ABSTRACT
OBJECTIVES: It has been reported that one of the core features in patients with bipolar disorder II (BD II) is increased impulsivity. The aim of this study was to investigate whether patients with BD II showed decreased activation in the dorsal anterior cingulate cortex (dACC) as compared to healthy controls when performing a task sensitive to impulsivity. METHODS: Twenty-seven BD II patients and 28 healthy controls performed a Go/No-go task during a functional magnetic resonance imaging (fMRI) session. Eleven of the patients were unmedicated, and possible group differences between medicated and unmedicated patients were also assessed. RESULTS: The groups did not differ in behavioral performance on the Go/No-go task. Both BD II subjects and healthy controls demonstrated dACC activity during the task, and analyses revealed no statistically significant group differences. Medicated and unmedicated patients also did not differ in the degree of fMRI activation. CONCLUSIONS: These findings do not support the hypothesis of abnormal dACC activity during a Go/No-go task in BD II patients.
Subject(s)
Bipolar Disorder/pathology , Bipolar Disorder/physiopathology , Decision Making/physiology , Gyrus Cinguli/blood supply , Magnetic Resonance Imaging , Adult , Case-Control Studies , Female , Humans , Image Processing, Computer-Assisted/methods , Male , Middle Aged , Neuropsychological Tests , Oxygen/blood , Psychiatric Status Rating Scales , Young AdultABSTRACT
The aim of the present fMRI study was to localize brain areas that were uniquely activated for phonological versus spatial working memory. Previous studies have reported inconsistent results, most likely because of methodological heterogeneity varying both stimuli and instructions in the same study. Here, identical consonant-vowel-consonant non-words were visually presented to the subjects in a 2-back paradigm under two different instructions; the subjects either had to memorize the non-words per se or their location. The results give evidence for a hemispheric organization of working memory, with dominance for processing of phonological information in the left hemisphere and frontal cortex, and spatial information in the right hemisphere and parietal cortex. The results also reflect a certain overlap between the neuronal network for working memory and processing of verbal and spatial material. These findings are discussed with regard to processing specificity and the extent that activated areas also may reflect perceptual processes.
