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Interdisciplinary views of fNIRS: Current advancements, equity challenges, and an agenda for future needs of a diverse fNIRS research community. fNIRS的跨学科观点:当前的进步、公平挑战和多样化fNIRS研究社区未来需求的议程。
IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2023-02-27 eCollection Date: 2023-01-01 DOI: 10.3389/fnint.2023.1059679
Emily J Doherty, Cara A Spencer, Jeremy Burnison, Marta Čeko, Jenna Chin, Lucca Eloy, Kerstin Haring, Pilyoung Kim, Daniel Pittman, Shannon Powers, Samuel L Pugh, Demetris Roumis, Jaclyn A Stephens, Tom Yeh, Leanne Hirshfield

Functional Near-Infrared Spectroscopy (fNIRS) is an innovative and promising neuroimaging modality for studying brain activity in real-world environments. While fNIRS has seen rapid advancements in hardware, software, and research applications since its emergence nearly 30 years ago, limitations still exist regarding all three areas, where existing practices contribute to greater bias within the neuroscience research community. We spotlight fNIRS through the lens of different end-application users, including the unique perspective of a fNIRS manufacturer, and report the challenges of using this technology across several research disciplines and populations. Through the review of different research domains where fNIRS is utilized, we identify and address the presence of bias, specifically due to the restraints of current fNIRS technology, limited diversity among sample populations, and the societal prejudice that infiltrates today's research. Finally, we provide resources for minimizing bias in neuroscience research and an application agenda for the future use of fNIRS that is equitable, diverse, and inclusive.

功能性近红外光谱(fNIRS)是一种创新且有前景的神经成像模式,用于研究真实世界环境中的大脑活动。尽管fNIRS自近30年前出现以来,在硬件、软件和研究应用方面取得了快速进步,但在这三个领域仍然存在局限性,现有实践导致神经科学研究界存在更大的偏见。我们通过不同终端应用用户的视角关注fNIRS,包括fNIRS制造商的独特视角,并报告了在几个研究学科和人群中使用这项技术的挑战。通过对使用fNIRS的不同研究领域的回顾,我们发现并解决了偏见的存在,特别是由于当前fNIRS技术的限制、样本群体的多样性有限以及渗透到当今研究中的社会偏见。最后,我们为最大限度地减少神经科学研究中的偏见提供了资源,并为未来使用fNIRS提供了公平、多样和包容的应用议程。
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引用次数: 0
The cost of aiming for the best answers: Inconsistent perception. 追求最佳答案的代价是:认知不一致。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1118240
Jeroen B J Smeets, Eli Brenner

The laws of physics and mathematics describe the world we live in as internally consistent. As these rules provide a very effective description, and our interaction with the world is also very effective, it seems self-evident that our perception follows these laws. As a result, when trying to explain imperfections in perception, we tend to impose consistency and introduce concepts such as deformations of visual space. In this review, we provide numerous examples that show that in many situations we perceive related attributes to have inconsistent values. We discuss how our tendency to assume consistency leads to erroneous conclusions on how we process sensory information. We propose that perception is not about creating a consistent internal representation of the outside world, but about answering specific questions about the outside world. As the information used to answer a question is specific for that question, this naturally leads to inconsistencies in perception and to an apparent dissociation between some perceptual judgments and related actions.

物理和数学定律将我们生活的世界描述为内在一致的。由于这些规则提供了非常有效的描述,并且我们与世界的互动也非常有效,因此我们的感知遵循这些规律似乎是不言而喻的。因此,当试图解释感知的不完美时,我们倾向于强加一致性,并引入视觉空间变形等概念。在这篇综述中,我们提供了许多例子,表明在许多情况下,我们认为相关属性具有不一致的值。我们讨论了我们假设一致性的倾向如何导致我们如何处理感官信息的错误结论。我们认为,感知并不是关于创造对外部世界的一致的内部表征,而是关于回答关于外部世界的具体问题。由于用于回答问题的信息是特定于该问题的,这自然会导致感知的不一致,并导致某些感知判断与相关行为之间的明显分离。
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引用次数: 0
Understanding the neural bases of bodily self-consciousness: recent achievements and main challenges. 理解身体自我意识的神经基础:最近的成就和主要挑战。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1145924
Zoé Dary, Christophe Lopez

