Sun Yu, Li Yingjie, Zhu Yisheng, Chen Xingshi, Tong Shanbao
Department of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai 200240, China.
Brain Res Bull. 2008 Aug 15;76(6):559-64. doi: 10.1016/j.brainresbull.2008.05.001. Epub 2008 Jun 2.
Anomalies in beta-waves have been found to be associated with mental depression. However, little is known about the causality of cortical inter- and intrahemispheric dependence of depressed patients in various cognitive states. This study investigates the possibility of beta-wave interdependence in depressed patients subjected to mental arithmetic tasks following relaxation. The EEGs of 12 depressed patients (age=37.2+/-11.8 years from 15 to 74 years, male/female=7/5) and 12 healthy volunteers (age=37.5+/-11.7 years from 22 to 58 years, male/female=6/6) were analyzed using a causality measure, partial directed coherence (PDC). The depressed patients showed lower frontal cortical interdependence in both the resting and mental arithmetic task states, confirming the histopathological evidence which shows that supra- and infragranular layers of the dorsolateral prefrontal cortex of depressed patients decrease both in density and in the size of neurons and glial cells. On the other hand, the mental arithmetic task was found to enhance inter- and intrahemispheric interactions in both groups, and such hemispheric hyperactivation is consistent with findings from functional imaging. The results presented here indicate that PDC can be a useful tool for evaluating changes in cortical interdependence in different psychotic or mental states and might well be used for diagnosis and therapeutic assessment in affective disorders.
研究发现,β波异常与精神抑郁有关。然而,对于抑郁症患者在不同认知状态下大脑半球间和半球内皮质依赖性的因果关系,我们知之甚少。本研究探讨了抑郁症患者在放松后进行心算任务时β波相互依存的可能性。使用因果关系测量方法——偏定向相干性(PDC),对12名抑郁症患者(年龄15至74岁,平均37.2±11.8岁,男/女 = 7/5)和12名健康志愿者(年龄22至58岁,平均37.5±11.7岁,男/女 = 6/6)的脑电图进行了分析。抑郁症患者在静息和心算任务状态下均表现出较低的额叶皮质相互依存性,这证实了组织病理学证据,即抑郁症患者背外侧前额叶皮质的颗粒上层和颗粒下层在神经元和神经胶质细胞的密度和大小上均有所减少。另一方面,发现心算任务增强了两组患者的半球间和半球内相互作用,这种半球过度激活与功能成像的结果一致。这里呈现的结果表明,PDC可以作为评估不同精神或心理状态下皮质相互依存性变化的有用工具,很可能用于情感障碍的诊断和治疗评估。