An fNIRS investigation of novel expressed emotion stimulations in schizophrenia

Abstract Living in high expressed emotion (EE) environments tends to increase the relapse rate in schizophrenia (SZ). At present, the neural substrates responsible for high EE in SZ remain poorly understood. Functional near-infrared spectroscopy (fNIRS) may be of great use to quantitatively assess c...

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Main Authors: Cuiyan Wang, Yueqian Zhang, Lam Ghai Lim, Weiqi Cao, Wei Zhang, Xiaoyang Wan, Lijun Fan, Ying Liu, Xi Zhang, Zengjie Tian, Xiaojun Liu, Xiuzhi Pan, Yuan Zheng, Riyu Pan, Yilin Tan, Zhisong Zhang, Roger S. McIntyre, Zhifei Li, Roger C. M. Ho, Tong Boon Tang
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-38057-1
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author Cuiyan Wang
Yueqian Zhang
Lam Ghai Lim
Weiqi Cao
Wei Zhang
Xiaoyang Wan
Lijun Fan
Ying Liu
Xi Zhang
Zengjie Tian
Xiaojun Liu
Xiuzhi Pan
Yuan Zheng
Riyu Pan
Yilin Tan
Zhisong Zhang
Roger S. McIntyre
Zhifei Li
Roger C. M. Ho
Tong Boon Tang
author_facet Cuiyan Wang
Yueqian Zhang
Lam Ghai Lim
Weiqi Cao
Wei Zhang
Xiaoyang Wan
Lijun Fan
Ying Liu
Xi Zhang
Zengjie Tian
Xiaojun Liu
Xiuzhi Pan
Yuan Zheng
Riyu Pan
Yilin Tan
Zhisong Zhang
Roger S. McIntyre
Zhifei Li
Roger C. M. Ho
Tong Boon Tang
author_sort Cuiyan Wang
collection DOAJ
description Abstract Living in high expressed emotion (EE) environments tends to increase the relapse rate in schizophrenia (SZ). At present, the neural substrates responsible for high EE in SZ remain poorly understood. Functional near-infrared spectroscopy (fNIRS) may be of great use to quantitatively assess cortical hemodynamics and elucidate the pathophysiology of psychiatric disorders. In this study, we designed novel low- (positivity and warmth) and high-EE (criticism, negative emotion, and hostility) stimulations, in the form of audio, to investigate cortical hemodynamics. We used fNIRS to measure hemodynamic signals while participants listened to the recorded audio. Healthy controls (HCs, $$n=42$$ n = 42 ) showed increased hemodynamic activation in the major language centers across EE stimulations, with stronger activation in Wernicke’s area during the processing of negative emotional language. Compared to HCs, people with SZ ( $$n=41$$ n = 41 ) exhibited smaller hemodynamic activation in the major language centers across EE stimulations. In addition, people with SZ showed weaker or insignificant hemodynamic deactivation in the medial prefrontal cortex. Notably, hemodynamic activation in SZ was found to be negatively correlated with the negative syndrome scale score at high EE. Our findings suggest that the neural mechanisms in SZ are altered and disrupted, especially during negative emotional language processing. This supports the feasibility of using the designed EE stimulations to assess people who are vulnerable to high-EE environments, such as SZ. Furthermore, our findings provide preliminary evidence for future research on functional neuroimaging biomarkers for people with psychiatric disorders.
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spelling doaj.art-16ce3b21e2fc4a3e8a21a88179b8de4d2023-07-16T11:15:20ZengNature PortfolioScientific Reports2045-23222023-07-0113111110.1038/s41598-023-38057-1An fNIRS investigation of novel expressed emotion stimulations in schizophreniaCuiyan Wang0Yueqian Zhang1Lam Ghai Lim2Weiqi Cao3Wei Zhang4Xiaoyang Wan5Lijun Fan6Ying Liu7Xi Zhang8Zengjie Tian9Xiaojun Liu10Xiuzhi Pan11Yuan Zheng12Riyu Pan13Yilin Tan14Zhisong Zhang15Roger S. McIntyre16Zhifei Li17Roger C. M. Ho18Tong Boon Tang19Huaibei Normal UniversityHuaibei Mental Health CenterDepartment of Electrical and Robotics Engineering, School of Engineering, Monash University MalaysiaHuaibei Normal UniversityHuaibei Mental Health CenterHuaibei Normal UniversityHuaibei Normal UniversityHuaibei Normal UniversityHuaibei Mental Health CenterHuaibei Normal UniversityHuaibei Normal UniversityHuaibei Normal UniversityHuaibei Normal UniversityAnqing Normal UniversityHuaibei Normal UniversityHuaibei Normal UniversityMood Disorders Psychopharmacology Unit, Poul Hansen Family Centre for DepressionInstitute for Health Innovation and Technology (iHealthtech), National University of SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of SingaporeCentre for Intelligent Signal and Imaging Research (CISIR), Universiti Teknologi PETRONASAbstract Living in high expressed emotion (EE) environments tends to increase the relapse rate in schizophrenia (SZ). At present, the neural substrates responsible for high EE in SZ remain poorly understood. Functional near-infrared spectroscopy (fNIRS) may be of great use to quantitatively assess cortical hemodynamics and elucidate the pathophysiology of psychiatric disorders. In this study, we designed novel low- (positivity and warmth) and high-EE (criticism, negative emotion, and hostility) stimulations, in the form of audio, to investigate cortical hemodynamics. We used fNIRS to measure hemodynamic signals while participants listened to the recorded audio. Healthy controls (HCs, $$n=42$$ n = 42 ) showed increased hemodynamic activation in the major language centers across EE stimulations, with stronger activation in Wernicke’s area during the processing of negative emotional language. Compared to HCs, people with SZ ( $$n=41$$ n = 41 ) exhibited smaller hemodynamic activation in the major language centers across EE stimulations. In addition, people with SZ showed weaker or insignificant hemodynamic deactivation in the medial prefrontal cortex. Notably, hemodynamic activation in SZ was found to be negatively correlated with the negative syndrome scale score at high EE. Our findings suggest that the neural mechanisms in SZ are altered and disrupted, especially during negative emotional language processing. This supports the feasibility of using the designed EE stimulations to assess people who are vulnerable to high-EE environments, such as SZ. Furthermore, our findings provide preliminary evidence for future research on functional neuroimaging biomarkers for people with psychiatric disorders.https://doi.org/10.1038/s41598-023-38057-1
spellingShingle Cuiyan Wang
Yueqian Zhang
Lam Ghai Lim
Weiqi Cao
Wei Zhang
Xiaoyang Wan
Lijun Fan
Ying Liu
Xi Zhang
Zengjie Tian
Xiaojun Liu
Xiuzhi Pan
Yuan Zheng
Riyu Pan
Yilin Tan
Zhisong Zhang
Roger S. McIntyre
Zhifei Li
Roger C. M. Ho
Tong Boon Tang
An fNIRS investigation of novel expressed emotion stimulations in schizophrenia
Scientific Reports
title An fNIRS investigation of novel expressed emotion stimulations in schizophrenia
title_full An fNIRS investigation of novel expressed emotion stimulations in schizophrenia
title_fullStr An fNIRS investigation of novel expressed emotion stimulations in schizophrenia
title_full_unstemmed An fNIRS investigation of novel expressed emotion stimulations in schizophrenia
title_short An fNIRS investigation of novel expressed emotion stimulations in schizophrenia
title_sort fnirs investigation of novel expressed emotion stimulations in schizophrenia
url https://doi.org/10.1038/s41598-023-38057-1
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