• Press Release

Research Uncovers Key Differences in Brains of Women and Men With Schizophrenia

  • New York, NY
  • (October 30, 2018)

Researchers from the Icahn School of Medicine at Mount Sinai have found clear disparities in the way males and females—both those with schizophrenia and those who are healthy—discern the mental states of others.

The research, the first of its kind, was published in Social Neuroscience.

The research team examined emotional processing in 37 clinically stable participants diagnosed with schizophrenia or schizoaffective disorder, compared with 31 healthy controls.  Subjects identified emotions of other people by looking at pictures of eyes and listening to stories. Smell tests were also administered to measure odor detection and odor identification ability. Most animal species rely on their sense of smell to determine the intentions of other animals. Intelligence scores measured more complex brain processing and olfactory or scent scores measured simpler mental processing.

They found that females without schizophrenia used more complex areas of their brains to identify someone else’s mental state, including other’s beliefs, desires, intentions, and emotions. The healthy males used less complex brain regions to process others’ mental states.

Both women and men with schizophrenia used less complex brain regions to process the emotional states of others. Men with schizophrenia used less complex brain regions for processing than healthy men.

“Women and men are fundamentally different, and it is critical to perform sex-specific research across psychiatry and all of medicine,” said the study’s senior author, Dolores Malaspina, MD, Director, Psychosis Program, Icahn School of Medicine at Mount Sinai. “Sex-stratified research is essential for studying social processes in general and especially for conditions such as schizophrenia that present differently in women and men.”

“The neurocircuitry of olfaction is very closely related to the neurocircuitry for emotional processing,” said the study’s first author, Julie Walsh-Messinger, PhD, Assistant Professor, University of Dayton. “So the interaction between the two might be a window to better understanding schizophrenia.”

The research team plans to study what causes the differences in sexes in their olfactory responses in the future.

This work was supported by National Institutes of Mental Health grants RC1MH088843, 2K24MH00169, and R01MH066428.


About the Mount Sinai Health System

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, over 400 outpatient practices, nearly 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.

Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,300 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties.

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