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双相 I 型抑郁症和单相抑郁症患者的灰质体积异常:一项基于体素的形态学研究。

Grey matter volume abnormalities in patients with bipolar I depressive disorder and unipolar depressive disorder: a voxel-based morphometry study.

作者信息

Cai Yi, Liu Jun, Zhang Li, Liao Mei, Zhang Yan, Wang Lifeng, Peng Hongjun, He Zhong, Li Zexuan, Li Weihui, Lu Shaojia, Ding Yuqiang, Li Lingjiang

机构信息

Mental Health Institute of the Second Xiangya Hospital, National Technology Institute of Psychiatry Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, 410011, China.

出版信息

Neurosci Bull. 2015 Feb;31(1):4-12. doi: 10.1007/s12264-014-1485-5. Epub 2014 Dec 11.

Abstract

Bipolar disorder and unipolar depressive disorder (UD) may be different in brain structure. In the present study, we performed voxel-based morphometry (VBM) to quantify the grey matter volumes in 23 patients with bipolar I depressive disorder (BP1) and 23 patients with UD, and 23 age-, gender-, and education-matched healthy controls (HCs) using magnetic resonance imaging. We found that compared with the HC and UD groups, the BP1 group showed reduced grey matter volumes in the right inferior frontal gyrus and middle cingulate gyrus, while the UD group showed reduced volume in the right inferior frontal gyrus compared to HCs. In addition, correlation analyses revealed that the grey matter volumes of these regions were negatively correlated with the Hamilton depression rating scores. Taken together, the results of our study suggest that decreased grey matter volume of the right inferior frontal gyrus is a common abnormality in BP1 and UD, and decreased grey matter volume in the right middle cingulate gyrus may be specific to BP1.

摘要

双相情感障碍和单相抑郁障碍在脑结构上可能存在差异。在本研究中,我们使用磁共振成像,通过基于体素的形态学测量(VBM)对23例双相I型抑郁障碍(BP1)患者、23例单相抑郁障碍(UD)患者以及23例年龄、性别和教育程度匹配的健康对照者(HCs)的灰质体积进行了量化。我们发现,与HC组和UD组相比,BP1组右侧额下回和中央扣带回的灰质体积减少,而UD组与HC组相比,右侧额下回体积减少。此外,相关性分析显示,这些区域的灰质体积与汉密尔顿抑郁量表评分呈负相关。综上所述,我们的研究结果表明,右侧额下回灰质体积减少是BP1和UD的共同异常,而右侧中央扣带回灰质体积减少可能是BP1所特有的。

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