期刊
BIOLOGICAL PSYCHIATRY
卷 69, 期 5, 页码 407-414出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.biopsych.2010.09.050
关键词
Auditory verbal hallucinations; functional connectivity; functional magnetic resonance imaging; putamen; schizophrenia; Wernicke's area
资金
- National Institute of Mental Health [R01MH067073]
- Dana Foundation
- National Alliance for Research on Schizophrenia and Depression
- Peterson 50th Anniversary Research Partner
- Department of Mental Health and Addiction Services of the State of Connecticut through Abraham Ribicoff Research Center at the Connecticut Mental Health Center
Background: Higher levels of inter-region functional coordination can facilitate emergence of neural activity as conscious percepts. We consequently tested the hypothesis that auditory/verbal hallucinations (AVHs) arise from elevated functional coordination within a speech processing network. Methods: Functional coordination was indexed with functional connectivity (FC) computed from functional magnetic resonance imaging data. Thirty-two patients with schizophrenia reporting AVHs, 24 similarly diagnosed patients without hallucinations, and 23 healthy control subjects were studied. FC was seeded from a bilateral Wernicke's region delineated according to activation detected during AVHs in a prior study. Results: Wernicke's-seeded FC with Brodmann area 45/46 of the left inferior frontal gyrus (IFG) was significantly greater for hallucinating patients compared with nonhallucinating patients but not compared with healthy control subjects. In contrast, Wernicke's-seeded FC with a large subcortical region that included the thalamus, midbrain, and putamen was significantly greater for the combined patient group compared with healthy control subjects after false discovery rate correction, but not when comparing the two patient groups. Within that subcortical domain, the putamen demonstrated significantly greater FC relative to a secondary left IFG seed region when hallucinators were compared with nonhallucinating patients. A follow-up analysis found that FC summed along a loop linking the Wernicke's and IFG seed regions and the putamen was robustly greater for hallucinating patients compared with nonhallucinating patients and healthy control subjects. Conclusions: These findings suggest that higher levels of functional coordination intrinsic to a corticostriatal loop comprise a causal factor leading to AVHs in schizophrenia.
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