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经颅磁刺激诱发的前额叶扰动作为新冠疫情期间大脑应激恢复力的简化模型

TMS-Evoked Prefrontal Perturbation as a Toy Model of Brain Resilience to Stress During the COVID-19 Pandemic.

作者信息

Perellón-Alfonso Ruben, Redondo-Camós María, Abellaneda-Pérez Kilian, Cattaneo Gabriele, Delgado-Gallén Selma, España-Irla Goretti, Sánchez Javier Solana, Tormos José María, Pascual-Leone Alvaro, Bartrés-Faz David

机构信息

University of Barcelona.

Institut Guttmann.

出版信息

Res Sq. 2021 Dec 13:rs.3.rs-1139350. doi: 10.21203/rs.3.rs-1139350/v1.


DOI:10.21203/rs.3.rs-1139350/v1
PMID:34931185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8687479/
Abstract

Psychosocial hardships associated with the COVID-19 pandemic led many individuals to suffer adverse mental health consequences, however, others show no negative effects. We hypothesized that the electroencephalographic (EEG) response to transcranial magnetic stimulation (TMS) could serve as a toy-model of an individual's capacity to resist psychological stress, in this case linked to the COVID-19 pandemic. We analyzed data from 74 participants who underwent mental health monitoring and concurrent electroencephalography with transcranial magnetic stimulation of the left dorsolateral prefrontal cortex (L-DLPFC) and left inferior parietal lobule (L-IPL). Within the following 19 months, mental health was reassessed at three time points during lock-down confinement and different phases of de-escalation in Spain. Compared with participants who remained stable, those who experienced increased mental distress showed, months earlier, significantly larger late EEG responses locally after L-DLPFC stimulation (but not globally nor after L-IPL stimulation). This response, together with years of formal education, was significantly predictive of mental health status during the pandemic. These findings reveal that the effect of TMS perturbation offers a predictive toy model of psychosocial stress resilience, as exemplified by the COVID-19 pandemic, and point to the L-DLPFC as a promising target for resilience promotion.

摘要

与新冠疫情相关的心理社会困境致使许多人出现不良心理健康后果,然而,其他人却未表现出负面影响。我们推测,经颅磁刺激(TMS)引发的脑电图(EEG)反应可作为个体抵抗心理压力能力的简化模型,在此案例中,这种心理压力与新冠疫情相关。我们分析了74名参与者的数据,这些参与者接受了心理健康监测,并在对左侧背外侧前额叶皮质(L-DLPFC)和左侧顶下小叶(L-IPL)进行经颅磁刺激的同时进行了脑电图检查。在接下来的19个月里,在西班牙的封锁隔离期间以及不同的解封阶段,在三个时间点对心理健康进行了重新评估。与保持稳定的参与者相比,那些经历了心理困扰增加的参与者在数月前L-DLPFC刺激后局部脑电图的晚期反应明显更大(但整体上以及L-IPL刺激后并非如此)。这种反应,连同受正规教育的年限,对疫情期间的心理健康状况具有显著的预测作用。这些发现表明,TMS扰动的效应提供了一个心理社会应激复原力的预测性简化模型,如新冠疫情所例证的那样,并指出L-DLPFC是促进复原力的一个有前景的靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/8d009a2d0a61/nihpp-rs1139350v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/7758a89e1e70/nihpp-rs1139350v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/153e14fb806b/nihpp-rs1139350v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/da1e59161d5f/nihpp-rs1139350v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/8d009a2d0a61/nihpp-rs1139350v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/7758a89e1e70/nihpp-rs1139350v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/153e14fb806b/nihpp-rs1139350v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/da1e59161d5f/nihpp-rs1139350v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c982/8687479/8d009a2d0a61/nihpp-rs1139350v1-f0004.jpg

相似文献

[1]
TMS-Evoked Prefrontal Perturbation as a Toy Model of Brain Resilience to Stress During the COVID-19 Pandemic.

Res Sq. 2021-12-13

[2]
Prefrontal reactivity to TMS perturbation as a toy model of mental health outcomes during the COVID-19 pandemic.

Heliyon. 2022-8-17

[3]
Modulation of cortical responses by transcranial direct current stimulation of dorsolateral prefrontal cortex: A resting-state EEG and TMS-EEG study.

Brain Stimul. 2018-6-18

[4]
Altered Transcranial Magnetic Stimulation-Electroencephalographic Markers of Inhibition and Excitation in the Dorsolateral Prefrontal Cortex in Major Depressive Disorder.

Biol Psychiatry. 2018-10-18

[5]
Removing artefacts from TMS-EEG recordings using independent component analysis: importance for assessing prefrontal and motor cortex network properties.

Neuroimage. 2014-7-25

[6]
Cortical responses to noninvasive perturbations enable individual brain fingerprinting.

Brain Stimul. 2021

[7]
Dose-response of intermittent theta burst stimulation of the prefrontal cortex: A TMS-EEG study.

Clin Neurophysiol. 2022-4

[8]
Concurrent TMS-EEG to reveal the neuroplastic changes in the prefrontal and insular cortices in the analgesic effects of DLPFC-rTMS.

Cereb Cortex. 2022-10-8

[9]
A combined TMS-EEG study of short-latency afferent inhibition in the motor and dorsolateral prefrontal cortex.

J Neurophysiol. 2016-9-1

[10]
The timing of transcranial magnetic stimulation relative to the phase of prefrontal alpha EEG modulates downstream target engagement.

Brain Stimul. 2023

本文引用的文献

[1]
Human Brain Resilience: A Call to Action.

Ann Neurol. 2021-9

[2]
Cortical responses to noninvasive perturbations enable individual brain fingerprinting.

Brain Stimul. 2021

[3]
The paradoxical effect of COVID-19 outbreak on loneliness.

BJPsych Open. 2021-1-11

[4]
Beware of Optimism Bias in the Context of the COVID-19 Pandemic.

Ann Neurol. 2021-3

[5]
Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies.

Int J Clin Health Psychol. 2021

[6]
Physical Health and Psychosocial Considerations During the Coronavirus Disease 2019 Outbreak.

Psychosomatics. 2020

[7]
Source-based artifact-rejection techniques available in TESA, an open-source TMS-EEG toolbox.

Brain Stimul. 2020

[8]
Spatiotemporal Dynamics of Single and Paired Pulse TMS-EEG Responses.

Brain Topogr. 2020-7

[9]
Development of a scale battery for rapid assessment of risk and resilience.

Psychiatry Res. 2020-4-18

[10]
Mental Health and the Covid-19 Pandemic.

N Engl J Med. 2020-8-6

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