Abnormal synchrony and effective connectivity in patients with schizophrenia and auditory hallucinations

[EN] Auditory hallucinations (AH) are the most frequent positive symptoms in patients with schizophrenia. Hallucinations have been related to emotional processing disturbances, altered functional connectivity and effective connectivity deficits. Previously, we observed that, compared to healthy cont...

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Detalhes bibliográficos
Autores: DE LA IGLESIA VAYÁ, MARIA DE LOS DESAMPARADOS, Molina Mateo, José|||0000-0002-0531-9876, ESCARTÍ FABRA, Mº JOSE, Marti-Bonmati, Luis, GADEA, MARIEN, Castellanos, Francisco Xavier, Aguilar Garcia-Iturrospe, Eduardo J., Robles Viejo, Montserrat, Biswal, Bharat B., SANJUÁN, JULIO
Formato: artículo
Fecha de publicación:2014
País:España
Recursos:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:riunet.upv.es:10251/151034
Acesso em linha:https://riunet.upv.es/handle/10251/151034
Access Level:acceso abierto
Palavra-chave:Schizophrenia
Auditory hallucinations
Functional connectivity
Cerebellum
Synchrony
Effective connectivity
FISICA APLICADA
Descrição
Resumo:[EN] Auditory hallucinations (AH) are the most frequent positive symptoms in patients with schizophrenia. Hallucinations have been related to emotional processing disturbances, altered functional connectivity and effective connectivity deficits. Previously, we observed that, compared to healthy controls, the limbic network responses of patients with auditory hallucinations differed when the subjects were listening to emotionally charged words. We aimed to compare the synchrony patterns and effective connectivity of task-related networks between schizophrenia patients with and without AH and healthy controls. Schizophrenia patients with AH (n = 27) and without AH (n = 14) were compared with healthy participants (n = 31). We examined functional connectivity by analyzing correlations and cross-correlations among previously detected independent component analysis time courses. Granger causality was used to infer the information flow direction in the brain regions. The results demonstrate that the patterns of cortico-cortical functional synchrony differentiated the patients with AH from the patients without AH and from the healthy participants. Additionally, Granger-causal relationships between the networks clearly differentiated the groups. In the patients with AH, the principal causal source was an occipital¿cerebellar component, versus a temporal component in the patients without AH and the healthy controls. These data indicate that an anomalous process of neural connectivity exists when patients with AH process emotional auditory stimuli. Additionally, a central role is suggested for the cerebellum in processing emotional stimuli in patients with persistent AH.