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Resting-State Quantitative Electroencephalography Reveals Increased Neurophysiologic Connectivity in Depression

机译:静息状态定量脑电图显示抑郁症中增加的神经生理连通性。

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摘要

Symptoms of Major Depressive Disorder (MDD) are hypothesized to arise from dysfunction in brain networks linking the limbic system and cortical regions. Alterations in brain functional cortical connectivity in resting-state networks have been detected with functional imaging techniques, but neurophysiologic connectivity measures have not been systematically examined. We used weighted network analysis to examine resting state functional connectivity as measured by quantitative electroencephalographic (qEEG) coherence in 121 unmedicated subjects with MDD and 37 healthy controls. Subjects with MDD had significantly higher overall coherence as compared to controls in the delta (0.5–4 Hz), theta (4–8 Hz), alpha (8–12 Hz), and beta (12–20 Hz) frequency bands. The frontopolar region contained the greatest number of “hub nodes” (surface recording locations) with high connectivity. MDD subjects expressed higher theta and alpha coherence primarily in longer distance connections between frontopolar and temporal or parietooccipital regions, and higher beta coherence primarily in connections within and between electrodes overlying the dorsolateral prefrontal cortical (DLPFC) or temporal regions. Nearest centroid analysis indicated that MDD subjects were best characterized by six alpha band connections primarily involving the prefrontal region. The present findings indicate a loss of selectivity in resting functional connectivity in MDD. The overall greater coherence observed in depressed subjects establishes a new context for the interpretation of previous studies showing differences in frontal alpha power and synchrony between subjects with MDD and normal controls. These results can inform the development of qEEG state and trait biomarkers for MDD.
机译:据推测,重度抑郁症(MDD)的症状是由连接边缘系统和皮质区域的脑网络功能障碍引起的。功能成像技术已检测到静止状态网络中大脑功能皮质连接的改变,但尚未系统地检查神经生理连接的措施。我们使用加权网络分析来检查静息状态功能的连通性,方法是通过定量脑电图(qEEG)相干性对121名患有MDD的未经药物治疗的受试者和37名健康对照进行测量。与对照组相比,MDD受试者的总体相干性显着更高,其变化幅度为(0.5–4 Hz),θ(4–8 Hz),α(8–12 Hz)和β(12–20 Hz)频段。前极区域包含最多的具有高连接性的“集线器节点”(表面记录位置)。 MDD受试者主要在额极与颞或顶枕区域之间的距离较长的连接中表现出较高的theta和α相干性,而主要在覆盖上外侧前额叶皮层(DLPFC)或颞区域的电极内和之间的连接中表现出较高的beta相干性。最近的质心分析表明,MDD受试者的最佳特征是主要涉及前额叶区域的六个α波段连接。目前的发现表明,MDD中静止功能连接性的选择性丧失。在抑郁的受试者中观察到的总体更大的连贯性为先前研究的解释建立了新的背景,该研究显示了患有MDD的受试者与正常对照之间额叶α能力和同步性的差异。这些结果可以为MDD的qEEG状态和特征生物标记的开发提供信息。

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