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Efficacy of Duloxetine for Postspine Surgery Pain: A Systematic Review and Meta-Analysis 度洛西汀治疗脊柱术后疼痛的疗效:一项系统综述和荟萃分析。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70217
Abdulsalam Mohammed Aleid, Faisal Alshehri, Naif Alasiri, Fatimah Alhomoud, Shouq Alsaegh, Mohammed Alrasheed, Salem Aljaddua, Ali Alasiri, Asma Boukhari, Abdulmonem Ali Alhussain, Bipin Chaurasia, Saud Nayef Aldanyowi

Background

Duloxetine, a serotonin and norepinephrine reuptake inhibitor (SNRI), is used to treat various health conditions, including major depressive disorder, generalized anxiety disorder, fibromyalgia, and off-label for chemotherapy-induced pain. We conducted this systematic review and meta-analysis aiming to test the current evidence regarding effectiveness and safety of duloxetine for postspine surgeries pain.

Methods

We searched the Cochrane Central Register of Controlled Trials, PubMed, Scopus and Web of science databases for relevant articles up to March 2024. The following search terms were Used in combination using the Boolean operators ((Duloxetine Hydrochloride) AND ((Pain, Postoperative) OR (Postoperative Period) OR (Postoperative Cognitive Complications) OR (Delayed Emergence from Anesthesia) OR (Postoperative Care) OR (spine surgery)) without time constrain for the search. Meta-analysis was performed using Review Manager (RevMan version 5.4) on the extracted outcome data that present in at least 3 of the included studies. Mean difference (MD) was used as the effect size for continuous outcomes with a 95% confidence interval (CI) or standardized mean difference (SMD) in case of different outcome reporting scales.

Results

Pooled analysis showed that duloxetine significantly reduces pain intensity after 24 h from the operation compared to placebo (SMD = −1.11, 95% CI [−2.16 to −0.07], p = 0.04) with no significant difference in pain after 2 and 48 h. Meta-analysis revealed that duloxetine shows a significant reduction in the amount of analgesic consumption after 24 h postoperative; (MD = −3.33, 95% CI [−5.53 to −1.13], p = 0.003). The analysis did not show any statistically significant difference between duloxetine and placebo in patients experiencing nausea or vomiting (RR = 1.37, 95% CI [0.62 to 3.00]

Conclusion

The findings of this study suggest that duloxetine may be effective in reducing pain 24 h after spine surgery. Furthermore, there is a promising effect of duloxetine in treating chronic postoperative pain. However, it is important to acknowledge that further research is warranted to thoroughly evaluate the efficacy and safety of duloxetine for relieving chronic postoperative pain.

背景:度洛西汀是一种血清素和去甲肾上腺素再摄取抑制剂(SNRI),用于治疗各种健康状况,包括重度抑郁症、广泛性焦虑症、纤维肌痛和化疗引起的非适应症疼痛。我们进行了这项系统回顾和荟萃分析,旨在检验目前关于度洛西汀治疗脊柱术后疼痛的有效性和安全性的证据。方法:检索Cochrane Central Register of Controlled Trials、PubMed、Scopus和Web of science数据库,检索截止到2024年3月的相关文章。以下搜索词使用布尔运算符((盐酸度洛西汀)和((疼痛,术后)或(术后期间)或(术后认知并发症)或(麻醉延迟苏醒)或(术后护理)或(脊柱手术))组合使用,不受搜索时间限制。使用Review Manager (RevMan version 5.4)对至少3项纳入研究中提取的结果数据进行meta分析。在不同结果报告量表的情况下,使用平均差(MD)作为连续结果的效应量,95%置信区间(CI)或标准化平均差(SMD)。结果:合并分析显示,与安慰剂相比,度洛西汀可显著降低术后24 h疼痛强度(SMD = -1.11, 95% CI [-2.16 ~ -0.07], p = 0.04),术后2 h和48 h疼痛无显著差异。meta分析显示,度洛西汀可显著降低术后24 h镇痛药的用量;(MD = -3.33, 95% CI [-5.53 - -1.13], p = 0.003)。分析未显示度洛西汀与安慰剂在恶心或呕吐患者中的差异有统计学意义(RR = 1.37, 95% CI[0.62 ~ 3.00])。结论:本研究结果提示度洛西汀可有效减轻脊柱手术后24小时疼痛。此外,度洛西汀在治疗慢性术后疼痛方面也有很好的效果。然而,重要的是要认识到,需要进一步的研究来彻底评估度洛西汀缓解术后慢性疼痛的有效性和安全性。
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引用次数: 0
Neuroimaging Findings of Psychosis in Alzheimer's Disease: A Systematic Review 阿尔茨海默病精神病的神经影像学表现:系统综述。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70205
Fardin Nabizadeh, Shadi Sheykhlou, Sara Mahmoodi, Elham Khalili, Rasa Zafari, Helia Hosseini

Background

Previous studies on neuroimaging findings in Alzheimer's disease (AD) patients with hallucinations and delusions have yielded inconsistent results. We aimed to systematically review neuroimaging findings of delusions and hallucinations in AD patients to describe the most prominent neuroimaging features.

