四川精神卫生2023，Vol.36Issue(6)：509-514,6.DOI:10.11886/scjsws20230518001
慢性精神分裂症患者认知功能与静息态脑镜像同伦连接的相关性
Correlation between cognitive function and resting-state interhemispheric voxel-mirrored homotopic connectivity in patients with chronic schizophrenia
摘要
Abstract
Background Cognitive impairment,a core clinical feature of schizophrenia,is considered to be associated with the aberrant functional connectivity in patients with schizophrenia,whereas previous studies on the characteristics of cognitive impairment in patients with chronic schizophrenia and its correlation with interhemispheric voxel-mirrored homotopic connectivity(VMHC)are somewhat inadequate.Objective To investigate the characteristics of cognitive impairment in patients with chronic schizophrenia who are clinically stable on their antipsychotic medication,and to explore its correlation with resting-state interhemispheric VMHC,so as to provide theoretical basis for the identification of neurobiological mechanism possibly responsible for cognitive impairment in chronic schizophrenia.Methods A total of 15 patients with chronic schizophrenia who met the criteria of the International Classification of Diseases,tenth edition(ICD-10)and hospitalized in Suzhou Guangji Hospital from January 2021 to December 2022 were included.Another 15 healthy community-dwelling individuals were concurrently recruited.All participants were requested to complete the Positive and Negative Symptom Scale(PANSS),Repeatable Battery for the Assessment of Neuropsychological Status(RBANS)and resting-state functional Magnetic Resonance Imaging(rs-fMRI)scanning to evaluate their mental symptoms,cognitive function and interhemispheric functional connectivity.The rs-fMRI data were analyzed with VMHC method.Then Pearson correlation analysis was performed to examine the correlation between VMHC values of regions of interest and scores of RBANS and PANSS within patient group.Results Patient group obtained lower scores than control group based on RBANS immediate memory,visuospatial/constructional,language,attention and total score,with statistically significant differences(t=-2.853,-2.107,-5.576,-7.108,-5.354,P＜0.05 or 0.01).The VMHC values of left superior occipital gyrus(t=-5.188,P＜0.05)and right cuneus(t=-5.188,P＜0.05)in patient group were lower than those in control group,with statistical difference.Correlation analysis denoted that the VMHC values of left superior occipital gyrus(r=0.612,P=0.015)and right cuneus(r=0.612,P=0.015)were positively correlated with visuospatial/constructional index score in RBANS.Conclusion The resting-state VMHC is abnormal in left superior occipital gyrus and right cuneus of patients with chronic schizophrenia,and yields a correlation with the visuospatial/constructional performance of patients.关键词
精神分裂症/认知功能/镜像同伦连接Key words
Schizophrenia/Cognitive function/Voxel-mirrored homotopic connectivity分类
临床医学引用本文复制引用
杨平,陈鹏,高振勇..慢性精神分裂症患者认知功能与静息态脑镜像同伦连接的相关性[J].四川精神卫生,2023,36(6):509-514,6.基金项目
苏州市科技发展计划(项目名称:社会认知评估联合脑影像学在慢性精神分裂症患者社会功能缺损中的临床应用研究,项目编号:SKJYD2021131 （）
项目名称:基于血清细胞因子对以阴性症状为主老年精神分裂症认知功能临床评估应用研究,项目编号:SKJY2021143)Funded by Suzhou Science and Technology Development Plan Project(number,SKJYD2021131 （）
SKJY2021143) （）