The last two decades have seen a surge of interest in the mechanisms underpinning bodily self-consciousness (BSC). Studies showed that BSC relies on several bodily experiences (i.e., self-location, body ownership, agency, first-person perspective) and multisensory integration. The aim of this literature review is to summarize new insights and novel developments into the understanding of the neural bases of BSC, such as the contribution of the interoceptive signals to the neural mechanisms of BSC, and the overlap with the neural bases of conscious experience in general and of higher-level forms of self (i.e., the cognitive self). We also identify the main challenges and propose future perspectives that need to be conducted to progress into the understanding of the neural mechanisms of BSC. In particular, we point the lack of crosstalk and cross-fertilization between subdisciplines of integrative neuroscience to better understand BSC, especially the lack of research in animal models to decipher the neural networks and systems of neurotransmitters underpinning BSC. We highlight the need for more causal evidence that specific brain areas are instrumental in generating BSC and the need for studies tapping into interindividual differences in the phenomenal experience of BSC and their underlying mechanisms.

在过去的二十年里,人们对支撑身体自我意识(BSC)的机制产生了浓厚的兴趣。研究表明,平衡记分卡依赖于多种身体体验(即自我定位、身体所有权、代理、第一人称视角)和多感觉整合。本文综述了关于平衡记分卡神经基础的新见解和新进展,例如内感受信号对平衡记分卡神经机制的贡献,以及与一般意识经验和高级自我形式(即认知自我)神经基础的重叠。我们还确定了主要的挑战,并提出了未来的观点,需要进行进展到平衡记分卡的神经机制的理解。我们特别指出,综合神经科学各分支学科之间缺乏相互交流和相互作用,无法更好地理解平衡记分卡,特别是缺乏动物模型研究来解读支撑平衡记分卡的神经网络和神经递质系统。我们强调需要更多的因果证据来证明特定的大脑区域有助于产生平衡记分卡,并且需要研究平衡记分卡现象体验中的个体间差异及其潜在机制。
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引用次数: 0
Post-activation depression of the Hoffman reflex is not altered by galvanic vestibular stimulation in healthy subjects. 在健康受试者中,前庭电刺激不改变霍夫曼反射的激活后抑制。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1234613
Mónica Del Carmen Alvarado-Navarrete, Adriana C Pliego-Carrillo, Claudia Ivette Ledesma-Ramírez, Carlos A Cuellar

The comprehension of the neural elements interacting in the spinal cord affected by vestibular input will contribute to the understanding of movement execution in normal and pathological conditions. In this context, Hoffman's reflex (H-reflex) has been used to evaluate transient excitability changes on the spinal cord descending pathways. The post-activation depression (P-AD) of the H-reflex consists of evoking consecutive responses (>1 Hz) provoking an amplitude depression, which has been shown to diminish in pathological conditions (i.e., spasticity, diabetic neuropathy). Galvanic Vestibular Stimulation (GVS) is a non-invasive method that activates the vestibular afferents and has been used to study the excitability of the H-reflex applied as a conditioning pulse. To our knowledge, there are no reports evaluating the P-AD during and after GVS. Our primary aim was to determine if GVS alters the P-AD evoked by stimulating the tibial nerve at 0.1, 1, 5, and 10 Hz, recording in the gastrocnemius and soleus muscles. Direct current stimulation of 2.0 ± 0.6 mA with the cathode ipsilateral (Ipsi) or contralateral (Contra) to the H-reflex electrode montage was applied bilaterally over the mastoid process in 19 healthy subjects. The P-AD's immediate post-GVS response (P Ipsi, P Contra) was also analyzed. Secondarily, we analyzed the excitability of the H-reflex during GVS. Responses evoked at 0.1 Hz with GVS, post-GVS, and a Control (no GVS) condition were used for comparisons. Our results show that P-AD persisted in all subjects despite increased excitability induced by GVS: statistical significance was found when comparing P-AD at 1, 5, and 10 Hz with the corresponding condition (Control, Ipsi, P Ipsi, Contra, P Contra) at 0.1 Hz (p < 0.001). Additionally, the increase in excitability produced by GVS was quantified for the first H-reflex of each P-AD stimulation frequency. The percentage change for all GVS conditions surpassed the Control by at least 20%, being statistically significant for Contra compared to Control (p < 0.01). In summary, although GVS increases the excitability of the vestibulospinal pathway at a premotor level, the neural inhibitory mechanism present in P-AD remains unaltered in healthy subjects.

