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. 2015 Oct;168(1-2):377-80.
doi: 10.1016/j.schres.2015.07.046. Epub 2015 Aug 6.

Emotion processing in treatment-resistant schizophrenia patients treated with clozapine: An fMRI study

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Emotion processing in treatment-resistant schizophrenia patients treated with clozapine: An fMRI study

Stéphane Potvin et al. Schizophr Res. 2015 Oct.

Abstract

Objectives: To examine the neural correlates of emotion processing in treatment-resistant patients with schizophrenia (SCZ-TR).

Methods: Twenty-two SCZ-TR patients on clozapine, 24 schizophrenia patients on antipsychotics other than clozapine, and 39 healthy controls were scanned using functional neuroimaging while viewing positive, negative and neutral images.

Results: Emotionally-laden images (positive and negative) elicited hyper-activations in the dorso-medial prefrontal cortex and left cerebellum in SCZ-TR patients, compared to the two other groups. Similarly, neutral images prompted hyper-activations in the cingulate gyrus in SCZ-TR patients, relative to the two other groups.

Conclusions: Treatment resistance is associated with neuro-functional hyper-activations in schizophrenia patients during emotion processing.

Keywords: Clozapine; Emotion; Schizophrenia; Treatment resistance; fMRI.

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