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强迫症患者的脑岛体积及其与临床变量的关系。

Insula Volume in Patients Diagnosed with Obsessive Compulsive Disorder and its Relation with Clinical Variables.

作者信息

Yildiz Sevler, Uğur Kerim, Taşkent İsmail, Atmaca Murad

机构信息

Tunceli State Hospital, Department of Psychiatry, Tunceli, Turkey.

Malatya Training and Research Hospital, Department of Psychiatry, Malatya, Turkey.

出版信息

Noro Psikiyatr Ars. 2019 Dec 23;57(2):89-92. doi: 10.29399/npa.24830. eCollection 2020 Jun.

Abstract

INTRODUCTION

Neuroimaging studies performed in recent years on patients with obsessive compulsive disorder have determined anomalies that are possibly associated with the determinant signs and symptoms of the disease. The purpose of this study is to investigate the morphometric changes in insula volume and related parameters in order to understand the etiopathogenesis of obsessive compulsive disorder better.

METHOD

Throughout the study, 20 patients eligible for the study criteria, who were diagnosed with OCD according to DSM-5 diagnostic criteria and receiving inpatient or outpatient treatment after applying to Fırat University Hospital Psychiatry Department, and 13 healthy subjects in the control group have been included in the study. Sociodemographic and Clinical Data Form, Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Yale-Brown Obsession Compulsive Scale (Y-BOCS) and SCID-I have been applied to the patients. Volumetric measurements were performed on the insula by using magnetic resonance imaging (MRI) in patient and control groups.

RESULTS

No significant difference was observed between patients with Obsessive Compulsive Disorder and healthy controls with regard to insula volume.

DISCUSSION

It may be stated that insula may be associated with both the pathophysiology and clinical course of the disease. It is suggested that studies considering the imaging methods examining the functional characteristics of this area and tests on cognitive functions together may lead to significant and efficient results.

摘要

引言

近年来对强迫症患者进行的神经影像学研究已经确定了一些可能与该疾病的决定性体征和症状相关的异常情况。本研究的目的是调查脑岛体积和相关参数的形态计量学变化,以便更好地理解强迫症的病因发病机制。

方法

在整个研究过程中,纳入了20名符合研究标准的患者,这些患者根据DSM-5诊断标准被诊断为强迫症,并在申请菲拉特大学医院精神科后接受住院或门诊治疗,以及13名作为对照组的健康受试者。对患者应用了社会人口统计学和临床数据表、汉密尔顿抑郁评定量表(HAM-D)、汉密尔顿焦虑评定量表(HAM-A)、耶鲁-布朗强迫观念强迫行为量表(Y-BOCS)和精神障碍诊断问卷-Ⅰ(SCID-I)。通过磁共振成像(MRI)对患者组和对照组的脑岛进行体积测量。

结果

强迫症患者和健康对照组在脑岛体积方面未观察到显著差异。

讨论

可以说脑岛可能与该疾病的病理生理学和临床过程都有关联。建议同时考虑检查该区域功能特征的成像方法和认知功能测试的研究可能会产生显著且有效的结果。

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