理解受前庭输入影响的脊髓中相互作用的神经元素将有助于理解正常和病理条件下的运动执行。在这种情况下,霍夫曼反射(h反射)已被用于评估脊髓下降通路的短暂兴奋性变化。h反射的激活后抑制(P-AD)包括引起连续反应(> 1hz)引起振幅抑制,已被证明在病理条件下(即痉挛,糖尿病神经病变)减弱。前庭电刺激(Galvanic Vestibular Stimulation, GVS)是一种激活前庭传入神经的非侵入性方法,已被用于研究作为条件反射脉冲的h反射的兴奋性。据我们所知,没有报道评估GVS期间和之后的P-AD。我们的主要目的是确定GVS是否改变通过0.1、1、5和10 Hz刺激胫骨神经引起的P-AD,记录在腓肠肌和比目鱼肌中。对19例健康受试者的乳突进行了2.0±0.6 mA的正极同侧(Ipsi)或对侧(Contra) h反射电极蒙太奇直流电刺激。还分析了P- ad在gvs后的即时反应(P Ipsi, P Contra)。其次,我们分析了GVS时h反射的兴奋性。在0.1 Hz下,GVS、后GVS和对照(无GVS)条件下引起的反应被用于比较。我们的研究结果表明,尽管GVS引起的兴奋性增加,但所有受试者的P- ad都持续存在:将1、5和10 Hz的P- ad与0.1 Hz的相应条件(Control、Ipsi、P Ipsi、Contra、P Contra)进行比较,发现有统计学意义(P < 0.001)。此外,对每个P-AD刺激频率的第一次h反射,量化GVS产生的兴奋性增加。所有GVS条件的百分比变化超过对照组至少20%,与对照组相比,Contra具有统计学意义(p < 0.01)。综上所述,尽管GVS在运动前水平增加了前庭脊髓通路的兴奋性,但P-AD存在的神经抑制机制在健康受试者中保持不变。
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引用次数: 0
Interpreting the meaning of changes in hippocampal volume associated with vestibular loss. 解释与前庭功能丧失相关的海马体积变化的意义。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1254972
Paul F Smith

Many studies have documented cognitive deficits, especially spatial cognitive deficits, in patients with some form of vestibular loss. Almost 20 years ago, hippocampal (HPC) atrophy was reported to be correlated with spatial memory deficits in such patients and the idea has gradually emerged that HPC atrophy may be causally responsible for the cognitive deficits. However, the results of studies of HPC volume following vestibular loss have not always been consistent, and a number of studies have reported no evidence of HPC atrophy. This paper argues that HPC atrophy, if it does occur following vestibular loss, may not be directly, causally responsible for the cognitive deficits, and that it is more likely that rapid functional changes in the HPC are responsible, due to the interruption of the transmission of vestibular information to the HPC. The argument presented here rests on 3 tranches of evidence: (1) Cognitive deficits have been observed in humans even in the absence of HPC atrophy; (2) HPC atrophy has not been reported in animal studies following vestibular loss, despite cognitive deficits; and (3) Animal studies have shown that the interruption of the transmission of vestibular information to the HPC has immediate consequences for HPC place cells, far too quickly to be explained by HPC atrophy. It is possible that HPC atrophy, when it does occur, is related to the longer-term consquences of living with vestibular loss, which are likely to increase circulating cortisol.

许多研究已经记录了认知缺陷,特别是空间认知缺陷,在某些形式的前庭功能丧失的患者中。大约20年前,海马(HPC)萎缩被报道与这类患者的空间记忆缺陷相关,HPC萎缩可能是认知缺陷的因果关系的观点逐渐出现。然而,前庭功能丧失后HPC体积的研究结果并不总是一致的,许多研究报告没有HPC萎缩的证据。本文认为,如果前庭功能丧失导致HPC萎缩,那么它可能不会直接导致认知缺陷,更有可能是由于前庭信息向HPC的传递中断,HPC的快速功能变化造成的。这里提出的论点基于3类证据:(1)即使在没有HPC萎缩的情况下,人类也观察到认知缺陷;(2)在前庭功能丧失后的动物研究中,尽管存在认知缺陷,但尚未有HPC萎缩的报道;(3)动物研究表明,前庭信息向HPC传递的中断会对HPC位置细胞产生直接影响,其速度之快无法用HPC萎缩来解释。当HPC萎缩确实发生时,它可能与前庭功能丧失的长期后果有关,这可能会增加循环皮质醇。
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引用次数: 1
Factors influencing the relationship between cochlear health measures and speech recognition in cochlear implant users. 人工耳蜗使用者耳蜗健康措施与语音识别关系的影响因素。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1125712
Ladan Zamaninezhad, Berkutay Mert, Heval Benav, Jochen Tillein, Carolyn Garnham, Uwe Baumann

