Key result
Patients with schizophrenia or bipolar I disorder exhibited significantly reduced hemodynamic activation in the bilateral inferior, middle, and superior frontal gyri compared to healthy controls during inhibitory control.
Why the study?
What are the shared and differential cortical functional abnormalities associated with inhibitory control in patients with schizophrenia and bipolar I disorder compared to healthy controls?
Cross-Sectional (n=59)
No
What are the shared and differential cortical functional abnormalities associated with inhibitory control in patients with schizophrenia and bipolar I disorder compared to healthy controls?
Absolute Event Rate: 366.7% vs 302.5%
p-value: p=0.011
Schizophrenia and bipolar I disorder share right inferior frontal abnormalities mediating behavioral inhibition impairments, but exhibit differential patterns of orbitofrontal or superior temporal functional abnormalities.
Shared frontal inhibitory deficits may underlie impairments in both disorders; extends evidence on common mechanisms but remains hypothesis-generating.
Schizophrenia (SZ) and bipolar I disorder (BD-I) share genetic risk factors and cognitive impairments, but these conditions may exhibit differences in cortical functioning associated with inhibitory control. We measured hemodynamic responses during a stop-signal task using near-infrared spectroscopy (NIRS) in 20 patients with SZ, 21 patients with BD-I and 18 healthy controls (HCs). We used stop-signal reaction time (SSRT) to estimate behavioural inhibition. Compared with HCs, patients with either SZ or BD-I exhibited significantly reduced activation in the bilateral inferior, middle and superior frontal gyri. Furthermore, patients with BD-I showed inactivation of the right superior temporal gyri compared with patients with SZ or HCs. Patients with SZ or BD-I demonstrated significant negative correlations between SSRT and hemodynamic responses of the right inferior frontal gyrus. Moreover, patients with SZ exhibited correlations in the middle and superior frontal gyri. Our findings suggest that right inferior frontal abnormalities mediate behavioural inhibition impairments in individuals with SZ or BD-I. Differential patterns of orbitofrontal or superior temporal functional abnormalities may reflect important differences in psychopathological features between these disorders.
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Tsujii et al. (2018) conducted a cross-sectional in Schizophrenia and Bipolar I disorder (n=59). Stop-signal task with Near-infrared spectroscopy (NIRS) vs. Healthy controls was evaluated on Stop-signal reaction time (SSRT) in ms (Schizophrenia vs Healthy Controls) (p=0.011). Patients with schizophrenia or bipolar I disorder exhibited significantly reduced hemodynamic activation in the bilateral inferior, middle, and superior frontal gyri compared to healthy controls during inhibitory control.
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