Abstract
Adults with psychotic disorders have abnormal connectivity of fronto-temporal networks. However, whether these abnormalities are present in adolescents with early psychosis has not been fully assessed. One-hundred and thirty-nine adolescents aged 12–18 underwent resting-state functional magnetic resonance imaging and diffusion tensor imaging. Following motion correction, data were available for 44 participants with a psychosis risk syndrome, 34 patients with a first episode psychosis (FEP) and 35 healthy controls. Independent component analysis was performed to assess functional networks showing a fronto-temporal scope; this identified a language and a salience network. Mean fractional anisotropy was measured in clusters showing between-group differences in intrinsic functional connectivity (iFC). For the language network, there was a group effect within the right middle/inferior frontal gyrus, explained by reduced iFC in patients with an FEP relative to healthy controls, while in participants with a psychosis risk syndrome values of iFC were intermediate. In this region, values of iFC were positively correlated with mean fractional anisotropy in patients with an FEP. No group differences were observed in the salience network. Reduced iFC of the language network, in association with disrupted white matter microstructure, may characterize FEP during adolescence.
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Acknowledgements
The authors would like to thank Mr. Roger Borras for his support with statistical analyses. This work was supported by Grants by the Spanish Ministry of Health, Instituto de Salud Carlos III (PI070066 and PI11/1349) and Fundació La Marató de TV3 (091630). This work has been funded by the project PI11/01349, integrated in the Plan Nacional I+D+I and co-funded by ISCIII-Subdirección General de Evaluación and European Regional Development Fund (ERDF).
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All human and animal studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All persons gave their informed consent prior to their inclusion in the study.
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Solé-Padullés, C., Castro-Fornieles, J., de la Serna, E. et al. Intrinsic functional connectivity of fronto-temporal networks in adolescents with early psychosis. Eur Child Adolesc Psychiatry 26, 669–679 (2017). https://doi.org/10.1007/s00787-016-0931-5
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DOI: https://doi.org/10.1007/s00787-016-0931-5