Methods

We performed a comprehensive search in three online databases, including PubMed, Scopus, and Web of Science in June 2023. We included studies that reported neuroimaging features of AD patients with delusion, hallucination, or psychosis.

Results

After the screening, 34 studies with 2241 AD patients were eligible to be included in our qualitative synthesis. On the basis of the included studies, there are significant changes in the volume and perfusion levels of broad brain areas, including the hippocampus, amygdala, insula, cingulate, occipital, frontal, prefrontal, orbitofrontal, temporal, and parietal cortices in these patients. Moreover, AD patients with psychosis, hallucinations, or delusions reflected different EEG waves compared to AD patients without these disorders.

Conclusion

The results of our review provided evidence about the neuroimaging alterations in AD patients suffering from psychosis, hallucinations, and delusions using different imaging methods. AD patients with psychosis, hallucinations, or delusions have significant differences in the volume and perfusion levels of various brain regions along with alterations in EEG waves and biological molecules compared to patients with only AD.

背景:以往关于阿尔茨海默病(AD)患者幻觉和妄想的神经影像学研究结果不一致。我们的目的是系统地回顾阿尔茨海默病患者妄想和幻觉的神经影像学表现,以描述最突出的神经影像学特征。方法:我们于2023年6月在PubMed、Scopus和Web of Science三个在线数据库中进行了全面的检索。我们纳入了报道AD患者伴有妄想、幻觉或精神病的神经影像学特征的研究。结果:筛选后,34项研究2241例AD患者符合纳入我们的定性综合。在纳入的研究基础上,这些患者的海马、杏仁核、岛叶、扣带、枕叶、额叶、前额叶、眶额叶、颞叶和顶叶皮质等广泛脑区体积和灌注水平均有显著变化。此外,伴有精神病、幻觉或妄想的AD患者与没有这些疾病的AD患者相比,反映出不同的脑电图。结论:本研究结果为不同影像学方法对伴有精神病、幻觉和妄想的AD患者的神经影像学改变提供了证据。伴有精神病、幻觉或妄想的AD患者与单纯AD患者相比,在脑各区域的容量和灌注水平以及脑电图和生物分子的改变上存在显著差异。
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引用次数: 0
Psychometric Properties of the Persian Version of the Strength-Based Parenting Scale in an Adolescent Sample 波斯语版本的基于力量的父母教养量表在青少年样本中的心理测量特性。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70213
Ahmad Asgarizadeh, Omid Shokri

Purpose

Despite the increasing interest in positive psychology and the functional characteristics of one of its practical derivations, strength-based parenting, there is a paucity of information regarding the assessment tools for strength-based parenting and their psychometric properties. Thus, this study aimed to translate the Strength-Based Parenting Scale (SBPS) into Persian and investigate its validity and reliability among Iranian adolescents.

Method

Of the 645 adolescents who completed the Persian translation of the SBPS (349 females, Mage = 14.01 years, SDage = 0.82, range = 13–15), 300 also answered the Mental Toughness Scale for Adolescents and the Connor-Davidson Resilience Scale.

Finding

Confirmatory factor analysis supported a two-factor structure comprising dimensions of “knowledge of strengths” and “use of strengths,” the measurement invariance of which was established across sexes and school grades. The two dimensions were significantly and strongly correlated with the constructs of mental toughness and psychological resilience (r = 0.36–0.65, p < 0.01), corroborating the criterion-related validity of the SBPS. Furthermore, excellent internal consistency coefficients were observed for both subscales (0.96–0.97).

Conclusion

Our findings substantiate the positions derived from positive psychology, upon which the conceptual foundation of strength-based parenting is built, and provide preliminary support for the psychometric properties of the Persian version of the SBPS.