Background: One factor which influences the speech intelligibility of cochlear implant (CI) users is the number and the extent of the functionality of spiral ganglion neurons (SGNs), referred to as "cochlear health." To explain the interindividual variability in speech perception of CI users, a clinically applicable estimate of cochlear health could be insightful. The change in the slope of the electrically evoked compound action potentials (eCAP), amplitude growth function (AGF) as a response to increased interphase gap (IPG) (IPGEslope) has been introduced as a potential measure of cochlear health. Although this measure has been widely used in research, its relationship to other parameters requires further investigation.

Methods: This study investigated the relationship between IPGEslope, demographics and speech intelligibility by (1) considering the relative importance of each frequency band to speech perception, and (2) investigating the effect of the stimulus polarity of the stimulating pulse. The eCAPs were measured in three different conditions: (1) Forward masking with anodic-leading (FMA) pulse, (2) Forward masking with cathodic-leading (FMC) pulse, and (3) with alternating polarity (AP). This allowed the investigation of the effect of polarity on the diagnosis of cochlear health. For an accurate investigation of the correlation between IPGEslope and speech intelligibility, a weighting function was applied to the measured IPGEslopes on each electrode in the array to consider the relative importance of each frequency band for speech perception. A weighted Pearson correlation analysis was also applied to compensate for the effect of missing data by giving higher weights to the ears with more successful IPGEslope measurements.

Results: A significant correlation was observed between IPGEslope and speech perception in both quiet and noise for between-subject data especially when the relative importance of frequency bands was considered. A strong and significant correlation was also observed between IPGEslope and age when stimulation was performed with cathodic-leading pulses but not for the anodic-leading pulse condition.

Conclusion: Based on the outcome of this study it can be concluded that IPGEslope has potential as a relevant clinical measure indicative of cochlear health and its relationship to speech intelligibility. The polarity of the stimulating pulse could influence the diagnostic potential of IPGEslope.

背景:影响人工耳蜗(CI)使用者语音清晰度的一个因素是螺旋神经节神经元(sgn)的数量和功能范围,称为“耳蜗健康”。为了解释人工耳蜗使用者言语感知的个体差异,一个临床适用的耳蜗健康评估可能是有见地的。电诱发复合动作电位(eCAP)斜率的变化,振幅生长函数(AGF)作为对间相间隙(IPG) (IPGEslope)增加的响应已被引入作为耳蜗健康的潜在测量。虽然这一指标在研究中得到了广泛的应用,但其与其他参数的关系还有待进一步研究。方法:本研究通过(1)考虑每个频带对语音感知的相对重要性,(2)研究刺激脉冲的刺激极性对语音可理解性的影响,研究IPGEslope、人口统计学与语音可理解性之间的关系。ecap在三种不同的条件下进行测量:(1)阳极领先(FMA)脉冲前掩蔽,(2)阴极领先(FMC)脉冲前掩蔽,(3)交替极性(AP)。这使得研究极性对耳蜗健康诊断的影响成为可能。为了准确地研究IPGEslope与语音可理解性之间的相关性,对阵列中每个电极上测量的IPGEslope应用加权函数,以考虑每个频段对语音感知的相对重要性。加权Pearson相关分析也被应用于补偿丢失数据的影响,通过给予更成功的IPGEslope测量的耳朵更高的权重。结果:IPGEslope与受试者间数据在安静和噪声条件下的语音感知之间存在显著相关性,特别是考虑到频段的相对重要性时。当使用阴极领先脉冲刺激时,IPGEslope与年龄之间也存在强烈而显著的相关性,而在阳极领先脉冲条件下则没有。结论:基于本研究的结果,IPGEslope有可能作为耳蜗健康及其与言语清晰度关系的相关临床指标。刺激脉冲的极性会影响IPGEslope的诊断潜力。
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引用次数: 0
From circuits to behavior: Amygdala dysfunction in fragile X syndrome. 从电路到行为:脆性X综合征的杏仁核功能障碍。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1128529
Matthew N Svalina, Regina Sullivan, Diego Restrepo, Molly M Huntsman

