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抑郁的功能连接组学:治疗的新视角。

Functional connectomics in depression: insights into therapies.

机构信息

Key Laboratory of Brain-Machine Intelligence for Information Behavior (Ministry of Education and Shanghai), School of Business and Management, Shanghai International Studies University, Shanghai, China; Center for Functional Neuroimaging, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Center for Neuromodulation in Depression and Stress (CNDS), Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Trends Cogn Sci. 2023 Sep;27(9):814-832. doi: 10.1016/j.tics.2023.05.006. Epub 2023 Jun 5.

Abstract

Depression is a common mental disorder characterized by heterogeneous cognitive and behavioral symptoms. The emerging research paradigm of functional connectomics has provided a quantitative theoretical framework and analytic tools for parsing variations in the organization and function of brain networks in depression. In this review, we first discuss recent progress in depression-associated functional connectome variations. We then discuss treatment-specific brain network outcomes in depression and propose a hypothetical model highlighting the advantages and uniqueness of each treatment in relation to the modulation of specific brain network connectivity and symptoms of depression. Finally, we look to the future promise of combining multiple treatment types in clinical practice, using multisite datasets and multimodal neuroimaging approaches, and identifying biological depression subtypes.

摘要

抑郁症是一种常见的精神障碍,其特征为认知和行为症状存在异质性。功能连接组学这一新兴研究范式为解析抑郁症患者大脑网络的组织和功能变化提供了定量理论框架和分析工具。在本综述中,我们首先讨论了与抑郁症相关的功能连接组变化的最新进展。然后,我们讨论了抑郁症中特定治疗方法的脑网络结果,并提出了一个假设模型,重点说明了每种治疗方法在调节特定脑网络连接和抑郁症症状方面的优势和独特性。最后,我们展望了在临床实践中结合多种治疗类型的未来前景,包括使用多中心数据集和多模态神经影像学方法,以及识别生物学抑郁症亚型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd1b/10476530/ffa5d76459e0/nihms-1903409-f0001.jpg

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