Cited by 242Bipolar Disorder and TreatmentNeural and Behavioral Psychology StudiesSchizophrenia research and treatment

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A Preliminary fMRI Study of Sustained Attention in Euthymic, Unmedicated Bipolar Disorder

Strakowski, Stephen M, Adler, Caleb M, Holland, Scott K, Mills, Neil, DelBello, Melissa P·2004·Neuropsychopharmacology

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Abstract

The symptoms of bipolar disorder suggest dysfunction of anterior limbic networks that modulate emotional behavior and that reciprocally interact with dorsal attentional systems. Bipolar patients maintain a constant vulnerability to mood episodes even during euthymia, when symptoms are minimal. Consequently, we predicted that, compared with healthy subjects, bipolar patients would exhibit abnormal activation of regions of the anterior limbic network with corresponding abnormal activation of other cortical areas involved in attentional processing. In all, 10 unmedicated euthymic bipolar patients and 10 group-matched healthy subjects were studied with fMRI while performing the Continuous Performance Task-Identical Pairs version (CPT-IP). fMRI scans were obtained on a 3.0 T Bruker system using an echo planar imaging (EPI) pulse sequence, while subjects performed the CPT-IP and a control condition to contrast group differences in regional brain activation. The euthymic bipolar and healthy subjects performed similarly on the CPT-IP, yet showed significantly different patterns of brain activation. Specifically, bipolar patients exhibited increased activation of limbic, paralimbic, and ventrolateral prefrontal areas, as well as visual associational cortices. Healthy subjects exhibited relatively increased activation in fusiform gyrus and medial prefrontal cortex. In conclusion, these differences suggest that bipolar patients exhibit overactivation of anterior limbic areas with corresponding abnormal activation in visual associational cortical areas, permitting successful performance of an attentional task. Since the differences occurred in euthymia, they may represent trait, rather than state, abnormalities of brain function in bipolar disorder.

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Authors: Strakowski, S. M., Adler, C. M., Holland, S. K., Mills, N., & DelBello, M. P.
Affiliations: University of Cincinnati (US)
Corresponding author: Strakowski, Stephen M
ORCID: Strakowski, Stephen M
Adler, Caleb M
Holland, Scott K
DelBello, Melissa P
Venue: Neuropsychopharmacology
Publisher: Springer Science and Business Media LLC
Published: 2004-06-02
Volume: 29
Issue: 9
Pages: 1734-1740
ISSN: 0893-133X (ISSN-L)
1740-634X
DOI: 10.1038/sj.npp.1300492
OpenAlex: W2062908676
Cited by: 242
References: 30
Citations by year: 2026: 2 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 8 · 2017: 5 · 2016: 8 · 2015: 7 · 2014: 11 · 2013: 15 · 2012: 19
FWCI: 12.10
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Neuropsychopharmacology (publishedVersion)
PubMed (publishedVersion)
Funders: Stanley Medical Research Institute
National Institutes of Health
National Institute of Mental Health (MH 58170, R01MH058170)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords: bipolar disorder, euthymia, sustained attention, dorsal attention network, unmedicated patients, fusiform gyrus, medial prefrontal cortex, ventrolateral prefrontal cortex
MeSH terms: Adult, Attention, Bipolar Disorder, Cerebral Cortex, Cognition, Female, Humans, Image Processing, Computer-Assisted, Limbic System, Magnetic Resonance Imaging, Male, Nerve Net, Psychiatric Status Rating Scales, Psychomotor Performance

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A Preliminary fMRI Study of Sustained Attention in Euthymic, Unmedicated Bipolar Disorder

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