Fragile X syndrome (FXS) is a neurodevelopmental disorder caused by a repeat expansion mutation in the promotor region of the FMR1 gene resulting in transcriptional silencing and loss of function of fragile X messenger ribonucleoprotein 1 protein (FMRP). FMRP has a well-defined role in the early development of the brain. Thus, loss of the FMRP has well-known consequences for normal cellular and synaptic development leading to a variety of neuropsychiatric disorders including an increased prevalence of amygdala-based disorders. Despite our detailed understanding of the pathophysiology of FXS, the precise cellular and circuit-level underpinnings of amygdala-based disorders is incompletely understood. In this review, we discuss the development of the amygdala, the role of neuromodulation in the critical period plasticity, and recent advances in our understanding of how synaptic and circuit-level changes in the basolateral amygdala contribute to the behavioral manifestations seen in FXS.

脆性X综合征(Fragile X syndrome, FXS)是一种由脆性X信使核糖核蛋白1 (FMRP)启动子区域重复扩增突变导致的神经发育障碍,导致脆性X信使核糖核蛋白1蛋白(FMRP)转录沉默和功能丧失。FMRP在大脑的早期发育中有着明确的作用。因此,FMRP的缺失对正常的细胞和突触发育造成了众所周知的后果,导致各种神经精神疾病,包括杏仁核基础疾病的患病率增加。尽管我们对FXS的病理生理学有了详细的了解,但对杏仁核基础疾病的精确细胞和电路水平的基础还不完全了解。在这篇综述中,我们讨论了杏仁核的发育,神经调节在关键期可塑性中的作用,以及我们对基底外侧杏仁核突触和回路水平变化如何影响FXS行为表现的理解的最新进展。
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引用次数: 0
Editorial: Noise-induced hearing loss: From basic to clinical research. 社论:噪声性听力损失:从基础研究到临床研究。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1172081
Zhiwu Huang, Wei Qiu, Vicky Zhang, Hui Wang, Bin Ye, Qixuan Wang
COPYRIGHT © 2023 Huang, Qiu, Zhang, Wang, Ye and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Editorial: Noise-induced hearing loss: From basic to clinical research
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引用次数: 0
Neuropsychiatric feature-based subgrouping reveals neural sensory processing spectrum in female FMR1 premutation carriers: A pilot study. 基于神经精神特征的亚分组揭示了女性FMR1预突变携带者的神经感觉加工谱:一项初步研究。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.898215
Jordan E Norris, Lauren M Schmitt, Lisa A De Stefano, Ernest V Pedapati, Craig A Erickson, John A Sweeney, Lauren E Ethridge

Introduction: Fragile X Syndrome (FXS) is rare genetic condition characterized by a repeat expansion (CGG) in the Fragile X messenger ribonucleoprotein 1 (FMR1) gene where individuals with greater than 200 repeats are defined as full mutation. FXS clinical presentation often includes intellectual disability, and autism-like symptoms, including anxiety and sensory hypersensitivities. Individuals with 55 to <200 CGG repeats are said to have the FMR1 premutation, which is not associated with primary characteristics of the full mutation, but with an increased risk for anxiety, depression, and other affective conditions, as well as and impaired cognitive processing differences that vary in severity. Defining subgroups of premutation carriers based on distinct biological features may identify subgroups with varying levels of psychiatric, cognitive, and behavioral alterations.

Methods: The current pilot study utilized 3 cluster subgroupings defined by previous k means cluster analysis on neuropsychiatric, cognitive, and resting EEG variables in order to examine basic sensory auditory chirp task-based EEG parameters from 33 females with the FMR1 premutation (ages 17-78).

Results: Based on the predefined, neuropsychiatric three-cluster solution, premutation carriers with increased neuropsychiatric features and higher CGG repeat counts (cluster 1) showed decreased stimulus onset response, similar to previous ERP findings across a number of psychiatric disorders but opposite to findings in individuals with full mutation FXS. Premutation carriers with increased executive dysfunction and resting gamma power (cluster 2) exhibited decreased gamma phase locking to a chirp stimulus, similar to individuals with full mutation FXS. Cluster 3 members, who were relatively unaffected by psychiatric or cognitive symptoms, showed the most normative task-based EEG metrics.

