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Döring C, Müller M, Hagenmuller F, Ajdacic-Gross V, Haker H, Kawohl W, Rössler W, Heekeren K. Mismatch negativity: Alterations in adults from the general population who report subclinical psychotic symptoms. Eur Psychiatry 2016; 34:9-16. [PMID: 26928341 DOI: 10.1016/j.eurpsy.2016.01.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Revised: 11/29/2015] [Accepted: 01/03/2016] [Indexed: 10/22/2022] Open
Abstract
BACKGROUND Deficits of mismatch negativity (MMN) in schizophrenia and individuals at risk for psychosis have been replicated many times. Several studies have also demonstrated the occurrence of subclinical psychotic symptoms within the general population. However, none has yet investigated MMN in individuals from the general population who report subclinical psychotic symptoms. METHODS The MMN to duration-, frequency-, and intensity deviants was recorded in 217 nonclinical individuals classified into a control group (n=72) and three subclinical groups: paranoid (n=44), psychotic (n=51), and mixed paranoid-psychotic (n=50). Amplitudes of MMN at frontocentral electrodes were referenced to average. Based on a three-source model of MMN generation, we conducted an MMN source analysis and compared the amplitudes of surface electrodes and sources among groups. RESULTS We found no significant differences in MMN amplitudes of surface electrodes. However, significant differences in MMN generation among the four groups were revealed at the frontal source for duration-deviant stimuli (P=0.01). We also detected a trend-level difference (P=0.05) in MMN activity among those groups for frequency deviants at the frontal source. CONCLUSIONS Individuals from the general population who report psychotic symptoms are a heterogeneous group. However, alterations exist in their frontal MMN activity. This increased activity might be an indicator of more sensitive perception regarding changes in the environment for individuals with subclinical psychotic symptoms.
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Affiliation(s)
- C Döring
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - M Müller
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - F Hagenmuller
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - V Ajdacic-Gross
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - H Haker
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland
| | - W Kawohl
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - W Rössler
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Institute of Psychiatry, Laboratory of Neuroscience (LIM 27), University of Sao Paulo, Sao Paulo, Brazil
| | - K Heekeren
- The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), Psychiatric Hospital, University of Zurich, Zurich, Switzerland; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland.
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Holper L, Aleksandrowicz A, Müller M, Ajdacic-Gross V, Haker H, Fallgatter AJ, Hagenmuller F, Rössler W, Kawohl W. Brain correlates of verbal fluency in subthreshold psychosis assessed by functional near-infrared spectroscopy. Schizophr Res 2015; 168:23-9. [PMID: 26277535 DOI: 10.1016/j.schres.2015.07.043] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Revised: 07/22/2015] [Accepted: 07/23/2015] [Indexed: 11/26/2022]
Abstract
The prevalence of subthreshold psychotic symptoms in the general population has gained increasing interest as a possible precursor of psychotic disorders. The goal of the present study was to evaluate whether neurobiological features of subthreshold psychotic symptoms can be detected using verbal fluency tasks and functional near-infrared spectroscopy (fNIRS). A large data set was obtained from the Zurich Program for Sustainable Development of Mental Health Services (ZInEP). Based on the SCL-90-R subscales 'Paranoid Ideation' and 'Psychoticism' a total sample of 188 subjects was assigned to four groups with different levels of subthreshold psychotic symptoms. All subjects completed a phonemic and semantic verbal fluency task while fNIRS was recorded over the prefrontal and temporal cortices. Results revealed larger hemodynamic (oxy-hemoglobin) responses to the phonemic and semantic conditions compared to the control condition over prefrontal and temporal cortices. Subjects with high subthreshold psychotic symptoms exhibited significantly reduced hemodynamic responses in both conditions compared to the control group. Further, connectivity between prefrontal and temporal cortices revealed significantly weaker patterns in subjects with high subthreshold psychotic symptoms compared to the control group, possibly indicating less incisive network connections associated with subthreshold psychotic symptoms. The present findings provide evidence that subthreshold forms of psychotic symptoms are associated with reduced hemodynamic responses and connectivity in prefrontal and temporal cortices during verbal fluency that can be identified using fNIRS.
