Associations of cortical thickness and cognition in patients with schizophrenia and healthy controls

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Stefan Ehrlich - , Department of Child and Adolescent Psychiatry and Psychotherapy, Harvard Medical School (HMS), Massachusetts General Hospital, University Hospital Carl Gustav Carus Dresden, Athinoula A. Martinos Center for Biomedical Imaging (Author)
  • Stefan Brauns - , Massachusetts General Hospital (Author)
  • Anastasia Yendiki - , Massachusetts General Hospital (Author)
  • Beng Choon Ho - , University of Iowa (Author)
  • Vince Calhoun - , The Mind Research Network, University of New Mexico (Author)
  • S. Charles Schulz - , University of Minnesota System (Author)
  • Randy L. Gollub - , Massachusetts General Hospital (Author)
  • Scott R. Sponheim - , University of Minnesota System, VA Medical Center (Author)

Abstract

Previous studies have found varying relationships between cognitive functioning and brain volumes in patients with schizophrenia. However, cortical thickness may more closely reflect cytoarchitectural characteristics than gray matter density or volume estimates. Here, we aimed to compare associations between regional variation in cortical thickness and executive functions, memory, as well as verbal and spatial processing in patients with schizophrenia and healthy controls (HCs). We obtained magnetic resonance imaging and neuropsychological data for 131 patients and 138 matched controls. Automated cortical pattern matching methods allowed testing for associations with cortical thickness estimated as the shortest distance between the gray/white matter border and the pial surface at thousands of points across the entire cortical surface. Two independent measures of working memory showed robust associations with cortical thickness in lateral prefrontal cortex in HCs, whereas patients exhibited associations between working memory and cortical thickness in the right middle and superior temporal lobe. This study provides additional evidence for a disrupted structure-function relationship in schizophrenia. In line with the prefrontal inefficiency hypothesis, schizophrenia patients may engage a larger compensatory network of brain regions other than frontal cortex to recall and manipulate verbal material in working memory.

Details

Original languageEnglish
Pages (from-to)1050-1062
Number of pages13
JournalSchizophrenia bulletin
Volume38
Issue number5
Publication statusPublished - Sept 2012
Peer-reviewedYes

External IDs

PubMed 21436318
ORCID /0000-0003-2132-4445/work/160950895

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • cognitive dysfunction, gray matter thickness, structural MRI, working memory