Correlation of Clinical Symptoms with Temporal and Frontoparietal Lobe Response During an Auditory \u27Odball\u27 Task of Chronic and First Episode Schizophrenia Patients (N=190)
The disorder of schizophrenia is defined by the presence of positive and negative clinical symptoms. One of the hallmark positive symptoms is the presence of auditory hallucinations which have previously been studied to involve bilateral temporal lobe anamolies. Our study seeks to further define and potentially quantify these anamolies in temporal lobe response by looking at the correlation of clinical symptoms with temporal lobe activation. To accomplish this task we have subjected 22 first episode and 64 chronic patients along with 104 matched healthy controls to a functional MRI scan while undergoing an auditory oddball\u27 task. Analysis of this data is unique in the use of independent component analysis (ICA) via Matlab toolbox (GIFT). Results showed expected positive activation patterns for temporal lobe activity across all participants but revealed no statistically significant differences within patient populations (first episode (FE) vs. chronic) or between patients and matched healthy controls. We observed strong correlation coefficients for both patient groups as positive symptoms were negatively correlated to temporal lobe response (FE rho = -0.31, chronic rho = -0.20). Negative symptoms were positively correlated but only statistically significant for first episode patients (rho = +0.23). This data is consistent with other studies involving EEG recordings of P300 amplitude response. Finally, in analyzing frontoparietal (FP) lobe activation we showed statistically signficant activation differences between patients and controls. This result could potentially be used as a future diagnostic test. In addition, we uncovered another point of asymmetry in first episode patients whose right FP lobe showed a nearly two-fold correlation coefficient value versus the left FP lobe for negative symptoms. This unique asymmetry could offer a new area of focus for future researchers into the pathophysiology of schizophrenia.\u2
