#Depression is associated with alterations in corticostriatal reward circuitry. One pathophysiological pathway that may drive these changes is #inflammation... Image
...This study examined whether increased inflammation in depression affects corticostriatal reward circuitry to lead to deficits goal-directed motor behavior. Resting-state fMRI maging was conducted on 48 medically stable, unmedicated outpatients with major depression...
...Increased CRP was associated with decreased connectivity between ventral striatum and ventromedial prefrontal cortex (vmPFC) (corrected P<0.05), which in turn correlated with increased anhedonia (R=−0.47, P=0.001)...
...These findings suggest that decreased corticostriatal connectivity may serve as a target for anti-inflammatory or pro-dopaminergic treatment strategies to improve motivational and motor deficits in patients with increased inflammation, including depression.

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More from @JRBneuropsiq

Sep 10
El abordaje del suicidio requiere una transformación política para atender las determinantes sociales, pero también para generar los servicios de salud y de atención psicológica necesarios
#DiaMundialPrevencionSuicidio
1/8 🧵👇
Según la Organización Mundial de la Salud, entre los países con tasas más altas de suicidio se encuentran Groenlandia, Lituania, Rusia, Corea del Sur, Japón, Bélgica y Sudáfrica. En el extremo opuesto, Jordania, Filipinas, Indonesia, Turquía y Argelia tienen cifras muy bajas. 2/8
En 2019, A TASA DE SUICIDIO MUNDIAL fue de 9.2 casos por 100 mil habitantes. Los países americanos con cifras más altas fueron Uruguay (21.2), Estados Unidos (16.1) y Cuba (14.5); las más bajas se observaron en Venezuela (2.1), Honduras (2.1) y Perú (2.8).
3/8
Read 8 tweets
Sep 8
"Machine Consciousness is a Metaphor"
@BernardJBaars talking about Wilder Penfield... as should be! Image
The "Penfield test" Image
😏 Image
Read 4 tweets
Apr 21
This is a relevant meta-analysis:

Cerebrospinal Fluid (CSF) Biomarkers in Patients With Unipolar #Depression Compared With Healthy Control Individuals ja.ma/3EAO4xt a través de @JAMAPsych part of @JAMANetwork .

1/ What are the main results? A small🧵😉
2/ It is a systematic review & meta-analysis of 97 studies. CSF levels of interleukin 6 and cortisol were higher among patients with unipolar depression. Levels of homovanillic acid, γ-aminobutyric acid, somatostatin, brain-derived neurotrophic factor, amyloid-β 40, were lower. Image
3/ There were no significant differences between patients & controls in the metabolite levels of serotonin and noradrenalin. Too much heterogeneity regarding these biomarkers. Lower levels of the dopamine metabolite, homovanillic acid (SMD -0.26) & GABA (SMD -0.50) were observed Image
Read 8 tweets
Jun 26, 2021
When caring for patients with psychopathological problems, sometimes the clinician must consider whether the patient has an underlying neurological condition. When should we order diagnostic studies (brain imaging and others) in #Psychiatry? Here are some general recommendations:
1) Abnormal neurological examination. A neurological clinical exam showing abnormal sensitive, motor or autonomic signs.

As an example: a woman had a new onset of psychotic #depression. The presence of visual impairment was the clue to indicate a MRI, which showed a brain tumor
2) Focal neuropsychologic syndromes. Presence of cognitive deficits with a well-known neurological basis (aphasia, apraxia, agnosia, amnesia, dysexecutive syndrome, Balint syndrome, Gertsmann syndrome, etc)

Below: a man had behavioral disturbances, aphasia, and a brain abscess
Read 9 tweets
Jun 25, 2021
Conversábamos @fhernandhah y yo sobre la validez de los experimentos mentales en el marco de la ciencia. ¿Tiene valor científico un experimento que no se realiza mediante la manipulación de lo real, sino que surge como un juego imaginativo estructurado mediante el rigor lógico?
Si alguien no está familiarizado con el concepto de los experimentos mentales, diré que han sido un recurso imaginativo y lógico de la filosofía desde la antigüedad, y un recurso de la tradición científica a partir de los tiempos de Galileo.
Quizá el experimento mental más famoso en el terreno científico es el gato de Schrödinger, que ha llegado a la cultura popular como una ventana para asomarnos al desconcierto de la física cuántica y al estilo exquisito de la ciencia física durante la demolición del sentido común.
Read 5 tweets
Oct 11, 2020
1/5 Si hoy se discute el estatus epistemológico del psicoanálisis, la perspectiva histórica nos muestra que fue una avenida importante para el desarrollo intelectual de algunas mujeres que vivían, como Sabina Spielrein, las consecuencias de la opresión patriarcal.
2/5 El psicoanálisis tiene un lado oscuro anclado en su propia versión del culto al patriarca, pero al menos -en teoría- significó una oportunidad para pensar en forma crítica los desenlaces psicopatológicos y culturales del patriarcado como estructura psicológica y social.
3/5 Esto abrió la puerta al intelecto de mujeres brillantes como Spielrein (La destrucción como causa del devenir), K. Horney (Psicología femenina), Anna Freud (El yo y los mecanismos de defensa), M. Klein (Envidia y gratitud), Françoise Dolto (La imagen inconsciente del cuerpo)
Read 6 tweets

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