, and 25 for long-term schizophrenia) were included. The separate and pooled neurofunctional mechanisms among clinical high risk, first-episode psychosis, and long-term schizophrenia were generated by Seed-based d Mapping toolbox. The clinical high risk and first-episode psychosis groups exhibited overlapping hypoactivation in the right inferior parietal lobule, right middle frontal gyrus, and left superior parietal lobule, indicating key lesion sites in the early phase of schizophrenia. Individuals with first-episode psychosis showed lower activation in left inferior parietal lobule than those with long-term schizophrenia, reflecting a possible recovery process or more neural inefficiency. We concluded that SCZ represent as a continuum in the early stage of illness progression, while the neural bases are inversely changed with the development of illness course to long-term course.
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Affiliation(s)
- Yuhao Yao
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China
- Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China
- Functional & Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China
| | - Shufang Zhang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China
- West China School of Nursing, Sichuan University, Chengdu, China
| | - Boyao Wang
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China
- Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China
- Functional & Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China
| | - Xiaoyong Lin
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China
- Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China
- Functional & Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China
| | - Gaofeng Zhao
- Department of Psychiatry, Shandong Daizhuang Hospital, Jinning, China
| | - Hong Deng
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
| | - Ying Chen
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China
- Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China
- Functional & Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China
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Akiyama H, Okubo R, Toyomaki A, Miyazaki A, Hattori S, Nohara M, Sasaki Y, Kubota R, Okano H, Takahashi K, Hasegawa Y, Wada I, Uchino T, Takeda K, Ikezawa S, Nemoto T, Ito YM, Hashimoto N. The evaluation study for social cognition measures in Japan: Psychometric properties, relationships with social function, and recommendations. Asian J Psychiatr 2024; 95:104003. [PMID: 38518537 DOI: 10.1016/j.ajp.2024.104003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 02/28/2024] [Accepted: 03/08/2024] [Indexed: 03/24/2024]
Abstract
AIM Patients with schizophrenia can have significant subjective difficulties in social cognition, but few undergo testing or treatment for social cognition. The Social Cognition Psychometric Evaluation (SCOPE) study recommends six social cognitive measures; however, the reliability and validity of these measures in different cultural and linguistic areas has not been adequately examined. We examined the psychometric properties of nine social cognitive measures and the relationship to social function, with the aim of determining the level of recommendation for social cognitive measures in clinical practice in Japan. METHODS For our test battery, an expert panel previously selected nine measures: the Bell Lysaker Emotion Recognition Task (BLERT); Facial Emotion Selection Test (FEST); Hinting Task (Hinting); Metaphor and Sarcasm Scenario Test (MSST); Intentionality Bias Task (IBT); Ambiguous Intentions and Hostility Questionnaire (AIHQ); Social Attribution Task-Multiple Choice (SAT-MC); SAT-MCII; and Biological Motion (BM) task. In total, 121 outpatients with schizophrenia and 70 healthy controls were included in the analysis, and the results were provided to an expert panel to determine the recommendations for each measure. The quantitative psychological indices of each measure were evaluated for practicality, tolerability, test-retest reliability, correlation with social function, and the incremental validity of social function. RESULTS Hinting and FEST received the highest recommendations for use in screening, severity assessment, and longitudinal assessment, followed by BLERT, MSST AIHQ, SAT-MC, and SAT-MCII, with IBT and BM receiving the lowest recommendations. CONCLUSION This study provides a uniform assessment tool that can be used in future international clinical trials for social cognitive impairment.
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Affiliation(s)
- Hisashi Akiyama
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan
| | - Ryo Okubo
- Department of Psychiatry and Neurology, National Hospital Organization Obihiro Hospital, Obihiro 080-8518, Japan; Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan.
