Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56146
Type: Artigo de Periódico
Title: Neural correlates of hallucinations in bipolar disorder
Authors: Maila de C. Neves
Dante G. Duarte
Maicon R. Albuquerque
Rodrigo Nicolato
Fernando Silva Neves
Fábio L. de Souza-Duran
Geraldo Busatto
Humberto Corrêa da Silva Filho
Abstract: Objective: Approximately one-half of all patients affected by bipolar disorder present with psychotic features on at least one occasion. Several studies have found that alterations in the activity of mesolimbic and prefrontal regions are related to aberrant salience in psychotic patients. The aim of the present study was to investigate the structural correlates of a history of hallucinations in a sample of euthymic patients with bipolar I disorder (BD-I).Methods: The sample consisted of 21 euthymic patients with BD-I and no comorbid axis I DSM-IV-TR disorders. Voxel based morphometry (VBM) was used to compare patients with and without a lifetime history of hallucinations. Preprocessing was performed using the Diffeomorphic Anatomical Registration through Exponentiated Lie Algebra (DARTEL) algorithm for VBM in SPM8. Images were processed using optimized VBM. Results: The main finding of the present study was a reduction in gray matter volume in the right posterior insular cortex of patients with BD-I and a lifetime history of hallucinations, as compared to subjects with the same diagnosis but no history of hallucinations. Conclusions: This finding supports the presence of abnormalities in the salience network in BD patients with a lifetime history of hallucinations. These alterations may be associated with an aberrant assignment of salience to the elements of one’s own experience, which could result in psychotic symptoms.
Subject: Transtorno Bipolar
Alucinações
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: EEF - DEPARTAMENTO DE ESPORTES
ICB - DEPARTAMENTO DE MORFOLOGIA
MED - DEPARTAMENTO DE PSIQUIATRIA E NEUROLOGIA
MED - DEPARTAMENTO DE SAÚDE MENTAL
Rights: Acesso Aberto
metadata.dc.identifier.doi: 10.1590/1516-4446-2014-1640
URI: http://hdl.handle.net/1843/56146
Issue Date: 2016
metadata.dc.url.externa: https://doi:10.1590/1516-4446-2014-1640
metadata.dc.relation.ispartof: Revista Brasileira de Psiquiatria
Appears in Collections:Artigo de Periódico

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