Journal
CNS SPECTRUMS
Volume 20, Issue 2, Pages 122-129Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S109285291400011X
Keywords
ACTH; Hypothalamic-pituitary-adrenal axis (HPA-axis); neuroimaging; prolactin; schizophrenic psychoses; stress
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Funding
- Eli Lilly
- University of Basel
- EU
- Swiss National Science Foundation [3232BO_119382, 320033_1275443/1, 320030_127323/1]
- Foundation Alamaya
- ''Osterreichische Forschungsforderungsgesellschaft mbH, Wien,''
- Stanley Foundation [07TGF-1102]
- Bruderer-Stiftung
- Swiss National Science Foundation (SNF) [320030_127323] Funding Source: Swiss National Science Foundation (SNF)
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Introduction. Pituitary enlargement has been reported in individuals with schizophrenic psychosis or an at-risk mental state for psychosis (ARMS). In a previous study, our group could show pituitary volume increase in first episode and ARMS patients with later transition to psychosis (ARMS-T). However, there are no longitudinal studies on this issue so far. We therefore examined longitudinally whether transition to psychosis would be accompanied by a further increase of pituitary volume in antipsychotic-naive ARMS patients. Methods. Magnetic resonance imaging (MRI) data were acquired from 23 antipsychotic-naive individuals with an ARMS. Ten subjects developed psychosis (ARMS-T) and 13 did not (ARMS-NT). ARMS-T were re-scanned after the onset of psychosis, and ARMS-NT were re-scanned at the end of the study period. Results. There was no significant difference of the pituitary volume between ARMS-T and ARMS-NT in our sample, and there were no significant pituitary volume changes over time. Discussion. Longitudinally, we could not detect any further volumetric changes in the pituitary volume with transition to psychosis. Conclusions. This, together with the result of our previous study, could indicate that the perceived level of stress in ARMS patients is constantly high from very early onward.
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