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重度抑郁症患者与健康对照者之间额-边缘回路的脑电图相干性。

EEG coherences of the fronto-limbic circuit between patients with major depressive disorder and healthy controls.

作者信息

Huang Min-Han, Fan Sheng-Yu, Lin I-Mei

机构信息

Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan.

Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

J Affect Disord. 2023 Jun 15;331:112-120. doi: 10.1016/j.jad.2023.03.055. Epub 2023 Mar 21.

Abstract

BACKGROUND

Imaging studies found that patients with major depressive disorder (MDD) showed abnormal functional connectivity in the fronto-limbic circuit, including the prefrontal cortex (PFC), anterior cingulate cortex (ACC), and limbic system (amygdala). This study used electroencephalography (EEG) coherence as an indicator of functional connectivity in the fronto-limbic circuit and examined the group differences between the MDD group and healthy controls (HC group), and the associations between EEG coherence and depressive symptoms.

METHODS

125 and 132 participants in the MDD and HC groups have measured the symptoms of depression and anxiety, and delta, theta, alpha, and beta1-beta4 EEG coherences in the fronto-limbic circuit and examined the differences between the two groups, and the associations between the EEG coherence and depressive symptoms were examined.

RESULTS

Lower theta, alpha, beta1, beta3, and beta4 coherence in the fronto-limbic circuit and higher beta2 coherence between the PFC and limbic system in the MDD group than in the HC group. Negative correlations between delta, theta, beta1, beta3, and beta4 coherence and total depression, cognitive depression, and somatic depression; positive correlations between beta2 coherences in the PFC and limbic system, and total depression and cognitive depression scores in the MDD group.

LIMITATIONS

Whether low EEG coherence in the fronto-limbic circuit is applicable to other subtypes of MDD requires further study.

CONCLUSIONS

Low EEG coherences in the fronto-limbic circuit were related to depressive symptoms, and increased functional connectivity in the fronto-limbic circuit can be applied by neurofeedback in future studies.

摘要

背景

影像学研究发现,重度抑郁症(MDD)患者在额-边缘回路表现出功能连接异常,该回路包括前额叶皮质(PFC)、前扣带回皮质(ACC)和边缘系统(杏仁核)。本研究采用脑电图(EEG)相干性作为额-边缘回路功能连接的指标,研究了MDD组与健康对照组(HC组)之间的组间差异,以及EEG相干性与抑郁症状之间的关联。

方法

MDD组和HC组的125名和132名参与者测量了抑郁和焦虑症状,以及额-边缘回路中的δ、θ、α和β1-β4 EEG相干性,研究了两组之间的差异,并检验了EEG相干性与抑郁症状之间的关联。

结果

与HC组相比,MDD组额-边缘回路中的θ、α、β1、β3和β4相干性较低,PFC与边缘系统之间的β2相干性较高。δ、θ、β1、β3和β4相干性与总抑郁、认知抑郁和躯体抑郁呈负相关;MDD组中PFC与边缘系统之间的β2相干性与总抑郁和认知抑郁评分呈正相关。

局限性

额-边缘回路中低EEG相干性是否适用于MDD的其他亚型需要进一步研究。

结论

额-边缘回路中低EEG相干性与抑郁症状有关,未来研究中可以通过神经反馈应用增加额-边缘回路的功能连接。

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