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Progressive Frontal Dysconnectivity During Working Memory in eos Patients: A Longitudinal Functional MRI Study

Published online by Cambridge University Press:  23 March 2020

S. Frangou
Affiliation:
New York, USA
M. Kyriakopoulos
Affiliation:
King's College London, Child and Adolescent Psychiatry, London, United Kingdom
D. Danai
Affiliation:
City University, Psychology, London, United Kingdom

Abstract

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Working memory (WM) dysfunction is considered a cardinal feature of schizophrenia. Typically developing adolescents show significant gains in WM performance, which have been attributed to increased “frontalisation” within the fronto-cingulate-parietal network that underpins WM. We used functional magnetic resonance imaging and psycho-physiological interaction to measure blood oxygenation level–dependent signal and functional connectivity in response to the 2-back WM task from 25 youths with EOS and 25 yoked healthy adolescents that were assessed twice with a mean interval of 4 years between assessments. Patients showed reduced prefrontal connectivity at baseline and the magnitude of this effect increased over the follow-up period. Our results suggest on-going functional connectivity abnormalities in EOS patients’ post-disease onset that are linked to prefrontal dysfunction and contribute to worsening WM despite anti–psychotic treatment.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
Workshop: brain changes in early onset psychosis
Copyright
Copyright © European Psychiatric Association 2017
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