| | - Atsuhito Toyomaki
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan
| | - Akane Miyazaki
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan
| | - Sachiko Hattori
- Division of Medical Imaging and Technology, Hokkaido University Hospital, Sapporo 060-8638, Japan
| | - Mariko Nohara
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan
| | - Yohei Sasaki
- Department of Clinical Data Science, Clinical Research & Education Promotion Division, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan; Faculty of Human Sciences, Musashino University, Tokyo 135-8181, Japan; Research Institute of Cognitive Behavior Therapy, Musashino University, Tokyo 135-8181, Japan
| | - Ryotaro Kubota
- Department of Forensic Psychiatry, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan
| | - Hiroki Okano
- Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan
| | - Kanami Takahashi
- Department of Psychiatry, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan
| | - Yumi Hasegawa
- Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan
| | - Izumi Wada
- Department of Neuropsychiatry, Toho University Faculty of Medicine, Tokyo 143-8541, Japan
| | - Takashi Uchino
- Department of Neuropsychiatry, Toho University Faculty of Medicine, Tokyo 143-8541, Japan; Department of Psychiatry and Implementation Science, Toho University Faculty of Medicine, Tokyo 143-8541, Japan
| | - Kazuyoshi Takeda
- Department of Clinical Data Science, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan
| | - Satoru Ikezawa
- Endowed Institute for Empowering Gifted Minds, Graduate School of Arts and Sciences, The University of Tokyo, Tokyo 153-0041, Japan; International Department of Psychiatry, University of Health and Welfare Mita Hospital, Tokyo 108-8329, Japan
| | - Takahiro Nemoto
- Department of Neuropsychiatry, Toho University Faculty of Medicine, Tokyo 143-8541, Japan; Department of Psychiatry and Implementation Science, Toho University Faculty of Medicine, Tokyo 143-8541, Japan
| | - Yoichi M Ito
- Data Science Center, Promotion Unit, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo 060-8648, Japan
| | - Naoki Hashimoto
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan.
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Scheliga S, Schwank R, Scholle R, Habel U, Kellermann T. A neural mechanism underlying predictive visual motion processing in patients with schizophrenia. Psychiatry Res 2022; 318:114934. [PMID: 36347125 DOI: 10.1016/j.psychres.2022.114934] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 10/22/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
Psychotic symptoms may be traced back to sensory sensitivity. Thereby, visual motion (VM) processing particularly has been suggested to be impaired in schizophrenia (SCZ). In healthy brains, VM underlies predictive processing within hierarchically structured systems. However, less is known about predictive VM processing in SCZ. Therefore, we performed fMRI during a VM paradigm with three conditions of varying predictability, i.e., Predictable-, Random-, and Arbitrary motion. The study sample comprised 17 SCZ patients and 23 healthy controls. We calculated general linear model (GLM) analysis to assess group differences in VM processing across motion conditions. Here, we identified significantly lower activity in right temporoparietal junction (TPJ) for SCZ patients. Therefore, right TPJ was set as seed for connectivity analyses. For patients, across conditions we identified increased connections to higher regions, namely medial prefrontal cortex, or paracingulate gyrus. Healthy subjects activated sensory regions as area V5, or superior parietal lobule. Reduced TPJ activity may reflect both a failure in the bottom-up flow of visual information and a decrease of signal processing as consequence of increased top-down input from frontal areas. In sum, these altered neural patterns provide a framework for future studies focusing on predictive VM processing to identify potential biomarkers of psychosis.
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Affiliation(s)
- Sebastian Scheliga
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty RWTH, Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany.
| | - Rosalie Schwank
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty RWTH, Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany
| | - Ruben Scholle
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty RWTH, Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany
| | - Ute Habel
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty RWTH, Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany; JARA-Institute Brain Structure Function Relationship, Pauwelsstraße 30, 52074 Aachen, Germany
| | - Thilo Kellermann
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty RWTH, Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany; JARA-Institute Brain Structure Function Relationship, Pauwelsstraße 30, 52074 Aachen, Germany
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4
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Klein HS, Vanneste S, Pinkham AE. The limited effect of neural stimulation on visual attention and social cognition in individuals with schizophrenia. Neuropsychologia 2021; 157:107880. [PMID: 33961863 DOI: 10.1016/j.neuropsychologia.2021.107880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/15/2021] [Accepted: 04/29/2021] [Indexed: 12/24/2022]
Abstract
BACKGROUND Research demonstrates a relationship between faulty visual attention and poorer social cognition in schizophrenia. One potential explanatory model suggests abnormal neuromodulation in specific neural networks may result in reduced attention to socially important cues, leading to poorer understanding of another's emotional state or intentions. OBJECTIVE The current study experimentally manipulated neural networks using tDCS to examine this potential causal mechanism. The primary aim was to determine whether stimulation to the right temporoparietal junction (rTPJ) improves visual attention, and secondary aims were to determine whether 1) stimulation improves social cognitive performance and 2) visual attention moderates this improved performance. METHOD Using a double-blind crossover design, 69 individuals with schizophrenia underwent both active and sham stimulation to either the rTPJ of the ventral attention network (n = 36) or the dorsomedial prefrontal cortex of the social brain network (dmPFC; n = 33). Following stimulation, participants completed tasks assessing emotion recognition and mentalizing. Concurrent eye tracking assessed visual attention, measuring proportion of time spent attending to areas of interest. RESULTS For emotion recognition, stimulation failed to impact either visual attention or social cognitive task accuracy. Similarly, neurostimulation failed to affect visual attention on the mentalizing task. However, exploratory analyses demonstrated that mentalizing accuracy significantly improved after stimulation to the active comparator, dmPFC, with no improvement after stimulation to rTPJ. CONCLUSION Results demonstrate limited effect of a single stimulation session on visual attention and emotion recognition accuracy but provide initial support for an alternate neural mechanism for mentalizing, highlighting the importance of executive functions over visual attention.
