Fronto-limbic and autonomic disjunctions to negative emotion distinguish schizophrenia subtypes.

Abstract:

:Schizophrenia patients show a disconnection in amygdala-medial prefrontal cortex and autonomic arousal systems for processing fear. Concurrent functional magnetic resonance imaging [fMRI] and skin conductance recording were used to determine whether these disturbances are specific to fear, or present in response to other signals of danger. We also examined whether these disturbances distinguish a specific symptom profile. During scanning, 27 schizophrenia (13 paranoid, 14 nonparanoid) and 22 matched healthy control subjects viewed standardized facial expressions of fear, anger and disgust (versus neutral). Skin conductance responses [SCRs]were acquired simultaneously to assess phasic increases in arousal. 'With-arousal' versus 'without-arousal' responses were analysed using non-parametric methods. For controls, 'with-arousal' responses were associated with emotion-specific activity for fear (amygdala), disgust (insula) and anger (anterior cingulate), together with common medial prefrontal cortex [MPFC] engagement, as predicted. Schizophrenia patients displayed abnormally increased phasic arousal, with concomitant reductions in emotion-specific regions and MPFC. These findings may reflect a general disconnection between central and autonomic systems for processing signals of danger. This disjunction was most apparent in patients with a profile of paranoia, coupled with poor social function and insight. Heightened autonomic sensitivity to signals of fear, threat or contamination, without effective neural mechanisms for appraisal, may underlie paranoid delusions which concern threat and contamination, and associated social and interpersonal difficulties.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Williams LM,Das P,Liddell BJ,Olivieri G,Peduto AS,David AS,Gordon E,Harris AW

doi

10.1016/j.pscychresns.2006.12.018

subject

Has Abstract

pub_date

2007-05-15 00:00:00

pages

29-44

issue

1

eissn

0165-1781

issn

1872-7123

pii

S0925-4927(07)00008-X

journal_volume

155

pub_type

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