Involvement of the reward network is associated with apathy in cerebral small vessel disease

Autor: Lisiecka-Ford, Danuta M., Tozer, Daniel J., Morris, Robin G., Lawrence, Andrew J., Barrick, Thomas R., Markus, Hugh S.
Přispěvatelé: Tozer, Daniel [0000-0002-0404-3214], Markus, Hugh [0000-0002-9794-5996], Apollo - University of Cambridge Repository
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Lisiecka Ford, D M, Tozer, D, Morris, R G, Lawrence, A J, Barrick, T R & Markus, H S 2018, ' Involvement of the reward network is associated with apathy in cerebral small vessel disease ', Journal of Affective Disorders . https://doi.org/10.1016/j.jad.2018.02.006
Journal of Affective Disorders
ISSN: 1573-2517
DOI: 10.1016/j.jad.2018.02.006
Popis: Introduction Apathy is a common yet under-recognised feature of cerebral small vessel disease (SVD), but its underlying neurobiological basis is not yet understood. We hypothesized that damage to the reward network is associated with an increase of apathy in patients with SVD. Methods In 114 participants with symptomatic SVD, defined as a magnetic resonance imaging confirmed lacunar stroke and confluent white matter hyperintensities, we used diffusion tensor imaging tractography to derive structural brain networks and graph theory to determine network efficiency. We determined which parts of the network correlated with apathy symptoms. We tested whether apathy was selectively associated with involvement of the reward network, compared with two “control networks” (visual and motor). Results Apathy symptoms negatively correlated with connectivity in network clusters encompassing numerous areas of the brain. Network efficiencies within the reward network correlated negatively with apathy scores; (r = − 0.344, p
Highlights • Apathy is an important affective consequence of cerebral small vessel disease. • Our study investigates neuromechanism of apathy in small vessel disease. • We show that apathy is associated with structural disconnectivity in the reward network.
Databáze: OpenAIRE