目的:尽管人们对积极心理学及其实践衍生之一——力量型育儿的功能特征越来越感兴趣,但关于力量型育儿的评估工具及其心理测量学特性的信息却很缺乏。因此,本研究旨在将力量为基础的父母教养量表(SBPS)翻译成波斯语,并调查其在伊朗青少年中的效度和信度。方法:645名完成《心理韧性量表》波斯语翻译的青少年(女性349名,年龄= 14.01岁,年龄= 0.82岁,范围= 13-15)中,300名填写了《青少年心理韧性量表》和《康纳-戴维森心理韧性量表》。发现:验证性因子分析支持由“优势知识”和“优势使用”维度组成的双因素结构,其测量不变性在性别和学校年级之间建立。结论:本研究结果证实了积极心理学的观点,为力量型育儿的概念基础奠定了基础,并为波斯语版SBPS的心理测量特性提供了初步支持。
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引用次数: 0
The Effects of Exercise on Inhibitory Function Interventions for Patients With Major Depressive Disorder (MDD): A Systematic Review and Meta-Analysis 运动对重度抑郁障碍(MDD)患者抑制功能干预的影响:系统综述和meta分析。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70178
Zhihui Xu, Cong Liu, Peng Wang, Xing Wang, Yuzhang Li
<div> <section> <h3> Background</h3> <p>Systematic Review of The effects of exercise on inhibitory function interventions for patients with major depressive disorder.</p> </section> <section> <h3> Methods</h3> <p>We searched PubMed, Web of Science, EMbase, The Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, and China Science and Technology Journal Database (CQVIP) for randomized controlled trials (RCTs) investigating the impact of exercise on inhibitory function in MDD patients, from database inception to July 2024. Two researchers independently evaluated the quality of the included studies using the Risk of Bias (ROB 2.0) tool. Evidence quality was assessed with the GRADE profiler software, and effect sizes were combined using Stata 17.0 software to create forest plots, test for publication bias, and perform sensitivity analyses.</p> </section> <section> <h3> Results</h3> <p>A total of nine RCTs involving 1038 participants from six countries, published between 2001 and 2022, were included. The average age of participants in both the experimental and control groups was 45 years. Meta-analysis results indicated that exercise significantly improves inhibitory function in MDD patients, with a combined effect size (SMD = 0.48, 95% CI = 0.18–0.77, <i>p</i> < 0.001). Subgroup analysis showed that exercise had a statistically significant effect on inhibitory control in MDD patients, with an effect size (SMD = 0.563, <i>p</i> < 0.001). Regarding exercise elements, other types of exercise (resistance exercise RE, mixed exercise ME), duration greater than 45 min, intervention period of ≤12 weeks, frequency of two times per week, and low intensity were found to be more effective, all with statistical significance (SMD = 0.863, <i>p</i> < 0.001; SMD = 0.936, <i>p</i> < 0.001; SMD = 0.525, <i>p</i> = 0.002; SMD = 0.682, <i>p</i> = 0.004; SMD = 0.94, <i>p</i> = 0.00).</p> </section> <section> <h3> Conclusion</h3> <p>Based on the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification systems, a research framework for exercise interventions on executive function in MDD patients was constructed, demonstrating that exercise can improve inhibitory function in MDD with high evidence quality. Our study found that other types of exercise (RE or ME), intervention duration of >45 min, intervention period of ≤12 weeks, frequency of two times per week, and low intensity are more effective for improving inhibitory function in MDD patients. While the o
背景:运动对重度抑郁症患者抑制功能干预效果的系统综述。方法:检索PubMed、Web of Science、EMbase、Cochrane Library、中国知网(CNKI)、万方数据库和中国科技期刊数据库(CQVIP),从数据库建立到2024年7月,检索调查运动对MDD患者抑制功能影响的随机对照试验(RCTs)。两名研究人员使用风险偏倚(ROB 2.0)工具独立评估纳入研究的质量。使用GRADE profiler软件评估证据质量,使用Stata 17.0软件合并效应量,创建森林图,检验发表偏倚,并进行敏感性分析。结果:共纳入了2001年至2022年间发表的9项随机对照试验,涉及来自6个国家的1038名参与者。实验组和对照组参与者的平均年龄都是45岁。meta分析结果显示,运动可显著改善MDD患者的抑制功能,其综合效应大小(SMD = 0.48, 95% CI = 0.18-0.77, p < 0.001)。亚组分析显示,运动对MDD患者抑制控制有统计学意义,效应量(SMD = 0.563, p < 0.001)。在运动要素方面,其他类型运动(阻力运动RE、混合运动ME)、持续时间大于45 min、干预时间≤12周、频率为每周2次、低强度更有效,均有统计学意义(SMD = 0.863, p < 0.001);SMD = 0.936, p < 0.001;SMD = 0.525, p = 0.002;SMD = 0.682, p = 0.004;SMD = 0.94, p = 0.00)。结论:基于国际疾病分类(ICD)和精神障碍诊断与统计手册(DSM)分类系统,构建了运动干预MDD患者执行功能的研究框架,表明运动可以改善MDD患者的抑制功能,证据质量高。我们的研究发现,其他类型的运动(RE或ME),干预时间为bb0 ~ 45 min,干预时间≤12周,频率为每周2次,低强度对改善MDD患者抑制功能更有效。虽然文献的整体方法学质量良好,但研究之间存在高度异质性。亚组分析表明,异质性的来源包括测量工具、运动类型、运动强度、持续时间和频率。敏感性分析表明,运动时长和运动时间可能是导致异质性的原因。这项研究有一些局限性,因为纳入的文献没有考虑疾病持续时间、抑郁严重程度或年龄组。然而,这些发现为临床实践和未来研究运动对MDD患者抑制功能的有益影响提供了强有力的证据。试验注册:CRD42023480371。
