Wu Yushan, Qiao Shi, Zhong Jitao, Zhang Lu, Wang Juan, Hu Bin, Peng Hong
Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China.
Department of Psychological Medicine, Seventh Medical Center of PLA General Hospital, Beijing, China.
CNS Neurosci Ther. 2024 Nov;30(11):e70139. doi: 10.1111/cns.70139.
Major depressive disorder (MDD) is one of the most common mental disorders, and the number of individuals with MDD (MDDs) continues to increase. Therefore, there is an urgent need for an objective characterization and real-time detection method for depression. Functional near-infrared spectroscopy (fNIRS) is a non-invasive tool, which is widely used in depression research. However, the process of how the brain activity of MDDs changes in response to external stimuli based on fNIRS signals is not yet clear.
Energy landscape (EL) can describe the brain dynamics under task conditions by assigning energy values to each state. The higher the energy value, the lower the probability of the state occurring. This study compares the EL features of 60 MDDs with 60 healthy controls (HCs).
Compared to HCs, MDDs have more local minima, smaller energy differences, smaller variations in basin sizes, and longer duration in the basin of global minimum (GM). The classification results indicate that using the four features above for depression detection yields an accuracy of 86.53%. Simultaneously, there are significant differences between the two groups in the duration of the major states.
The dynamic brain networks of MDDs exhibit more constraints and lower degrees of freedom, which might be associated with depressive symptoms such as negative emotional bias and rumination. In addition, we also demonstrate the strong depression detection capability of EL features, providing a possibility for their application in clinical diagnosis.
重度抑郁症(MDD)是最常见的精神障碍之一,且患有MDD的人数持续增加。因此,迫切需要一种针对抑郁症的客观特征描述和实时检测方法。功能近红外光谱(fNIRS)是一种非侵入性工具,广泛应用于抑郁症研究。然而,基于fNIRS信号,MDD患者的大脑活动如何响应外部刺激的过程尚不清楚。
能量景观(EL)可以通过为每个状态分配能量值来描述任务条件下的大脑动力学。能量值越高,该状态出现的概率越低。本研究比较了60名MDD患者和60名健康对照(HCs)的EL特征。
与HCs相比,MDD患者有更多的局部最小值、更小的能量差、盆地大小的变化更小以及在全局最小值(GM)盆地中的持续时间更长。分类结果表明,使用上述四个特征进行抑郁症检测的准确率为86.53%。同时,两组在主要状态的持续时间上存在显著差异。
MDD患者的动态脑网络表现出更多的约束和更低的自由度,这可能与诸如负性情绪偏差和沉思等抑郁症状有关。此外,我们还证明了EL特征具有强大的抑郁症检测能力,为其在临床诊断中的应用提供了可能性。