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强迫症的标准化低分辨率电磁断层成像——一项复制研究。

Standardized low-resolution electromagnetic tomography in obsessive-compulsive disorder--a replication study.

机构信息

Prague Psychiatric Centre, Prague, Czech Republic.

出版信息

Neurosci Lett. 2013 Aug 26;548:185-9. doi: 10.1016/j.neulet.2013.05.015. Epub 2013 May 20.

Abstract

Previous EEG source localization studies in obsessive-compulsive disorder (OCD) reported ambiguous results. The reason probably lies in different OCD samples included in the studies - obsessive-compulsive subjects selected based on a psychopathology questionnaire (the Symptom Checklist - Revised), drug-naïve OCD cases or patients with a long-term disorder. This study was conceived as a replication of our previous research on OCD population coming to treatment in Prague Psychiatric Centre [9]. We included 50 OCD patients (8 drug-free and 42 medicated with SSRIs) and 50 healthy controls. All subjects were different from those enrolled in the previous study. Resting state EEG was analyzed in 8 frequency bands as well as with 1 Hz frequency resolution using the standardized low-resolution electromagnetic tomography (sLORETA). In OCD, sLORETA indicated low-frequency power excess at 2 and 3 Hz in the cingulate gyrus with maximal t-values in Brodmann area 24. The low-frequency activity was unrelated to the severity of clinical symptoms and illness duration but delta power in the right orbitofrontal cortex positively correlated with age of OCD onset. Our results confirm previous finding of the low-frequency excess in the cingulate gyrus in OCD and document the essential role of delta frequencies. Delta activity in the cingulate gyrus is negatively associated with reward-signalling dopamine release in the ventral striatum and increases in states connected with a need for reinforcement. Thus, delta activity could reflect a repetitive need to perform compulsive behaviour in OCD patients.

摘要

先前关于强迫症(OCD)的脑电源定位研究结果存在分歧。原因可能在于研究中纳入的 OCD 样本不同,包括基于精神病理学问卷(症状清单修订版)选择的强迫性受试者、未经药物治疗的 OCD 病例或长期患病的患者。本研究旨在复制我们之前在布拉格心理中心治疗 OCD 人群的研究[9]。我们纳入了 50 名 OCD 患者(8 名未用药和 42 名 SSRI 用药)和 50 名健康对照者。所有的受试者都与之前研究中的参与者不同。采用标准化低分辨率电磁层析成像(sLORETA)分析静息状态脑电图在 8 个频带和 1Hz 频率分辨率的活动。在 OCD 中,sLORETA 表明扣带回的 2Hz 和 3Hz 处存在低频功率过多,Brodmann 区域 24 处的 t 值最大。低频活动与临床症状严重程度和疾病持续时间无关,但右眶额皮质的 delta 功率与 OCD 发病年龄呈正相关。我们的结果证实了 OCD 扣带回低频过度的先前发现,并记录了 delta 频率的重要作用。扣带回的 delta 活动与腹侧纹状体中与奖励信号多巴胺释放呈负相关,与需要强化的状态增加有关。因此,delta 活动可能反映了 OCD 患者反复需要执行强迫行为。

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