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Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 1/2007

01.02.2007 | ORIGINAL PAPER

Insight and regional brain volumes in schizophrenia

verfasst von: Débora Pastore Bassitt, Mario Rodrigues Louzã Neto, Cláudio Campi de Castro, Geraldo F. Busatto

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Ausgabe 1/2007

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Abstract

We have investigated the relationship between insight impairment and regional brain volumes (gray and white matter) in schizophrenia using voxel-based morphometry (VBM). Fifty patients with schizophrenia were evaluated using the Scale for Unawareness of Mental Disorders. Magnetic resonance images were acquired, segmented and spatially normalized using optimized VBM routines. No significant inverse correlations were detected between insight impairment and gray or white matter volumes in the prefrontal region (where significant findings had been predicted a priori), or in any other brain areas. Our results do not support previous hypotheses suggesting a relationship between frontal lobe atrophy and impaired insight in patients with schizophrenia.
Literatur
1.
Zurück zum Zitat Amador X, David A (eds) (2004) Insight and Psychosis: awareness of illness in schizophrenia and related disorders. 2nd Ed. Oxford University Press, London Amador X, David A (eds) (2004) Insight and Psychosis: awareness of illness in schizophrenia and related disorders. 2nd Ed. Oxford University Press, London
2.
Zurück zum Zitat Ballmaier M, Toga AW, Blanton RE, Sowell ER, Lavretsky H, Peterson J, Pham D, Kumar A (2004) Anterior cingulate, gyrus rectus, and orbitofrontal abnormalities in elderly depressed patients: an MRI-based parcellation of the prefrontal cortex. Am J Psychiat 161:99–108PubMedCrossRef Ballmaier M, Toga AW, Blanton RE, Sowell ER, Lavretsky H, Peterson J, Pham D, Kumar A (2004) Anterior cingulate, gyrus rectus, and orbitofrontal abnormalities in elderly depressed patients: an MRI-based parcellation of the prefrontal cortex. Am J Psychiat 161:99–108PubMedCrossRef
3.
Zurück zum Zitat Bookstein FL (2001) Voxel-based morphometry should not be used with imperfectly registered images. Neuroimage 14:1454–1462PubMedCrossRef Bookstein FL (2001) Voxel-based morphometry should not be used with imperfectly registered images. Neuroimage 14:1454–1462PubMedCrossRef
4.
Zurück zum Zitat Brett M, Jonhsrude IS, Owen AM (2002) The problem of functional localization in the human brain. Nat Rev Neurosci 3:243–249PubMedCrossRef Brett M, Jonhsrude IS, Owen AM (2002) The problem of functional localization in the human brain. Nat Rev Neurosci 3:243–249PubMedCrossRef
5.
Zurück zum Zitat David A, VanOs J, Jones P, Harvey I, Foester A, Fahy T (1995) Insight and psychotic illness: cross-sectional and longitudinal associations. Br J Psychiatry 167:621–628PubMedCrossRef David A, VanOs J, Jones P, Harvey I, Foester A, Fahy T (1995) Insight and psychotic illness: cross-sectional and longitudinal associations. Br J Psychiatry 167:621–628PubMedCrossRef
6.
Zurück zum Zitat Drake RJ, Lewis W (2003) Insight and neurocognitive deficits in schizophrenia. Schizophr Res 62:165–173PubMedCrossRef Drake RJ, Lewis W (2003) Insight and neurocognitive deficits in schizophrenia. Schizophr Res 62:165–173PubMedCrossRef
7.
Zurück zum Zitat Flashman LA, McAllister TW, Andreasen NC, Saykin AJ (2000) Smaller brain size associated with unawareness of illness in patients with schizophrenia. Am J Psychiat 157:1167–1169PubMedCrossRef Flashman LA, McAllister TW, Andreasen NC, Saykin AJ (2000) Smaller brain size associated with unawareness of illness in patients with schizophrenia. Am J Psychiat 157:1167–1169PubMedCrossRef
