在有风险精神状态的个体中,皮质测量的结构共变性增加
Daiki Sasabayashi1, Sakiko Tsugawa2, Shinichiro Nakajima3
1Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, 2630 Sugitani, Toyama city, Toyama 930-0194, Japan; Research Center for Idling Brain Science, University of Toyama, 2630 Sugitani, Toyama city, Toyama 930-0194, Japan.
Progress in neuro-psychopharmacology & biological psychiatry
|November 23, 2024
概括
患精神病临床高风险的个体表现出改变的大脑结构共变性. 额头-双肩区域的过度旋转可能预测晚期精神病发作,这表明它在脆弱性方面发挥了作用.
科学领域:
- 神经成像是一种神经成像.
- 精神病学是一个精神病学.
- 大脑发育 大脑发育
背景情况:
- 精神分裂症与异常的结构共变性有关,可能反映出大脑成熟和神经进展的改变.
- 目前尚不清楚这些差异是否存在于临床高危精神病 (ARMS) 个体中,以及它们是否与前兆症状或精神病发作相关.
研究的目的:
- 在一个大规模的ARMS样本中调查全脑结构共变性模式,结果各不相同.
- 检查ARMS个体的结构共变性,临床症状和认知障碍之间的关联.
主要方法:
- 横截面,多中心磁共振成像研究.
- 在155名ARMS个体和191名健康对照中评估了皮质厚度,面积,体积和旋转的全脑结构共变性.
- 根据临床随访,ARMS参与者被分类为:精神病发作 (ARMS-P),持续症状或缓解 (ARMS-R).
主要成果:
- 与对照组相比,ARMS个体显示出明显更高的广泛皮质结构共变性,每个皮质测量都有不同的模式.
- 皮层区域的结构共变性较高与怀疑和迫害思想有关.
- 与ARMS-R个体相比,ARMS-P个体表现出明显更高的前额-双肩旋转结构共变.
结论:
- 改变的结构共变性与精神病脆弱性有关.
- 在ARMS患者中,过度的大脑转化结构共变可能预测他们的临床过程,并导致精神病的发展.
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