Structural differences between healthy subjects and patients with schizophrenia and schizoaffective disorder: A graph and control theoretical perspective
AbstractThe coordinated, dynamical interactions of large-scale networks give rise to cognitive function. Recent advances in network neuroscience have suggested that the anatomical organization of such networks puts a fundamental constraint on the dynamical landscape of the brain. Consequently, changes in large-scale brain activity have been hypothesized to underlie many neurological and psychiatric disorders. Specifically, evidence has emerged that large-scale dysconnectivity might play a crucial role in the pathophysiology of schizophrenia. To investigate potential differences in graph and control theoretic measures between patients with schizophrenia (SCZ), patients with schizoaffective disorder (SCZaff) and matched healthy controls (HC), we use structural MRI data. More specifically, we first calculate seven graph measures of integration, segregation, centrality and resilience and test for group differences. Second, we extend our analysis beyond these traditional measures and employ a simplified noise-free linear discrete-time and time-invariant network model to calculate two complementary measures of controllability. Average controllability identifies brain areas that can guide brain activity into different, easily reachable states with little input energy. Modal controllability on the other hand, characterizes regions that can push the brain into difficult-to-reach states, i.e. states that require substantial input energy. We identified differences in standard network and controllability measures for both patient groups compared to HCs. Specifically, we found a strong reduction of betweenness centrality for both patient groups and a strong reduction in average controllability for the SCZ group again in comparison to the HC group. Our findings of network level deficits might help to explain the many cognitive deficits associated with these disorders.