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Affiliation(s)
- Hans S Klein
- School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA.
| | - Sven Vanneste
- Trinity College Institute for Neuroscience, Trinity College Dublin, Ireland
| | - Amy E Pinkham
- School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA; Department of Psychiatry, University of Texas Southwestern Medical School, Dallas, TX,, USA
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Evaluation of Social Cognition Measures for Japanese Patients with Schizophrenia Using an Expert Panel and Modified Delphi Method. J Pers Med 2021; 11:jpm11040275. [PMID: 33917377 PMCID: PMC8067370 DOI: 10.3390/jpm11040275] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 03/18/2021] [Accepted: 04/04/2021] [Indexed: 11/21/2022] Open
Abstract
Social cognition is strongly linked to social functioning outcomes, making it a promising treatment target. Because social cognition measures tend to be sensitive to linguistic and cultural differences, existing measures should be evaluated based on their relevance for Japanese populations. We aimed to establish an expert consensus on the use of social cognition measures in Japanese populations to provide grounds for clinical use and future treatment development. We assembled a panel of experts in the fields of schizophrenia, social psychology, social neuroscience, and developmental disorders. The panel engaged in a modified Delphi process to (1) affirm expert consensus on the definition of social cognition and its constituent domains, (2) determine criteria to evaluate measures, and (3) identify measures appropriate for Japanese patients with a view toward future quantitative research. Through two online voting rounds and two online video conferences, the panel agreed upon a definition and four-domain framework for social cognition consistent with recent literature. Evaluation criteria for measures included feasibility and tolerability, reliability, clinical effectiveness, validity, and international comparability. The panel finally identified nine promising measures, including one task originally developed in Japan. In conclusion, we established an expert consensus on key discussion points in social cognition and arrived at an expert-selected set of measures. We hope that this work facilitates the use of these measures in Japanese clinical scenarios. We plan to further examine these measures in a psychometric evaluation study.
