Neuroimaging in bipolar disorder: A critical review of current findings

被引:78
作者
Keener M.T. [1 ]
Phillips M.L. [1 ]
机构
[1] Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213
关键词
Bipolar Disorder; Diffusion Tensor Imaging; Emotion Processing; Executive Control; Biol Psychiatry;
D O I
10.1007/s11920-007-0070-2
中图分类号
学科分类号
摘要
Bipolar I disorder (BPI) is among the top 10 most debilitating illnesses globally. In this critical review, we first review recent functional neuroimaging findings in two core domains of pathology in BPI: emotion processing and executive control. These abnormalities in core domains represent potential endophenotypes of the illness. We then show that an emerging number of studies have demonstrated that neuroimaging can help to identify endophenotypic markers whose identification would help to clarify diagnosis and discriminate the depression in BPI from that of unipolar depression and identify at-risk individuals who will subsequently develop the illness (to facilitate early intervention). We end by reviewing the new directions in neuroimaging in BPI, including studies of children with bipolar disorder, potential medication effects, and the use of newer neuroimaging techniques to help us achieve the previously mentioned goals of improving BPI patients' mental well-being. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码:512 / 520
页数:8
相关论文
共 59 条
  • [1] Baldessarini R.J., Tondo L., Suicide risk and treatments for patients with bipolar disorder, JAMA, 290, pp. 1517-1519, (2003)
  • [2] Merikangas K.R., Akiskal H.S., Angst J., Et al., Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey Replication, Arch Gen Psychiatry, 64, pp. 543-552, (2007)
  • [3] Hirschfeld R.M., Lewis L., Vornik L.A., Perceptions and impact of bipolar disorder: How far have we really come? Results of the National Depressive and Manic-depressive Association 2000 survey of individuals with bipolar disorder, J Clin Psychiatry, 64, pp. 161-174, (2003)
  • [4] Fagiolini A., Frank E., Cherry C.R., Et al., Clinical indicators for the use of antidepressants in the treatment of bipolar I depression, Bipolar Disord, 5, pp. 277-282, (2002)
  • [5] Gottesman II G.T.D., The endophenotype concept in psychiatry: Etymology and strategic intentions, Am J Psychiatry, 160, pp. 636-645, (2003)
  • [6] Phillips M.L., Frank E., Redefining bipolar disorder-toward DSM-V, Am J Psychiatry, 163, pp. 1135-1136, (2006)
  • [7] Stuss D.T., Levine B., Adult clinical neuropsychology: Lessons from studies of the frontal lobes, Annu Rev Psychol, 53, pp. 401-433, (2000)
  • [8] Phillips M.L., Drevets W.C., Rauch S.L., Lane R., Neurobiology of emotion perception II: Implications for major psychiatric disorders, Biol Psychiatry, 54, pp. 515-528, (2003)
  • [9] Phillips M.L., Vieta E., Identifying functional neuroimaging biomarkers of bipolar disorder: Toward DSM-V, Schizophr Bull, 33, pp. 893-904, (2007)
  • [10] Phillips M.L., Drevets W.C., Rauch S.L., Et al., Neurobiology of emotion perception I: The neural basis of normal emotion perception, Biol Psychiatry, 54, pp. 504-514, (2003)