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Brain gray matter differences among forensic psychiatric patients with psychosis and incarcerated individuals without psychosis: A source-based morphometry study.
Kolla, Nathan J; Harenski, Carla L; Harenski, Keith A; Dupuis, Melanie; Crawford, Jennifer J; Kiehl, Kent A.
Afiliación
  • Kolla NJ; Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada; Violence Prevention Neurobiological Research Unit, CAMH, Toronto, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada. Electronic addr
  • Harenski CL; The Mind Research Network, Albuquerque, NM, USA.
  • Harenski KA; The Mind Research Network, Albuquerque, NM, USA.
  • Dupuis M; Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.
  • Crawford JJ; Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.
  • Kiehl KA; The Mind Research Network, Albuquerque, NM, USA; University of New Mexico, Albuquerque, NM, USA.
Neuroimage Clin ; 30: 102673, 2021.
Article en En | MEDLINE | ID: mdl-34215145
BACKGROUND: While psychosis is a risk factor for violence, the majority of individuals who perpetrate aggression do not present psychotic symptoms. Pathological aggressive behavior is associated with brain gray matter differences, which, in turn, has shown a relationship with increased psychopathic traits. However, no study, to our knowledge, has ever investigated gray matter differences in forensic psychiatric patients with psychosis compared with incarcerated individuals without psychosis matched on levels of psychopathic traits. Here, we employed source-based morphometry (SBM) to investigate gray matter differences in these two populations. METHODS: We scanned 137 participants comprising two offender subgroups: 69, non-psychotic incarcerated offenders and 68, psychotic, forensic psychiatric patients. Groups showed no difference in age, race, ethnicity, handedness, and Hare Psychopathy Checklist-Revised scores. Source-based morphometry was utilized to identify spatially distinct sets of brain regions where gray matter volumes covaried between groups. SBM is a data-driven, multivariate technique that uses independent components analysis to categorize groups of voxels that display similar variance patterns (e.g., components) that are compared across groups. RESULTS: SBM identified four components that differed between groups. These findings indicated greater loading weights in the superior, transverse, and middle temporal gyrus and anterior cingulate in the non-psychotic versus psychotic group; greater loading weights in the basal ganglia in the psychotic versus non-psychotic group; greater loading weights in the frontal pole, precuneus, and visual cortex among psychotic versus non-psychotic offenders; and greater loading weights in the thalamus and parahippocampal gyrus in psychotic versus non-psychotic groups. CONCLUSIONS: Two different offender groups that perpetrate violence and show comparable levels of psychopathic traits evidenced different gray matter volumes. We suggest that future studies of violent offenders with psychosis take psychopathic traits into account to refine neural phenotypes.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisioneros / Trastornos Psicóticos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Neuroimage Clin Año: 2021 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisioneros / Trastornos Psicóticos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Neuroimage Clin Año: 2021 Tipo del documento: Article Pais de publicación: Países Bajos