IntroductionBeyond abnormal activity of focal brain areas, 1 aberrant functional interactions between brain regions are thought to be a core feature of schizophrenia. [2][3][4] Among the current issues related to this influential idea is whether abnormal functional connectivity in patients with schizophrenia is contextdependent. 5 Resting-state fMRI characterizes intrinsic functional brain connectivity, which is guided by endogenous processes and spontaneous thoughts in the absence of any explicit task. 6 Resting-state functional brain imaging in patients with schizophrenia has revealed a widespread functional dysconnectivity between brain regions that are also known to exhibit abnormal levels of activation in relation to impairments in task performance and/or symptomatology.
7-11However, a critical issue with the study of resting-state functional connectivity in patients with schizophrenia is the poor control over the cognitive state of these individuals, which may confound the interpretation of the results. Patients with schizophrenia experience pronounced disturbances of thoughts and differ from controls with regards to their internal mentations and cognitive states during rest. 12 The question of the context-independence of abnormal functional connectivity in patients with schizophrenia may thus be best adressed by characterizing such alterations using well-defined behavioural paradigms. To date, research has focused on determining whether alterations in brain connectivity were further modulated by task complexity in single cognitive domains.
13-15However, to our knowledge, there is no sufficiently powered study that specifically examined commonalities and differences in dysconnectivity across distinct cognitive tasks.
16In the present work, we sought to assess whether the degree of cognitive similarity would impact the results by looking at 2 cognitive domains that strongly differ from one another, emotional versus visuomotor processing. We further distinguished the emotional processing task based on an additional embedded component, either incidental learning or recognition memory. These 3 paradigms were studied with a connectome-wide general linear model analysis. We characterized context-independent effects through commonalities in the main effects of abnormal functional connectivity across the 3 tasks. We evaluated context-dependent effects of abnormal connectivity using interaction analyses that looked for changes in functional connectivity between tasks in patients Correspondence to: P. Orban, CRIUGM, Université de Montréal, 4545 Queen Mary, Montreal, QC H3W 1W5; pierre.orban@criugm.qc.ca Submitted July 13, 2015; Revised Nov. 19, 2015; Accepted Jan. 5, 2016; Early-released Apr. 19, 2016 DOI: 10.1503 Background: Schizophrenia has been defined as a dysconnection syndrome characterized by aberrant functional brain connectivity. Using task-based fMRI, we assessed to what extent the nature of the cognitive context may further modulate abnormal functional brain connectivity. Methods: We analyzed data matc...