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老年期抑郁症的杏仁核形态计量学研究。

Amygdalae morphometry in late-life depression.

机构信息

Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Int J Geriatr Psychiatry. 2009 Aug;24(8):837-46. doi: 10.1002/gps.2167.

Abstract

OBJECTIVE

The amygdalae have been a focus of mood disorder research due to their key role in processing emotional information. It has been long known that depressed individuals demonstrate impaired functional performance while engaged in emotional tasks. The structural basis for these functional differences has been investigated via volumetric analysis with mixed findings. In this study, we examined the morphometric basis for these functional changes in late-life depression (LLD) by analyzing both the size and shape of the amygdalae with the hypothesis that shape differences may be apparent even when overall volume differences are inconsistent.

METHODS

Magnetic resonance imaging data were acquired from 11 healthy, elderly individuals and 14 depressed, elderly individuals. Amygdalar size was quantified by computing total volume and amygdalar shape was quantified with a shape analysis method that we have developed.

RESULTS

No significant volumetric differences were found for either amygdala. Nevertheless, localized regions of significant shape variation were detected for the left and right amygdalae. The most significant difference was contraction (LLD subjects as compared to control subjects) in a region typically associated with the basolateral nucleus, which plays a key role in emotion recognition in neurobiologic models of depression.

CONCLUSIONS

In this LLD study, we have shown that, despite insignificant amygdalar volumetric findings, variations of amygdalar shape can be detected and localized. With further investigation, morphometric analysis of various brain structures may help elucidate the neurobiology associated with LLD and other mood disorders.

摘要

目的

杏仁核在处理情绪信息方面起着关键作用,因此一直是情绪障碍研究的焦点。众所周知,抑郁个体在进行情绪任务时表现出功能表现受损。通过体积分析已经研究了这些功能差异的结构基础,但结果存在差异。在这项研究中,我们通过分析杏仁核的大小和形状,检查了晚年抑郁症(LLD)中这些功能变化的形态基础,假设即使总体体积差异不一致,形状差异也可能明显。

方法

从 11 名健康老年人和 14 名抑郁老年人中获取磁共振成像数据。通过计算总容量来量化杏仁核的大小,并用我们开发的形状分析方法量化杏仁核的形状。

结果

两个杏仁核均未发现明显的体积差异。然而,检测到左、右杏仁核局部区域存在显著的形状变化。最显著的差异是收缩(与对照组相比,LLD 患者),这与通常与基底外侧核相关的区域一致,基底外侧核在抑郁神经生物学模型中的情绪识别中起着关键作用。

结论

在这项 LLD 研究中,我们已经表明,尽管杏仁核体积无明显发现,但仍可以检测到并定位杏仁核形状的变化。进一步研究,对各种大脑结构的形态计量分析可能有助于阐明与 LLD 和其他情绪障碍相关的神经生物学。

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