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情绪唤起对右颞顶叶皮层的调节在女性抑郁症中取决于父母的抑郁状况:初步证据。

Emotional arousal modulation of right temporoparietal cortex in depression depends on parental depression status in women: first evidence.

机构信息

Department of Basic Psychology I, Complutense University of Madrid, Campus Somosaguas, Pozuelo de Alarcón, 28223 Madrid, Spain; Laboratory of Cognitive and Computational Neuroscience, Center of Biomedical Technology, Polytechnic University of Madrid, 28223, Spain; Laboratory of Clinical Neuroscience, Center of Biomedical Technology, Polytechnic University of Madrid, 28223, Spain.

Laboratory of Clinical Neuroscience, Center of Biomedical Technology, Polytechnic University of Madrid, 28223, Spain.

出版信息

J Affect Disord. 2015 Jun 1;178:79-87. doi: 10.1016/j.jad.2015.02.031. Epub 2015 Mar 6.

Abstract

BACKGROUND

Structural and Electroencephalography (EEG) abnormalities in right temporoparietal cortex have been associated with family history of depression (FH). Here we investigate if functional abnormalities in this area, indexed by attenuated responses to emotionally arousing stimuli, are also family-history-dependent.

METHODS

Neuromagnetic activity for emotional and neutral complex scenes was recorded by Magnetoencephalography (MEG) in 20 depressed patients without, 8 depressed patients with FH, and 15 healthy controls. Emotion-sensitive neuronal steady state responses were cortical source localized and tested for group-by-emotion interactions.

RESULTS

The group-by-emotion interaction (F(4, 80)=4.4, p=0.004) was explained by a significant modulation of right temporoparietal cortex activity by emotional arousal in controls and patients without FH. This effect was reduced in FH positive patients. The difference between patient groups remained when clinical variables such as symptom severity were accounted for.

LIMITATIONS

All patients were medicated, but differences between patient groups remained after accounting for medication dosage. Further, the sample size was limited, but data-driven resampling statistics showed the robustness of our effects. Finally, the sample consists of female patients only and we cannot generalize our results to male samples.

CONCLUSIONS

Patients with FH show impaired recruitment of attention-relevant cortical circuitry by emotional stimuli. The neuroanatomical locus of this effect accords with previous reports on structural abnormalities and electrophysiological deficits at rest in individuals with FH. Our results speak to the relevance of right temporoparietal dysfunction in emotional information processing as a potential endophenotype for depression with FH.

摘要

背景

右颞顶叶皮层的结构和脑电图(EEG)异常与抑郁家族史(FH)有关。在这里,我们研究该区域的功能异常是否也与家族史有关,其指标为对情绪刺激的反应减弱。

方法

通过脑磁图(MEG)记录了 20 名无 FH 的抑郁患者、8 名有 FH 的抑郁患者和 15 名健康对照者对情绪和中性复杂场景的神经磁活动。对情绪敏感的神经元稳态反应进行皮质源定位,并测试组-情绪相互作用。

结果

组-情绪相互作用(F(4, 80)=4.4,p=0.004)由情绪唤醒对右颞顶叶皮层活动的显著调节来解释,在对照组和无 FH 的患者中均如此。这种效应在 FH 阳性患者中降低。当考虑到临床变量(如症状严重程度)时,患者组之间的差异仍然存在。

局限性

所有患者均接受药物治疗,但在考虑药物剂量后,患者组之间的差异仍然存在。此外,样本量有限,但基于数据的重采样统计数据显示了我们的效应的稳健性。最后,该样本仅由女性患者组成,我们不能将我们的结果推广到男性样本。

结论

有 FH 的患者在受到情绪刺激时,注意力相关皮质回路的募集受损。该效应的神经解剖位置与之前关于 FH 个体的结构异常和静息状态下的电生理缺陷的报告一致。我们的结果表明,右颞顶叶功能障碍在 FH 患者的情绪信息处理中作为潜在的表型具有重要意义。

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