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重度抑郁症患者皮质厚度的区域减少及其与病程的相关性:一项病例对照研究。

Regional decreases of cortical thickness in major depressive disorder and their correlation with illness duration: a case-control study.

作者信息

Wang Fukun, Hou Xiaofang, Guo Xiao, Zang Chen, Wu Gang, Zhao Jingjing

机构信息

General Committee Office, Zhumadian Second People's Hospital, Zhengzhou, Henan, China.

Laboratory of Magnetic Resonance, Zhumadian Second People's Hospital, Zhengzhou, Henan, China.

出版信息

Front Psychiatry. 2024 Jan 23;15:1297204. doi: 10.3389/fpsyt.2024.1297204. eCollection 2024.

Abstract

BACKGROUND

Alterations in brain structure and function in major depressive disorder (MDD) have been identified in a number of studies, but findings regarding cortical thickness were various and inconsistent. Our current study aims to explore the differences in cortical thickness between individuals with MDD and healthy controls (HC) in a Chinese population.

METHODS

We investigated T1-weighted brain magnetic resonance imaging data from 61 participants (31 MDD and 30 HC). The cortical thickness between the two groups and analyzed correlations between cortical thickness and demographic variables in the MDD group for regions with significant between-group differences were conducted.

RESULTS

Compared with the HC group, patients with MDD had significantly decreased cortical thickness, in left pars triangularis, left pars orbitalis, left rostral middle frontal gyrus, left supramarginal gyrus, right parahippocampal gyrus, right lingual gyrus, right fusiform and right inferior parietal gyrus. The cortical thickness of left rostral middle frontal gyrus was negatively correlated ( = -0.47,  = 0.028) with the illness duration in patients with MDD.

CONCLUSION

Our study distinguished that cortical thickness decreases in numerous brain regions both in the left and right hemisphere in individuals with MDD, and the negative correlation between the cortical thickness of left rostral middle frontal gyrus illness duration. Our current findings are valuable in providing neural markers to identify MDD and understanding the potential pathophysiology of mood disorders.

摘要

背景

多项研究已确定重度抑郁症(MDD)患者的脑结构和功能存在改变,但关于皮质厚度的研究结果各不相同且不一致。我们目前的研究旨在探讨中国人群中MDD患者与健康对照(HC)之间皮质厚度的差异。

方法

我们调查了61名参与者(31名MDD患者和30名HC)的T1加权脑磁共振成像数据。对两组之间的皮质厚度进行了比较,并分析了MDD组中两组间差异显著区域的皮质厚度与人口统计学变量之间的相关性。

结果

与HC组相比,MDD患者的左侧三角部、左侧眶部、左侧额中回喙部、左侧缘上回、右侧海马旁回、右侧舌回、右侧梭状回和右侧顶下小叶的皮质厚度显著降低。MDD患者左侧额中回喙部的皮质厚度与病程呈负相关(r = -0.47,P = 0.028)。

结论

我们的研究表明,MDD患者左右半球的多个脑区皮质厚度均降低,且左侧额中回喙部皮质厚度与病程呈负相关。我们目前的研究结果对于提供识别MDD的神经标志物以及理解情绪障碍的潜在病理生理学具有重要价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968b/10844537/a9346aa4a799/fpsyt-15-1297204-g001.jpg

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