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6
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Eggebrecht AT, Dworetsky A, Hawks Z, Coalson R, Adeyemo B, Davis S, Gray D, McMichael A, Petersen SE, Constantino JN, Pruett JR. Brain function distinguishes female carriers and non-carriers of familial risk for autism. Mol Autism 2020; 11:82. [PMID: 33081838 PMCID: PMC7574590 DOI: 10.1186/s13229-020-00381-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 09/22/2020] [Indexed: 01/13/2023] Open
Abstract
Background Autism spectrum disorder (ASD) is characterized by high population-level heritability and a three-to-one male-to-female ratio that occurs independent of sex linkage. Prior research in a mixed-sex pediatric sample identified neural signatures of familial risk elicited by passive viewing of point light motion displays, suggesting the possibility that both resilience and risk of autism might be associated with brain responses to biological motion. To confirm a relationship between these signatures and inherited risk of autism, we tested them in families enriched for genetic loading through undiagnosed (“carrier”) females. Methods Using functional magnetic resonance imaging, we examined brain responses to passive viewing of point light displays—depicting biological versus non-biological motion—in a sample of undiagnosed adult females enriched for inherited susceptibility to ASD on the basis of affectation in their respective family pedigrees. Brain responses in carrier females were compared to responses in age-, SRS-, and IQ-matched non-carrier-females—i.e., females unrelated to individuals with ASD. We conducted a hypothesis-driven analysis focused on previously published regions of interest as well as exploratory, brain-wide analyses designed to characterize more fully the rich responses to this paradigm. Results We observed robust responses to biological motion. Notwithstanding, the 12 regions implicated by prior research did not exhibit the hypothesized interaction between group (carriers vs. controls) and point light displays (biological vs. non-biological motion). Exploratory, brain-wide analyses identified this interaction in three novel regions. Post hoc analyses additionally revealed significant variations in the time course of brain activation in 20 regions spanning occipital and temporal cortex, indicating group differences in response to point light displays (irrespective of the nature of motion) for exploration in future studies. Limitations We were unable to successfully eye-track all participants, which prevented us from being able to control for potential differences in eye gaze position. Conclusions These methods confirmed pronounced neural signatures that differentiate brain responses to biological and scrambled motion. Our sample of undiagnosed females enriched for family genetic loading enabled discovery of numerous contrasts between carriers and non-carriers of risk of ASD that may index variations in visual attention and motion processing related to genetic susceptibility and inform our understanding of mechanisms incurred by inherited liability for ASD.
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Affiliation(s)
- Adam T Eggebrecht
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA. .,Washington University School of Medicine, C.B. 8225, 4515 McKinley Ave., St. Louis, MO, 63110, USA.
| | - Ally Dworetsky
- Department of Neurology, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - Zoë Hawks
- Department of Psychological and Brain Sciences, Washington University in St. Louis, 1 Brookings Dr., St Louis, MO, 63130, USA
| | - Rebecca Coalson
- Department of Neurology, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - Babatunde Adeyemo
- Department of Neurology, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - Savannah Davis
- Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - Daniel Gray
- Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - Alana McMichael
- Department of Neurology, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - Steven E Petersen
- Department of Neurology, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - John N Constantino
- Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
| | - John R Pruett
- Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave, St Louis, MO, 63110, USA
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7
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Isernia S, Sokolov AN, Fallgatter AJ, Pavlova MA. Untangling the Ties Between Social Cognition and Body Motion: Gender Impact. Front Psychol 2020; 11:128. [PMID: 32116932 PMCID: PMC7016199 DOI: 10.3389/fpsyg.2020.00128] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 01/16/2020] [Indexed: 01/25/2023] Open
Abstract
We proved the viability of the general hypothesis that biological motion (BM) processing serves as a hallmark of social cognition. We assumed that BM processing and inferring emotions through BM (body language reading) are firmly linked and examined whether this tie is gender-specific. Healthy females and males completed two tasks with the same set of point-light BM displays portraying angry and neutral locomotion of female and male actors. For one task, perceivers had to indicate actor gender, while for the other, they had to infer the emotional content of locomotion. Thus, with identical visual input, we directed task demands either to BM processing or inferring of emotion. This design allows straight comparison between sensitivity to BM and recognition of emotions conveyed by the same BM. In addition, perceivers were administered a set of photographs from the Reading the Mind in the Eyes Test (RMET), with which they identified either emotional state or actor gender. Although there were no gender differences in performance on BM tasks, a tight link occurred between recognition accuracy of emotions and gender through BM in males. In females only, body language reading (both accuracy and response time) was associated with performance on the RMET. The outcome underscores gender-specific modes in visual social cognition and triggers investigation of body language reading in a wide range of neuropsychiatric disorders.
