Title Altered Resting-State Brain Activity in Schizophrenia and Obsessive-Compulsive Disorder Compared With Non-psychiatric Controls: Commonalities and Distinctions Across Disorders
Authors Zhang, Yuyanan
Liao, Jinmin
Li, Qianqian
Zhang, Xiao
Liu, Lijun
Yan, Jun
Zhang, Dai
Yan, Hao
Yue, Weihua
Affiliation Peking Univ, Inst Mental Hlth, Hosp 6, Beijing, Peoples R China
Peking Univ, Minist Hlth, Key Lab Mental Hlth, Beijing, Peoples R China
Peking Univ, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China
Peking Univ, PKU IDG McGovern Inst Brain Res, Beijing, Peoples R China
Chinese Acad Med Sci, Res Unit Diag & Treatment Mood Cognit Disorder 20, Beijing, Peoples R China
Keywords LOW-FREQUENCY FLUCTUATIONS
DRUG-NAIVE PATIENTS
RESPONSE-INHIBITION
DOSE EQUIVALENTS
METAANALYSIS
COGNITION
DOPAMINE
ABNORMALITIES
ENDOPHENOTYPE
CONNECTIVITY
Issue Date 21-May-2021
Publisher FRONTIERS IN PSYCHIATRY
Abstract Backgrounds: Schizophrenia (SCZ) and obsessive-compulsive disorder (OCD) are classified as two chronic psychiatric disorders with high comorbidity rate and shared clinical symptoms. Abnormal spontaneous brain activity within the cortical-striatal neural circuits has been observed in both disorders. However, it is unclear if the common or distinct neural abnormalities underlie the neurobiological substrates in the resting state. Methods: Resting-state fMRI data were collected from 88 patients with SCZ, 58 patients with OCD, and 72 healthy control subjects. First, we examined differences in amplitude of low-frequency fluctuations (ALFF) among three groups. Resting-state functional connectivity (rsFC) analysis with the brain region that showed different ALFF as the seed was then conducted to identify the changes in brain networks. Finally, we examined the correlation between the altered activities and clinical symptoms. Results: Both the patients with SCZ and OCD showed increased ALFF in the right hippocampus and decreased ALFF in the left posterior cingulate cortex (PCC). SCZ patients exhibited increased ALFF in the left caudate [voxel-level family-wise error (FWE) P < 0.05] and decreased rsFC between the left caudate and right cerebellum, which correlated with positive symptoms. The left caudate showed increased rsFC with the right thalamus and bilateral supplementary motor complex (SMC) in OCD patients (cluster-level FWE P < 0.05). Conclusions: The hippocampus and PCC are common regions presenting abnormal local spontaneous neuronal activities in both SCZ and OCD, while the abnormality of the striatum can reflect the differences. Increased ALFF in the striatum and symptom-related weakened rsFC between the caudate and cerebellum showed SCZ specificity. Enhanced rsFC between the caudate and SMC may be a key characteristic in OCD. Our research shows the similarities and differences between the two diseases from the perspective of resting-state fMRI, which provides clues to understand the disease and find methods for treatment.
URI http://hdl.handle.net/20.500.11897/614662
ISSN 1664-0640
DOI 10.3389/fpsyt.2021.681701
Indexed SCI(E)
SSCI
Appears in Collections: 第六医院
心理与认知科学学院

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