title: Anhedonia and ambivalence in schizophrenic patients with fronto-cerebellar metabolic abnormalities: a fluoro-d-glucose positron emission tomography study.
abstract: OBJECTIVE
  Prefrontal and cerebellar abnormalities have been associated with higher cognitive deficits in schizophrenia. The current study aimed to show whether or not schizophrenic patients with fronto-cerebellar functional abnormalities show more anhedonia or ambivalence.
  
  
  METHODS
  Regional cerebral metabolic activity was measured using fluoro-D-glucose positron emission tomography and was compared between 24 patients with chronic schizophrenia and 22 healthy normal volunteers. The existence of regional prefrontal hypofunction and regional cerebellar hyperfunction was investigated in each patient. Demographic and clinical variables including the emotional self-report scales were compared between the subgroups of the patients categorized according to the existence and the absence of the regional dysfunctions.
  
  
  RESULTS
  Comparisons between each patient and the total normal controls revealed that 14 of the total twenty-four patients had regional hypofrontal functions, whereas 11 patients had regional hypercerebellar functions. Patients with prefrontal hypofunction showed more severe anhedonia than those without prefrontal hypofunction, whereas patients with cerebellar hyperfunction compared to those without cerebellar hyperfunction had more severe ambivalence.
  
  
  CONCLUSIONS
  It seems that fronto-cerebellar abnormalities may be associated with cardinal emotional features of schizophrenia, such as anhedonia and ambivalence.
authors.affiliation: Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Kyung-Min
authors.initials: KM
authors.lastname: Park
authors.forename: Jae-Jin
authors.initials: JJ
authors.lastname: Kim
authors.forename: Jeong Ho
authors.initials: JH
authors.lastname: Seok
authors.forename: Ji Won
authors.initials: JW
authors.lastname: Chun
authors.forename: Hae-Jeong
authors.initials: HJ
authors.lastname: Park
authors.forename: Jong Doo
authors.initials: JD
authors.lastname: Lee