Sharpley Christopher F, Evans Ian D, Bitsika Vicki, Vessey Kirstan A, Odierna G Lorenzo, Jesulola Emmanuel, Agnew Linda L
Brain-Behaviour Research Group, School of Science & Technology, University of New England, Queen Elizabeth Drive, Armidale, NSW 2351, Australia.
Department of Neurosurgery, The Alfred Hospital, Melbourne, VIC 3004, Australia.
J Clin Med. 2025 Jul 26;14(15):5295. doi: 10.3390/jcm14155295.
Depression is a major disorder that has been described in terms of its underlying neurological characteristics, often measured via EEG. However, almost all previous research into the EEG correlates of depression has used a unitary model of Major Depressive Disorder (MDD), whereas there is strong evidence that MDD is heterogeneous in its symptomatology and neurological underpinnings. To investigate the EEG signatures of four subtypes of depression defined according to the previous literature, the Zung Self-rating Depression Scale was administered to 54 male and 46 female volunteers (M age = 32.53 yr). EEG data were collected during an Eyes Closed condition and examined for differences in connectivity across brain networks in the alpha- and beta-bands. The results were examined in terms of the number and direction of connectivity differences between depressed and non-depressed participants within each depression subtype, the alpha- and beta-band connectivities, the regions of the brain that were connected, and the possible functional reasons why specific brain regions were differently connected for depressed and non-depressed participants within each MDD subtype. The results suggested some differences in the alpha- and beta-band connectivity between some of the MDD subtypes that are worth considering as representing different neurological signatures across the depression subtypes. These findings represent an initial challenge to defining depression as a unitary phenomenon, and suggest possible benefits for further research into the underlying neurological phenomena of depression subtypes.
抑郁症是一种主要的疾病,常根据其潜在的神经学特征进行描述,这些特征通常通过脑电图(EEG)来测量。然而,几乎所有先前关于抑郁症脑电图相关性的研究都使用了单相重度抑郁症(MDD)模型,而有强有力的证据表明,MDD在症状学和神经学基础方面是异质性的。为了研究根据先前文献定义的四种抑郁症亚型的脑电图特征,对54名男性和46名女性志愿者(平均年龄 = 32.53岁)进行了zung自评抑郁量表测试。在闭眼状态下收集脑电图数据,并检查α波和β波频段大脑网络连接性的差异。根据每种抑郁症亚型中抑郁和非抑郁参与者之间连接性差异的数量和方向、α波和β波频段的连接性、相互连接的脑区,以及在每种MDD亚型中抑郁和非抑郁参与者特定脑区连接方式不同的可能功能原因来检查结果。结果表明,一些MDD亚型之间在α波和β波频段连接性上存在一些差异,这些差异值得被视为代表了不同抑郁症亚型的不同神经学特征。这些发现对将抑郁症定义为一种单一现象构成了初步挑战,并为进一步研究抑郁症亚型潜在的神经学现象提供了可能的益处。