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重度抑郁症中的额边缘叶活动与认知偏差

Frontolimbic activity and cognitive bias in major depression.

作者信息

Poulsen Catherine, Luu Phan, Crane Stacey M, Quiring Jason, Tucker Don M

机构信息

Electrical Geodesics, Eugene, Oregon 97403, USA.

出版信息

J Abnorm Psychol. 2009 Aug;118(3):494-506. doi: 10.1037/a0015920.

Abstract

In order to explore neural activity that accompanies cognitive bias in mood disorders, the authors had clinically depressed and nondepressed controls complete a self-evaluation procedure in which they indicated whether trait words were self-descriptive. Dense-array (256-channel) electroencephalography was recorded. Greater depression and low Positive Affect were associated with decreased endorsement of favorable (Good) traits, and greater anxiety and high Negative Affect were associated with increased endorsement of unfavorable (Bad) traits. For controls, the event-related potential (ERP) showed an enhanced visual N1 for trials in which Bad traits were endorsed. For depressed participants, this N1 was attenuated, specifically for these endorsed Bad trials. A similar pattern was observed in the P2-medial frontal negativity (P2-MFN) complex, with controls showing an enhanced MFN to the endorsed Bad words, while depressed participants showed an attenuated or absent medial frontal response on these items specifically. Distributed linear-inverse source analysis of the ERP localized the N1 effect to the inferotemporal-occipital cortex and the medial frontal effect to the dorsal anterior cingulate cortex. The altered ERP responses in depressed participants may provide clues to the neurophysiological processes associated with negatively biased cognition and self-evaluation in clinical depression.

摘要

为了探究情绪障碍中伴随认知偏差的神经活动,作者让临床抑郁症患者和非抑郁症对照完成一项自我评估程序,在该程序中他们指出特质词是否为自我描述性的。记录了密集阵列(256通道)脑电图。更严重的抑郁和低积极情绪与对有利(好)特质的认同减少有关,而更高的焦虑和高消极情绪与对不利(坏)特质的认同增加有关。对于对照组,事件相关电位(ERP)显示在认同坏特质的试验中视觉N1增强。对于抑郁症患者,这种N1减弱,特别是在这些认同坏特质的试验中。在P2-内侧额叶负波(P2-MFN)复合体中观察到类似模式,对照组对认同的坏词显示MFN增强,而抑郁症患者在这些项目上内侧额叶反应减弱或缺失。ERP的分布式线性逆源分析将N1效应定位到颞下回-枕叶皮层,内侧额叶效应定位到背侧前扣带回皮层。抑郁症患者ERP反应的改变可能为临床抑郁症中与负性认知偏差和自我评估相关的神经生理过程提供线索。

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