老年期抑郁症中微扫视反应的破坏。
Disrupted microsaccade responses in late-life depression.
作者信息
Lee Yao-Tung, Tai Ying-Hsuan, Chang Yi-Hsuan, Barquero Cesar, Chao Shu-Ping, Wang Chin-An
机构信息
Department of Psychiatry, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
出版信息
Sci Rep. 2025 Jan 22;15(1):2827. doi: 10.1038/s41598-025-86399-9.
Late-life depression (LLD) is a psychiatric disorder in older adults, characterized by high prevalence and significant mortality rates. Thus, it is imperative to develop objective and cost-effective methods for detecting LLD. Individuals with depression often exhibit disrupted levels of arousal, and microsaccades, as a type of fixational eye movement that can be measured non-invasively, are known to be modulated by arousal. This makes microsaccades a promising candidate as biomarkers for LLD. In this study, we used a high-resolution, video-based eye-tracker to examine microsaccade behavior in a visual fixation task between LLD patients and age-matched healthy controls (CTRL). Our goal was to determine whether microsaccade responses are disrupted in LLD compared to CTRL. LLD patients exhibited significantly higher microsaccade peak velocities and larger amplitudes compared to CTRL. Although microsaccade rates were lower in LLD than in CTRL, these differences were not statistically significant. Additionally, while both groups displayed microsaccadic inhibition and rebound in response to changes in background luminance, this modulation was significantly blunted in LLD patients, suggesting dysfunction in the neural circuits responsible for microsaccade generation. Together, these findings, for the first time, demonstrate significant alterations in microsaccade behavior in LLD patients compared to CTRL, highlighting the potential of these disrupted responses as behavioral biomarkers for identifying individuals at risk for LLD.
老年期抑郁症(LLD)是一种发生于老年人的精神障碍,其特点是患病率高且死亡率显著。因此,开发客观且经济高效的LLD检测方法势在必行。抑郁症患者通常表现出觉醒水平紊乱,而微扫视作为一种可通过非侵入性方式测量的注视性眼球运动,已知会受到觉醒的调节。这使得微扫视成为LLD生物标志物的一个有前景的候选指标。在本研究中,我们使用基于视频的高分辨率眼动仪,检查了LLD患者与年龄匹配的健康对照(CTRL)在视觉注视任务中的微扫视行为。我们的目标是确定与CTRL相比,LLD患者的微扫视反应是否受到干扰。与CTRL相比,LLD患者表现出显著更高的微扫视峰值速度和更大的幅度。虽然LLD患者的微扫视频率低于CTRL,但这些差异无统计学意义。此外,尽管两组在背景亮度变化时均表现出微扫视抑制和反弹,但这种调节在LLD患者中明显减弱,表明负责微扫视产生的神经回路存在功能障碍。总之,这些发现首次证明了与CTRL相比LLD患者微扫视行为的显著改变,突出了这些受干扰反应作为识别LLD风险个体的行为生物标志物的潜力。
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