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强迫症患者药物治疗前后眶额皮质和丘脑体积

Orbito-frontal cortex and thalamus volumes in obsessive-compulsive disorder before and after pharmacotherapy.

作者信息

Atmaca Murad, Mermi Osman, Yildirim Hanefi, Gurok M Gurkan

机构信息

School of Medicine, Department of Psychiatry, Firat University, Elazig, Turkey.

Firat Tip Merkezi, Psikiyatri Anabilim Dali, Firat (Euphrates) Universitesi, 23119, Elazig, Turkey.

出版信息

Brain Imaging Behav. 2016 Sep;10(3):669-74. doi: 10.1007/s11682-015-9426-0.

Abstract

In the present study, we focused on the key brain regions, OFC and thalamus, to investigate the roles of antiobsessional agents on volume changes of these brain regions after 12 weeks of anti-obsessional treatment in patients with obsessive-compulsive disorder (OCD). Fourteen patients with OCD and the same number of healthy controls were included in the study. At baseline, the volumes of the OFC and thalamus were compared by using magnetic resonance imaging (MRI) between groups. The volumes of OFC and thalamus were evaluated before and after the anti-obsessional drug treatment solely in the patient group. Our study revealed that thalamus volumes were reduced statistically significantly throughout the treatment period. However, we found that OFC volumes did not change statistically significantly throughout the treatment period. In summary, our study found that anti-obsessional drug treatment had an effect on thalamus volumes throughout the treatment period for both sides but not on OFC volumes. However, future studies with larger sample are required.

摘要

在本研究中,我们聚焦于关键脑区——眶额皮质(OFC)和丘脑,以调查抗强迫药物对强迫症(OCD)患者进行12周抗强迫治疗后这些脑区体积变化的作用。该研究纳入了14名强迫症患者和数量相同的健康对照者。在基线时,通过磁共振成像(MRI)对两组之间的眶额皮质和丘脑体积进行比较。仅在患者组中对抗强迫药物治疗前后的眶额皮质和丘脑体积进行评估。我们的研究表明,在整个治疗期间丘脑体积有统计学意义的显著减小。然而,我们发现整个治疗期间眶额皮质体积没有统计学意义的显著变化。总之,我们的研究发现抗强迫药物治疗在整个治疗期间对双侧丘脑体积有影响,但对眶额皮质体积没有影响。然而,需要未来进行更大样本量的研究。

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