{"title":"The Effects of Exercise on Inhibitory Function Interventions for Patients With Major Depressive Disorder (MDD): A Systematic Review and Meta-Analysis","authors":"Zhihui Xu,&nbsp;Cong Liu,&nbsp;Peng Wang,&nbsp;Xing Wang,&nbsp;Yuzhang Li","doi":"10.1002/brb3.70178","DOIUrl":"10.1002/brb3.70178","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Systematic Review of The effects of exercise on inhibitory function interventions for patients with major depressive disorder.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We searched PubMed, Web of Science, EMbase, The Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, and China Science and Technology Journal Database (CQVIP) for randomized controlled trials (RCTs) investigating the impact of exercise on inhibitory function in MDD patients, from database inception to July 2024. Two researchers independently evaluated the quality of the included studies using the Risk of Bias (ROB 2.0) tool. Evidence quality was assessed with the GRADE profiler software, and effect sizes were combined using Stata 17.0 software to create forest plots, test for publication bias, and perform sensitivity analyses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of nine RCTs involving 1038 participants from six countries, published between 2001 and 2022, were included. The average age of participants in both the experimental and control groups was 45 years. Meta-analysis results indicated that exercise significantly improves inhibitory function in MDD patients, with a combined effect size (SMD = 0.48, 95% CI = 0.18–0.77, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Subgroup analysis showed that exercise had a statistically significant effect on inhibitory control in MDD patients, with an effect size (SMD = 0.563, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Regarding exercise elements, other types of exercise (resistance exercise RE, mixed exercise ME), duration greater than 45 min, intervention period of ≤12 weeks, frequency of two times per week, and low intensity were found to be more effective, all with statistical significance (SMD = 0.863, &lt;i&gt;p&lt;/i&gt; &lt; 0.001; SMD = 0.936, &lt;i&gt;p&lt;/i&gt; &lt; 0.001; SMD = 0.525, &lt;i&gt;p&lt;/i&gt; = 0.002; SMD = 0.682, &lt;i&gt;p&lt;/i&gt; = 0.004; SMD = 0.94, &lt;i&gt;p&lt;/i&gt; = 0.00).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Based on the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification systems, a research framework for exercise interventions on executive function in MDD patients was constructed, demonstrating that exercise can improve inhibitory function in MDD with high evidence quality. Our study found that other types of exercise (RE or ME), intervention duration of &gt;45 min, intervention period of ≤12 weeks, frequency of two times per week, and low intensity are more effective for improving inhibitory function in MDD patients. While the o","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":"15 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Health-Related Quality of Life Impact of the COVID-19 Pandemic on People Living with Multiple Sclerosis and the General Population: A Comparative Study Utilizing the EQ-5D-5L with Psychosocial Bolt-Ons COVID-19大流行对多发性硬化症患者和普通人群健康相关生活质量的影响:一项利用EQ-5D-5L与社会心理锚点的比较研究
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70210
Glen J. Henson, Ingrid van der Mei, Bruce V. Taylor, Suzi B. Claflin, Andrew J. Palmer, Gang Chen, Julie A. Campbell

