Brain structural alterations associated with impulsiveness in male violent patients with schizophrenia.

BMC Psychiatry

Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.

Published: April 2024

AI Article Synopsis

  • The study investigates the link between structural brain changes and the risk of violence in patients with schizophrenia (SCZ), particularly focusing on impulsiveness.
  • Researchers used voxel-based morphometry to analyze gray matter volume in three groups: violent schizophrenia patients, non-violent schizophrenia patients, and healthy controls.
  • Findings revealed that violent patients had reduced gray matter volume in specific brain regions and identified correlations between brain structure and impulsiveness, suggesting a neurobiological basis for violent behaviors in SCZ.

Article Abstract

Background: Violence in schizophrenia (SCZ) is a phenomenon associated with neurobiological factors. However, the neural mechanisms of violence in patients with SCZ are not yet sufficiently understood. Thus, this study aimed to explore the structural changes associated with the high risk of violence and its association with impulsiveness in patients with SCZ to reveal the possible neurobiological basis.

Method: The voxel-based morphometry approach and whole-brain analyses were used to measure the alteration of gray matter volume (GMV) for 45 schizophrenia patients with violence (VSC), 45 schizophrenia patients without violence (NSC), and 53 healthy controls (HC). Correlation analyses were used to examine the association of impulsiveness and brain regions associated with violence.

Results: The results demonstrated reduced GMV in the right insula within the VSC group compared with the NSC group, and decreased GMV in the right temporal pole and left orbital part of superior frontal gyrus only in the VSC group compared to the HC group. Spearman correlation analyses further revealed a positive correlation between impulsiveness and GMV of the left superior temporal gyrus, bilateral insula and left medial orbital part of the superior frontal gyrus in the VSC group.

Conclusion: Our findings have provided further evidence for structural alterations in patients with SCZ who had engaged in severe violence, as well as the relationship between the specific brain alterations and impulsiveness. This work provides neural biomarkers and improves our insight into the neural underpinnings of violence in patients with SCZ.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11017613PMC
http://dx.doi.org/10.1186/s12888-024-05721-3DOI Listing

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