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Affiliation(s)
- Sara Isernia
- Department of Psychiatry and Psychotherapy, Medical School and University Hospital, Eberhard Karls University of Tübingen, Tübingen, Germany
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- CADITeR, IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy
| | - Alexander N. Sokolov
- Department of Psychiatry and Psychotherapy, Medical School and University Hospital, Eberhard Karls University of Tübingen, Tübingen, Germany
| | - Andreas J. Fallgatter
- Department of Psychiatry and Psychotherapy, Medical School and University Hospital, Eberhard Karls University of Tübingen, Tübingen, Germany
| | - Marina A. Pavlova
- Department of Psychiatry and Psychotherapy, Medical School and University Hospital, Eberhard Karls University of Tübingen, Tübingen, Germany
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Vucurovic K, Caillies S, Kaladjian A. Neural correlates of theory of mind and empathy in schizophrenia: An activation likelihood estimation meta-analysis. J Psychiatr Res 2020; 120:163-174. [PMID: 31689587 DOI: 10.1016/j.jpsychires.2019.10.018] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 10/03/2019] [Accepted: 10/25/2019] [Indexed: 12/14/2022]
Abstract
Social cognition impairment predicts social functioning in schizophrenia. Several studies have found abnormal brain activation in patients with schizophrenia during social cognition tasks. Nevertheless, no coordinate-based meta-analysis comparing the neural correlates of theory of mind and empathy had been done in this population. Our aim was to explore neural correlates related to theory of mind and empathy in patients with schizophrenia compared to healthy controls, in order to identify abnormal brain activation related to emotional content during mental state attribution in schizophrenia. We performed a neural-coordinate-based Activation Likelihood Estimation (ALE) meta-analysis of existing neuroimaging data in the literature to distinguish between abnormal brain maps associated with emotional attribution and those associated with intention/belief inference. We found that brain activation in patients group was significantly decreased in the right ventrolateral prefrontal cortex (VLPFC) during emotional attribution, while there was a significant decrease in the left posterior temporo-parietal junction (TPJ) during intention/belief attribution. Using a meta-analytic connectivity modeling approach (MACM), we demonstrated that both regions are coactivated with other brain regions known to play a role in social cognition, including the bilateral anterior insula, right TPJ, left amygdala and dorsolateral prefrontal cortex. In addition, abnormal activation in both the left TPJ and right VLPFC was previously reported in association with verbal-auditory hallucinations and a "jumping to conclusions" cognitive bias. Thus, these regions could be valuable targets for therapeutic interventions in schizophrenia.
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Affiliation(s)
- Ksenija Vucurovic
- Laboratoire C2S (Cognition, Santé, Société), University of Reims Champagne Ardenne, EA 6291, France.
| | - Stéphanie Caillies
- Laboratoire C2S (Cognition, Santé, Société), University of Reims Champagne Ardenne, EA 6291, France
| | - Arthur Kaladjian
- Laboratoire C2S (Cognition, Santé, Société), University of Reims Champagne Ardenne, EA 6291, France; Department of Psychiatry, University Hospital, Reims, France
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9
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Penner J, Osuch EA, Schaefer B, Théberge J, Neufeld RWJ, Menon RS, Rajakumar N, Williamson PC. Temporoparietal Junction Functional Connectivity in Early Schizophrenia and Major Depressive Disorder. ACTA ACUST UNITED AC 2018; 2:2470547018815232. [PMID: 32440588 PMCID: PMC7219936 DOI: 10.1177/2470547018815232] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 11/03/2018] [Indexed: 11/23/2022]
Abstract
Background The temporoparietal junction (TPJ) has been linked to lower-level attentional
and higher-level social processing, both of which are affected in
schizophrenia (SZ) and major depressive disorder (MDD). We examined resting
functional connectivity of bilateral anterior and posterior TPJ in SZ and
MDD to evaluate potential anomalies in each disorder and differences between
disorders. Methods Resting-state functional magnetic resonance imaging data were acquired from
24 patients with SZ, 24 patients with MDD, and 24 age-matched healthy
controls. We performed seed-based functional connectivity analyses with seed
regions in bilateral anterior and posterior TPJ, covarying for gender and
smoking. Results SZ had reduced connectivity versus controls between left anterior TPJ and
dorsolateral prefrontal cortex (dlPFC) and posterior cingulate cortex (PCC);
between left posterior TPJ and middle cingulate cortex, left dorsal PFC, and
right lateral PFC; between right anterior TPJ and bilateral PCC; and between
right posterior TPJ and middle cingulate cortex, left posterior insula, and
right insula. MDD had reduced connectivity versus controls between left
posterior TPJ and right dlPFC and between right posterior TPJ and PCC and
dlPFC. SZ had reduced connectivity versus MDD between right posterior TPJ
and left fusiform gyrus and right superior-posterior temporal cortex. Conclusion Functional connectivity to the TPJ was demonstrated to be disrupted in both
SZ and MDD. However, TPJ connectivity may differ in these disorders with
reduced connectivity in SZ versus MDD between TPJ and posterior brain
regions.
