Dataset Information

Bipolar disorder type I and II show distinct relationships between cortical thickness and executive function.

ABSTRACT:

Objective

Frontal cortical abnormalities and executive function impairment co-occur in bipolar disorder. Recent studies have shown that bipolar subtypes differ in the degree of structural and functional impairments. The relationships between cognitive performance and cortical integrity have not been clarified and might differ across patients with bipolar disorder type I, II, and healthy subjects.

Method

Using a vertex-wise whole-brain analysis, we investigated how cortical integrity, as measured by cortical thickness, correlates with executive performance in patients with bipolar disorder type I, II, and controls (N = 160).

Results

We found focal associations between executive function and cortical thickness in the medial prefrontal cortex in bipolar II patients and controls, but not in bipolar I disorder. In bipolar II patients, we observed additional correlations in lateral prefrontal and occipital regions.

Conclusions

Our findings suggest that bipolar disorder patients show altered structure-function relationships, and importantly that those relationships may differ between bipolar subtypes. The findings are line with studies suggesting subtype-specific neurobiological and cognitive profiles. This study contributes to a better understanding of brain structure-function relationships in bipolar disorder and gives important insights into the neuropathophysiology of diagnostic subtypes.

SUBMITTER: Abe C

PROVIDER: S-EPMC6175455 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Publications

Bipolar disorder type I and II show distinct relationships between cortical thickness and executive function.

Abé C C Rolstad S S Petrovic P P Ekman C-J CJ Sparding T T Ingvar M M Landén M M

Acta psychiatrica Scandinavica 20180615 4

<h4>Objective</h4>Frontal cortical abnormalities and executive function impairment co-occur in bipolar disorder. Recent studies have shown that bipolar subtypes differ in the degree of structural and functional impairments. The relationships between cognitive performance and cortical integrity have not been clarified and might differ across patients with bipolar disorder type I, II, and healthy subjects.<h4>Method</h4>Using a vertex-wise whole-brain analysis, we investigated how cortical integri ...[more]

PMID: 29907968

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Project description:Importance:A total of 25.7 million children in the United States are classified as overweight or obese. Obesity is associated with deficits in executive function, which may contribute to poor dietary decision-making. Less is known about the associations between being overweight or obese and brain development. Objective:To examine whether body mass index (BMI) is associated with thickness of the cerebral cortex and whether cortical thickness mediates the association between BMI and executive function in children. Design, Setting, and Participants:In this cross-sectional study, cortical thickness maps were derived from T1-weighted structural magnetic resonance images of a large, diverse sample of 9 and 10-year-old children from 21 US sites. List sorting, flanker, matrix reasoning, and Wisconsin card sorting tasks were used to assess executive function. Main Outcomes and Measures:A 10-fold nested cross-validation general linear model was used to assess mean cortical thickness from BMI across cortical brain regions. Associations between BMI and executive function were explored with Pearson partial correlations. Mediation analysis examined whether mean prefrontal cortex thickness mediated the association between BMI and executive function. Results:Among 3190 individuals (mean [SD] age, 10.0 [0.61] years; 1627 [51.0%] male), those with higher BMI exhibited lower cortical thickness. Eighteen cortical regions were significantly inversely associated with BMI. The greatest correlations were observed in the prefrontal cortex. The BMI was inversely correlated with dimensional card sorting (r?=?-0.088, P?<?.001), list sorting (r?=?-0.061, P?<?.003), and matrix reasoning (r?=?-0.095, P?<?.001) but not the flanker task. Mean prefrontal cortex thickness mediated the association between BMI and list sorting (mean [SE] indirect effect, 0.014 [0.008]; 95%?CI, 0.001-0.031) but not the matrix reasoning or card sorting task. Conclusions and Relevance:These results suggest that BMI is associated with prefrontal cortex development and diminished executive functions, such as working memory.

Dataset Information

Bipolar disorder type I and II show distinct relationships between cortical thickness and executive function.

Objective

Method

Results

Conclusions

Publications

Bipolar disorder type I and II show distinct relationships between cortical thickness and executive function.

Similar Datasets

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