Document Detail


The functional neuroanatomy of symptom dimensions in schizophrenia: a qualitative and quantitative review of a persistent question.
MedLine Citation:
PMID:  19772872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One of the fundamental goals in understanding schizophrenia is linking the observable symptoms to the underlying unobservable pathophysiology. Given recent advances in medical imaging, researchers are increasingly investigating brain-behavior relationships to better understand the neural substrates of negative, positive, and disorganization symptoms in schizophrenia. This review focused on 25 task-related functional magnetic resonance imaging studies and found meaningful small to moderate associations between specific symptom dimensions and regional brain activity. Negative symptoms were related to the functioning of the ventrolateral prefrontal cortex and ventral striatum. Positive symptoms, particularly persecutory ideation, were related to functioning of the medial prefrontal cortex, amygdala, and hippocampus/parahippocampal region. Disorganization symptoms, although less frequently evaluated, were related to functioning of the dorsolateral prefrontal cortex. Surprisingly, no symptom domain had a consistent relationship with the middle or superior temporal regions. While a number of adaptations in experimental design and reporting standards can facilitate this work, current neuroimaging approaches appear to provide a number of consistent links between the manifest symptoms of schizophrenia and brain dysfunction.
Authors:
Vina M Goghari; Scott R Sponheim; Angus W MacDonald
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review     Date:  2009-09-20
Journal Detail:
Title:  Neuroscience and biobehavioral reviews     Volume:  34     ISSN:  1873-7528     ISO Abbreviation:  Neurosci Biobehav Rev     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-01-29     Completed Date:  2010-04-07     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  7806090     Medline TA:  Neurosci Biobehav Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  468-86     Citation Subset:  IM    
Copyright Information:
(c) 2009 Elsevier Ltd. All rights reserved.
Affiliation:
Clinical Neuroscience of Schizophrenia (CNS) Laboratory, Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AB, Canada. vina.m.goghari@ucalgary.ca
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MeSH Terms
Descriptor/Qualifier:
Brain / physiopathology*
Brain Mapping
Humans
Magnetic Resonance Imaging
Schizophrenia / physiopathology*
Schizophrenic Psychology*
Grant Support
ID/Acronym/Agency:
MH18269/MH/NIMH NIH HHS; MH79262/MH/NIMH NIH HHS; R21 MH079262-02/MH/NIMH NIH HHS; R24 MH 069675/MH/NIMH NIH HHS; R24 MH069675-03/MH/NIMH NIH HHS
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