Maller Jerome J, Thomson Richard H S, Pannek Kerstin, Bailey Neil, Lewis Philip M, Fitzgerald Paul B
Monash Alfred Psychiatry Research Centre, The Alfred & Monash University Central Clinical School, Melbourne, VIC, Australia.
Monash Alfred Psychiatry Research Centre, The Alfred & Monash University Central Clinical School, Melbourne, VIC, Australia.
Behav Brain Res. 2014 Sep 1;271:147-53. doi: 10.1016/j.bbr.2014.05.047. Epub 2014 Jun 2.
Previous research suggests that many people who sustain a traumatic brain injury (TBI), even of the mild form, will develop major depression (MD). We previously reported white matter integrity differences between those who did and did not develop MD after mild TBI. In this current paper, we aimed to investigate whether there were also volumetric differences between these groups, as suggested by previous volumetric studies in mild TBI populations. A sample of TBI-with-MD subjects (N=14), TBI-without-MD subjects (N=12), MD-without-TBI (N=26) and control subjects (no TBI or MD, N=23), received structural MRI brain scans. T1-weighted data were analysed using the Freesurfer software package which produces automated volumetric results. The findings of this study indicate that (1) TBI patients who develop MD have reduced volume in temporal, parietal and lingual regions compared to TBI patients who do not develop MD, and (2) MD patients with a history of TBI have decreased volume in the temporal region compared to those who had MD but without a history of TBI. We also found that more severe MD in those with TBI-with-MD significantly correlated with reduced volume in anterior cingulate, temporal lobe and insula. These findings suggest that volumetric reduction to specific regions, including parietal, temporal and occipital lobes, after a mild TBI may underlie the susceptibility of these patients developing major depression, in addition to altered white matter integrity.
先前的研究表明,许多遭受创伤性脑损伤(TBI)的人,即使是轻度损伤,也会患上重度抑郁症(MD)。我们之前报道过轻度TBI后出现和未出现MD的人群之间的白质完整性差异。在本文中,我们旨在研究这些组之间是否也存在体积差异,正如先前对轻度TBI人群的体积研究中所表明的那样。一组患有MD的TBI受试者(N = 14)、未患MD的TBI受试者(N = 12)、无TBI的MD患者(N = 26)和对照组受试者(无TBI或MD,N = 23)接受了脑部结构MRI扫描。使用能产生自动体积测量结果的Freesurfer软件包对T1加权数据进行分析。本研究结果表明:(1)与未患MD的TBI患者相比,患MD的TBI患者在颞叶、顶叶和舌叶区域的体积减小;(2)有TBI病史的MD患者与无TBI病史的MD患者相比,颞叶区域体积减小。我们还发现,患有MD的TBI患者中更严重的MD与前扣带回、颞叶和岛叶体积减小显著相关。这些发现表明,轻度TBI后特定区域(包括顶叶、颞叶和枕叶)的体积减小,除了白质完整性改变外,可能是这些患者易患重度抑郁症的基础。
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