Postpartum depression and major depressive disorder: the same or not? Evidence from resting-state functional MRI.

IF 0.6 3区 社会学 Q1 Arts and Humanities Asian Ethnology Pub Date : 2022-11-21 eCollection Date: 2022-09-01 DOI:10.1093/psyrad/kkac015
Bochao Cheng, Yi Guo, Xijian Chen, Bin Lv, Yi Liao, Haibo Qu, Xiao Hu, Haoxiang Yang, Yajing Meng, Wei Deng, Jiaojian Wang
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Abstract

Background: Although postpartum depression (PPD) and non-peripartum major depressive disorder (MDD) occurring within and outside the postpartum period share many clinical characteristics, whether PPD and MDD are the same or not remains controversial.

Methods: The current study was devoted to identify the shared and different neural circuits between PPD and MDD by resting-state functional magnetic resonance imaging data from 77 participants (22 first-episodic drug-naïve MDD, 26 drug-naïve PPD, and 29 healthy controls (HC)).

Results: Both the PPD and MDD groups exhibited higher fractional amplitude of low-frequency fluctuation (fALFF) in left temporal pole relative to the HC group; the MDD group showed specifically increased degree centrality in the right cerebellum while PPD showed specifically decreased fALFF in the left supplementary motor area and posterior middle temporal gyrus (pMTG_L), and specifically decreased functional connectivities between pMTG and precuneus and between left subgeneual anterior cingulate cortex (sgACC_L) and right sgACC. Moreover, sgACC and left thalamus showed abnormal regional homogeneity of functional activities between any pair of HC, MDD, and PPD.

Conclusions: These results provide initial evidence that PPD and MDD have common and distinct neural circuits, which may facilitate understanding the neurophysiological basis and precision treatment for PPD.

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产后抑郁症和重度抑郁障碍:是否相同?静息态功能磁共振成像的证据。
背景:尽管产后抑郁症(PPD)和非产后重度抑郁障碍(MDD)在产后期间和产后期间以外发生的抑郁症有许多共同的临床特征,但PPD和MDD是否相同仍存在争议:本研究致力于通过77名参与者(22名首次发作的药物治疗无效的MDD患者、26名药物治疗无效的PPD患者和29名健康对照组(HC))的静息态功能磁共振成像数据来识别PPD和MDD之间共有和不同的神经回路:与健康对照组相比,PPD组和MDD组的左侧颞极低频波动分数振幅(fALFF)都较高;MDD组显示右侧小脑的度中心性(degree centrality)特别增高,而PPD组则显示左侧辅助运动区和颞后中回(pMTG_L)的低频波动分数振幅(fALFF)特别降低,并且pMTG和楔前皮层之间以及左侧扣带下前皮层(sgACC_L)和右侧扣带下前皮层之间的功能连接性特别降低。此外,sgACC 和左丘脑在任何一对 HC、MDD 和 PPD 之间都显示出异常的区域功能活动同质性:这些结果提供了初步证据,证明PPD和MDD具有共同且不同的神经回路,这可能有助于了解PPD的神经生理学基础和精确治疗。
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来源期刊
Asian Ethnology
Asian Ethnology Multiple-
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
30 weeks
期刊介绍: Asian Ethnology (ISSN 1882–6865) is a double-blind peer-reviewed journal registered as an Open Access Journal with all the contents freely downloadable. Please read the information on our open access and copyright policies. A list of monographs that were published under the journal''s former names, Folklore Studies and Asian Folklore Studies, appear here. Asian Ethnology is dedicated to the promotion of scholarly research on the peoples and cultures of Asia. It began in China as Folklore Studies in 1942 and later moved to Japan where its name was changed to Asian Folklore Studies. It is edited and published at Nanzan University in Nagoya, Japan, with the cooperation of Boston University. Asian Ethnology seeks to deepen understanding and further the pursuit of knowledge about the peoples and cultures of Asia. We wish to facilitate intellectual exchange between Asia and the rest of the world, and particularly welcome submissions from scholars based in Asia. The journal presents formal essays and analyses, research reports, and critical book reviews relating to a wide range of topical categories, including: -narratives, performances, and other forms of cultural representation -popular religious concepts -vernacular approaches to health and healing -local ecological/environmental knowledge -collective memory and uses of the past -cultural transformations in diaspora -transnational flows -material culture -museology -visual culture
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