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| DOI | 10.1093/SCHBUL/SBAC187 | ||||
| Año | 2022 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background and Hypothesis Abnormal functional connectivity between brain regions is a consistent finding in schizophrenia, including functional magnetic resonance imaging (fMRI) studies. Recent studies have highlighted that connectivity changes in time in healthy subjects. We here examined the temporal changes in functional connectivity in patients with a first episode of psychosis (FEP). Specifically, we analyzed the temporal order in which whole-brain organization states were visited. Study Design Two case-control studies, including in each sample a subgroup scanned a second time after treatment. Chilean sample included 79 patients with a FEP and 83 healthy controls. Mexican sample included 21 antipsychotic-naive FEP patients and 15 healthy controls. Characteristics of the temporal trajectories between whole-brain functional connectivity meta-states were examined via resting-state functional MRI using elements of network science. We compared the cohorts of cases and controls and explored their differences as well as potential associations with symptoms, cognition, and antipsychotic medication doses. Study Results We found that the temporal sequence in which patients' brain dynamics visited the different states was more redundant and segregated. Patients were less flexible than controls in changing their network in time from different configurations, and explored the whole landscape of possible states in a less efficient way. These changes were related to the dose of antipsychotics the patients were receiving. We replicated the relationship with antipsychotic medication in the antipsychotic-naive FEP sample scanned before and after treatment. Conclusions We conclude that psychosis is related to a temporal disorganization of the brain's dynamic functional connectivity, and this is associated with antipsychotic medication use.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Ramirez-Mahaluf, Juan P. | Hombre |
Pontificia Universidad Católica de Chile - Chile
|
| 2 | Tepper, Angeles | Mujer |
Pontificia Universidad Católica de Chile - Chile
|
| 3 | Alliende, Luz Maria | Mujer |
Pontificia Universidad Católica de Chile - Chile
|
| 4 | Mena, Carlos | Hombre |
Pontificia Universidad Católica de Chile - Chile
UCL - Reino Unido UCL Institute of Cognitive Neuroscience - Reino Unido |
| 5 | Castaneda, Carmen P. | Mujer |
Inst Psiquiatr Dr J Horwitz Barak - Chile
Instituto Psiquiátrico Dr. José Horwitz Barak - Chile |
| 6 | IRURETAGOYENA-BRUCE, BARBARA | Mujer |
Inst Psiquiatr Dr J Horwitz Barak - Chile
Instituto Psiquiátrico Dr. José Horwitz Barak - Chile |
| 7 | Nachar, Ruben | Hombre |
Inst Psiquiatr Dr J Horwitz Barak - Chile
Instituto Psiquiátrico Dr. José Horwitz Barak - Chile |
| 8 | Reyes-Madrigal, Francisco | Hombre |
Inst Nacl Neurol & Neurocirug - México
Instituto Nacional de Neurología y Neurocirugía - México |
| 9 | Leon-Ortiz, Pablo | Hombre |
Inst Nacl Neurol & Neurocirug - México
Instituto Nacional de Neurología y Neurocirugía - México |
| 10 | Mora-Duran, Ricardo | Hombre |
Hosp Fray Bernardino Alvarez - México
Hospital Fray Bernardino Álvarez - México |
| 11 | OSSANDON-VALDES, TOMAS | Hombre |
Pontificia Universidad Católica de Chile - Chile
|
| 12 | Gonzalez-Valderrama, Alfonso | Hombre |
Inst Psiquiatr Dr J Horwitz Barak - Chile
Universidad Finis Terrae - Chile Instituto Psiquiátrico Dr. José Horwitz Barak - Chile |
| 13 | UNDURRAGA-FOURCADE, JUAN PABLO | Hombre |
Inst Psiquiatr Dr J Horwitz Barak - Chile
Universidad del Desarrollo - Chile Instituto Psiquiátrico Dr. José Horwitz Barak - Chile |
| 14 | de la Fuente-Sandoval, Camilo | Hombre |
Inst Nacl Neurol & Neurocirug - México
Instituto Nacional de Neurología y Neurocirugía - México |
| 15 | Crossley, Nicolas | Hombre |
Pontificia Universidad Católica de Chile - Chile
Kings Coll London - Reino Unido King's College London - Reino Unido |
| Fuente |
|---|
| FONDECYT |
| Consejo Nacional de Ciencia y Tecnología |
| Fondo Nacional de Desarrollo Científico y Tecnológico |
| National Institutes of Health |
| Agencia Nacional de Investigación y Desarrollo |
| Agencia Nacional de Investigacion y Desarrollo from Chile (ANID) |
| CONACyT's Sistema Nacional de Investigadores |
| Conacyt’s Sistema Nacional de Investigadores |
| Consejo Nacional de Ciencia y Tecnologia of Mexico, (CONACyT) |
| Agradecimiento |
|---|
| This work was funded by the Agencia Nacional de Investigacion y Desarrollo from Chile (ANID), through its programs ANILLO PIA ACT1414 and PIA ACT192064, FONDECYT postdoctorado (Ref: 3190311 to Juan P. Ramirez-Mahaluf), and FONDECYT regular (Ref: 1200601 to Nicolas A.Crossley, Ref: 1180932 to Tomas Ossandon, Ref: 1180358 to Juan Undurraga). Camilo de la Fuente-Sandoval is supported by Consejo Nacional de Ciencia y Tecnologia of Mexico, (CONACyT) grant 320662, and National Institutes of Health grant R01 MH110270. Pablo Leon-Ortiz, Francisco Reyes-Madrigal and Camilo de la Fuente-Sandoval are supported by CONACyT's Sistema Nacional de Investigadores. |
| This work was funded by the Agencia Nacional de Investigación y Desarrollo from Chile (ANID), through its programs ANILLO PIA ACT1414 and PIA ACT192064, FONDECYT postdoctorado (Ref: 3190311 to Juan P. Ramirez-Mahaluf), and FONDECYT regular (Ref: 1200601 to Nicolas A.Crossley, Ref: 1180932 to Tomas Ossandon, Ref: 1180358 to Juan Undurraga). Camilo de la Fuente-Sandoval is supported by Consejo Nacional de Ciencia y Tecnología of Mexico, (CONACyT) grant 320662, and National Institutes of Health grant R01 MH110270. Pablo León-Ortiz, Francisco Reyes-Madrigal and Camilo de la Fuente-Sandoval are supported by CONACyT’s Sistema Nacional de Investigadores. |