Investigating the neural correlates of affective mentalizing and their association with general intelligence in patients with schizophrenia
Mentalizing impairment in schizophrenia has been linked to altered neural responses. This study aimed to replicate previous findings of altered activation of the mentalizing network in schizophrenia and investigate its possible association with impaired domain-general cognition. We analyzed imaging...
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| Published in: | Schizophrenia research Vol. 254; pp. 190 - 198 |
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| Main Authors: | , , , , , , , , , , , , , |
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| Language: | English |
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01-04-2023
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| Abstract | Mentalizing impairment in schizophrenia has been linked to altered neural responses. This study aimed to replicate previous findings of altered activation of the mentalizing network in schizophrenia and investigate its possible association with impaired domain-general cognition.
We analyzed imaging data from two large multi-centric German studies including 64 patients, 64 matched controls and a separate cohort of 300 healthy subjects, as well as an independent Australian study including 46 patients and 61 controls. All subjects underwent functional magnetic resonance imaging while performing the same affective mentalizing task and completed a cognitive assessment battery. Group differences in activation of the mentalizing network were assessed by classical as well as Bayesian two-sample t-tests. Multiple regression analysis was performed to investigate effects of neurocognitive measures on activation of the mentalizing network.
We found no significant group differences in activation of the mentalizing network. Bayes factors indicate that these results provide genuine evidence for the null hypothesis. We found a positive association between verbal intelligence and activation of the medial prefrontal cortex, a key region of the mentalizing network, in three independent samples. Finally, individuals with low verbal intelligence showed altered activation in areas previously implicated in mentalizing dysfunction in schizophrenia.
Mentalizing activation in patients with schizophrenia might not differ compared to large well-matched groups of healthy controls. Verbal intelligence is an important confounding variable in group comparisons, which should be considered in future studies of the neural correlates of mentalizing dysfunction in schizophrenia. |
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| AbstractList | BACKGROUND AND HYPOTHESISMentalizing impairment in schizophrenia has been linked to altered neural responses. This study aimed to replicate previous findings of altered activation of the mentalizing network in schizophrenia and investigate its possible association with impaired domain-general cognition. STUDY DESIGNWe analyzed imaging data from two large multi-centric German studies including 64 patients, 64 matched controls and a separate cohort of 300 healthy subjects, as well as an independent Australian study including 46 patients and 61 controls. All subjects underwent functional magnetic resonance imaging while performing the same affective mentalizing task and completed a cognitive assessment battery. Group differences in activation of the mentalizing network were assessed by classical as well as Bayesian two-sample t-tests. Multiple regression analysis was performed to investigate effects of neurocognitive measures on activation of the mentalizing network. STUDY RESULTSWe found no significant group differences in activation of the mentalizing network. Bayes factors indicate that these results provide genuine evidence for the null hypothesis. We found a positive association between verbal intelligence and activation of the medial prefrontal cortex, a key region of the mentalizing network, in three independent samples. Finally, individuals with low verbal intelligence showed altered activation in areas previously implicated in mentalizing dysfunction in schizophrenia. CONCLUSIONSMentalizing activation in patients with schizophrenia might not differ compared to large well-matched groups of healthy controls. Verbal intelligence is an important confounding variable in group comparisons, which should be considered in future studies of the neural correlates of mentalizing dysfunction in schizophrenia. Mentalizing impairment in schizophrenia has been linked to altered neural responses. This study aimed to replicate previous findings of altered activation of the mentalizing network in schizophrenia and investigate its possible association