定量与定性脑电图在抑郁症诊断与监测中的应用。临床神经生理学的现代方法。

Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology.

作者信息

Kopańska Marta, Ochojska Danuta, Sarzyńska Izabela, Bartkowska Oliwia, Szczygielski Jacek

机构信息

Faculty of Medicine, Department of Medical Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, Poland.

Laboratory of Neurophysiology, Clinimetrics and Microsurgical Training, Centre for Innovative Research in Medical and Natural Sciences, Collegium Medicum, University of Rzeszów, Rzeszów, Poland.

出版信息

Front Hum Neurosci. 2025 Aug 8;19:1624434. doi: 10.3389/fnhum.2025.1624434. eCollection 2025.

Abstract

CONTEXT

Depressive disorders are one of the greatest public health challenges, affecting more than 300 million people worldwide. Traditional diagnostic methods are based on subjective clinical assessments, which limits their accuracy and reproducibility. Therefore, there is an urgent need to implement objective, easily accessible diagnostic tools. One such tool is quantitative electroencephalography (QEEG), which allows for the analysis of the bioelectrical activity of the brain in a non-invasive and precise manner.

METHODS

In this narrative review, the latest research on the use of QEEG and traditional EEG in the assessment of patients with major depressive disorder (MDD) was analyzed. The literature search was carried out in the PubMed and SpringerLink databases, focusing on articles investigating the correlations between spectral EEG properties (alpha, beta, theta, delta, gamma waves) and symptoms of depression.

RESULTS

The literature review indicates the presence of characteristic patterns of brain activity in patients with MDD, such as alpha wave asymmetry in the frontal areas, increased beta band activity, and changes in the theta and delta waves. This indicates the potential use of these parameters as biomarkers for early detection and monitoring of therapy effectiveness.

CONCLUSIONS

QEEG and classical EEG may play an important role in the diagnosis and treatment of depression, supporting the development of personalized therapeutic strategies. Despite promising results, further research on the standardization of methods and validation of neurophysiological indicators is needed to enable their wider application in psychiatric clinical practice.

摘要

背景

抑郁症是最大的公共卫生挑战之一,全球有超过3亿人受其影响。传统的诊断方法基于主观临床评估,这限制了其准确性和可重复性。因此,迫切需要采用客观、易于获取的诊断工具。定量脑电图(QEEG)就是这样一种工具,它能够以非侵入性且精确的方式分析大脑的生物电活动。

方法

在这篇叙述性综述中,分析了关于使用QEEG和传统脑电图评估重度抑郁症(MDD)患者的最新研究。在PubMed和SpringerLink数据库中进行文献检索,重点关注研究脑电图频谱特性(α波、β波、θ波、δ波、γ波)与抑郁症状之间相关性的文章。

结果

文献综述表明,MDD患者存在特征性的脑活动模式,如额叶区域的α波不对称、β频段活动增加以及θ波和δ波的变化。这表明这些参数有可能作为生物标志物用于早期检测和监测治疗效果。

结论

QEEG和传统脑电图可能在抑郁症的诊断和治疗中发挥重要作用,有助于制定个性化治疗策略。尽管取得了有前景的结果,但仍需要进一步研究方法的标准化和神经生理指标的验证,以便它们能在精神科临床实践中更广泛地应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b399/12372338/a992f36dc594/fnhum-19-1624434-g0001.jpg

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