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首发未用药抑郁症患者顶叶-扣带回及颞叶-小脑区域局部一致性的改变。

The alterations in regional homogeneity of parieto-cingulate and temporo-cerebellum regions of first-episode medication-naïve depression patients.

作者信息

Lai Chien-Han, Wu Yu-Te

机构信息

Department of Psychiatry, Cheng Hsin General Hospital, No.45, Cheng Hsin St., Pai-Tou Destrict, Taipei City, Taiwan, Republic of China.

Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, Republic of China.

出版信息

Brain Imaging Behav. 2016 Mar;10(1):187-94. doi: 10.1007/s11682-015-9381-9.

Abstract

This study surveyed the characteristics of the indicator for the synchrony of brain activities, regional homogeneity (ReHo), in patients who were diagnosed with major depressive disorder (MDD) without co-morbidities. Forty-four patients with MDD and twenty-seven normal controls were enrolled in our study. The ReHo outputs of patients and controls were compared by a nonparametric permutation-based method with global brain volume, age, and gender as covariates. In addition, the correlations between the clinical variables (such as depression severity, anxiety severity, illness duration) and ReHo values were also estimated in each group and across both groups. The patients with MDD had lower ReHo values than the controls for the cognitive division of right anterior cingulate cortex and the left inferior parietal lobule. In contrast, the patients had higher values of ReHo than controls for the right inferior temporal lobe and the right cerebellum. Additionally, the ReHo values were negatively correlated with the depression severity and with illness duration in the right anterior cingulate cortex. MDD patients had significant alterations in the ReHo of the parieto-cingulate and temporo-cerebellum regions with opposite trends.

摘要

本研究调查了无共病的重度抑郁症(MDD)患者大脑活动同步性指标——局部一致性(ReHo)的特征。44例MDD患者和27名正常对照者纳入本研究。以全脑体积、年龄和性别作为协变量,采用基于非参数置换的方法比较患者和对照者的ReHo输出。此外,还在每组以及两组之间估计了临床变量(如抑郁严重程度、焦虑严重程度、病程)与ReHo值之间的相关性。MDD患者右侧前扣带回皮质认知分区和左侧顶下小叶的ReHo值低于对照者。相反,MDD患者右侧颞下回和右侧小脑的ReHo值高于对照者。此外,右侧前扣带回皮质的ReHo值与抑郁严重程度和病程呈负相关。MDD患者顶扣带回和颞小脑区域的ReHo有显著改变,且趋势相反。

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