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亚阈值抑郁的老年人海马体异常功能连接

Aberrant functional connectivity of the hippocampus in older adults with subthreshold depression.

作者信息

Zhu Xinyi, Li Rui, Wang Pengyun, Li Juan

机构信息

Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.

Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.

出版信息

Psych J. 2014 Dec;3(4):245-53. doi: 10.1002/pchj.60. Epub 2014 Jul 9.

Abstract

Major depression disorder (MDD) is closely associated with functional and structural changes in the hippocampus (HC). Neuroimaging studies have demonstrated abnormal functional connectivity (FC) of the HC in patients with MDD, but it remains unknown whether this abnormal hippocampal FC pattern occurs in individuals with subthreshold depression (StD) who are at high risk of MDD. Resting-state functional magnetic resonance imaging data were collected from 19 elderly individuals with StD and 18 normal controls. Whole brain voxel-wise FC analyses were conducted to investigate the hippocampal FC pattern by selecting the HC as the region of interest, and correlation analyses were performed to explore the association of altered FC of the HC with self-reported depressive symptoms. The results showed that elderly individuals with StD had substantially decreased FC of the HC to the prefrontal and cuneus cortices compared with healthy normal controls. Moreover, the strength of HC-cuneus connectivity was correlated with self-reported depressive symptoms in elderly individuals with StD. These findings suggest that dysfunctional integration within the HC and cortical regions may occur at an early stage of depression.

摘要

重度抑郁症(MDD)与海马体(HC)的功能和结构变化密切相关。神经影像学研究已证实MDD患者海马体的功能连接(FC)异常,但尚不清楚这种异常的海马体FC模式是否出现在有MDD高风险的阈下抑郁症(StD)个体中。收集了19名患有StD的老年人和18名正常对照者的静息态功能磁共振成像数据。通过选择海马体作为感兴趣区域,进行全脑体素水平的FC分析以研究海马体FC模式,并进行相关性分析以探讨海马体FC改变与自我报告的抑郁症状之间的关联。结果显示,与健康正常对照者相比,患有StD的老年人海马体与前额叶和楔前叶皮质之间的FC显著降低。此外,在患有StD的老年人中,海马体-楔前叶连接强度与自我报告的抑郁症状相关。这些发现表明,海马体和皮质区域内的功能失调整合可能发生在抑郁症的早期阶段。

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