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Emotion-Dependent Functional Connectivity of the Default Mode Network in Adolescent Depression.

作者信息

Ho Tiffany C, Connolly Colm G, Henje Blom Eva, LeWinn Kaja Z, Strigo Irina A, Paulus Martin P, Frank Guido, Max Jeffrey E, Wu Jing, Chan Melanie, Tapert Susan F, Simmons Alan N, Yang Tony T

机构信息

Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of California, San Francisco, San Francisco, California.

Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of California, San Francisco, San Francisco, California.

出版信息

Biol Psychiatry. 2015 Nov 1;78(9):635-46. doi: 10.1016/j.biopsych.2014.09.002. Epub 2014 Sep 16.


DOI:10.1016/j.biopsych.2014.09.002
PMID:25483399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4362932/
Abstract

BACKGROUND: Functional magnetic resonance imaging research suggests that major depressive disorder (MDD) in both adults and adolescents is marked by aberrant connectivity of the default mode network (DMN) during resting state. However, emotional dysregulation is also a key feature of MDD. No studies to date have examined emotion-related DMN pathology in adolescent depression. Comprehensively understanding the dynamics of DMN connectivity across brain states in individuals with depression with short disease histories could provide insight into the etiology of MDD. METHODS: We collected functional magnetic resonance imaging data during an emotion identification task and during resting state from 26 medication-free adolescents (13-17 years old) with MDD and 37 well-matched healthy control subjects. We examined between-group differences in blood oxygenation level-dependent task responses and emotion-dependent and resting-state functional connectivity of the two primary nodes of the DMN: medial prefrontal cortex and posterior cingulate cortex (PCC). Additionally, we examined between-group differences in DMN functional connectivity and its relationship to depression severity and onset. RESULTS: Relative to healthy control subjects, unmedicated adolescents with MDD demonstrated reduced medial prefrontal cortex and PCC emotion-related deactivation and greater medial prefrontal cortex and PCC emotion-dependent functional connectivity with precuneus, cingulate gyrus, and striatum/subcallosal cingulate gyrus. The PCC-subcallosal cingulate connectivity remained inflexibly elevated in the subjects with MDD versus healthy control subjects during resting state. Stronger PCC emotion-dependent functional connectivity was associated with greater depression severity and an earlier age of depression onset. CONCLUSIONS: Adolescent depression is associated with inflexibly elevated DMN connections. Given more recent evidence of DMN maturation throughout adolescence, our findings suggest that early-onset depression adversely affects normal development of functional brain networks.

摘要

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本文引用的文献

[1]
Aberrant resting-state functional connectivity in limbic and salience networks in treatment--naïve clinically depressed adolescents.

J Child Psychol Psychiatry. 2014-12

[2]
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Soc Cogn Affect Neurosci. 2015-2

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Soc Cogn Affect Neurosci. 2014-12

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Neuroimage Clin. 2013-12-11

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First-episode medication-naive major depressive disorder is associated with altered resting brain function in the affective network.

PLoS One. 2014-1-9

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Functional connectivity of negative emotional processing in adolescent depression.

J Affect Disord. 2013-10-25

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Affective state-dependent changes in the brain functional network in major depressive disorder.

Soc Cogn Affect Neurosci. 2014-9

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Serotonin transporter genotype modulates functional connectivity between amygdala and PCC/PCu during mood recovery.

Front Hum Neurosci. 2013-10-31

[9]
Selective development of anticorrelated networks in the intrinsic functional organization of the human brain.

J Cogn Neurosci. 2013-11-4

[10]
Altered functional and structural brain network organization in autism.

Neuroimage Clin. 2012-11-16

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