Altered neural correlate of the self-agency experience in first-episode schizophrenia-spectrum patients: An fmri study

Filip Spaniel, Jaroslav Tintera, Jan Rydlo, Ibrahim Ibrahim, Tomas Kasparek, Jiri Horacek, Yuliya Zaytseva, Martin Matejka, Marketa Fialova, Andrea Slovakova, Pavol Mikolas, Tomas Melicher, Natalie Görnerova, Cyril Höschl, Tomas Hajek

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)

Abstract

Background: The phenomenology of the clinical symptoms indicates that disturbance of the sense of self be a core marker of schizophrenia. Aims: To compare neural activity related to the self/other-agency judgment in patients with first-episode schizophrenia-spectrum disorders (FES, n = 35) and healthy controls (HC, n = 35). Method: A functional magnetic resonance imaging (fMRI) using motor task with temporal distortion of the visual feedback was employed. A task-related functional connectivity was analyzed with the use of independent component analysis (ICA). Results: (1) During self-agency experience, FES showed a deficit in cortical activation in medial frontal gyrus (BA 10) and posterior cingulate gyrus, (BA 31; P < .05, Family-Wise Error [FWE] corrected). (2) Pooledsample task-related ICA revealed that the self/other-agency judgment was dependent upon anti-correlated default mode and central-executive networks (DMN/CEN) dynamic switching. This antagonistic mechanism was substantially impaired in FES during the task. Discussion: During selfagency experience, FES demonstrate deficit in engagement of cortical midline structures along with substantial attenuation of anti-correlated DMN/CEN activity underlying normal self/other-agency discriminative processes.

Original languageEnglish
Pages (from-to)916-925
Number of pages10
JournalSchizophrenia Bulletin
Volume42
Issue number4
DOIs
Publication statusPublished - Jul 2016

Bibliographical note

Publisher Copyright:
© The Author 2014. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved.

ASJC Scopus Subject Areas

  • Psychiatry and Mental health

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