Resting state functional connectivity in patients with chronic hallucinations.

Auditory verbal hallucinations (AVH) are not only among the most common but also one of the most distressing symptoms of schizophrenia. Despite elaborate research, the underlying brain mechanisms are as yet elusive. Functional MRI studies have associated the experience of AVH with activation of bila...

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Main Authors: Iris E Sommer, Mareike Clos, Anne Lotte Meijering, Kelly M J Diederen, Simon B Eickhoff
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22970130/?tool=EBI
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author Iris E Sommer
Mareike Clos
Anne Lotte Meijering
Kelly M J Diederen
Simon B Eickhoff
author_facet Iris E Sommer
Mareike Clos
Anne Lotte Meijering
Kelly M J Diederen
Simon B Eickhoff
author_sort Iris E Sommer
collection DOAJ
description Auditory verbal hallucinations (AVH) are not only among the most common but also one of the most distressing symptoms of schizophrenia. Despite elaborate research, the underlying brain mechanisms are as yet elusive. Functional MRI studies have associated the experience of AVH with activation of bilateral language-related areas, in particular the right inferior frontal gyrus (rIFG) and the left superior temporal gyrus (lSTG). While these findings helped to understand the neural underpinnings of hearing voices, they provide little information about possible brain mechanisms that predispose a person to experience AVH, i.e. the traits to hallucinate. In this study, we compared resting state connectivity between 49 psychotic patients with chronic AVH and 49 matched controls using the rIFG and the lSTG as seed regions, to identify functional brain systems underlying the predisposition to hallucinate. The right parahippocampal gyrus showed increased connectivity with the rIFG in patients as compared to controls. Reduced connectivity with the rIFG in patients was found for the right dorsolateral prefrontal cortex. Reduced connectivity with the lSTG in patients was identified in the left frontal operculum as well as the parietal opercular area. Connectivity between the lSTG and the left hippocampus was also reduced in patients and showed a negative correlation with the severity of hallucinations. Concluding, we found aberrant connectivity between the seed regions and medial temporal lobe structures which have a prominent role in memory retrieval. Moreover, we found decreased connectivity between language-related areas, indicating aberrant integration in this system potentially including corollary discharge mechanisms.
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spelling doaj.art-ba5e6c9812fc4abcbae55920145ab46e2022-12-21T23:11:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0179e4351610.1371/journal.pone.0043516Resting state functional connectivity in patients with chronic hallucinations.Iris E SommerMareike ClosAnne Lotte MeijeringKelly M J DiederenSimon B EickhoffAuditory verbal hallucinations (AVH) are not only among the most common but also one of the most distressing symptoms of schizophrenia. Despite elaborate research, the underlying brain mechanisms are as yet elusive. Functional MRI studies have associated the experience of AVH with activation of bilateral language-related areas, in particular the right inferior frontal gyrus (rIFG) and the left superior temporal gyrus (lSTG). While these findings helped to understand the neural underpinnings of hearing voices, they provide little information about possible brain mechanisms that predispose a person to experience AVH, i.e. the traits to hallucinate. In this study, we compared resting state connectivity between 49 psychotic patients with chronic AVH and 49 matched controls using the rIFG and the lSTG as seed regions, to identify functional brain systems underlying the predisposition to hallucinate. The right parahippocampal gyrus showed increased connectivity with the rIFG in patients as compared to controls. Reduced connectivity with the rIFG in patients was found for the right dorsolateral prefrontal cortex. Reduced connectivity with the lSTG in patients was identified in the left frontal operculum as well as the parietal opercular area. Connectivity between the lSTG and the left hippocampus was also reduced in patients and showed a negative correlation with the severity of hallucinations. Concluding, we found aberrant connectivity between the seed regions and medial temporal lobe structures which have a prominent role in memory retrieval. Moreover, we found decreased connectivity between language-related areas, indicating aberrant integration in this system potentially including corollary discharge mechanisms.https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22970130/?tool=EBI
spellingShingle Iris E Sommer
Mareike Clos
Anne Lotte Meijering
Kelly M J Diederen
Simon B Eickhoff
Resting state functional connectivity in patients with chronic hallucinations.
PLoS ONE
title Resting state functional connectivity in patients with chronic hallucinations.
title_full Resting state functional connectivity in patients with chronic hallucinations.
title_fullStr Resting state functional connectivity in patients with chronic hallucinations.
title_full_unstemmed Resting state functional connectivity in patients with chronic hallucinations.
title_short Resting state functional connectivity in patients with chronic hallucinations.
title_sort resting state functional connectivity in patients with chronic hallucinations
url https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22970130/?tool=EBI
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AT annelottemeijering restingstatefunctionalconnectivityinpatientswithchronichallucinations
AT kellymjdiederen restingstatefunctionalconnectivityinpatientswithchronichallucinations
AT simonbeickhoff restingstatefunctionalconnectivityinpatientswithchronichallucinations