Suppr超能文献

探讨重性抑郁障碍中自杀意念的神经认知相关性:额顶网络和默认模式网络的作用。

Exploring the neurocognitive correlates of suicidal ideation in major depressive disorder: The role of frontoparietal and default mode networks.

机构信息

Department of Psychiatry, Jining Medical University, Jining, 272000, China.

Medical Imaging Department, Shandong Daizhuang Hospital, Jining, 272000, China.

出版信息

J Psychiatr Res. 2024 Sep;177:211-218. doi: 10.1016/j.jpsychires.2024.07.009. Epub 2024 Jul 15.

Abstract

Suicidal ideation (SI) is a common symptom of major depressive disorder (MDD), often accompanied by cognitive alterations and emotional dysregulation. However, it is unclear whether cognitive dysfunction in patients with MDD is related to the presence or absence of SI and impaired connectivity within or between large-scale neurocognitive networks. Previous studies have shown that the frontoparietal network (FPN) and default mode network (DMN) are critical for cognitive control and emotional regulation. Participants were 51 MDD patients with suicidal ideation (MDDSI), 52 MDD patients without suicidal ideation (MDDNSI), and 55 healthy controls (HC). Using areas located within FPN and DMN networks as regions of interest (ROIs), we compared the cognitive performance of the three groups and the strength of the resting state functional connections (RSFC) within and between the FPN and DMN networks. Additionally, we examined the correlation between the strength of FC within the FPN and cognitive function in the SI group. Furthermore, network-based statistics (NBS) were used to correct for the strength of FPN and DMN functional connections. The study identified significant cognitive deficits in MDD patients. Reduced strength of FC was observed within the FPN and DMN networks in the SI group compared to the NSI group. In the SI group, the strength of FC within the FPN network was positively correlated with attention/vigilance. These insights underscore the critical roles of the FPN and DMN in the suicidal ideation, shedding light on the cognitively relevant neurobiological characteristics of MDDSI, providing new insights into the neural mechanisms of MDDSI. URL: https://www.chictr.org.cn/bin/project/edit?pid=131537. Registration number: ChiCTR2100049646.

摘要

自杀意念(SI)是重性抑郁障碍(MDD)的常见症状,常伴有认知改变和情绪调节障碍。然而,目前尚不清楚 MDD 患者的认知功能障碍是否与 SI 的存在与否以及大尺度神经认知网络内或网络间的连通性受损有关。既往研究表明,额顶网络(FPN)和默认模式网络(DMN)对认知控制和情绪调节至关重要。参与者为 51 例有自杀意念的 MDD 患者(MDDSI)、52 例无自杀意念的 MDD 患者(MDDNSI)和 55 名健康对照者(HC)。我们采用 FPN 和 DMN 网络内的感兴趣区(ROI)比较三组的认知表现和 FPN 与 DMN 网络内及网络间的静息状态功能连接(RSFC)强度。此外,我们还研究了 FPN 内 FC 强度与 SI 组认知功能的相关性。此外,我们还采用基于网络的统计学(NBS)校正 FPN 和 DMN 功能连接的强度。研究发现 MDD 患者存在明显的认知缺陷。与 NSI 组相比,SI 组 FPN 和 DMN 网络内的 FC 强度降低。在 SI 组,FPN 网络内的 FC 强度与注意力/警觉性呈正相关。这些结果突出了 FPN 和 DMN 在自杀意念中的关键作用,阐明了 MDDSI 与认知相关的神经生物学特征,为 MDDSI 的神经机制提供了新的见解。网址:https://www.chictr.org.cn/bin/project/edit?pid=131537. 注册号:ChiCTR2100049646.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验