8.
Zurück zum Zitat Flashman LA, McAllister TW, Johnson SC, Rick JH, Green RL, Saykin AJ (2001) Specific frontal lobe subregions correlated with unawareness of illness in schizophrenia: a preliminary study. J Neuropsychiat Clin Neurosci 13:255–257 Flashman LA, McAllister TW, Johnson SC, Rick JH, Green RL, Saykin AJ (2001) Specific frontal lobe subregions correlated with unawareness of illness in schizophrenia: a preliminary study. J Neuropsychiat Clin Neurosci 13:255–257
9.
Zurück zum Zitat Friston KJ, Holmes A, Poline JB, Price CJ, Frith CD (1996) Detecting activations in PET and fMRI: levels of inference and power. Neuroimage 4:223–235PubMedCrossRef Friston KJ, Holmes A, Poline JB, Price CJ, Frith CD (1996) Detecting activations in PET and fMRI: levels of inference and power. Neuroimage 4:223–235PubMedCrossRef
10.
Zurück zum Zitat Good CD, Johnsrude IS, Ashburner J, Henson RN, Friston KJ, Frackowiak RS (2001) A voxel-based morphometric study of ageing in 465 normal adult human brains. Neuroimage 14:21–36PubMedCrossRef Good CD, Johnsrude IS, Ashburner J, Henson RN, Friston KJ, Frackowiak RS (2001) A voxel-based morphometric study of ageing in 465 normal adult human brains. Neuroimage 14:21–36PubMedCrossRef
11.
Zurück zum Zitat Kirkbride JB, Fearon P, Morgan C, Dazzan P, Morgan K, Tarrant J, Lloyd T, Holloway J, Hutchinson G, Leff JP, Mallett RM, Harrison GL, Murray RM, Jones PB (2006) Heterogeneity in incidence rates of schizophrenia and other psychotic syndromes: findings from the 3-center AeSOP study. Arch Gen Psychiat 63:250–258PubMedCrossRef Kirkbride JB, Fearon P, Morgan C, Dazzan P, Morgan K, Tarrant J, Lloyd T, Holloway J, Hutchinson G, Leff JP, Mallett RM, Harrison GL, Murray RM, Jones PB (2006) Heterogeneity in incidence rates of schizophrenia and other psychotic syndromes: findings from the 3-center AeSOP study. Arch Gen Psychiat 63:250–258PubMedCrossRef
12.
Zurück zum Zitat Larøoi F, Fannemel M, Røonneberg U, Flekkøoy K, Opjordsmoen S, Dullerud R, Haakosen M (2000) Unawareness of illness in chronic schizophrenia and its relationship to structural brain measures and neuropsychological tests. Psychiat Res: Neuroimag Sect 100:49–58CrossRef Larøoi F, Fannemel M, Røonneberg U, Flekkøoy K, Opjordsmoen S, Dullerud R, Haakosen M (2000) Unawareness of illness in chronic schizophrenia and its relationship to structural brain measures and neuropsychological tests. Psychiat Res: Neuroimag Sect 100:49–58CrossRef
13.
Zurück zum Zitat Lysaker P, Lancaster MS, Davis LW, Clements CA (2003) Patterns of neurocognitive deficits and unawareness of illness in schizophrenia. J Nerv Ment Dis 191:38–44PubMedCrossRef Lysaker P, Lancaster MS, Davis LW, Clements CA (2003) Patterns of neurocognitive deficits and unawareness of illness in schizophrenia. J Nerv Ment Dis 191:38–44PubMedCrossRef
14.
Zurück zum Zitat Lysaker PH, Bell MD, Bryson GJ, Kaplan E (1998) Insight and interpersonal function in schizophrenia. J Nerv Ment Dis 186:432–436PubMedCrossRef Lysaker PH, Bell MD, Bryson GJ, Kaplan E (1998) Insight and interpersonal function in schizophrenia. J Nerv Ment Dis 186:432–436PubMedCrossRef
15.
Zurück zum Zitat McCormick L, Decker L, Nopoulos P, Ho BC, Andreasen N (2005) Effects of atypical and typical neuroleptics on anterior cingulate volume in schizophrenia. Schizophr Res 80:73–84 PubMedCrossRef McCormick L, Decker L, Nopoulos P, Ho BC, Andreasen N (2005) Effects of atypical and typical neuroleptics on anterior cingulate volume in schizophrenia. Schizophr Res 80:73–84 PubMedCrossRef
16.
