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Failure of activation of striatum during the performance of executive function tasks in adult patients with bipolar disorder

Published online by Cambridge University Press:  02 April 2019

Fangfang Tian ,
Wei Diao ,
Xun Yang ,
Xiuli Wang ,
Neil Roberts ,
Can Feng  and
Zhiyun Jia
Fangfang Tian
Affiliation:
Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, China
Wei Diao
Affiliation:
Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, China
Xun Yang
Affiliation:
School of Public Affairs, Chongqing University, Chongqing400044, China
Xiuli Wang
Affiliation:
Department of Clinical Psychology, the Fourth People's Hospital of Chengdu, Chengdu, China
Neil Roberts
Affiliation:
Edinburgh Imaging Facility, Queens Medical Research Institute, University of Edinburgh, Edinburgh, UK
Can Feng
Affiliation:
Department of Clinical Psychology, the Fourth People's Hospital of Chengdu, Chengdu, China
Zhiyun Jia*
Affiliation:
Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, China
*
Author for correspondence: Zhiyun Jia, E-mail: zhiyunjia@hotmail.com
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Abstract

Background

Although numerous studies have used functional neuroimaging to identify executive dysfunction in patients with bipolar disorder (BD), the findings are not consistent. The aim of this meta-analysis is to identify the most reliable functional anomalies in BD patients during performance of Executive Function (EF) tasks.

Methods

A web-based search was performed on publication databases to identify functional magnetic resonance imaging studies of BD patients performing EF tasks and a voxel-based meta-analytic method known as anisotropic Effect Size Signed Differential Mapping (ES-SDM) was used to identify brain regions which showed anomalous activity in BD patients compared with healthy controls (HC).

Results

Twenty datasets consisting of 463 BD patients and 484 HC were included. Compared with HC, BD patients showed significant hypo-activation or failure of activation in the left striatum (p = 0.00007), supplementary motor area (BA 6, p = 0.00037), precentral gyrus (BA 6, p = 0.0014) and cerebellum (BA 37, p = 0.0019), and hyper-activation in the left gyrus rectus (BA 11, p ≈ 0) and right middle temporal gyrus (BA 22, p = 0.00031) during performance of EF tasks. Sensitivity and subgroup analyses showed that the anomaly of left striatum is consistent across studies and present in both euthymic and BD I patients.

Conclusions

Patients with BD consistently showed abnormal activation in the cortico-striatal system during performance of EF tasks compared with HC. Failure of activation of the striatum may be a reliable marker for impairment in performance of especially inhibition tasks by patients with BD.

Keywords

Anisotropic Effect Size Signed Differential Mapping (AES-SDM)bipolar disorder (BD)Executive Functioninhibitionmagnetic resonance imaging (MRI)meta-analysisWorking Memory
Type
Original Articles
Information
Psychological Medicine , Volume 50 , Issue 4 , March 2020 , pp. 653 - 665
Copyright
Copyright © Cambridge University Press 2019

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Footnotes

*

These authors contributed equally to this work

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