Hypofrontality in schizophrenia: a meta‐analysis of functional imaging studies
- 6 September 2004
- journal article
- research article
- Published by Wiley in Acta Psychiatrica Scandinavica
- Vol. 110 (4), 243-256
- https://doi.org/10.1111/j.1600-0447.2004.00376.x
Abstract
The definitive version is available at www.blackwell-synergy.com '--Copyright Blackwell PublishingObjective: Hypofrontality is not a well-replicated finding in schizophrenia either at rest or under conditions of task activation. Method: Studies comparing whole brain and frontal blood flow/ metabolism in schizophrenic patients and normal controls were pooled.Voxel-based studies were also combined to examine the pattern of prefrontal activation in schizophrenia. Results: Whole brain flow/metabolism was reduced in schizophrenia to only a small extent.Restin g and activation frontal flow/metabolism were both reduced with a medium effect size.Duration of illness significantly moderated resting hypofrontality, but the moderating effects of neuroleptic treatment were consistent with an influence on global flow/metabolism only.Pooling of voxel-based studies did not suggest an abnormal pattern of activation in schizophrenia. Conclusion: Meta-analysis supports resting hypofrontality in schizophrenia.Task-activated hypofrontality is also supported, but there is little from voxel-based studies to suggest that this is associated with an altered pattern of regional functional architectureKeywords
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