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Progressive pathology is functionally linked to the domains of language and emotion: meta-analysis of brain structure changes in schizophrenia patients
Journal article   Peer reviewed

Progressive pathology is functionally linked to the domains of language and emotion: meta-analysis of brain structure changes in schizophrenia patients

Thomas Nickl-Jockschat, Frank Schneider, Alena Pagel, Angie Laird, Peter Fox and Simon Eickhoff
European archives of psychiatry and clinical neuroscience, Vol.261(S2), pp.166-171
11/2011
DOI: 10.1007/s00406-011-0249-8
PMCID: PMC5324975
PMID: 21909731
url
http://doi.org/10.1007/s00406-011-0249-8View
Open Access

Abstract

Schizophrenia is a neuropsychiatric disorder entailing progressive psychotic, cognitive and affective symptoms. Several imaging studies identified brain structure abnormalities in schizophrenia patients, particularly in fronto-temporal regions and evidence for progressive anatomical changes. Here, we synthesised these findings by quantitative coordinate-based meta-analysis, assessing regions of consistently reported brain structure changes, their physiological functions and the correlation of their likelihood with disease duration. The meta-analysis revealed four significant clusters of convergent grey matter reduction, while one cluster indicated higher grey matter values in patients. A voxel-wise analysis revealed a correlation between grey matter reduction and disease duration in the left anterior insula. Functional characterisation revealed significant association with reward, affective processing and language functions. The current analysis allowed the identification of consistent morphometric changes across a large sample of studies in regions that are associated with neurophysiological functions that are altered as hallmarks of schizophrenia psychopathology. The observation that the location of presumably progressive pathology is functionally linked to language and emotion is well in line with increasing deficits in these domains with disease progression in schizophrenia.
Neurology Psychiatry Schizophrenia Disease duration Neurosciences BrainMap Medicine & Public Health Anatomical likelihood estimation Structure–function relationship Brain structure

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