PMID- 16777310 OWN - NLM STAT- MEDLINE DCOM- 20061031 LR - 20161124 IS - 0278-5846 (Print) IS - 0278-5846 (Linking) VI - 30 IP - 7 DP - 2006 Sep 30 TI - Regional cerebral blood flow changes associated with interoceptive awareness in the recovery process of anorexia nervosa. PG - 1265-70 AB - BACKGROUND: An abnormality in regional cerebral blood flow (rCBF) in anorexia nervosa (AN) patients has been reported. There are very few studies that have investigated the rCBF changes in the recovery process of AN. METHODS: For eight female AN patients, we performed (123)I-IMP single photon emission computed tomography (SPECT) and four psychological assessments (Eating Disorder Inventory (EDI), Eating Attitude Test (EAT), Self-Rating Depression Scale (SDS) and State-Trait Anxiety Inventory (STAI)) both before and after inpatient-behavioral therapy. SPECT images were analyzed using statistical parametric mapping software. We also performed correlational analysis between rCBF and clinical variables. RESULTS: Following treatment, the patients showed significant body weight recovery. They showed significant improvement in EAT, SDS, STAI and a subscale of EDI - interoceptive awareness (IA) - but not in total EDI or other EDI subscales. Significant rCBF increases were observed in the precuneus, posterior cingulate cortex (PCC), right dorsolateral prefrontal cortex (DLPFC), anterior cingulate cortex (ACC) and medial prefrontal cortex (MPFC) by the treatment. Significant correlation was observed between rCBF of right DLPFC and IA score before treatment. CONCLUSIONS: Changes of rCBF in right DLPFC, ACC, MPFC, PCC and precuneus were related to the AN recovery process and might be associated with improvement of IA following treatment. FAU - Matsumoto, Ryohei AU - Matsumoto R AD - Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan. rmat@nirs.go.jp FAU - Kitabayashi, Yurinosuke AU - Kitabayashi Y FAU - Narumoto, Jin AU - Narumoto J FAU - Wada, Yoshihisa AU - Wada Y FAU - Okamoto, Akiko AU - Okamoto A FAU - Ushijima, Yo AU - Ushijima Y FAU - Yokoyama, Chihiro AU - Yokoyama C FAU - Yamashita, Tatsuhisa AU - Yamashita T FAU - Takahashi, Hidehiko AU - Takahashi H FAU - Yasuno, Fumihiko AU - Yasuno F FAU - Suhara, Tetsuya AU - Suhara T FAU - Fukui, Kenji AU - Fukui K LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060614 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 RN - 0 (Iodine Isotopes) RN - 131-99-7 (Inosine Monophosphate) RN - CK833KGX7E (Amphetamine) SB - IM MH - Adolescent MH - Adult MH - Amphetamine/pharmacokinetics MH - Anorexia Nervosa/diagnostic imaging/*physiopathology MH - Awareness/*physiology MH - Brain/*blood supply/diagnostic imaging/drug effects MH - Female MH - Humans MH - Inosine Monophosphate/metabolism MH - Iodine Isotopes/pharmacokinetics MH - Psychological Tests/statistics & numerical data MH - Recovery of Function/*physiology MH - Regional Blood Flow/physiology MH - Statistics as Topic MH - Tomography, Emission-Computed, Single-Photon EDAT- 2006/06/17 09:00 MHDA- 2006/11/01 09:00 CRDT- 2006/06/17 09:00 PHST- 2006/01/12 00:00 [received] PHST- 2006/03/13 00:00 [revised] PHST- 2006/03/30 00:00 [accepted] PHST- 2006/06/17 09:00 [pubmed] PHST- 2006/11/01 09:00 [medline] PHST- 2006/06/17 09:00 [entrez] AID - S0278-5846(06)00174-6 [pii] AID - 10.1016/j.pnpbp.2006.03.042 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2006 Sep 30;30(7):1265-70. doi: 10.1016/j.pnpbp.2006.03.042. Epub 2006 Jun 14.