The correlation between dynamic functional architecture and response to electroconvulsive therapy combined with antipsychotics in schizophrenia

Autor: Jie Gong, Long‐Biao Cui, Ying‐Song Zhao, Zhao‐Wen Liu, Xue‐Juan Yang, Yi‐Bin Xi, Lin Liu, Peng Liu, Jin‐Bo Sun, Shu‐Wan Zhao, Xiao‐Fan Liu, Jie Jia, Ping Li, Hong Yin, Wei Qin
Rok vydání: 2022
Předmět:
Zdroj: European Journal of Neuroscience. 55:2024-2036
ISSN: 1460-9568
0953-816X
DOI: 10.1111/ejn.15664
Popis: Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre-treatment temporal variability and ECT acute efficacy. Forty-eight patients with schizophrenia and 30 healthy controls underwent functional magnetic resonance imaging to examine whether patterns of temporary variability of functional architecture differ between high responders (HR) and low responders (LR) at baseline. Compared with LR, HR exhibited significantly abnormal temporal variability in right inferior front gyrus (IFGtriang.R), left temporal pole (TPOsup.L) and right middle temporal gyrus (MTG.R). In the pooled patient group, ∆PANSS was correlated with the temporal variability of these regions. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to ECT. Our findings provide not only an understanding of the neural functional architecture patterns that are found in schizophrenia but also the possibility of using these measures as moderators for ECT selection.
Databáze: OpenAIRE
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