Zurück zum Zitat Mintz AR, Dobson KS, Romney DM (2003) Insight in schizophrenia: a meta-analysis. Schizophr Res 61:75–88PubMedCrossRef Mintz AR, Dobson KS, Romney DM (2003) Insight in schizophrenia: a meta-analysis. Schizophr Res 61:75–88PubMedCrossRef
17.
Zurück zum Zitat Moorhead TW, Job DE, Whalley HC, Sanderson TL, Johnstone EC, Lawrie SM (2004) Voxel-based morphometry of comorbid schizophrenia and learning disability: analyses in normalized and native spaces using parametric and nonparametric statistical methods. Neuroimage 22:188–202PubMedCrossRef Moorhead TW, Job DE, Whalley HC, Sanderson TL, Johnstone EC, Lawrie SM (2004) Voxel-based morphometry of comorbid schizophrenia and learning disability: analyses in normalized and native spaces using parametric and nonparametric statistical methods. Neuroimage 22:188–202PubMedCrossRef
18.
Zurück zum Zitat Rossel SL, Coakes J, Shapleske J, Woodruff PWR, David AS (2003) Insight: its relationship with cognitive function, brain volume and symptoms in schizophrenia. Psychol Med 33:111–119CrossRef Rossel SL, Coakes J, Shapleske J, Woodruff PWR, David AS (2003) Insight: its relationship with cognitive function, brain volume and symptoms in schizophrenia. Psychol Med 33:111–119CrossRef
19.
Zurück zum Zitat Shad MU, Muddasani S, Prasad K, Sweeney JA, Keshavan MS (2004) Insight and prefrontal cortex in first-episode Schizophrenia. Neuroimage 22:1315–1320PubMedCrossRef Shad MU, Muddasani S, Prasad K, Sweeney JA, Keshavan MS (2004) Insight and prefrontal cortex in first-episode Schizophrenia. Neuroimage 22:1315–1320PubMedCrossRef
20.
Zurück zum Zitat Smith TE, Hull JW, Israel LM, Willson DF (2000) Insight, symptoms, and neurocognition in schizophrenia and schizoaffective disorder. Schizophr Bull 26:193–200PubMed Smith TE, Hull JW, Israel LM, Willson DF (2000) Insight, symptoms, and neurocognition in schizophrenia and schizoaffective disorder. Schizophr Bull 26:193–200PubMed
21.
Zurück zum Zitat Tailarach J, Tounoux P (1988) Co-planar stereotaxic atals of the human brain. George Thieme Verlag, New York Tailarach J, Tounoux P (1988) Co-planar stereotaxic atals of the human brain. George Thieme Verlag, New York
22.
Zurück zum Zitat Takai A, Uematsu M, Ueki H, Sone K, Kaiya H (1992) Insight and its related factors in chronic schizophrenic patients: a preliminary study. Eur J Psychiat 6:159–17 Takai A, Uematsu M, Ueki H, Sone K, Kaiya H (1992) Insight and its related factors in chronic schizophrenic patients: a preliminary study. Eur J Psychiat 6:159–17
23.
Zurück zum Zitat Tzourio-Mazoyer N, De Schonen S, Crivello F, Reutter B, Aujard Y, Mazoyer B (2002) Neural correlates of woman face processing by 2-month-old infants. Neuroimage 15:454–61PubMedCrossRef Tzourio-Mazoyer N, De Schonen S, Crivello F, Reutter B, Aujard Y, Mazoyer B (2002) Neural correlates of woman face processing by 2-month-old infants. Neuroimage 15:454–61PubMedCrossRef
24.
Zurück zum Zitat Zald DH, Kim SW (1996) Anatomy and function of the orbital frontal cortex, I: anatomy, neurocircuitry; and obsessive-compulsive disorder. J Neuropsychiat Clin Neurosci 8(2):125–38 Zald DH, Kim SW (1996) Anatomy and function of the orbital frontal cortex, I: anatomy, neurocircuitry; and obsessive-compulsive disorder. J Neuropsychiat Clin Neurosci 8(2):125–38
Metadaten
Titel
Insight and regional brain volumes in schizophrenia
verfasst von
Débora Pastore Bassitt
Mario Rodrigues Louzã Neto
Cláudio Campi de Castro
Geraldo F. Busatto
Publikationsdatum
01.02.2007
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe 1/2007
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-006-0685-z

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