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自主神经变异性可预测抑郁症状的恢复。

Self-dependent neural variability predicts recovery from depressive symptoms.

机构信息

Department of Psychology, Guangdong Key Laboratory of Social Cognitive Neuroscience and Mental Health, Guangdong Provincial Key Laboratory of Brain Function and Disease, Sun Yat-sen University, Guangzhou, Guangdong 510006, China.

出版信息

Soc Cogn Affect Neurosci. 2021 Sep 7;16(9):962-971. doi: 10.1093/scan/nsab050.

Abstract

Researchers have increasingly paid attention to the neural dynamics of depression. This study examined whether self-dependent neural variability predicts recovery from depressive symptoms. Sixty adults with depressive symptoms who were not officially diagnosed with major depressive disorder participated in this study. Participants completed functional magnetic resonance imaging (fMRI) scanning, including a resting-state and a self-reflection task. The fMRI data were used to estimate neural variability, which refers to the temporal variability in regional functional connectivity patterns. Participants then completed the Self-Construal Scale and the Beck Depression Inventory (BDI). The change in BDI scores over 3 months indicated the degree of recovery from depressive symptoms. Self-construal moderated the effects of general neural variability on predicting recovery from depressive symptoms. Interdependent individuals became less depressive with higher general neural variability, but the relationship was not significant in independent individuals. The differences in neural variability between self-related and other-related conditions also predicted recovery from depressive symptoms. The regions contributing to the prediction were mainly distributed in the default-mode network. Based on these results, the harmony between individuals' neural dynamics and self-concept is important for recovery from depressive symptoms, which might be a foundation for individualized treatment and counseling.

摘要

研究人员越来越关注抑郁症的神经动力学。本研究探讨了自我依赖的神经变异性是否可以预测抑郁症状的恢复。60 名有抑郁症状但未被正式诊断为重度抑郁症的成年人参加了这项研究。参与者完成了功能磁共振成像(fMRI)扫描,包括静息状态和自我反思任务。fMRI 数据用于估计神经变异性,它是指区域功能连接模式的时间变异性。参与者随后完成了自我描述量表和贝克抑郁量表(BDI)。3 个月内 BDI 评分的变化表明抑郁症状的恢复程度。自我建构调节了一般神经变异性对预测抑郁症状恢复的影响。相互依存的个体随着一般神经变异性的增加而变得不那么抑郁,但在独立个体中这种关系并不显著。自我相关和他人相关条件之间的神经变异性差异也可以预测抑郁症状的恢复。做出预测的区域主要分布在默认模式网络中。基于这些结果,个体的神经动力学和自我概念之间的和谐对于抑郁症状的恢复很重要,这可能是个体化治疗和咨询的基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af1/8421703/6de514c6eb1b/nsab050f1.jpg

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