Department of Psychiatry, Columbia University, New York, NY, USA.
New York State Psychiatric Institute, New York, NY, USA.
J Psychiatr Res. 2021 Sep;141:233-240. doi: 10.1016/j.jpsychires.2021.07.003. Epub 2021 Jul 8.
For several decades, resting electroencephalogram (EEG) alpha oscillations have been used to characterize neurophysiological alterations related to major depressive disorder. Prior research has generally focused on frontal alpha power and asymmetry despite resting alpha being maximal over posterior electrode sites. Research in depressed adults has shown evidence of hemispheric asymmetry for posterior alpha power, however, the resting posterior alpha-depression link among adolescents remains unclear. To clarify the role of posterior alpha among depressed adolescents, the current study acquired eyes-closed 128-channel resting EEG data from 13 to 18 year-old depressed (n = 31) and healthy (n = 35) female adolescents. Results indicated a significant group by hemisphere interaction, as depressed adolescents exhibited significantly larger posterior alpha (i.e., lower brain activity) over the right versus left hemisphere, whereas healthy adolescents showed no hemispheric differences. Relatively greater alpha over the right versus left hemisphere correlated with depression symptoms, anhedonia symptoms, rumination, and self-criticism. Further, depressed adolescents had reduced overall posterior alpha compared to healthy youth; though, no associations with symptoms and related traits emerged. Resting posterior alpha may be a promising neurophysiological index of adolescent depression, and more broadly, may relate to risk factors characterized by enhanced perseveration.
几十年来,静息脑电图 (EEG) 的阿尔法振荡一直被用于描述与重度抑郁症相关的神经生理变化。尽管静息阿尔法在后部电极位置的功率和不对称性最大,但之前的研究通常集中在额部阿尔法功率和不对称性上。对抑郁成年患者的研究表明,后部阿尔法功率存在半球不对称性,然而,青少年的静息后部阿尔法与抑郁之间的联系仍不清楚。为了阐明抑郁青少年的后部阿尔法的作用,本研究从 13 至 18 岁的抑郁(n=31)和健康(n=35)女性青少年中获取了闭眼 128 通道静息 EEG 数据。结果表明存在显著的组-半球交互作用,抑郁青少年的右半球后部阿尔法(即大脑活动较低)显著大于左半球,而健康青少年则没有半球差异。相对较大的右半球阿尔法与抑郁症状、快感缺失症状、反刍和自我批评有关。此外,与健康青少年相比,抑郁青少年的整体后部阿尔法减少;然而,与症状和相关特征之间没有关联。静息后部阿尔法可能是青少年抑郁的一个有前途的神经生理学指标,更广泛地说,它可能与以增强坚持为特征的风险因素有关。