Articles
Vol. 4 No. 2 (2025): From synpatic pruning to educational neuroscience
Salience and executive network connectivity analyses in schizophrenia during emotional memory tasks
Abstract
Schizophrenia affects about 1% of the population and is characterized by positive symptoms (e.g., hallucinations, delusions) and negative symptoms, particularly aboulia and reduced emotional expression (DSM-5). Cognitive deficits are also highly prevalent. The University of Montreal study aimed to investigate emotional memory and related activation patterns in schizophrenia and we used them for a connectivty analyses with currents tools.
Seventy participants had an fMRI while completing a task with IAPS images in two phases, one emotional based and one memory based. In the emotion session, they passively viewed images of varying valence and arousal. In the memory session, they judged whether images had been presented previously. Symptom severity was assessed with the BPRS and PANSS.
Controls group outperformed patients on memory accuracy. Connectivity analyses reveal a recurring pattern of dysconnectivity, with overconnectivity between sensory and salience networks and underconnectivity affecting frontal, limbic, and auditory regions. These alterations could explain difficulties in emotional processing, emotional blunting, and poor salience attribution. Clinically, they underscore the importance of targeting not only cognitive deficits but also neural dysfunctions, with a particular focus on non-invasive neuromodulation approaches such as tFUS. However, methodological limitations (sample size, absence of non-medicated patients, lack of temporal analyses) call for caution.
This research reinforces the hypothesis of schizophrenia as a disorder of brain connectivity and paves the way for future longitudinal studies and more personalized treatments. Further studies adding precision to the protocol will be necessary.
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