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Fronto-limbic disconnection in bipolar disorder

Published online by Cambridge University Press:  15 April 2020

D. Radaelli ,
G. Sferrazza Papa ,
B. Vai ,
S. Poletti ,
E. Smeraldi ,
C. Colombo  and
F. Benedetti
D. Radaelli*
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy Centro di Eccellenza Risonanza Magnetica ad Alto Campo (CERMAC) Milano, Italy
G. Sferrazza Papa
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy
B. Vai
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy
S. Poletti
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy Centro di Eccellenza Risonanza Magnetica ad Alto Campo (CERMAC) Milano, Italy
E. Smeraldi
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy Centro di Eccellenza Risonanza Magnetica ad Alto Campo (CERMAC) Milano, Italy
C. Colombo
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy Centro di Eccellenza Risonanza Magnetica ad Alto Campo (CERMAC) Milano, Italy
F. Benedetti
Affiliation:
Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy Centro di Eccellenza Risonanza Magnetica ad Alto Campo (CERMAC) Milano, Italy
*
*Corresponding author at: Department of Clinical Neurosciences, Istituto Scientifico Ospedale San Raffaele, San Raffaele Turro, Via Stamira d’Ancona 20, Milan, Italy. Tel.: +39 02 26433156; fax: +39 02 26433265. E-mail address: E-mail address:radaelli.daniele@hsr.it (D. Radaelli).
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Abstract

Background:

Bipolar disorder (BD) is a severe, disabling and life-threatening illness. Disturbances in emotion and affective processing are core features of the disorder with affective instability being paralleled by mood-congruent biases in information processing that influence evaluative processes and social judgment. Several lines of evidence, coming from neuropsychological and imaging studies, suggest that disrupted neural connectivity could play a role in the mechanistic explanation of these cognitive and emotional symptoms. The aim of the present study is to investigate the effective connectivity in a sample of bipolar patients.

Methods:

Dynamic causal modeling (DCM) technique was used to study 52 inpatients affected by bipolar disorders consecutively admitted to San Raffaele hospital in Milano and forty healthy subjects. A face-matching task was used as activation paradigm.

Results:

Patients with BD showed a significantly reduced endogenous connectivity in the DLPFC to Amy connection. There was no significant group effect upon the endogenous connection from Amy to ACC, from ACC to Amy and from DLPFC to ACC.

Conclusions:

Both DLPFC and ACC are part of a network implicated in emotion regulation and share strong reciprocal connections with the amygdale. The pattern of abnormal or reduced connectivity between DLPFC and amygdala may reflect abnormal modulation of mood and emotion typical of bipolar patients.

Keywords

Bipolar disorderNeuroimagingDynamic causal modelingDepressionfMRIAffective disorders
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 1 , January 2015 , pp. 82 - 88
Copyright
Copyright © Elsevier Masson SAS 2015

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