Zhang Yajuan, Guo Lianghu, Gu Zhuoyang, Yang Qing, Han Siyan, Zhang Han
School of Biomedical Engineering and State Key Laboratory of Advanced Medical Materials and Devices, ShanghaiTech University, Shanghai 201210, China.
Shanghai Clinical Research and Trial Center, Shanghai 201210, China.
Brain Sci. 2024 Dec 25;15(1):7. doi: 10.3390/brainsci15010007.
Prolonged confinement in enclosed environments has raised concerns about its effects on both physical and mental health. Although increased rates of depression or anxiety during COVID-19 lockdowns have been reported, the effects of short-term restrictions on social activities and physical on brain function and structure remain poorly known.
This study explored longitudinal changes in brain gray matter volume (GMV) and functional connectivity (FC) immediately after and four months following a short-term lockdown in comparison to pre-lockdown conditions. MRI data were collected from 20 participants before the lockdown, from 29 participants (14 original, 15 new) two months post-lockdown, and from 27 out of the 29 participants four months post-lifting of the lockdown.
Results showed significant GMV reductions in the right gyrus rectus and cuneus post-lockdown, with further reductions observed four months after lifting the restrictions, affecting additional brain regions. Longitudinal FC trajectories revealed decreased connectivity between the default mode network (DMN) and sensorimotor/attention networks post-lockdown, and recovery after four months post-lifting of the lockdown.
The observed plasticity in brain FC indicates substantial recovery potential with the potential long-term effect of structural changes. Our findings offer insights into the effects of isolation on the human brain, potentially informing rehabilitation mechanisms and interventions for individuals in similar conditions.
长期封闭在封闭环境中引发了人们对其对身心健康影响的担忧。尽管有报道称在新冠疫情封锁期间抑郁或焦虑率有所上升,但短期社交活动限制和身体活动限制对大脑功能和结构的影响仍知之甚少。
本研究探讨了与封锁前相比,短期封锁后即刻及四个月后大脑灰质体积(GMV)和功能连接(FC)的纵向变化。在封锁前从20名参与者收集MRI数据,在封锁后两个月从29名参与者(14名原有参与者,15名新参与者)收集数据,在解除封锁四个月后从这29名参与者中的27名收集数据。
结果显示,封锁后右侧直回和楔叶的GMV显著减少,在解除限制四个月后观察到进一步减少,影响到更多脑区。纵向FC轨迹显示,封锁后默认模式网络(DMN)与感觉运动/注意力网络之间的连接减少,解除封锁四个月后恢复。
观察到的大脑FC可塑性表明具有显著的恢复潜力以及结构变化的潜在长期影响。我们的研究结果为隔离对人脑的影响提供了见解,可能为处于类似情况的个体的康复机制和干预措施提供信息。