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Associations of cortical thickness, surface area and subcortical volumes with insight in drug-naive adults with obsessive-compulsive disorder
Liu, Wanting1,2; Gan, Jun1; Fan, Jie1; Zheng, Hong1; Li, Sihui1; Chan, Raymond C. K.3,4; Tan, Changlian5; Zhu, Xiongzhao1,2
通讯作者Tan, Changlian([email protected]) ; Zhu, Xiongzhao([email protected])
摘要Poor insight in obsessive-compulsive disorder (OCD) is associated with several adverse clinical outcomes. However, the neurobiological basis of this insight deficit is not clearly understood. The present study thus aimed to investigate associations of cortical thickness, cortical surface area and subcortical volumes with insight in a sample of drug-naive adults with OCD. Forty-seven OCD patients and 42 healthy controls (HCs) underwent MRI scanning, depression and anxiety assessments. The Brown Assessment of Beliefs Scale (BABS) measured insight levels and patients were divided into two groups: poor insight (OCD-PI; n = 21), and good insight (OCD-GI; n = 26). Cortical thickness and surface area between groups were compared with whole-brain exploratory vertex-by-vertex analyses, while subcortical volumes were compared on a structure-by-structure basis. Partial correlation analyses were then performed to assess associations between regional cortical and subcortical measures and insight levels. OCD-GI and OCD-PI groups displayed partly shared, but also partly distinct brain structural alterations. Strikingly, OCD-PI showed decreased cortical thickness in the left superior frontal gyrus, left anterior cingulate cortex (ACC) and right inferior parietal gyrus, compared to both OCD-GI and HCs. Average cortical thickness extracted from these areas was further negatively correlated with BABS scores in the OCD-PI patients. Our findings suggest that poor insight in patients with OCD may have a neural substrate involving the left medial frontal and the right inferior parietal cortices.
关键词Obsessive-compulsive disorder Insight Cortical thickness Surface-based morphometry
2019
语种英语
DOI10.1016/j.nicl.2019.102037
发表期刊NEUROIMAGE-CLINICAL
ISSN2213-1582
卷号24页码:8
收录类别SCI
资助项目National Key Technology Research and Development Program of the Ministry of Science and Technology of China[2012BA136B01] ; Beijing Training Project for the Leading Talents in ST[Z151100000315020] ; Strategic Priority Research Program (B) of the Chinese Academy of Science[XDB02030002]
出版者ELSEVIER SCI LTD
WOS关键词ANTERIOR CINGULATE CORTEX ; INFERIOR PARIETAL LOBULE ; POOR INSIGHT ; COGNITIVE INSIGHT ; SELF-REFLECTION ; CEREBRAL-CORTEX ; SCHIZOPHRENIA ; BRAIN ; ANOSOGNOSIA ; UNAWARENESS
WOS研究方向Neurosciences & Neurology
WOS类目Neuroimaging
WOS记录号WOS:000504663800019
资助机构National Key Technology Research and Development Program of the Ministry of Science and Technology of China ; Beijing Training Project for the Leading Talents in ST ; Strategic Priority Research Program (B) of the Chinese Academy of Science
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.psych.ac.cn/handle/311026/30598
专题中国科学院心理健康重点实验室
通讯作者Tan, Changlian; Zhu, Xiongzhao
作者单位1.Cent S Univ, Xiangya Hosp 2, Med Psychol Ctr, Changsha 410011, Hunan, Peoples R China
2.Cent S Univ, Inst Med Psychol, Changsha, Hunan, Peoples R China
3.Chinese Acad Sci, Neuropsychol & Appl Cognit Neurosci Lab, Key Lab Mental Hlth, Inst Psychol, Beijing, Peoples R China
4.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
5.Cent S Univ, Xiangya Hosp 2, Dept Radiol, Changsha, Hunan, Peoples R China
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GB/T 7714
Liu, Wanting,Gan, Jun,Fan, Jie,et al. Associations of cortical thickness, surface area and subcortical volumes with insight in drug-naive adults with obsessive-compulsive disorder[J]. NEUROIMAGE-CLINICAL,2019,24:8.
APA Liu, Wanting.,Gan, Jun.,Fan, Jie.,Zheng, Hong.,Li, Sihui.,...&Zhu, Xiongzhao.(2019).Associations of cortical thickness, surface area and subcortical volumes with insight in drug-naive adults with obsessive-compulsive disorder.NEUROIMAGE-CLINICAL,24,8.
MLA Liu, Wanting,et al."Associations of cortical thickness, surface area and subcortical volumes with insight in drug-naive adults with obsessive-compulsive disorder".NEUROIMAGE-CLINICAL 24(2019):8.
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