[Schizophrenia as a disconnection syndrome. Studies with functional magnetic resonance imaging and structural equation modeling]

Radiologe. 2005 Feb;45(2):137-40, 142-3. doi: 10.1007/s00117-004-1160-3.
[Article in German]

Abstract

Aside from characteristic psychopathological symptoms, cognitive deficits are a core feature of schizophrenia. These deficits can only be addressed within the context of widespread functional interactions among different brain areas. To examine these interactions, structural equation modeling (SEM) was used for the analysis of fMRI datasets. In a series of studies, both in antipsychotic-treated and drug-free schizophrenic patients, a pattern of enhanced thalamocortical functional connectivity could be observed as an indicator for possible disruptions of frontostriatal thalamocortical circuitry. Moreover, drug-free patients and those receiving typical antipsychotic drugs were characterized by reduced interhemispheric corticocortical connectivity. This difference relative to normal controls was less in patients under atypical antipsychotic drugs. The results could be interpreted as a beneficial effect of atypical antipsychotic drugs on information processing in schizophrenic patients. The present findings are consistent with the model of schizophrenia as a disconnection syndrome and earlier concepts of "cognitive dysmetria" in schizophrenia.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • English Abstract

MeSH terms

  • Antipsychotic Agents / administration & dosage*
  • Brain Mapping / methods*
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / prevention & control*
  • Computer Simulation
  • Humans
  • Image Interpretation, Computer-Assisted / methods*
  • Magnetic Resonance Imaging / methods*
  • Models, Neurological*
  • Prognosis
  • Schizophrenia / diagnosis*
  • Schizophrenia / drug therapy*
  • Syndrome
  • Treatment Outcome

Substances

  • Antipsychotic Agents