Overlap across psychotic disorders: A functional network connectivity analysis

Abstract

Functional network connectivity has previously been shown to distinguish patient groups from healthy controls (HC). However, the overlap across schizophrenia (SZ), bipolar (BP), and schizoaffective disorder (SAD) is not clear yet. This study focuses on finding overlap across these three psychotic disorders using dynamic FNC (dFNC) and compares it with static FNC (sFNC). We used resting-state fMRI, demographics, and clinical information from the Bipolar Schizophrenia Network on Intermediate Phenotypes cohort. The data includes three groups of patients with schizophrenia (SZP, N=102), bipolar (BPP, N=102), and schizoaffective (SADP, N=102), their relatives SZR (N=102), BPR (N=102), SADR (N=102), and HC (N=118) groups. After estimating each individual's dFNC, we put them into three identical states. We estimated five different features, including occupancy rate (OCR), number of transitions, the total number of transitions, and the total distance traveled. Finally, the extracted features are tested statistically across patients and HC groups. In addition, we explored the link between the clinical scores and the extracted features. We found the OCR difference between SZP and SZR in state2, between BPP and HC in state1, and between SADP and HC in state2. Also, state2 OCR separates SZP from BPP, state3 OCR separates BPP from SZP and SADP. Moreover, the OCR and traveled distance feature extracted from SZ and BP could significantly predict PANSS Total and PANSS General scores. Finally, combined distance features of all disorders showed a significant relationship to PANSS Total and PANSS General scores.