Difficulties during delivery, brain ventricle enlargement and cognitive impairment in first episode psychosis

Costas-Carrera, Ana ; Verdolini, Norma ; Garcia-Rizo, Clemente ; Mezquida, Gisela ; Janssen, Joost ; Valli, Isabel ; Corripio, Iluminada ; Sanchez-Torres, Ana M. ; Bioque, Miquel ; Lobo, Antonio (Universidad de Zaragoza) ; Gonzalez-Pinto, Ana ; Rapado-Castro, Marta ; Vieta, Eduard ; De la Serna, Helena ; Mane, Anna ; Roldan, Alexandra ; Crossley, Nicolas ; Penades, Rafael ; Cuesta, Manuel J. ; Parellada, Mara ; Bernardo, Miquel ;

Resumen: Patients with a first episode of psychosis (FEP) display clinical, cognitive, and structural brain abnormalities at illness onset. Ventricular enlargement has been identified in schizophrenia since the initial development of neuroimaging techniques. Obstetric abnormalities have been associated with an increased risk of developing psychosis but also with cognitive impairment and brain structure abnormalities. Difficulties during delivery are associated with a higher risk of birth asphyxia leading to brain structural abnormalities, such as ventriculomegaly, which has been related to cognitive disturbances.
Methods
We examined differences in ventricular size between 142 FEP patients and 123 healthy control participants using magnetic resonance imaging. Obstetric complications were evaluated using the Lewis–Murray scale. We examined the impact of obstetric difficulties during delivery on ventricle size as well as the possible relationship between ventricle size and cognitive impairment in both groups.
Results
FEP patients displayed significantly larger third ventricle size compared with healthy controls. Third ventricle enlargement was associated with diagnosis (higher volume in patients), with difficulties during delivery (higher volume in subjects with difficulties), and was highest in patients with difficulties during delivery. Verbal memory was significantly associated with third ventricle to brain ratio.
Conclusions
Our results suggest that difficulties during delivery might be significant contributors to the ventricular enlargement historically described in schizophrenia. Thus, obstetric complications may contribute to the development of psychosis through changes in brain architecture.

Idioma: Inglés

DOI: 10.1017/S0033291723003185

Año: 2023

Publicado en: Psychological Medicine 54, 7 (2023), 1339-1349
ISSN: 0033-2917

Factor impacto JCR: 5.9 (2023)

Categ. JCR: PSYCHIATRY rank: 23 / 279 = 0.082 (2023) - Q1 - T1
Categ. JCR: PSYCHOLOGY, CLINICAL rank: 6 / 180 = 0.033 (2023) - Q1 - T1
Categ. JCR: PSYCHIATRY rank: 23 / 279 = 0.082 (2023) - Q1 - T1
Categ. JCR: PSYCHOLOGY rank: 7 / 92 = 0.076 (2023) - Q1 - T1

Factor impacto CITESCORE: 11.3 - Psychiatry and Mental Health (Q1) - Applied Psychology (Q1)

Factor impacto SCIMAGO: 2.768 - Psychiatry and Mental Health (Q1) - Applied Psychology (Q1)

Financiación: info:eu-repo/grantAgreement/ES/FEDER CB07-09-0023
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FIS/PI15-00723
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FIS/PI18-00753
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FIS/PI21-0070
Financiación: info:eu-repo/grantAgreement/ES/MICINN/RYC2017-23144
Financiación: info:eu-repo/grantAgreement/ES/MINECO-FEDER/PI11-00325
Financiación: info:eu-repo/grantAgreement/ES/MINECO-ISCIII-FEDER/PI14-00612
Financiación: info:eu-repo/grantAgreement/ES/MINECO/PI08-0208

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Anatom.Embriol.Humana (Dpto. Anatom.Histolog.Humanas)