Comprehensive elucidation of resting-state functional connectivity in anorexia nervosa by a multicenter cross-sectional study.

Journal: Psychological medicine

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Affiliated Institutions:  Research Center for Child Mental Development, Chiba University, Chiba, Japan. Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan. Department of Psychiatry, Chiba Aoba Municipal Hospital, Chiba, Japan. Department of Radiology, Chiba University Hospital, Chiba, Japan. Department of Psychiatry, School of Medicine, International University of Health and Welfare, Narita, Japan. Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan. Department of Psychology, Northumbria University, Newcastle-upon-Tyne, UK. Department of Psychosomatic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. Department of Human Brain Science, Institute of Development, Aging, and Cancer, Tohoku University, Sendai, Japan. Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan. Division of Psychosomatic Medicine, Department of Neurology, University of Occupational and Environmental Health, Kitakyushu, Japan. Department of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. Department of Psychosomatic Medicine, Kyushu University Hospital, Fukuoka, Japan.

Abstract summary 

Previous research on the changes in resting-state functional connectivity (rsFC) in anorexia nervosa (AN) has been limited by an insufficient sample size, which reduced the reliability of the results and made it difficult to set the whole brain as regions of interest (ROIs).We analyzed functional magnetic resonance imaging data from 114 female AN patients and 135 healthy controls (HC) and obtained self-reported psychological scales, including eating disorder examination questionnaire 6.0. One hundred sixty-four cortical, subcortical, cerebellar, and network parcellation regions were considered as ROIs. We calculated the ROI-to-ROI rsFCs and performed group comparisons.Compared to HC, AN patients showed 12 stronger rsFCs mainly in regions containing dorsolateral prefrontal cortex (DLPFC), and 33 weaker rsFCs primarily in regions containing cerebellum, within temporal lobe, between posterior fusiform cortex and lateral part of visual network, and between anterior cingulate cortex (ACC) and thalamus ( < 0.01, false discovery rate [FDR] correction). Comparisons between AN subtypes showed that there were stronger rsFCs between right lingual gyrus and right supracalcarine cortex and between left temporal occipital fusiform cortex and medial part of visual network in the restricting type compared to the binge/purging type ( < 0.01, FDR correction).Stronger rsFCs in regions containing mainly DLPFC, and weaker rsFCs in regions containing primarily cerebellum, within temporal lobe, between posterior fusiform cortex and lateral part of visual network, and between ACC and thalamus, may represent categorical diagnostic markers discriminating AN patients from HC.

Authors & Co-authors:  Sudo Ota Takamura Kamashita Hamatani Numata Chhatkuli Yoshida Takahashi Kitagawa Matsumoto Masuda Nakazato Sato Hamamoto Shoji Muratsubaki Sugiura Fukudo Kawabata Sunada Noda Tose Isobe Kodama Kakeda Takahashi Takakura Gondo Yoshihara Moriguchi Shimizu Sekiguchi Hirano

Study Outcome 

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Citations : 
Authors :  34
Identifiers
Doi : 10.1017/S0033291724000485
SSN : 1469-8978
Study Population
Female
Mesh Terms
Other Terms
anorexia nervosa;anorexia nervosa binge/purge type;anorexia nervosa restricting type;cerebellum;diagnostic marker;dorsolateral prefrontal cortex (DLPFC);eating disorder;functional connectivity;resting-state fMRI;temporal lobe;whole-brain analysis
Study Design
Study Approach
Country of Study
Publication Country
England