Pollock V E, Schneider L S
Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.
Biol Psychiatry. 1990 Apr 1;27(7):757-80. doi: 10.1016/0006-3223(90)90591-o.
Research published in the past decade that used quantitative indices to evaluate the waking EEG characteristics of depressed patients is reviewed. Methodological problems that make results of different research laboratories difficult to compare include diagnostic heterogeneity of depressed groups, lack of inclusion of control subjects, and differences in the EEG techniques. Despite interpretive problems that arise from such substantial variation, consistencies nevertheless emerge. Unmedicated, actively depressed patients appear to exhibit elevated EEG alpha and beta compared to control subjects. Delta and theta distinguished depressed patients from controls in some single studies, but variation in age, specific diagnostic depression categories, and EEG acquisition and analysis techniques rendered these results less definitive. Quantitative EEG differences that may distinguish depressed subject samples from those with other psychiatric disorders are considered. Factors that limit comparability of the findings are discussed in conjunction with strategies that deserve systematic study in future research.
本文回顾了过去十年发表的利用定量指标评估抑郁症患者清醒脑电图特征的研究。导致不同研究实验室结果难以比较的方法学问题包括抑郁症组的诊断异质性、未纳入对照受试者以及脑电图技术的差异。尽管由于如此大的差异而产生了解释问题,但一致性仍然存在。与对照受试者相比,未用药的、处于积极抑郁状态的患者似乎表现出脑电图α波和β波升高。在一些单项研究中,δ波和θ波可将抑郁症患者与对照组区分开来,但年龄、特定诊断的抑郁症类别以及脑电图采集和分析技术的差异使这些结果不太具有确定性。文中还考虑了可能将抑郁症受试者样本与其他精神疾病受试者样本区分开来的定量脑电图差异。结合未来研究中值得系统研究的策略,讨论了限制研究结果可比性的因素。