fMRI of Theory of Mind in Schizophrenia and Bipolar Disorder

Study Overview
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Brief Summary
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Theory of mind (TOM), a main component of social cognition processes, refers to the capacity to infer one's own and other person's mental states. Deficits in social cognition are found in patients with schizophrenia and bipolar disorder. The purpose of this study is to compare the neurofunctional profiles of schizophrenic patients, bipolar patients and healthy participants during the performance of a TOM task. Results may help to understand the neural bases of the impairments in social cognition in schizophrenia and bipolar disorder, which may in turn help to propose potential new psychosocial therapeutic approaches in these disorders.

Detailed Description
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Theory of mind (TOM) refer to the cognitive ability to attribute mental states to others, which plays an essential role in social communications and interactions between individuals. In several recent papers, it was shown that TOM is impaired in schizophrenia and bipolar disorder. This impairment strongly affects the quality of life in patients suffering from these disorders. The investigators study aims to explore the neural correlates of TOM in schizophrenic and bipolar patients, in comparison with those of healthy participants. These studies will be conducted on 30 schizophrenic patients, 30 bipolar patients, and 60 healthy participants, matched on age and educational level to each patient group. The investigators expect that the study of combined behavioral (neuropsychological tests) and neuro-anatomical data will allow to understand the pathophysiology of the alteration of social cognition processes in these illnesses.

Official Title
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Functional Magnetic Resonance Imaging Study: Theory of Mind Deficits in Schizophrenia and Bipolar Disorder

Conditions
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Bipolar Disorder, Schizophrenia

Intervention / Treatment
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* Behavioral: IRMf
* Behavioral: Mini International Neuropsychiatric Interview
* Behavioral: Positive And Negative Syndrom Scale
* Behavioral: Young Mania Rating Scale
* Behavioral: Hamilton Depression Scale


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients : Men or women aged from 18 to 65 years-old, right-handed, with a diagnosis of bipolar -disorder or schizophrenia, according to the DSM-5 criteria Native French speaker No substantial change in treatment for 2 weeks preceding study enrollment Able to provide informed written and verbal consent Healthy Controls : Men or women aged from 18 to 65 years-old, right-handed Native French speaker Able to provide informed written and verbal consent Exclusion Criteria: Patients : A recent alcohol and/or drug abuse or dependence (in the last six months) A significant general medical illness, including neurological disorders or head trauma A sensorial impairment uncorrected (visual and/or hearing) Contraindication to the use of MRI Persons under legal incapacity Persons who are not covered by national health insurance Healthy Controls : Severe chronic psychiatric disorders including Bipolar disorder and schizophrenia Depression diagnostic according to DSM-5 A personal or first-degree-relative history of bipolar disorder, schizophrenia or schizoaffective disorder according to DSM-5 A recent alcohol and/or drug abuse or dependence (in the last six months) A significant general medical illness, including neurological disorders or head trauma A sensorial impairment uncorrected (visual and/or hearing) Contraindication to the use of MRI People particularly protected by the law Persons who are not covered by national health insurance

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Bipolar Disorder patients and Schizophrenic patients<br> | Behavioral: IRMf<br> <br> Behavioral: Mini International Neuropsychiatric Interview<br> <br> Behavioral: Positive And Negative Syndrom Scale<br> <br> Behavioral: Young Mania Rating Scale<br> <br> Behavioral: Hamilton Depression Scale<br> <br> |
| Active Comparator: Healthy Controls<br> | Behavioral: IRMf<br> <br> Behavioral: Mini International Neuropsychiatric Interview<br> <br> Behavioral: Positive And Negative Syndrom Scale<br> <br> Behavioral: Young Mania Rating Scale<br> <br> Behavioral: Hamilton Depression Scale<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neuropsychological test : Mini International Neuropsychiatric Interview (M.I.N.I.) |  | Up to 15 days after inclusion | 
| Young Mania Rating Scale |  | Up to 15 days after inclusion | 
| Hamilton Depression Scale |  | Up to 15 days after inclusion | 
| Scale for the Assessment for Thought, Language and Communication |  | Up to 15 days after inclusion |