Increased neural response to social rejection in major depression

Kumar Poornima; Waiter Gordon D; Dubois Magda; Milders Maarten; Reid Ian; Steele J Douglas

摘要

Background >Being a part of community is critical for survival and individuals with major depressive disorder (MDD) have a greater sensitivity to interpersonal stress that makes them vulnerable to future episodes. Social rejection is a critical risk factor for depression and it is said to increase interpersonal stress and thereby impairing social functioning. It is therefore critical to understand the neural correlates of social rejection in MDD. </section> <section xml:id="da22665-sec-0020"> <title type="main">Methods >To this end, we scanned 15 medicated MDD and 17 healthy individuals during a modified cyberball passing game, where participants were exposed to increasing levels of social exclusion. Neural responses to increasing social exclusion were investigated and compared between groups. </section> <section xml:id="da22665-sec-0030"> <title type="main">Results >We showed that compared to controls, MDD individuals exhibited greater amygdala, insula, and ventrolateral prefrontal cortex activation to increasing social exclusion and this correlated negatively with hedonic tone and self‐esteem scores across all participants. </section> <section xml:id="da22665-sec-0040"> <title type="main">Conclusions >These preliminary results support the hypothesis that depression is associated with hyperactive response to social rejection. These findings highlight the importance of studying social interactions in depression, as they often lead to social withdrawal and isolation. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“Main”XML：Lang =“en”> <第XML：ID =“da22665-ec-0010”> <标题类型=“main”>背景</ title> >是社区的一部分对于生存和具有重大抑郁症（MDD）的个体至关重要，对人际压力具有更大的敏感性，使他们容易受到未来的剧集。社会拒绝是抑郁症的关键风险因素，据说据说增加人际压力，从而损害了社会功能。因此，了解MDD中的社会拒绝的神经关联至关重要。</ p> </段> <部分XML：ID =“da22665-ex-0020”> <标题类型=“main”>方法</ title> >至此，我们在改进的汇丰通过游戏中扫描了15个药物MDD和17个健康个体，参与者接触到增加的社会排斥水平。对增加社会排斥的神经响应进行了调查并在组之间进行了比较。</ p> </ section> <section XML：ID =“da22665-ec-0030”> <标题类型=“main”>结果</ title> >我们表明，与对照相比，MDD个体表现出较大的杏仁醛，insula和腹外侧前额定皮层激活，以增加社会排斥，并且这种情况与所有参与者的蜂鸟类音调和自尊分数负相关。</ p> </段> < XML部分：ID =“da22665-sec-0040”> <标题类型=“main”>结论</ title> >这些初步结果支持抑郁症与对社会拒绝的过度响应相关的假设。这些发现突出了研究抑郁症社交互动的重要性，因为它们往往导致社会撤离和隔离。</ p> </段> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" > 著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32884/'>《Depression and anxiety 》</a> <b style="margin: 0 2px;">|</b><span>2017年第11期</span><b style="margin: 0 2px;">|</b> <span>共8页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Kumar Poornima&option=202" target="_blank" rel="nofollow">Kumar Poornima;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Waiter Gordon D&option=202" target="_blank" rel="nofollow">Waiter Gordon D;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Dubois Magda&option=202" target="_blank" rel="nofollow">Dubois Magda;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Milders Maarten&option=202" target="_blank" rel="nofollow">Milders Maarten;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Reid Ian&option=202" target="_blank" rel="nofollow">Reid Ian;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Steele J Douglas&option=202" target="_blank" rel="nofollow">Steele J Douglas;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Center for DepressionMcLean HospitalBelmont MA USA;</p> <p>Aberdeen Biomedical Imaging CentreUniversity of AberdeenScotland UK;</p> <p>Center for DepressionMcLean HospitalBelmont MA USA;</p> <p>Department of Clinical NeuropsychologyVrije UniversiteitAmsterdam Netherlands;</p> <p>The Institute of Medical SciencesUniversity of AberdeenScotland UK;</p> <p>Medical School (Neuroscience)University of DundeeScotland UK;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li> <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span>R749.72; </span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=amygdala&option=203" rel="nofollow">amygdala;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=cyberball&option=203" rel="nofollow">cyberball;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=insula&option=203" rel="nofollow">insula;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=self‐esteem&option=203" rel="nofollow">self‐esteem;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=social exclusion&option=203" rel="nofollow">social exclusion;</a> </p> <div class="translation"> 机译：Amygdala;Cygerball;Insula;自尊;社会排斥; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" 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href="/patent-detail/06130442803237.html">Methods for improving the treatment of major depression by genotyping for the gene for apolipoproteine e4 and for improving the terapeutic response of humans having major depression and carrying the gene for apolipoprotein e4</a> <b>[P]</b> . <span> 外国专利：  US2004106124A1 </span> <span> . 2004-06-03</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：通过对载脂蛋白e4基因进行基因分型来改善重症抑郁症的治疗方法和改善患有重度抑郁症并携带载脂蛋白e4基因的人的治疗反应的方法 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130432363824.html">Use of Mirtazapine for improving the therapeutic response of humans having major depression and carrying the gene for apolipoprotein E4</a> <b>[P]</b> . <span> 外国专利：  EP1442133B1 </span> <span> . 2007-12-12</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: 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