Women Win

Differences in male-female mental ability of schizophrenics

/ Author:  / Reviewed by: Joseph V. Madia, MD

Schizophrenia is a mental disorder that differs between the sexes in terms of age at onset, symptomatology, response to medication, and structural brain abnormalities.

Now, a new study shows that there is gender difference between men and women's mental ability – with women performing better than men. The study, recently published in Schizophrenia Research, was conducted by the Université de Montréal.

“We are the first to report sex differences in brain function of schizophrenics,” says Université de Montréal professor, Adrianna Mendrek a researcher at the Centre de Recherche Fernand-Seguin, Hospital Louis-H Lafontaine. “We chose to study a task involving mental rotation of a three dimensional image because in healthy men and women, this consistently elicits differences in terms of reaction time and performance accuracy.”

Results opposite for control versus schizophrenics
Mendrek and her colleagues compared the brain function of healthy volunteers with schizophrenic patients that were completing the image rotation task by using functional magnetic resonance imaging (fMRI). Their findings confirmed that healthy men performed better than healthy women in this task, but found that schizophrenic women performed better than schizophrenic men.

“Sex hormones such as testosterone and estrogen may explain these results,” says Mendrek. “Findings from our other studies have shown that the testosterone level was positively correlated with activity in healthy men but not in healthy women. And conversely schizophrenic women have been shown to have higher levels of this hormone.”

Surprising result: gender differences in “resting” brains
The resting brains of healthy men and women are not the same, according to Mendrek. The area of the brain active while resting (the “default mode network”) is more active for women than men. “We are the first group to report sex differences in this network using fMRI,” says Mendrek. “The more active resting female brain may explain their reported ability to multi-task and be more introspective than men”

Previous studies have shown that the default network is perturbed in people suffering from depression, Alzheimer's or schizophrenia. In particular, reduced default network activity has been associated with autism, and over-activity is associated with schizophrenia, more specifically with schizophrenia-positive symptoms such as hallucinations and delusions.

Reviewed by: 
Review Date: 
November 18, 2010