Hypofrontality in subjects at high genetic risk of schizophrenia with depressive symptoms

BACKGROUND: Subjects at high risk of schizophrenia for genetic reasons were found to demonstrate increased levels of depressive symptoms compared to controls. The current study sought to investigate the neural correlates of depression in these subjects. We hypothesised abnormal activation of dorsolateral prefrontal regions in those at high risk with depression. METHODS: Depression was rated according to DSM-IV criteria. FMRI data was available from 90 high risk subjects, comprising 78 not depressed (HRD-) and 12 depressed (HRD+) subjects. Activation during the Hayling Sentence Completion Task was compared to 25 healthy control subjects without depression. RESULTS: The HRD+ group demonstrated reduced activation of the right middle/superior frontal gyrus compared to both healthy controls and the HRD- group. Increased left superior temporal gyrus activation was also found in the HRD+ group versus the HRD- group. These results survived controlling for the presence of positive psychotic symptoms at the time of the scan. CONCLUSION: Reduced activation of dorsolateral prefrontal regions, widely reported in established schizophrenia and seen here in people at high familial risk with depressive features, may be related to the presence of affective symptoms of the disorder rather than to the presence of positive psychotic symptoms. Since studies have indicated that depressive symptoms antecede illness, these findings may be relevant to the early features of developing psychosis

Deficits in facial, body movement and vocal emotional processing in autism spectrum disorders

Background: Previous behavioural and neuroimaging studies of emotion processing in Autistic Spectrum Disorder (ASD) have focussed on the use of facial stimuli. To date, however, no studies have examined emotion processing in autism across a broad range of social signals. Methods: This study addressed this issue by investigating emotion processing in a group of 23 adults with ASD and 23 age and gender matched controls. Recognition of basic emotions (‘happiness’, ‘sadness’, ‘anger’, disgust’ and ‘fear’) was assessed from facial, body movement and vocal stimuli. The ability to make social judgements (such as approachability) from facial stimuli was also investigated. Results: Significant deficits in emotion recognition were found in the ASD group relative to the control group across all stimulus domains (faces, body movements and voices). These deficits were seen across a range of emotions. The ASD group were also impaired in making social judgements compared to the control group and this correlated with impairments in basic emotion recognition. Conclusion: This study demonstrates that there are significant and broad ranging deficits in emotion processing in ASD present across a range of stimulus domains and in the auditory and visual modality; they cannot therefore be accounted for simply in terms of impairments in face processing or in the visual modality alone. These results identify a core deficit affecting the processing of a wide range of emotional information in ASD which contributes to the impairments in social function seen in people with this condition

POLICY EVALUATION AND PROGRAM TERMINATION

One example of treating the policy process as an integrated process is the relationship between policy evaluation and policy termination. Copyright 1983 by The Policy Studies Organization.