abnormalities in first-episode psychosis Duration of prodromal phase and severity of volumetric

Background First-episodepsychosisistypicallyprecededbyaprodromeinwhichthereisdeteriorationinglobalandsocialfufunnccttionioniningg..Aims To examinewhether thedurationoftheprodromalphaseinfluencesgreyandwhitemattervolumesattheonsetofpspsyycchhososiiss..MMetethodhodss Eighty-twopeoplewerescannedusingmagneticresonanceimagingwhentheydevelopedafirstepisodeofpsychosis.Thedurationoftheprodromalphasewasestimatedfromdetailedinterviewsandmedicalrecords.Voxel-basedmorphometrywasusedtoassessneuroanatomicalabnormalities.RReesusulltsts Alongprodromalphasewasassociatedwithsmallergreymattervolumesinthecingulate, frontalandleftinsularcortex,andwithlesswhitematterinsularcortex, andwithlesswhitemattervolumebilaterallyinthesuperiorlongitudinalanduncinatefasciculiandthecingulum.Conclusions Theseverityofvolumetricabnormalitiesinfirst-episodepsychosiswasgreaterinthosewithalongprprooddrroome.me.Declarationof interest None.FundingdetailedinAcknowledgements.Fundingdetailedin Acknowledgements.

[1]  S. Paholpak,et al.  Validity and reliability of WHO Schedules for Clinical Assessment in Neuropsychiatry (SCAN)-Thai version: Cognitive Impairment or Decline Section. , 2008, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[2]  Robin M. Murray,et al.  Gray matter abnormalities associated with duration of untreated psychosis , 2006, Schizophrenia Research.

[3]  Eve C. Johnstone,et al.  Grey matter changes over time in high risk subjects developing schizophrenia , 2005, NeuroImage.

[4]  Cheuk Y. Tang,et al.  Fronto-thalamo-striatal gray and white matter volumes and anisotropy of their connections in bipolar spectrum illnesses , 2005, Biological Psychiatry.

[5]  H. Häfner,et al.  Epidemiology of early-onset schizophrenia , 2005, European Archives of Psychiatry and Clinical Neuroscience.

[6]  E. Bramon,et al.  Association of genetic risks for schizophrenia and bipolar disorder with specific and generic brain structural endophenotypes. , 2004, Archives of general psychiatry.

[7]  John Suckling,et al.  The structural brain correlates of neurological soft signs in AESOP first-episode psychoses study. , 2004, Brain : a journal of neurology.

[8]  S. Wakana,et al.  Fiber tract-based atlas of human white matter anatomy. , 2004, Radiology.

[9]  Hok Pan Yuen,et al.  Psychosis prediction: 12-month follow up of a high-risk (“prodromal”) group , 2003, Schizophrenia Research.

[10]  John Suckling,et al.  For personal use. Only reproduce with permission from The Lancet Publishing Group. Effect of sunlight and season on serotonin turnover in the brain , 2002 .

[11]  Stephan Arndt,et al.  Untreated initial psychosis: relation to cognitive deficits and brain morphology in first-episode schizophrenia. , 2003, The American journal of psychiatry.

[12]  Eve C. Johnstone,et al.  Structural Gray Matter Differences between First-Episode Schizophrenics and Normal Controls Using Voxel-Based Morphometry , 2002, NeuroImage.

[13]  Hok Pan Yuen,et al.  Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms. , 2002, Archives of general psychiatry.

[14]  Derek K. Jones,et al.  Virtual in Vivo Interactive Dissection of White Matter Fasciculi in the Human Brain , 2002, NeuroImage.

[15]  R. Kikinis,et al.  Uncinate fasciculus findings in schizophrenia: a magnetic resonance diffusion tensor imaging study. , 2002, The American journal of psychiatry.

[16]  T. Sigmundsson,et al.  Structural abnormalities in frontal, temporal, and limbic regions and interconnecting white matter tracts in schizophrenic patients with prominent negative symptoms. , 2001, The American journal of psychiatry.

[17]  J G Csernansky,et al.  Lack of association between duration of untreated illness and severity of cognitive and structural brain deficits at the first episode of schizophrenia. , 2000, The American journal of psychiatry.

[18]  R. Murray,et al.  Meta-analysis of regional brain volumes in schizophrenia. , 2000, The American journal of psychiatry.

[19]  E. Bromet,et al.  Is there an association between duration of untreated psychosis and 24-month clinical outcome in a first-admission series? , 2000, The American journal of psychiatry.

[20]  A. D. de Crespigny,et al.  Compromised white matter tract integrity in schizophrenia inferred from diffusion tensor imaging. , 1999, Archives of general psychiatry.

[21]  John Suckling,et al.  Global, voxel, and cluster tests, by theory and permutation, for a difference between two groups of structural MR images of the brain , 1999, IEEE Transactions on Medical Imaging.

[22]  John A. Sweeney,et al.  Superior temporal gyrus and the course of early schizophrenia: progressive, static, or reversible? , 1998, Journal of psychiatric research.

[23]  M. Raichle,et al.  Subgenual prefrontal cortex abnormalities in mood disorders , 1997, Nature.

[24]  A. Korten,et al.  Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization ten-country study. , 1992, Psychological medicine. Monograph supplement.

[25]  M. Annett A classification of hand preference by association analysis. , 1970, British journal of psychology.