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Affiliation(s)
- Jacob Penner
- Department of Psychiatry, University of Western Ontario, London, ON, Canada.,Imaging Division, Lawson Health Research Institute, London, ON, Canada.,First Episode Mood and Anxiety Program, London Health Sciences Centre, London, ON, Canada
| | - Elizabeth A Osuch
- Department of Psychiatry, University of Western Ontario, London, ON, Canada.,Imaging Division, Lawson Health Research Institute, London, ON, Canada.,First Episode Mood and Anxiety Program, London Health Sciences Centre, London, ON, Canada.,Department of Medical Biophysics, University of Western Ontario, London, ON, Canada
| | - Betsy Schaefer
- Department of Psychiatry, University of Western Ontario, London, ON, Canada
| | - Jean Théberge
- Department of Psychiatry, University of Western Ontario, London, ON, Canada.,Imaging Division, Lawson Health Research Institute, London, ON, Canada.,Department of Medical Biophysics, University of Western Ontario, London, ON, Canada
| | - Richard W J Neufeld
- Department of Psychiatry, University of Western Ontario, London, ON, Canada.,Department of Psychology, University of Western Ontario, London, ON, Canada.,Neuroscience Program, University of Western Ontario, London, ON, Canada
| | - Ravi S Menon
- Imaging Division, Lawson Health Research Institute, London, ON, Canada.,Department of Medical Biophysics, University of Western Ontario, London, ON, Canada.,Centre for Functional and Metabolic Mapping, Robarts Research Institute, London, ON, Canada
| | - Nagalingam Rajakumar
- Department of Psychiatry, University of Western Ontario, London, ON, Canada.,Department of Anatomy and Cell Biology, University of Western Ontario, London, ON, Canada
| | - Peter C Williamson
- Department of Psychiatry, University of Western Ontario, London, ON, Canada.,Imaging Division, Lawson Health Research Institute, London, ON, Canada.,Department of Medical Biophysics, University of Western Ontario, London, ON, Canada
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10
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Jimenez AM, Lee J, Reavis EA, Wynn JK, Green MF. Aberrant patterns of neural activity when perceiving emotion from biological motion in schizophrenia. NEUROIMAGE-CLINICAL 2018; 20:380-387. [PMID: 30128276 PMCID: PMC6095949 DOI: 10.1016/j.nicl.2018.08.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 07/12/2018] [Accepted: 08/08/2018] [Indexed: 11/30/2022]
Abstract
Social perceptual deficits in schizophrenia are well established. Recent work suggests that the ability to extract social information from bodily cues is reduced in patients. However, little is known about the neurobiological mechanisms underlying this deficit. In the current study, 20 schizophrenia patients and 16 controls completed two tasks using point-light animations during fMRI: a basic biological motion task and an emotion in biological motion task. The basic biological motion task was used to localize activity in posterior superior temporal sulcus (pSTS), a critical region for biological motion perception. During the emotion in biological motion task, participants viewed brief videos depicting happiness, fear, anger, or neutral emotions and were asked to decide which emotion was portrayed. Activity in pSTS and amygdala was interrogated during this task. Results indicated that patients showed overall reduced activation compared to controls in pSTS and at a trend level in amygdala across emotions, despite similar task performance. Further, a functional connectivity analysis revealed that controls, but not patients, showed significant positive connectivity between pSTS and left frontal regions as well as bilateral angular gyrus during the emotion in biological motion task. These findings indicate that schizophrenia patients show aberrant neural activity and functional connectivity when extracting complex social information from simple motion stimuli, which may contribute to social perception deficits in this disorder. Perception of social information from bodily cues is impaired in schizophrenia. We examined neural correlates of perception of emotion from biological motion. Activity in amygdala and posterior superior temporal sulcus was reduced in patients. pSTS functional connectivity with frontal and parietal regions was reduced in patients. Aberrant neural responses may contribute to social perceptual deficits in schizophrenia.
