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Association of IQ changes and progressive brain changes in patients with schizophrenia

https://repo.qst.go.jp/records/71917
https://repo.qst.go.jp/records/71917
e41a8398-ece5-4cc7-9401-a1efc05dd043
Item type 会議発表用資料 / Presentation(1)
公開日 2016-03-28
タイトル
タイトル Association of IQ changes and progressive brain changes in patients with schizophrenia
言語
言語 jpn
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Kubota, Manabu

× Kubota, Manabu

WEKO 708243

Kubota, Manabu

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E., M. van Haren Neeltje

× E., M. van Haren Neeltje

WEKO 708244

E., M. van Haren Neeltje

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V., Haijma Sander

× V., Haijma Sander

WEKO 708245

V., Haijma Sander

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G., Schnack Hugo

× G., Schnack Hugo

WEKO 708246

G., Schnack Hugo

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Cahn, Wiepke

× Cahn, Wiepke

WEKO 708247

Cahn, Wiepke

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E., Hulshoff Pol Hilleke

× E., Hulshoff Pol Hilleke

WEKO 708248

E., Hulshoff Pol Hilleke

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S., Kahn René

× S., Kahn René

WEKO 708249

S., Kahn René

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久保田 学

× 久保田 学

WEKO 708250

en 久保田 学

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抄録
内容記述タイプ Abstract
内容記述 Although schizophrenia is characterized by impairments in intelligence and the loss of brain volume, the relationship between changes in IQ and brain measures is not clear. In the current study, we aimed to investigate the association between IQ and brain measures in patients with schizophrenia across time.
Participants were recruited at the University Medical Center Utrecht, the Netherlands, and included 84 patients with schizophrenia (mean illness duration, 4.35 years) and 116 age-matched healthy controls. MRI of the brain and IQ scores were obtained for them at baseline and the 3-year follow-up. This study was approved by the University Medical Center Utrecht Medical Ethics Committee for Research in Humans. Written informed consent was obtained from all participants.
Cerebral gray matter volume (p = 0.006) and cortical volume (p = 0.03) and thickness (p = 0.02) decreased more in patients with schizophrenia across time compared with control participants. Patients showed additional loss in cortical volume and thickness of the right supramarginal, posterior superior temporal, left supramarginal, left postcentral, and occipital regions (p values were between <0.001 and 0.03 after clusterwise correction). Although IQ increased similarly in patients with schizophrenia and control participants, changes in IQ were negatively correlated with changes in lateral ventricular volume (p = 0.05) and positively correlated with changes in cortical volume (p = 0.007) and thickness (p = 0.004) only in patients with schizophrenia. Positive correlations between changes in IQ and cortical volume and thickness were found globally and in widespread regions across frontal, temporal, and parietal cortices (p values were between <0.001 and 0.03 after clusterwise correction). These findings were independent of symptom severity at follow-up, cannabis use, and the use of cumulative antipsychotic medications during the 3 years of follow-up.
These results suggest that progressive brain tissue loss in schizophrenia is related to relative cognitive decline during the early course of illness.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 日本統合失調症学会
発表年月日
日付 2016-03-25
日付タイプ Issued
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