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Grey matter abnormalties in first episode schizophrenia and affective psychosis

Morgan, Kevin D. and Dazzan, Paola and Orr, Kenneth G. and Hutchinson, Gerard and Chitnis, Xavier and Suckling, John and Lythgoe, David and Pollock, Sarah-Jane and Rossell, Susan and Shapleske, Jan and Fearon, Paul and Morgan, Craig and David, Anthony S. and McGuire, Philip K. and Jones, Peter B. and Leff, Julian and Murray, Robin M. (2007) Grey matter abnormalties in first episode schizophrenia and affective psychosis. British Journal of Psychiatry, 191 (Supple). s111-s116. ISSN 0007-1250

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Official URL: http://dx.doi.org/10.1192/bjp.191.51.s111

Abstract

Background: Grey matter and other structural brain abnormalities are consistently reported in first-onset schizophrenia, but less is known about the extent of neuroanatomical changes in first-onset affective psychosis. Aims: To determine which brain abnormalities are specific to (a) schizophrenia and (b) affective psychosis. Method: We obtained dual-echo (proton density/T2-weighted) MR images and carried out voxel-based analysis on the images of 73 first-episode psychosis patients (schizophrenia=44, affective psychosis=29) and 58 healthy controls. Results: Both patients with schizophrenia and patients with affective psychosis had enlarged lateral and third ventricle volumes. Regional cortical grey matter reductions (including bilateral anterior cingulate gyrus, left insula and left fusiform gyrus) were evident in affective psychosis but not in schizophrenia, although patients with schizophrenia displayed decreased hippocampal grey matter and increased striatal grey matter at a more liberal statistical threshold. Conclusions: Both schizophrenia and affective psychosis are associated with volumetric abnormalities at the onset of frank psychosis, with some of these evident in common brain areas.

Item Type:Article
Research Community:University of Westminster > Social Sciences, Humanities and Languages, School of
ID Code:4006
Deposited On:24 May 2007
Last Modified:11 Aug 2010 15:32

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