Evidence That Altered Amygdala Activity in Schizophrenia Is Related to Clinical State [ie the drugs someone is taking] and Not Genetic Risk
Roberta Rasetti, M.D., Venkata S. Mattay, M.D., Lisa M. Wiedholz, B.A., Bhaskar S. Kolachana, Ph.D., Ahmad R. Hariri, Ph.D., Joseph H. Callicott, M.D., Andreas Meyer-Lindenberg, M.D., Ph.D., and Daniel R. Weinberger, M.D.
http://ajp.psychiatryonline.org/cgi/content/abstract/166/2/216
OBJECTIVE: Although amygdala dysfunction is reported in schizophrenia, it is unknown whether this deficit represents a heritable phenotype that is related to risk for schizophrenia or whether it is related to disease state. The purpose of the present study was to examine amygdala response to threatening faces among healthy siblings of schizophrenia patients in whom a subtler heritable deficit might be observed. METHOD: Participants were 34 schizophrenia patients, 29 unaffected siblings, and 20 healthy comparison subjects. Blood-oxygen-level-dependent (BOLD) functional magnetic resonance imaging (fMRI) was conducted during an implicit facial information processing task.
The N-back working memory task, which has been shown to elicit prefrontal cortex abnormalities in unaffected siblings of schizophrenia patients, was employed as a positive experimental control. RESULTS:
Schizophrenia patients demonstrated a deficit in amygdala reactivity to negative face stimuli and an alteration, correlated with neuroleptic drug dosage, in the functional coupling between the amygdala and subgenual cingulate. In contrast, unaffected siblings showed a pattern that was not statistically different from that of healthy comparison subjects. ...
...
CONCLUSIONS: These data suggest that the pathophysiological mechanism underlying the inability of individuals with schizophrenia to normally engage the amygdala in processing fearful and angry facial representations is more likely a phenomenon related to the disease state, specifically to treatment. - snip [inline bolding is mine, the words are from the experimenters -padraic]
I am the parent of a son (a young man now) who has been given a lot of psychoactive medication by well- meaning doctors since age 6. There are good days and bad days-Frequently I read that the pharmaceutical industry is more concerned with making profits than with making sure their medications are efficacious, and are designed to treat the right subset of people.
Thursday, October 01, 2009
The Belmont Report- governs the ethics of medical research in USA
Where can you find the federal standards that govern the ethics of psychiatric med research ? (especially wrt children, adolescents, the elderly, minorities and other vulnerable populations)
The Belmont Report http://www.brynmawr.edu/ceo/students/ethics/belmontreport.html - this report was written as part of the response to the moral outrage over the Tuskeegee syphilis experiments, when that was discovered in the 1970s.
-updated link above 12-17-12
Also see
http://en.wikipedia.org/wiki/Belmont_Report
The Belmont Report http://www.brynmawr.edu/ceo/students/ethics/belmontreport.html - this report was written as part of the response to the moral outrage over the Tuskeegee syphilis experiments, when that was discovered in the 1970s.
-updated link above 12-17-12
Also see
http://en.wikipedia.org/wiki/Belmont_Report
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