Discussion: Our findings suggest a spectrum of sensory processing characteristics present in subgroups of premutation carriers that have been previously understudied due to lack of overall group differences. Our findings also further validate the pre-defined clinical subgroups by supporting links between disturbances in well-defined neural pathways and behavioral alterations that may be informative for identifying the mechanisms supporting specific risk factors and divergent therapeutic needs in individuals with the FMR1 premutation.

简介:脆性X综合征(FXS)是一种罕见的遗传病,其特征是脆性X信使核糖核蛋白1 (FMR1)基因重复扩增(CGG),重复数超过200次的个体被定义为完全突变。FXS的临床表现通常包括智力残疾和自闭症样症状,包括焦虑和感觉超敏反应。方法:目前的初步研究利用先前的神经精神、认知和静息EEG变量的k均值聚类分析定义的3个聚类亚组,以检查33名FMR1预突变女性(17-78岁)的基本感觉听觉啁声任务型EEG参数。结果:基于预定义的神经精神病学三聚类解决方案,神经精神特征增加和CGG重复计数较高的突变前携带者(聚类1)表现出刺激发作反应下降,与先前在许多精神疾病中的ERP发现相似,但与完全突变FXS个体的发现相反。执行功能障碍和静息伽马功率增加的突变前携带者(集群2)表现出对啁啾刺激的伽马相位锁定减少,与完全突变FXS的个体相似。簇3成员,相对不受精神或认知症状的影响,表现出最规范的基于任务的脑电图指标。讨论:我们的研究结果表明,由于缺乏整体群体差异,以前未充分研究的预突变携带者亚群中存在一系列感觉加工特征。我们的研究结果还进一步验证了预先定义的临床亚群,支持明确定义的神经通路紊乱与行为改变之间的联系,这可能为识别支持FMR1预突变个体的特定风险因素和不同治疗需求的机制提供信息。
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引用次数: 0
Association of select psychiatric disorders with incident brain aneurysm and subarachnoid hemorrhage among veterans. 退伍军人中选择性精神疾病与脑动脉瘤和蛛网膜下腔出血的关系。
IF 3.5 3区 医学 Q2 Neuroscience Pub Date : 2023-01-01 DOI: 10.3389/fnint.2023.1207610
Daniel L Cooke, Hui Shen, Madhavi Duvvuri, Daniel Thompson, Thomas Neylan, William Wolfe, Steven Hetts, Bruce Ovbiagele, Mary Whooley, Beth Cohen

Background: Brain aneurysms represent a significant cause of hemorrhagic stroke. Prior research has demonstrated links between stress and stroke, including brain aneurysms. We aimed to determine relationships between select psychiatric disorders and aneurysms and aneurysmal SAH.

Methods: We performed retrospective, case-control study of a National Veterans Affairs population with two experimental groups (aneurysm-only and aneurysmal SAH) and 10-fold controls per group matched by age, date, and clinical data source. The studied the presence of 4 psychiatric disorders: Posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), and other mood disorders. Our main outcomes Unadjusted and multivariable adjusted ORs of PTSD, MDD, GAD, and mood disorders within aneurysm-only and aSAH groups.

Results: In 6,320,789 US Veterans who were enrolled for at least 5 years in Medicare and/or the Veterans Health Administration, we identified 35,094 cases of aneurysm without SAH and 5,749 cases of aneurysm with SAH between 1/2005 and 12/2019. In analyses adjusted for sex, hypertension, and tobacco use, patients with aneurysm were more likely than matched controls to have a history of PTSD (OR 1.48), MDD (OR 1.33), GAD (OR 1.26), and other mood disorders (OR 1.34) (all p-values < 0.0001). Similarly, patients with aSAH were more likely than controls to have a history of PTSD (OR 1.35), MDD (OR 1.38), GAD (OR 1.18), and other mood disorders (OR 1.30) (all p-values < 0.0001).

Conclusion: The study, the largest of its kind, further suggests links between psychiatric disorders and stroke. This is important as patients with aneurysms are not routinely screened for such psychiatric risk factors. Additional research on this topic could lead to novel strategies to improve stroke prevention.

