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重度抑郁症患者默认模式网络同质性异常与人格或血脂水平的潜在相关性。

Potential correlations between abnormal homogeneity of default mode network and personality or lipid level in major depressive disorder.

机构信息

Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, Guangdong, China.

Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

出版信息

Brain Behav. 2024 Jul;14(7):e3622. doi: 10.1002/brb3.3622.

Abstract

BACKGROUND

Default mode network (DMN) is one of the most recognized resting-state networks in major depressive disorder (MDD). However, the homogeneity of this network in MDD remains incompletely explored. Therefore, this study aims to determine whether there is abnormal network homogeneity (NH) of the DMN in MDD patients. At the same time, correlations between clinical variables and brain functional connectivity are examined.

METHODS

We enrolled 42 patients diagnosed with MDD and 42 HCs. A variety of clinical variables were collected, and data analysis was conducted using the NH and independent component analysis methods.

RESULTS

The study shows that MDD patients have higher NH values in the left superior medial prefrontal cortex (MPFC) and left posterior cingulate cortex (PCC) compared to HCs. Additionally, there is a positive correlation between NH values of the left superior MPFC and Eysenck Personality Questionnaire values. NH values of the left PCC are positively linked to CHOL levels, LDL levels, and utilization scores. However, these correlations lose significance after the Bonferroni correction.

CONCLUSION

Our findings indicate the presence of abnormal DMN homogeneity in MDD, underscoring the significance of DMN in the pathophysiology of MDD. Simultaneously, the study provides preliminary evidence for the correlation between clinical variables and brain functional connectivity.

摘要

背景

默认模式网络(DMN)是重度抑郁症(MDD)中最被认可的静息态网络之一。然而,MDD 中该网络的同质性仍未得到充分探索。因此,本研究旨在确定 MDD 患者的 DMN 是否存在异常网络同质性(NH)。同时,还检查了临床变量与脑功能连接之间的相关性。

方法

我们招募了 42 名被诊断为 MDD 的患者和 42 名 HCs。收集了各种临床变量,并使用 NH 和独立成分分析方法进行数据分析。

结果

研究表明,与 HCs 相比,MDD 患者左侧上内侧前额叶皮质(MPFC)和左侧后扣带回皮质(PCC)的 NH 值更高。此外,左侧 MPFC 的 NH 值与 Eysenck 人格问卷值呈正相关。左 PCC 的 NH 值与 CHOL 水平、LDL 水平和利用率评分呈正相关。然而,这些相关性在经过 Bonferroni 校正后失去了意义。

结论

我们的发现表明 MDD 中存在异常的 DMN 同质性,强调了 DMN 在 MDD 病理生理学中的重要性。同时,该研究为临床变量与脑功能连接之间的相关性提供了初步证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e2/11255032/d9362d781425/BRB3-14-e3622-g003.jpg

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