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ABSTRACT: Background
An alteration in self/other differentiation has been proposed as a basis for several symptoms in schizophrenia, including delusions of reference and social functioning deficits. Dysfunction of the right temporo-parietal junction (TPJ), a region linked with social cognition, has been proposed as the basis of this alteration. However, imaging studies of self- and other-processing in schizophrenia have shown, so far, inconsistent results.Methods
Patients with schizophrenia and healthy controls underwent fMRI scanning while performing a task with three conditions: self-reflection, other-reflection and semantic processing.Results
Both groups activated similar brain regions for self- and other-reflection compared to semantic processing, including the medial prefrontal cortex, the precuneus and the TPJ. Compared to healthy subjects, patients hyperactivated the left lateral frontal cortex during self- and other-reflection. In other-reflection, compared to self-reflection, patients failed to increase right TPJ activity.Conclusions
Altered activity in the right TPJ supports a disturbance in self/other differentiation in schizophrenia, which could be linked with psychotic symptoms and affect social functioning in patients. Hyperactivity of the lateral frontal cortex for self- and other-reflection suggests the presence of greater cognitive demand to perform the task in the patient group.
SUBMITTER: Fuentes-Claramonte P
PROVIDER: S-EPMC6931228 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
Fuentes-Claramonte Paola P Martin-Subero Marta M Salgado-Pineda Pilar P Santo-Angles Aniol A Argila-Plaza Isabel I Salavert Josep J Arévalo Antoni A Bosque Clara C Sarri Carmen C Guerrero-Pedraza Amalia A Capdevila Antoni A Sarró Salvador S McKenna Peter J PJ Pomarol-Clotet Edith E Salvador Raymond R
NeuroImage. Clinical 20191214
<h4>Background</h4>An alteration in self/other differentiation has been proposed as a basis for several symptoms in schizophrenia, including delusions of reference and social functioning deficits. Dysfunction of the right temporo-parietal junction (TPJ), a region linked with social cognition, has been proposed as the basis of this alteration. However, imaging studies of self- and other-processing in schizophrenia have shown, so far, inconsistent results.<h4>Methods</h4>Patients with schizophreni ...[more]