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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A00408-45 | Other Identifier | ANSM |
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Childhood trauma is known as a vulnerability factor in schizophrenia. In healthy volunteers, these adversities are linked to a decrease of grey matter of the brain, similar to those observed in schizophrenia.
In a previous study based on Voxel-Based Morphometry (VBM), including 21 schizophrenic patients and 30 healthy volunteers, the investigators shown a negative correlation between emotional neglect (important dimension in childhood trauma) and grey matter decrease. This strong correlation was significantly higher in schizophrenic patients than in healthy volunteers, suggesting a higher genetic predisposition to environmental factors in schizophrenic people.
Currently, interaction between genetic predisposition and environmental stress factors is the major model for understanding in schizophrenia. In order to analyze both effects on human body, particularly on brain, several studies currently focus on the product of genetic expression, the ribonucleic acid (ARN).
The purpose of this study is to provide an explanatory model of links between childhood trauma, candidate gene for schizophrenia expression, cerebral morphology and schizophrenic symptomatology. Using conceptual framework of stress vulnerability, structural equation modeling (SEM) will allow testing causal link between these different variables.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Schizophrenic patients | Patients will have clinical psychiatric evaluation, brain imaging and blood sample |
| |
| Related volunteers (first degree relative of patient) | Related volunteers will have clinical psychiatric evaluation, brain imaging and blood sample |
| |
| Healthy volunteers | Healthy volunteers will have clinical psychiatric evaluation, brain imaging and blood sample |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| magnetic resonance imaging (MRI) | Device | brain imaging : structural anatomy, emotional congruence, anatomic connectivity, functional connectivity |
|
| Measure | Description | Time Frame |
|---|---|---|
| Childhood Trauma Questionnaire (CTQ) for childhood trauma. | development of an etiopathogenic model characteristic of schizophrenia Childhood Trauma Questionnaire : to assess five types of childhood trauma :
Each item being rated in 5 answer choice from 1 to 5 (never, rarely, sometimes, often or very often) | 5 days |
| Quantitative measurement of RNAs | development of an etiopathogenic model characteristic of schizophrenia | 5 days |
| Voxel-based morphometry (VBM) for total gray matter | development of an etiopathogenic model characteristic of schizophrenia | 5 days |
| Voxel-based morphometry (VBM) for regional gray matter density. | development of an etiopathogenic model characteristic of schizophrenia | 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Connectivity in the cortico-limbic circuit | 5 days | |
| Volumetry of the brain | 5 days | |
| Correlation of BOLD activity in the cortico-limbic circuit in patients with patients with symptomatic variables |
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Inclusion Criteria of patients :
Exclusion Criteria of patients :
Inclusion Criteria of Related volunteers :
Exclusion Criteria of Related volunteers :
Inclusion Criteria of Healthy volunteers :
Exclusion Criteria of Healthy volunteers :
Beside the absence of schizophrenia diagnosis, healthy volunteers should meet the same exclusion criteria as patients
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Schizophrenic patients, related volunteers (first degree relative of patient) and healthy volunteers
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Saint Etienne | Saint-Etienne | 42055 | France |
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| Blood sample | Procedure | 27,5 ml of blood sample : genetic analysis and biobank |
|
| Clinical psychiatric evaluation | Other | Global Assessment Scale(GAS),Mini International Neuropsychiatric Interview(MINI),Positive and Negative Symptoms Scale(PANSS),Family Interview for Genetic Studies(FIGS),Calgary Depression Scale for Schizophrenia(CDSS),extrapyramidal side effects evaluation or Simpson-Angus scale evaluation(ESRS),Apathy Evaluation Scale(AES-C),State-Trait Anxiety Inventory(STAI),Beck Depression Inventory(BDI-13),Eysenck Personality Questionnaire-Revised(EPQ-R),Assessment of Schizotypal Personality(SPQ),Emotion Regulation Questionnaire(ERQ),Emotional Reactivity Scale(ERS),Toronto Alexithymia Scale(TAS-20),social anhedonia scale(SAS),Childhood Trauma Questionnaire(CTQ),Clinical-administered Post Traumatic Stress Disorder Scale(CAPS),Wechsler Adult Intelligence Scale(WAIS-III),Trail Making Test(TMT),Pen and paper visuospatial working memory(DOT-test),impulsivity test(GoStop),Stroop test,National Adult Reading Test(NART),Wechsler Adult Intelligence Scale(WAIS-III),Facial Emotion Recognition task(FER) |
|
symptomatic variables : PANSS scale |
| 5 days |
| Correlation of BOLD activity in the cortico-limbic circuit with emotional variables | emotional variables : ERS scale, ERQ scale, TAS-20 scale, SAS scale, AES-C scale | 5 days |
| Correlation of BOLD activity in the cortico-limbic circuit with personality characteristics | personality characteristics : EPQ-R scale, SPQ scale | 5 days |
| Correlation of BOLD activity in the cortico-limbic circuit with history of trauma in childhood | history of trauma in childhood : CTQ scale | 5 days |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D008279 | Magnetic Resonance Imaging |
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D014054 | Tomography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
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