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Affiliation(s)
- Amy M Jimenez
- Desert Pacific MIRECC, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Ave., Los Angeles, CA 90095, USA.
| | - Junghee Lee
- Desert Pacific MIRECC, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Ave., Los Angeles, CA 90095, USA
| | - Eric A Reavis
- Desert Pacific MIRECC, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Ave., Los Angeles, CA 90095, USA
| | - Jonathan K Wynn
- Desert Pacific MIRECC, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Ave., Los Angeles, CA 90095, USA
| | - Michael F Green
- Desert Pacific MIRECC, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Ave., Los Angeles, CA 90095, USA
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11
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Okruszek Ł, Pilecka I. Biological motion processing in schizophrenia - Systematic review and meta-analysis. Schizophr Res 2017; 190:3-10. [PMID: 28285029 DOI: 10.1016/j.schres.2017.03.013] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 02/24/2017] [Accepted: 03/05/2017] [Indexed: 10/20/2022]
Abstract
CONTEXT Patients with schizophrenia show impairments in processing of biological motion. This is especially important since deficits in domains of social cognition has been associated with functional outcome and everyday functioning in this population. OBJECTIVES We conducted a systematic review and meta-analysis of studies which have used point-light displays to present whole-body motion to patients with schizophrenia and healthy controls, to evaluate the magnitude of differences between these groups in biological motion processing. METHOD Firstly, relevant publications were identified by a systematic search of Google Scholar and PubMed databases. Secondly, we excluded non-relevant studies for the meta-analysis according to our exclusion criteria. Effect sizes were expressed as standardized mean difference (SMD). RESULTS 15 papers reporting results of 14 different experiments with 571 patients and 482 controls were included in the meta-analysis. The results for the general biological motion perception analysis revealed that patients with schizophrenia (compared with healthy controls) present reduced biological motion processing capacity with the effect size (SMD) of 0.66 (95% CI, -0.79 to -0.54; p<0.001). The results for the specific biological motion-based tasks were also statistically significant with SMD of 0.72 for Basic Biological Motion task (95% CI: -0.94 to -0.51; p<0.001) and SMD of 0.61 for Emotion in Biological Motion task, (95% CI: -0.79 to -0.43; p<0.001) respectively. CONCLUSION The findings from our meta-analysis highlight abnormalities in general and specific domains of biological motion perception in schizophrenia patients as compared with healthy controls.
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Affiliation(s)
- Łukasz Okruszek
- Clinical Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland.
| | - Izabela Pilecka
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom
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12
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Pavlova MA. Sex and gender affect the social brain: Beyond simplicity. J Neurosci Res 2016; 95:235-250. [PMID: 27688155 DOI: 10.1002/jnr.23871] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Revised: 07/06/2016] [Accepted: 07/14/2016] [Indexed: 02/01/2023]
Affiliation(s)
- Marina A. Pavlova
- Department of Biomedical Magnetic Resonance, Medical School; Eberhard Karls University of Tübingen; Tübingen Germany
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13
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Eddy CM. The junction between self and other? Temporo-parietal dysfunction in neuropsychiatry. Neuropsychologia 2016; 89:465-477. [PMID: 27457686 DOI: 10.1016/j.neuropsychologia.2016.07.030] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Revised: 05/13/2016] [Accepted: 07/22/2016] [Indexed: 11/18/2022]
Affiliation(s)
- Clare M Eddy
- Department of Neuropsychiatry, BSMHFT The Barberry, National Centre for Mental Health, Birmingham, UK; School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
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14
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Alústiza I, Radua J, Albajes-Eizagirre A, Domínguez M, Aubá E, Ortuño F. Meta-Analysis of Functional Neuroimaging and Cognitive Control Studies in Schizophrenia: Preliminary Elucidation of a Core Dysfunctional Timing Network. Front Psychol 2016; 7:192. [PMID: 26925013 PMCID: PMC4756542 DOI: 10.3389/fpsyg.2016.00192] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 01/31/2016] [Indexed: 12/04/2022] Open
Abstract
Timing and other cognitive processes demanding cognitive control become interlinked when there is an increase in the level of difficulty or effort required. Both functions are interrelated and share neuroanatomical bases. A previous meta-analysis of neuroimaging studies found that people with schizophrenia had significantly lower activation, relative to normal controls, of most right hemisphere regions of the time circuit. This finding suggests that a pattern of disconnectivity of this circuit, particularly in the supplementary motor area, is a trait of this mental disease. We hypothesize that a dysfunctional temporal/cognitive control network underlies both cognitive and psychiatric symptoms of schizophrenia and that timing dysfunction is at the root of the cognitive deficits observed. The goal of our study was to look, in schizophrenia patients, for brain structures activated both by execution of cognitive tasks requiring increased effort and by performance of time perception tasks. We conducted a signed differential mapping (SDM) meta-analysis of functional neuroimaging studies in schizophrenia patients assessing the brain response to increasing levels of cognitive difficulty. Then, we performed a multimodal meta-analysis to identify common brain regions in the findings of that SDM meta-analysis and our previously-published activation likelihood estimate (ALE) meta-analysis of neuroimaging of time perception in schizophrenia patients. The current study supports the hypothesis that there exists an overlap between neural structures engaged by both timing tasks and non-temporal cognitive tasks of escalating difficulty in schizophrenia. The implication is that a deficit in timing can be considered as a trait marker of the schizophrenia cognitive profile.
