Publications · 2011 · Journal article

Neuroanatomical correlates of trait anhedonia in patients with schizophrenia: A voxel-based morphometric study

Jung Suk Lee, Hae-Jeong Park, Ji Won Chun, Jeong-Ho Seok, Il-Ho Park, Bumhee Park, Jae-Jin Kim

Neuroscience Letters 489(2), 110-114

Abstract

The aim of this study was to characterize the association between trait anhedonia and regional gray matter volume in patients with schizophrenia. Forty-six patients with schizophrenia and 56 healthy controls underwent magnetic resonance imaging (MRI) to acquire high-resolution T1-weighted images. Trait anhedonia was measured using the Chapman Revised Physical Anhedonia Scale (PAS). Voxel-based morphometry was performed to investigate brain volume correlates of trait anhedonia. Several brain regions in the patient group, including the left precuneus and right posterior cingulate (PCC), were found to show significantly less correlation with PAS scores than those of the control group. Post-hoc analysis revealed that negative correlations between the regional gray matter volume and the PAS scores in the patient group were found at a trend level in the left precuneus and the right PCC. In conclusion, these findings suggest that trait anhedonia in patients with schizophrenia could possibly be associated with a volume deficit in brain regions related to default-mode, which reflects the impairment of self-referential processing and reward anticipation.

Korean summary

조현병 환자에게 흔한 증상인 무쾌감증(즐거움을 느끼지 못하는 성향)이 뇌의 구조적 특징과 어떤 관련이 있는지를 살핀 연구입니다. 조현병 환자와 건강한 대조군의 고해상도 MRI 영상을 복셀 기반 형태계측(VBM)으로 분석하고, 설문으로 측정한 신체적 무쾌감증 점수와 국소 회백질 부피의 상관을 비교했습니다. 환자군에서는 좌측 설전부와 우측 후대상피질 등에서 대조군과 다른 상관 양상이 나타났고, 이 영역의 부피가 작을수록 무쾌감증이 심해지는 경향이 관찰되었습니다. 이 영역들은 자기참조 처리와 보상 기대에 관여하는 기본상태 연결망(default-mode network)에 속하므로, 조현병의 무쾌감증이 이 연결망의 구조적 결손과 연관될 수 있음을 시사합니다.

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