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使用近红外光谱法评估额叶氧合血红蛋白与抑郁严重程度之间的相关性。

Correlation between frontal lobe oxy-hemoglobin and severity of depression assessed using near-infrared spectroscopy.

作者信息

Kawano Makoto, Kanazawa Tetsufumi, Kikuyama Hiroki, Tsutsumi Atsushi, Kinoshita Shinya, Kawabata Yasuo, Yamauchi Shigeru, Uenishi Hiroyuki, Kawashige Seiya, Imazu Shinichi, Toyoda Katsutaka, Nishizawa Yoshitaka, Takahashi Mayuko, Okayama Tatsushi, Odo Wakako, Ide Kentaro, Maruyama Soichiro, Tarutani Seiichiro, Koh Jun, Yoneda Hiroshi

机构信息

Department of Neuropsychiatry, Osaka Medical College, Takatsuki, Osaka, Japan.

Department of Neuropsychiatry, Osaka Medical College, Takatsuki, Osaka, Japan.

出版信息

J Affect Disord. 2016 Nov 15;205:154-158. doi: 10.1016/j.jad.2016.07.013. Epub 2016 Jul 5.

Abstract

INTRODUCTION

The search for objective biomarkers of psychiatric disorders has a long history. Despite this, no universally accepted instruments or methods to detect biomarkers have been developed. One potential exception is near-infrared spectroscopy, although interpreting the measures of blood flow recorded with this technique remains controversial. In this study, we aimed to investigate the relationship between recorded blood flow and depression severity assessed using the Hamilton depression scale in patients with various psychiatric disorders.

METHODS

Enrolled patients (n=43) had DSM-IV diagnoses of major depressive disorder (n=25), bipolar disorder I (n=5), schizophrenia (n=3), dysthymic disorder (n=3), psychotic disorder (n=3), panic disorder (n=2), and Obsessive Compulsive Disorder (n=2). The verbal fluency task was administered during blood flow recording from the frontal and temporal lobes.

RESULTS

We found that severity of depression was negatively correlated with the integral value of blood flow in the frontal lobe, irrespective of psychiatric diagnosis (F=5.94, p=0.02).

DISCUSSION

Our results support blood flow in the frontal lobe as a potential biomarker of depression severity across various psychiatric disorders.

LIMITATION

Limited sample size, no replication in the second set.

摘要

引言

寻找精神疾病的客观生物标志物有着悠久的历史。尽管如此,尚未开发出普遍接受的检测生物标志物的仪器或方法。近红外光谱可能是一个例外,尽管解释用该技术记录的血流测量结果仍存在争议。在本研究中,我们旨在调查各种精神疾病患者记录的血流与使用汉密尔顿抑郁量表评估的抑郁严重程度之间的关系。

方法

纳入的患者(n = 43)有DSM-IV诊断的重度抑郁症(n = 25)、双相I型障碍(n = 5)、精神分裂症(n = 3)、恶劣心境障碍(n = 3)、精神障碍(n = 3)、惊恐障碍(n = 2)和强迫症(n = 2)。在记录额叶和颞叶血流期间进行言语流畅性任务。

结果

我们发现,无论精神疾病诊断如何,抑郁严重程度与额叶血流积分值呈负相关(F = 5.94,p = 0.02)。

讨论

我们的结果支持额叶血流作为各种精神疾病中抑郁严重程度的潜在生物标志物。

局限性

样本量有限,未在第二组中重复。

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