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Affiliation(s)
- Irene Alústiza
- Department of Psychiatry and Clinical Psychology, Clínica Universidad de NavarraPamplona, Spain; Instituto de Investigación Sanitaria de NavarraNavarra, Spain
| | - Joaquim Radua
- Department of Psychosis Studies, Institute of Psychiatry, Kings CollegeLondon, UK; FIDMAG Germanes Hospitalaries Hospital Sant RafaelBarcelona, Spain; Centro de Investigación Biomédicaen Redde Salud MentalBarcelona, Spain
| | - Anton Albajes-Eizagirre
- FIDMAG Germanes Hospitalaries Hospital Sant RafaelBarcelona, Spain; Centro de Investigación Biomédicaen Redde Salud MentalBarcelona, Spain
| | - Manuel Domínguez
- Department of Psychiatry and Clinical Psychology, Clínica Universidad de NavarraPamplona, Spain; Instituto de Investigación Sanitaria de NavarraNavarra, Spain
| | - Enrique Aubá
- Department of Psychiatry and Clinical Psychology, Clínica Universidad de NavarraPamplona, Spain; Instituto de Investigación Sanitaria de NavarraNavarra, Spain
| | - Felipe Ortuño
- Department of Psychiatry and Clinical Psychology, Clínica Universidad de NavarraPamplona, Spain; Instituto de Investigación Sanitaria de NavarraNavarra, Spain
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15
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Oh J, Chun JW, Joon Jo H, Kim E, Park HJ, Lee B, Kim JJ. The neural basis of a deficit in abstract thinking in patients with schizophrenia. Psychiatry Res 2015; 234:66-73. [PMID: 26329118 DOI: 10.1016/j.pscychresns.2015.08.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Revised: 07/06/2015] [Accepted: 08/20/2015] [Indexed: 01/12/2023]
Abstract
Abnormal abstract thinking is a major cause of social dysfunction in patients with schizophrenia, but little is known about its neural basis. In this study, we aimed to determine the characteristic abstract thinking-related brain responses in patients using a task reflecting social situations. We conducted functional magnetic resonance imaging while 16 patients with schizophrenia and 16 healthy controls performed a theme-identification task, in which various emotional pictures depicting social situations were presented. Compared with healthy controls, the patients showed significantly decreased activity in the left frontopolar and right orbitofrontal cortices during theme identification. Activity in these two regions correlated well in the controls, but not in patients. Instead, the patients exhibited a close correlation between activity in both sides of the frontopolar cortex, and a positive correlation between the right orbitofrontal cortex activity and degrees of theme identification. Reduced activity in the left frontopolar and right orbitofrontal cortices and the underlying aberrant connectivity may be implicated in the patients' deficits in abstract thinking. These newly identified features of the neural basis of abnormal abstract thinking are important as they have implications for the impaired social behavior of patients with schizophrenia during real-life situations.
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Affiliation(s)
- Jooyoung Oh
- Department of Medical System Engineering, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea
| | - Ji-Won Chun
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Hang Joon Jo
- Section on Functional Imaging Methods, Laboratory of Brain and Cognition, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
| | - Eunseong Kim
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Hae-Jeong Park
- Department of Nuclear Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Boreom Lee
- Department of Medical System Engineering, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea; School of Mechatronics, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea.
| | - Jae-Jin Kim
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea.
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