RT Journal Article
SR Electronic
T1 Childhood trauma and cognitive deficits in patients with schizophrenia: mediation by orbitofrontal cortex H-shaped sulci volume
JF Journal of Psychiatry and Neuroscience
JO JPN
FD Canadian Medical Association
SP E209
OP E217
DO 10.1503/jpn.210178
VO 47
IS 3
A1 Leilei Wang
A1 Yi Yin
A1 Wei Feng
A1 Yanfang Zhou
A1 Junchao Huang
A1 Ping Zhang
A1 Song Chen
A1 Hongzhen Fan
A1 Yimin Cui
A1 Xingguang Luo
A1 Shuping Tan
A1 Zhiren Wang
A1 Baopeng Tian
A1 Li Tian
A1 Chiang-Shan R. Li
A1 Yunlong Tan
YR 2022
UL http://jpn.ca/content/47/3/E209.abstract
AB Background: A line of evidence has shown that childhood trauma and patterns of H-shaped sulci in the orbitofrontal cortex (OFC) are associated with cognitive deficits in patients with schizophrenia. Studies have also suggested that childhood trauma is associated with OFC volumetrics. This study investigated the interrelationship between childhood trauma, OFC H-shaped sulci volume and cognitive function in patients with first-episode schizophrenia. We hypothesized that OFC H-shaped sulci volume would mediate the relationship between childhood trauma and cognitive function in patients with first-episode schizophrenia.Methods: We recruited patients with first-episode schizophrenia (n = 63) and healthy controls (n = 48), and quantified OFC H-shaped sulci volumes with 3.0 T high-resolution MRI. We assessed cognitive function and childhood trauma experiences using the MATRICS Consensus Cognitive Battery (MCCB) and the Childhood Trauma Questionnaire (CTQ).Results: Patients with first-episode schizophrenia had smaller left OFC H-shaped sulci volumes, more severe childhood trauma experiences and worse cognitive function than healthy controls. CTQ total score and emotional and physical neglect subscores were negatively correlated with left OFC H-shaped sulci volume. CTQ total score and emotional neglect and sexual abuse subscores were negatively correlated with cognitive function in patients with first-episode schizophrenia. Interestingly, the CTQ total score and physical neglect subscore were positively correlated with cognitive function in healthy controls. Left OFC H-shaped sulci volume played a mediating role in CTQ emotional neglect subscore, CTQ total score and MCCB composite score.Limitations: The small sample size and retrospective design need to be considered.Conclusion: Childhood trauma might contribute to cognitive deficits in patients with first-episode schizophrenia by affecting left OFC H-shaped sulci volume. This finding can help in the design of strategies to improve cognitive function in patients with first-episode schizophrenia.