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Affiliation(s)
- L Holper
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland.
| | - A Aleksandrowicz
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland; The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland
| | - M Müller
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland; The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland
| | - V Ajdacic-Gross
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland; The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland
| | - H Haker
- The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland; Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Switzerland
| | - A J Fallgatter
- Department of Psychiatry Psychotherapy, University of Tübingen, Germany; LEAD Graduate School, University of Tübingen, Germany
| | - F Hagenmuller
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland; The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland
| | - W Rössler
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland; The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland; Institute of Psychiatry, Laboratory of Neuroscience, LIM27, University of Sao Paulo, Brazil
| | - W Kawohl
- Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, Switzerland; The Zurich Program for Sustainable Development of Mental Health Services, University Hospital of Psychiatry Zurich, Switzerland
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Spada C, Hassan C, Galmiche J, Neuhaus H, Dumonceau J, Adler S, Epstein O, Gay G, Pennazio M, Rex D, Benamouzig R, de Franchis R, Delvaux M, Devière J, Eliakim R, Fraser C, Hagenmuller F, Herrerias J, Keuchel M, Macrae F, Munoz-Navas M, Ponchon T, Quintero E, Riccioni M, Rondonotti E, Marmo R, Sung J, Tajiri H, Toth E, Triantafyllou K, Van Gossum A, Costamagna G. Kolonkapselendoskopie: Leitlinie der Europäischen Gesellschaft für Gastrointestinale Endoskopie. Endo heute 2012; 25:145-154. [DOI: 10.1055/s-0032-1312968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Affiliation(s)
- C. Spada
- Digestive Endoscopy Unit, Catholic University, Rome, Italy
| | - C. Hassan
- Department of Gastroenterology and Hepatology, Nantes, University, Nantes, France
| | - J. Galmiche
- Department of Gastroenterology, Evangelisches Krankenhaus, Düsseldorf, Germany
| | - H. Neuhaus
- Service of Gastroenterology and Hepatology, Geneva University Hospitals, Geneva, Switzerland
| | - J. Dumonceau
- Department of Gastroenterology, Bikur Holim Hospital; Jerusalem, Israel
| | - S. Adler
- Department of Gastroenterology, Royal Free and University College Medical School, London, UK
| | - O. Epstein
- Department of Hepato-Gastroenterology, HU Strasbourg, Strasbourg, France
| | - G. Gay
- Division of Gastroenterology 2, San Giovanni Battista University Teaching Hospital, Turin, Italy
| | - M. Pennazio
- Department of Gastroenterology, Indiana University Hospital, Indianapolis, USA
| | - D. Rex
- Department of Gastroenterology, Avienne Hospital, University of Paris, Bobigny, France
| | - R. Benamouzig
- Gastroenterology Unit, Luigi Sacco University Hospital, Milan, Italy
| | - R. de Franchis
- Department of Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium
| | - M. Delvaux
- Chaim Sheba Medical Center, Tel-Aviv, Israel
| | - J. Devière
- Department of Gastroenterology, St. Mark's Hospital, London, UK
| | - R. Eliakim
- Department of Medicine I, Altona General Hospital, Hamburg, Germany
| | - C. Fraser
- Gastroenterology Service, Virgen Macarena University Hospital, Seville, Spain
| | - F. Hagenmuller
- Clinic for Internal Medicine, Bethesda Krankenhaus Bergedorf, Hamburg, Germany
| | - J. Herrerias
- Department of Gastroenterology and Clinical Nutrition Service, Royal Melbourne Hospital, Melbourne, Australia
| | - M. Keuchel
- Digestive Endoscopy Unit, Clinica Universitaria de Navarra, Pamplona, Spain
| | - F. Macrae
- Department of Gastroenterology, Hospital Edouard Herriot, Lyon, France
| | - M. Munoz-Navas
- Department of Gastroenterology, Hospital Universitario de Canarias, Tenerife, Spain
| | - T. Ponchon
- Gastroenterology Unit, Ospedale Valdue, Como, Italy
| | - E. Quintero
- Division of Gastroenterology, Curto Hospital, Polla, Italy
| | - M. Riccioni
- Department of Medicine and Therapeutics, Division of Gastroenterology, Prince of Wales Hospital, Shatin, N.T, Hong Kong
| | - E. Rondonotti
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - R. Marmo
- Endoscopy Unit, Skane University Hospital, Lund University, Malmö, Sweden
| | - J. Sung
- Hepatogastroenterology Unit, 2nd department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Athens University, Athens, Greece
| | - H. Tajiri
- Hepatogastroenterology Unit, 2nd department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Athens University, Athens, Greece
| | - E. Toth
