SOJKA, Petr, Ibai DIEZ, Martin BAREŠ and David L. PEREZ. Individual differences in interoceptive accuracy and prediction error in motor functional neurological disorders: A DTI study. Human Brain Mapping. Hoboken: Wiley, 2021, vol. 42, No 5, p. 1434-1445. ISSN 1065-9471. Available from: https://dx.doi.org/10.1002/hbm.25304.
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Basic information
Original name Individual differences in interoceptive accuracy and prediction error in motor functional neurological disorders: A DTI study
Authors SOJKA, Petr (203 Czech Republic, guarantor, belonging to the institution), Ibai DIEZ, Martin BAREŠ (203 Czech Republic, belonging to the institution) and David L. PEREZ.
Edition Human Brain Mapping, Hoboken, Wiley, 2021, 1065-9471.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30103 Neurosciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 5.399
RIV identification code RIV/00216224:14110/21:00120078
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1002/hbm.25304
UT WoS 000596132200001
Keywords in English conversion disorder; diffusion tensor imaging; dissociative seizures; DTI; functional movement disorder; interoception; psychogenic
Tags 14110127, 14110222, 14110523, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 15/3/2021 08:45.
Abstract
In motor functional neurological disorders (mFND), relationships between interoception (a construct of high theoretical relevance to its pathophysiology) and neuroanatomy have not been previously investigated. This study characterized white matter in mFND patients compared to healthy controls (HCs), and investigated associations between fiber bundle integrity and cardiac interoception. Voxel-based analysis and tractography quantified fractional anisotropy (FA) in 38 mFND patients compared to 38 HCs. Secondary analyses compared functional seizures (FND-seiz; n = 21) or functional movement disorders (n = 17) to HCs. Network lesion mapping identified gray matter origins of implicated fiber bundles. Within-group mFND analyses investigated relationships between FA, heartbeat tracking accuracy and interoceptive trait prediction error (discrepancies between interoceptive accuracy and self-reported bodily awareness). Results were corrected for multiple comparisons, and all findings were adjusted for depression and trait anxiety. mFND and HCs did not show any between-group interoceptive accuracy or FA differences. However, the FND-seiz subgroup compared to HCs showed decreased integrity in right-lateralized tracts: extreme capsule/inferior fronto-occipital fasciculus, arcuate fasciculus, inferior longitudinal fasciculus, and thalamic/striatum to occipital cortex projections. These alterations originated predominantly from the right temporoparietal junction and inferior temporal gyrus. In mFND patients, individual differences in interoceptive accuracy and interoceptive trait prediction error correlated with fiber bundle integrity originating from the insula, temporoparietal junction, putamen and thalamus among other regions. In this first study investigating brain-interoception relationships in mFND, individual differences in interoceptive accuracy and trait prediction error mapped onto multimodal integration-related fiber bundles. Right-lateralized limbic and associative tract disruptions distinguished FND-seiz from HCs.
Links
NV16-31457A, research and development projectName: Neurobiologické mechanismy funkčních neurologických poruch
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