背景:脑动脉瘤是出血性中风的重要原因。先前的研究已经证明了压力和中风之间的联系,包括脑动脉瘤。我们的目的是确定选定的精神疾病与动脉瘤和动脉瘤性SAH之间的关系。方法:我们对国家退伍军人事务人群进行回顾性病例对照研究,分为两个实验组(仅动脉瘤和动脉瘤性SAH),每组10倍对照,按年龄、日期和临床数据来源匹配。研究了4种精神障碍的存在:创伤后应激障碍(PTSD)、重度抑郁症(MDD)、广泛性焦虑症(GAD)和其他情绪障碍。我们的主要结果:仅动脉瘤组和aSAH组中PTSD、MDD、GAD和心境障碍的未调整和多变量调整的or。结果:在6,320,789名在医疗保险和/或退伍军人健康管理局登记至少5年的美国退伍军人中,我们在2005年1月至2019年12月期间确定了35,094例无SAH的动脉瘤和5,749例有SAH的动脉瘤。在对性别、高血压和烟草使用进行校正的分析中,动脉瘤患者比对照组更有可能有PTSD (OR 1.48)、MDD (OR 1.33)、GAD (OR 1.26)和其他情绪障碍(OR 1.34)的病史(p值均< 0.0001)。同样,与对照组相比,aSAH患者更有可能有PTSD (OR 1.35)、MDD (OR 1.38)、GAD (OR 1.18)和其他情绪障碍(OR 1.30)的病史(p值均< 0.0001)。结论:该研究是同类研究中规模最大的,进一步表明了精神疾病和中风之间的联系。这是很重要的,因为动脉瘤患者没有常规的精神危险因素筛查。对这一主题的进一步研究可能会带来改善中风预防的新策略。
{"title":"Association of select psychiatric disorders with incident brain aneurysm and subarachnoid hemorrhage among veterans.","authors":"Daniel L Cooke,&nbsp;Hui Shen,&nbsp;Madhavi Duvvuri,&nbsp;Daniel Thompson,&nbsp;Thomas Neylan,&nbsp;William Wolfe,&nbsp;Steven Hetts,&nbsp;Bruce Ovbiagele,&nbsp;Mary Whooley,&nbsp;Beth Cohen","doi":"10.3389/fnint.2023.1207610","DOIUrl":"https://doi.org/10.3389/fnint.2023.1207610","url":null,"abstract":"<p><strong>Background: </strong>Brain aneurysms represent a significant cause of hemorrhagic stroke. Prior research has demonstrated links between stress and stroke, including brain aneurysms. We aimed to determine relationships between select psychiatric disorders and aneurysms and aneurysmal SAH.</p><p><strong>Methods: </strong>We performed retrospective, case-control study of a National Veterans Affairs population with two experimental groups (aneurysm-only and aneurysmal SAH) and 10-fold controls per group matched by age, date, and clinical data source. The studied the presence of 4 psychiatric disorders: Posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), and other mood disorders. Our main outcomes Unadjusted and multivariable adjusted ORs of PTSD, MDD, GAD, and mood disorders within aneurysm-only and aSAH groups.</p><p><strong>Results: </strong>In 6,320,789 US Veterans who were enrolled for at least 5 years in Medicare and/or the Veterans Health Administration, we identified 35,094 cases of aneurysm without SAH and 5,749 cases of aneurysm with SAH between 1/2005 and 12/2019. In analyses adjusted for sex, hypertension, and tobacco use, patients with aneurysm were more likely than matched controls to have a history of PTSD (OR 1.48), MDD (OR 1.33), GAD (OR 1.26), and other mood disorders (OR 1.34) (all <i>p</i>-values < 0.0001). Similarly, patients with aSAH were more likely than controls to have a history of PTSD (OR 1.35), MDD (OR 1.38), GAD (OR 1.18), and other mood disorders (OR 1.30) (all <i>p</i>-values < 0.0001).</p><p><strong>Conclusion: </strong>The study, the largest of its kind, further suggests links between psychiatric disorders and stroke. This is important as patients with aneurysms are not routinely screened for such psychiatric risk factors. Additional research on this topic could lead to novel strategies to improve stroke prevention.</p>","PeriodicalId":56016,"journal":{"name":"Frontiers in Integrative Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10105524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Frontiers in Integrative Neuroscience
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