- Hepatogastroenterology Unit, 2nd department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Athens University, Athens, Greece
| | - K. Triantafyllou
- Hepatogastroenterology Unit, 2nd department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Athens University, Athens, Greece
| | - A. Van Gossum
- Hepatogastroenterology Unit, 2nd department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Athens University, Athens, Greece
| | - G. Costamagna
- Hepatogastroenterology Unit, 2nd department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Athens University, Athens, Greece
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Spada C, Hassan C, Galmiche JP, Neuhaus H, Dumonceau JM, Adler S, Epstein O, Gay G, Pennazio M, Rex DK, Benamouzig R, de Franchis R, Delvaux M, Devière J, Eliakim R, Fraser C, Hagenmuller F, Herrerias JM, Keuchel M, Macrae F, Munoz-Navas M, Ponchon T, Quintero E, Riccioni ME, Rondonotti E, Marmo R, Sung JJ, Tajiri H, Toth E, Triantafyllou K, Van Gossum A, Costamagna G. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2012; 44:527-36. [PMID: 22389230 DOI: 10.1055/s-0031-1291717] [Citation(s) in RCA: 178] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PillCam colon capsule endoscopy (CCE) is an innovative noninvasive, and painless ingestible capsule technique that allows exploration of the colon without the need for sedation and gas insufflation. Although it is already available in European and other countries, the clinical indications for CCE as well as the reporting and work-up of detected findings have not yet been standardized. The aim of this evidence-based and consensus-based guideline, commissioned by the European Society of Gastrointestinal Endoscopy (ESGE) is to furnish healthcare providers with a comprehensive framework for potential implementation of this technique in a clinical setting.
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Affiliation(s)
- C Spada
- Digestive Endoscopy Unit, Catholic University, Rome, Italy.
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Korman LY, Delvaux M, Gay G, Hagenmuller F, Keuchel M, Friedman S, Weinstein M, Shetzline M, Cave D, de Franchis R. Capsule endoscopy structured terminology (CEST): proposal of a standardized and structured terminology for reporting capsule endoscopy procedures. Endoscopy 2005; 37:951-9. [PMID: 16189767 DOI: 10.1055/s-2005-870329] [Citation(s) in RCA: 90] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- L Y Korman
- Division of Gastroenterology, Dept. of Veterans Affairs Medical Center, Washington, DC, USA
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Keighley MRB, O'Morain C, Giacosa A, Ashorn M, Burroughs A, Crespi M, Delvaux M, Faivre J, Hagenmuller F, Lamy V, Manger F, Mills HT, Neumann C, Nowak A, Pehrsson A, Smits S, Spencer K. Public awareness of risk factors and screening for colorectal cancer in Europe. Eur J Cancer Prev 2004; 13:257-62. [PMID: 15554552 DOI: 10.1097/01.cej.0000136575.01493.9b] [Citation(s) in RCA: 74] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Colorectal cancer (CRC) is the commonest site for malignancy in Europe. The Commissioner for Health wishes to promote screening for colorectal, breast and cervical cancer in Europe. The aim of this study was to assess public knowledge of CRC in Europe and likely take up of free screening. To this end 20710 members of the public from 21 European countries were interviewed by means of a regular survey amongst consumers (Omnibus survey) using 13 stem questions. Forty-eight per cent thought the population were at equal risk of CRC, only 57% were aware of age and 54% of family history as risk factors. Although 70% were aware of dietary factors, only 30% knew that lack of exercise might be a risk factor. Only 51% had knowledge of CRC screening but 75% were 'very', or 'quite interested, in taking up faecal occult blood (FOB) screening if offered free. Barriers to screening were lack of awareness of risk (31%), youth (22%) and an un-anaesthetic test (19%). There was a big cultural difference in willingness of the public to discuss bowel symptoms: there was a major barrier in Finland (91%), Britain (84%), Luxembourg (82%), Poland (81%) and Portugal (80%); less of a barrier in Spain (49%), Italy (44%) and Iceland (39%). In conclusion, the challenge of achieving high compliance for CRC screening must be a major objective amongst EU member states and non-aligned countries of Europe in the next decade, because it is known that the non-compliant group are those at greatest risk of death from CRC. This study has shown that awareness of CRC is low in Europe and that an educational programme will be essential to achieve high compliance for CRC screening as a means of reducing deaths from bowel cancer.
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Affiliation(s)
- M R B Keighley
- University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK.
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