Cortical morphology in patients with the deficit and non-deficit syndrome of schizophrenia: a worldwide meta- and mega-analyses
Abstract - Converging evidence suggests that schizophrenia (SZ) with primary, enduring negative symptoms (i.e., Deficit SZ (DSZ)) represents a distinct entity within the SZ spectrum while the neurobiological underpinnings remain undetermined. In the largest dataset of DSZ and Non-Deficit...
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
29 August 2023
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| In: |
Molecular psychiatry
Year: 2023, Jahrgang: 28, Heft: 10, Pages: 4363-4373 |
| ISSN: | 1476-5578 |
| DOI: | 10.1038/s41380-023-02221-w |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1038/s41380-023-02221-w Verlag, kostenfrei, Volltext: https://www.nature.com/articles/s41380-023-02221-w 
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| Verfasserangaben: | Nerisa Banaj, Daniela Vecchio, Fabrizio Piras, Pietro De Rossi, Juan Bustillo, Simone Ciufolini, Paola Dazzan, Marta Di Forti, Erin W. Dickie, Judith M. Ford, Paola Fuentes-Claramonte, Oliver Gruber, Amalia Guerrero-Pedraza, Holly K. Hamilton, Fleur M. Howells, Bernd Kraemer, Stephen M. Lawrie, Daniel H. Mathalon, Robin Murray, Edith Pomarol-Clotet, Steven G. Potkin, Adrian Preda, Joaquim Radua, Anja Richter, Raymond Salvador, Akira Sawa, Freda Scheffler, Kang Sim, Filip Spaniel, Dan J. Stein, Henk S. Temmingh, Sophia I. Thomopoulos, David Tomecek, Anne Uhlmann, Aristotle Voineskos, Kun Yang, Neda Jahanshad, Paul M. Thompson, Theo G. M. Van Erp, Jessica A. Turner, Gianfranco Spalletta and Federica Piras |
MARC
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| 245 | 1 | 0 | |a Cortical morphology in patients with the deficit and non-deficit syndrome of schizophrenia |b a worldwide meta- and mega-analyses |c Nerisa Banaj, Daniela Vecchio, Fabrizio Piras, Pietro De Rossi, Juan Bustillo, Simone Ciufolini, Paola Dazzan, Marta Di Forti, Erin W. Dickie, Judith M. Ford, Paola Fuentes-Claramonte, Oliver Gruber, Amalia Guerrero-Pedraza, Holly K. Hamilton, Fleur M. Howells, Bernd Kraemer, Stephen M. Lawrie, Daniel H. Mathalon, Robin Murray, Edith Pomarol-Clotet, Steven G. Potkin, Adrian Preda, Joaquim Radua, Anja Richter, Raymond Salvador, Akira Sawa, Freda Scheffler, Kang Sim, Filip Spaniel, Dan J. Stein, Henk S. Temmingh, Sophia I. Thomopoulos, David Tomecek, Anne Uhlmann, Aristotle Voineskos, Kun Yang, Neda Jahanshad, Paul M. Thompson, Theo G. M. Van Erp, Jessica A. Turner, Gianfranco Spalletta and Federica Piras |
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| 520 | |a Abstract - Converging evidence suggests that schizophrenia (SZ) with primary, enduring negative symptoms (i.e., Deficit SZ (DSZ)) represents a distinct entity within the SZ spectrum while the neurobiological underpinnings remain undetermined. In the largest dataset of DSZ and Non-Deficit (NDSZ), we conducted a meta-analysis of data from 1560 individuals (168 DSZ, 373 NDSZ, 1019 Healthy Controls (HC)) and a mega-analysis of a subsampled data from 944 individuals (115 DSZ, 254 NDSZ, 575 HC) collected across 9 worldwide research centers of the ENIGMA SZ Working Group (8 in the mega-analysis), to clarify whether they differ in terms of cortical morphology. In the meta-analysis, sites computed effect sizes for differences in cortical thickness and surface area between SZ and control groups using a harmonized pipeline. In the mega-analysis, cortical values of individuals with schizophrenia and control participants were analyzed across sites using mixed-model ANCOVAs. The meta-analysis of cortical thickness showed a converging pattern of widespread thinner cortex in fronto-parietal regions of the left hemisphere in both DSZ and NDSZ, when compared to HC. However, DSZ have more pronounced thickness abnormalities than NDSZ, mostly involving the right fronto-parietal cortices. As for surface area, NDSZ showed differences in fronto-parietal-temporo-occipital cortices as compared to HC, and in temporo-occipital cortices as compared to DSZ. Although DSZ and NDSZ show widespread overlapping regions of thinner cortex as compared to HC, cortical thinning seems to better typify DSZ, being more extensive and bilateral, while surface area alterations are more evident in NDSZ. Our findings demonstrate for the first time that DSZ and NDSZ are characterized by different neuroimaging phenotypes, supporting a nosological distinction between DSZ and NDSZ and point toward the separate disease hypothesis. | ||
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