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亚临床抑郁症中注意偏向的心理、内分泌及神经关联

Psychological, endocrine, and neural correlates of attentional bias in subclinical depression.

作者信息

Dedovic Katarina, Giebl Saskia, Duchesne Annie, Lue Sonja D, Andrews Julie, Efanov Simona, Engert Veronika, Beaudry Thomas, Baldwin Mark W, Pruessner Jens C

机构信息

a Douglas Institute Research Centre , McGill University , Boulevard Lasalle Verdun, QC , Canada.

b Social and Affective Neuroscience Laboratory , University of California , Los Angeles , CA , USA.

出版信息

Anxiety Stress Coping. 2016 Sep;29(5):479-96. doi: 10.1080/10615806.2015.1101457. Epub 2015 Oct 29.

Abstract

BACKGROUND

Our knowledge with respect to psychological, endocrine, and neural correlates of attentional bias in individuals with high vulnerability to developing depression - the subclinically depressed, still remains limited.

DESIGN

The study used a 2 × 2 mixed design.

METHODS

Attentional bias toward happy and sad faces in healthy (N = 26) and subclinically depressed individuals (N = 22) was assessed via a neuroimaging dot-probe attention task. Participants also completed trait and state psychological measures and provided saliva samples for cortisol analysis.

RESULTS

The subclinical group showed attentional bias toward happy faces; past use of problem-focused coping strategies when dealing with a personally relevant stressor as well as state levels of anxiety, together, contributed to this bias. In the control group, the happy attentional bias was positively correlated with activity in the right caudate. In the subclinical group, the bias was negatively associated with the left fusiform gyrus and positively with the left inferior parietal lobule and bilateral putamen. We observed group differences in association between cortisol levels during the task and neural activity during happy attentional bias processing within the key regions involved in attention.

CONCLUSIONS

The attentional bias toward happy faces may reflect an active coping attempt by the subclinical participants.

摘要

背景

我们对于易患抑郁症个体(亚临床抑郁症患者)注意力偏差的心理、内分泌和神经相关性的了解仍然有限。

设计

本研究采用2×2混合设计。

方法

通过一项神经影像学点探测注意力任务,评估了健康个体(N = 26)和亚临床抑郁症个体(N = 22)对快乐和悲伤面孔的注意力偏差。参与者还完成了特质和状态心理测量,并提供唾液样本用于皮质醇分析。

结果

亚临床组表现出对快乐面孔的注意力偏差;过去在应对个人相关压力源时使用以问题为中心的应对策略以及焦虑的状态水平共同导致了这种偏差。在对照组中,对快乐的注意力偏差与右侧尾状核的活动呈正相关。在亚临床组中,这种偏差与左侧梭状回呈负相关,与左侧下顶叶和双侧壳核呈正相关。我们观察到在任务期间皮质醇水平与注意力偏差处理过程中关键区域的神经活动之间的关联存在组间差异。

结论

对快乐面孔的注意力偏差可能反映了亚临床参与者积极的应对尝试。

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