Parietal lobe and disorganisation syndrome in schizophrenia and psychotic bipolar disorder: A bimodal connectivity study

Psychiatry Res Neuroimaging. 2020 Sep 30:303:111139. doi: 10.1016/j.pscychresns.2020.111139. Epub 2020 Jul 15.

Abstract

Given the emerging evidence in support of parietal brain stimulation to treat speech disorder in psychosis, we investigated structural and functional parietal dysconnectivity in schizophrenia (n = 34) and bipolar disorder with psychotic symptoms (n = 16). We found that both patient groups demonstrated reduced left parietal structural connectivity compared to healthy controls (n = 32). The three groups also differed significantly on the variability of left and right parietal dynamic functional connectivity. In patients with schizophrenia, parietal dysconnectivity predicted the severity of disorganisation symptoms. These findings suggest that dysconnectivity between the parietal lobe and the rest of the brain plays a key role in disorganisation symptoms of schizophrenia.

Keywords: Dynamic functional connectivity; Psychosis; Structural connectivity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bipolar Disorder / diagnostic imaging*
  • Bipolar Disorder / physiopathology
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Nerve Net / diagnostic imaging*
  • Nerve Net / physiopathology
  • Parietal Lobe / diagnostic imaging*
  • Parietal Lobe / physiopathology
  • Psychotic Disorders / diagnostic imaging*
  • Psychotic Disorders / physiopathology
  • Schizophrenia / diagnostic imaging
  • Schizophrenia / physiopathology
  • Schizophrenia, Disorganized / diagnostic imaging*
  • Schizophrenia, Disorganized / physiopathology