with impaired domain-general cognition. We analyzed imaging data from two large multi-centric German studies including 64 patients, 64 matched controls and a separate cohort of 300 healthy subjects, as well as an independent Australian study including 46 patients and 61 controls. All subjects underwent functional magnetic resonance imaging while performing the same affective mentalizing task and completed a cognitive assessment battery. Group differences in activation of the mentalizing network were assessed by classical as well as Bayesian two-sample t-tests. Multiple regression analysis was performed to investigate effects of neurocognitive measures on activation of the mentalizing network. We found no significant group differences in activation of the mentalizing network. Bayes factors indicate that these results provide genuine evidence for the null hypothesis. We found a positive association between verbal intelligence and activation of the medial prefrontal cortex, a key region of the mentalizing network, in three independent samples. Finally, individuals with low verbal intelligence showed altered activation in areas previously implicated in mentalizing dysfunction in schizophrenia. Mentalizing activation in patients with schizophrenia might not differ compared to large well-matched groups of healthy controls. Verbal intelligence is an important confounding variable in group comparisons, which should be considered in future studies of the neural correlates of mentalizing dysfunction in schizophrenia. |
| Author | Meyer-Lindenberg, Andreas Erk, Susanne Quidé, Yann Tantchik, Wladimir Romanczuk-Seiferth, Nina Tost, Heike Moessnang, Carolin Wackerhagen, Carolin Heinz, Andreas Schwarz, Kristina Bzdok, Danilo Walter, Henrik Mohnke, Sebastian Green, Melissa J. |
| Author_xml | – sequence: 1 givenname: Wladimir surname: Tantchik fullname: Tantchik, Wladimir email: wladimir.tantchik@charite.de organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany – sequence: 2 givenname: Melissa J. surname: Green fullname: Green, Melissa J. organization: Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales (UNSW), Sydney, NSW 2052, Australia – sequence: 3 givenname: Yann surname: Quidé fullname: Quidé, Yann organization: Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales (UNSW), Sydney, NSW 2052, Australia – sequence: 4 givenname: Susanne surname: Erk fullname: Erk, Susanne organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany – sequence: 5 givenname: Sebastian surname: Mohnke fullname: Mohnke, Sebastian organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany – sequence: 6 givenname: Carolin surname: Wackerhagen fullname: Wackerhagen, Carolin organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany – sequence: 7 givenname: Nina surname: Romanczuk-Seiferth fullname: Romanczuk-Seiferth, Nina organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany – sequence: 8 givenname: Heike surname: Tost fullname: Tost, Heike organization: Zentralinstitut für Seelische Gesundheit, J 5, 68159 Mannheim, Germany – sequence: 9 givenname: Kristina surname: Schwarz fullname: Schwarz, Kristina organization: Zentralinstitut für Seelische Gesundheit, J 5, 68159 Mannheim, Germany – sequence: 10 givenname: Carolin surname: Moessnang fullname: Moessnang, Carolin organization: Zentralinstitut für Seelische Gesundheit, J 5, 68159 Mannheim, Germany – sequence: 11 givenname: Danilo surname: Bzdok fullname: Bzdok, Danilo organization: Department of Biomedical Engineering, McConnell Brain Imaging Centre (BIC), Montreal Neurological Institute (MNI), Faculty of Medicine, School of Computer Science, McGill University, 845 Sherbrooke St W, Montreal, Quebec H3A 0G4, Canada – sequence: 12 givenname: Andreas surname: Meyer-Lindenberg fullname: Meyer-Lindenberg, Andreas organization: Zentralinstitut für Seelische Gesundheit, J 5, 68159 Mannheim, Germany – sequence: 13 givenname: Andreas surname: Heinz fullname: Heinz, Andreas organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany – sequence: 14 givenname: Henrik surname: Walter fullname: Walter, Henrik organization: Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Psychiatry and Neurosciences|CCM, Charitéplatz 1, 10117 Berlin, Germany |
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| SubjectTerms | Australia Bayes Theorem fMRI Humans Intelligence Magnetic Resonance Imaging Mentalization Mentalizing mPFC Schizophrenia - complications Schizophrenia - diagnostic imaging Schizophrenia - pathology Social cognition Theory of Mind - physiology |
| Title | Investigating the neural correlates of affective mentalizing and their association with general intelligence in patients with schizophrenia |
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