Surface area in the insula was associated with 28-month functional outcome in first-episode psychosis

Abstract Many studies have tested the relationship between demographic, clinical, and psychobiological measurements and clinical outcomes in ultra-high risk for psychosis (UHR) and first-episode psychosis (FEP). However, no study has investigated the relationship between multi-modal measurements and...

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Autores principales: Shinsuke Koike, Mao Fujioka, Yoshihiro Satomura, Daisuke Koshiyama, Mariko Tada, Eisuke Sakakibara, Naohiro Okada, Yosuke Takano, Norichika Iwashiro, Tatsunobu Natsubori, Yinghan Zhu, Osamu Abe, Kenji Kirihara, Hidenori Yamasue, Kiyoto Kasai
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/9995403c8b6744659c63ce3819cb4789
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Sumario:Abstract Many studies have tested the relationship between demographic, clinical, and psychobiological measurements and clinical outcomes in ultra-high risk for psychosis (UHR) and first-episode psychosis (FEP). However, no study has investigated the relationship between multi-modal measurements and long-term outcomes for >2 years. Thirty-eight individuals with UHR and 29 patients with FEP were measured using one or more modalities (cognitive battery, electrophysiological response, structural magnetic resonance imaging, and functional near-infrared spectroscopy). We explored the characteristics associated with 13- and 28-month clinical outcomes. In UHR, the cortical surface area in the left orbital part of the inferior frontal gyrus was negatively associated with 13-month disorganized symptoms. In FEP, the cortical surface area in the left insula was positively associated with 28-month global social function. The left inferior frontal gyrus and insula are well-known structural brain characteristics in schizophrenia, and future studies on the pathological mechanism of structural alteration would provide a clearer understanding of the disease.