The involvement of the orbitofrontal cortex in psychiatric disorders: an update of neuroimaging findings

OBJECTIVE: To report structural and functional neuroimaging studies exploring the potential role of the orbitofrontal cortex (OFC) in the pathophysiology of the most prevalent psychiatric disorders (PD). METHOD: A non-systematic literature review was conducted by means of MEDLINE using the following...

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Detalles Bibliográficos
Autores: Jackowski, Andrea Parolin [UNIFESP], Araujo Filho, Gerardo Maria de [UNIFESP], Almeida, Amanda Cristina Galvão Oliveira de [UNIFESP], Araújo, Célia Maria de [UNIFESP], Reis, Marília [UNIFESP], Nery, Fabiana [UNIFESP], Batista, Ilza Rosa [UNIFESP], Silva, Ivaldo da [UNIFESP], Lacerda, Acioly Luiz Tavares de [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/7139
Acceso en línea:http://dx.doi.org/10.1590/S1516-44462012000200014
http://repositorio.unifesp.br/handle/11600/7139
Access Level:acceso abierto
Palabra clave:orbitofrontal cortex
schizophrenia
mood disorders
anxiety disorders
personality disorders
neuroimaging
cortex orbitofrontal
esquizofrenia
transtornos afetivos
transtornos ansiosos
transtornos de personalidade
aquisição de neuroimagens
Descripción
Sumario:OBJECTIVE: To report structural and functional neuroimaging studies exploring the potential role of the orbitofrontal cortex (OFC) in the pathophysiology of the most prevalent psychiatric disorders (PD). METHOD: A non-systematic literature review was conducted by means of MEDLINE using the following terms as parameters: orbitofrontal cortex, schizophrenia, bipolar disorder, major depression, anxiety disorders, personality disorders and drug addiction. The electronic search was done up to July 2011. DISCUSSION: Structural and functional OFC abnormalities have been reported in many PD, namely schizophrenia, mood disorders, anxiety disorders, personality disorders and drug addiction. Structural magnetic resonance imaging studies have reported reduced OFC volume in patients with schizophrenia, mood disorders, PTSD, panic disorder, cluster B personality disorders and drug addiction. Furthermore, functional magnetic resonance imaging studies using cognitive paradigms have shown impaired OFC activity in all PD listed above. CONCLUSION: Neuroimaging studies have observed an important OFC involvement in a number of PD. However, future studies are clearly needed to characterize the specific role of OFC on each PD as well as understanding its role in both normal and pathological behavior, mood regulation and cognitive functioning.