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024 7 _ |a 10.1016/j.bpsc.2023.06.002
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100 1 _ |a Alho, Jussi
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245 _ _ |a Hippocampus-Centered Network Is Associated With Positive Symptom Alleviation in Patients With First-Episode Psychosis
260 _ _ |a Amsterdam [u.a.]
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520 _ _ |a BackgroundPrevious functional magnetic resonance imaging studies have reported widespread brain functional connectivity alterations in patients with psychosis. These studies have mostly used either resting-state or simple-task paradigms, thereby compromising experimental control or ecological validity, respectively. Additionally, in a conventional functional magnetic resonance imaging intrasubject functional connectivity analysis, it is difficult to identify which connections relate to extrinsic (stimulus-induced) and which connections relate to intrinsic (non–stimulus-related) neural processes.MethodsTo mitigate these limitations, we used intersubject functional connectivity (ISFC) to analyze longitudinal functional magnetic resonance imaging data collected while 36 individuals with first-episode psychosis (FEP) and 29 age- and sex-matched population control participants watched scenes from the fantasy movie Alice in Wonderland at baseline and again at 1-year follow-up. Furthermore, to allow unconfounded comparison and to overcome possible circularity of ISFC, we introduced a novel approach wherein ISFC in both the FEP and population control groups was calculated with respect to an independent group of participants (not included in the analyses).ResultsUsing this independent-reference ISFC approach, we found an interaction effect wherein the independent-reference ISFC in individuals with FEP, but not in the control group participants, was significantly stronger at baseline than at follow-up in a network centered in the hippocampus and involving thalamic, striatal, and cortical regions, such as the orbitofrontal cortex. Alleviation of positive symptoms, particularly delusions, from baseline to follow-up was correlated with decreased network connectivity in patients with FEP.ConclusionsThese findings link deviation of naturalistic information processing in the hippocampus-centered network to positive symptoms.
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700 1 _ |a Lahnakoski, Juha M.
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700 1 _ |a Panula, Jonatan M.
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700 1 _ |a Rikandi, Eva
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700 1 _ |a Mäntylä, Teemu
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700 1 _ |a Lindgren, Maija
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700 1 _ |a Kieseppä, Tuula
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700 1 _ |a Suvisaari, Jaana
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700 1 _ |a Sams, Mikko
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700 1 _ |a Raij, Tuukka T.
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773 _ _ |a 10.1016/j.bpsc.2023.06.002
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856 4 _ |u https://doi.org/10.1016/j.bpsc.2023.06.002
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910 1 _ |a Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland
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910 1 _ |a Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland
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