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Global and regional cortical thinning in first-episode psychosis patients: relationships with clinical and cognitive features

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Global and regional cortical thinning in first-episode psychosis patients: relationships with clinical and cognitive features

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dc.contributor.author Crespo Facorro, Benedicto es_ES
dc.contributor.author Roiz-Santiáñez, R. es_ES
dc.contributor.author Pérez-Iglesias, R. es_ES
dc.contributor.author Rodriguez-Sanchez, J. M. es_ES
dc.contributor.author Mata, I. es_ES
dc.contributor.author Tordesillas-Gutierrez, D. es_ES
dc.contributor.author Sanchez, E. es_ES
dc.contributor.author Tabarés Seisdedos, Rafael es_ES
dc.contributor.author Andreasen, N. es_ES
dc.contributor.author Magnotta, V. es_ES
dc.contributor.author Vázquez-Barquero, J.L. es_ES
dc.date.accessioned 2015-06-22T09:51:18Z
dc.date.available 2015-06-22T09:51:18Z
dc.date.issued 2010 es_ES
dc.date.issued 2011 es_ES
dc.identifier.citation Psychological medicine Vol. 41 Issue 7: pp. 1449-1460 es_ES
dc.identifier.uri http://hdl.handle.net/10550/44677
dc.description.abstract BackgroundThe thickness of the cortical mantle is a sensitive measure for identifying alterations in cortical structure. We aimed to explore whether first episode schizophrenia patients already show a significant cortical thinning and whether cortical thickness anomalies may significantly influence clinical and cognitive features.MethodWe investigated regional changes in cortical thickness in a large and heterogeneous sample of schizophrenia spectrum patients (n=142) at their first break of the illness and healthy controls (n=83). Magnetic resonance imaging brain scans (1.5 T) were obtained and images were analyzed by using BRAINS2. The contribution of sociodemographic, cognitive and clinical characterictics was investigated.ResultsPatients showed a significant total cortical thinning (F=17.55, d=−0.62, p<0.001) and there was a diffuse pattern of reduced thickness (encompassing frontal, temporal and parietal cortices) (all p’s<0.001, d’s>0.53). No significant group × gender interactions were observed (all p’s>0.15). There were no significant associations between the clinical and pre-morbid variables and cortical thickness measurements (all r’s<0.12). A weak significant negative correlation between attention and total (r=−0.24, p=0.021) and parietal cortical thickness (r=−0.27, p=0.009) was found in patients (thicker cortex was associated with lower attention). Our data revealed a similar pattern of cortical thickness changes related to age in patients and controls.ConclusionsCortical thinning is independent of gender, age, age of onset and duration of the illness and does not seem to significantly influence clinical and functional symptomatology. These findings support a primary neuro-development disorder affecting the normal cerebral cortex development in schizophrenia. es_ES
dc.subject brain es_ES
dc.subject cortical thickness es_ES
dc.subject endophenotype es_ES
dc.subject MRI es_ES
dc.subject schizophrenia es_ES
dc.title Global and regional cortical thinning in first-episode psychosis patients: relationships with clinical and cognitive features es_ES
dc.type journal article es_ES
dc.identifier.doi 10.1017/S003329171000200X es_ES
dc.identifier.idgrec 076079 es_ES

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