Objectives

Studies have shown that people living with multiple sclerosis (PwMS) were substantially impacted by the COVID-19 pandemic. However, no study has compared the overall health-related quality of life impact of the COVID-19 pandemic on PwMS and the general population. Differences would have implications for crises/pandemic management policies. This study aimed to compare the prevalence and health-related quality of life impact of COVID-19-related adversity (such as deteriorations in mental or physical health) in PwMS and the general population.

Methods

Cross-sectional data were obtained from the How Is Your Life Australian general population study (comprising subsamples with and without chronic disease) and the Australian MS Longitudinal Study from August to October 2020. Health-related quality of life was measured using health state utilities (HSUs; represented on a 0 [death] to 1 [full health] scale) generated by the EQ-5D-5L-Psychosocial. COVID-19-related adversity was measured via specialized survey items. Descriptive and multivariable regression analyses were conducted.

Results

A total of 1020 general population individuals and 1635 MS participants entered the study (mean age 52.4 and 58.4; female 52.4% and 80.2%, respectively). COVID-19-related adversity prevalence was higher among PwMS compared to the general population with and without chronic diseases (PR: 1.430 [CI: 1.153, 1.774] and PR: 1.90 [CI: 1.56, 2.32], respectively). However, the HSU impact of COVID-19-related adversity was not dependent on disease status (p > 0.20, test for interaction).

Conclusion

This study found that PwMS were more likely to experience COVID-19-related adversity compared to the general population, though the health-related quality-of-life impact was similar. This demonstrates that PwMS require additional support during national and global crises.

研究表明,多发性硬化症(PwMS)患者受到COVID-19大流行的严重影响。然而,没有研究比较COVID-19大流行对PwMS和普通人群的总体健康相关生活质量的影响。差异将对危机/大流行管理政策产生影响。本研究旨在比较与covid -19相关的逆境(如精神或身体健康恶化)在PwMS和普通人群中的患病率和与健康相关的生活质量影响。方法:从2020年8月至10月的澳大利亚普通人群研究(包括有和没有慢性疾病的亚样本)和澳大利亚多发性硬化纵向研究中获得横断面数据。与健康相关的生活质量采用健康状态效用(HSUs;以eq - 5d - 5l -心理社会量表产生的0(死亡)到1(完全健康)表示。通过专门的调查项目测量与covid -19相关的逆境。进行了描述性和多变量回归分析。结果:共有1020名普通人群和1635名MS参与者进入研究(平均年龄52.4岁和58.4岁;女性分别为52.4%和80.2%)。与患有和不患有慢性疾病的普通人群相比,PwMS中与covid -19相关的逆境患病率更高(PR: 1.430 [CI: 1.153, 1.774]和PR: 1.90 [CI: 1.56, 2.32])。然而,与covid -19相关的逆境对HSU的影响并不依赖于疾病状态(p < 0.20,相互作用检验)。结论:本研究发现,与普通人群相比,PwMS更有可能经历与covid -19相关的逆境,尽管与健康相关的生活质量影响相似。这表明,在国家和全球危机期间,PwMS需要额外的支持。
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引用次数: 0
Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy 脑海绵体畸形:从遗传学到药物治疗。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70223
Zhuangzhuang Zhang, Jianwen Deng, Weiping Sun, Zhaoxia Wang

Introduction

Cerebral cavernous malformation (CCM) is a type of cerebrovascular abnormality in the central nervous system linked to both germline and somatic genetic mutations. Recent preclinical and clinical studies have shown that various drugs can effectively reduce the burden of CCM lesions. Despite significant progress, the mechanisms driving CCM remain incompletely understood, and to date, no drugs have been developed that can cure or prevent CCM. This review aims to explore the genetic mutations, molecular mechanisms, and pharmacological interventions related to CCM.

Methods

Literatures on the genetic mechanisms and pharmacological treatments of CCM can be searched in PubMed and Web of Science.

Results

Germline and somatic mutations mediate the onset and development of CCM through several molecular pathways. Medications such as statins, fasudil, rapamycin, and propranolol can alleviate CCM symptoms or hinder its progression by specifically modulating the corresponding targets.

Conclusions

Understanding the molecular mechanisms underlying CCM offers potential for targeted therapies. Further research into novel mutations and treatment strategies is essential for improving patient outcomes.

脑海绵体畸形(CCM)是一种与种系和体细胞基因突变相关的中枢神经系统脑血管异常。最近的临床前和临床研究表明,各种药物可以有效减轻CCM病变的负担。尽管取得了重大进展,但驱动CCM的机制仍然不完全清楚,迄今为止,还没有开发出可以治愈或预防CCM的药物。本文旨在探讨与CCM相关的基因突变、分子机制和药物干预。方法:在PubMed和Web of Science中检索有关CCM遗传机制和药理治疗的文献。结果:生殖系和体细胞突变通过多种分子途径介导CCM的发生和发展。他汀类、法舒地尔、雷帕霉素和心得安等药物可通过特异性调节相应靶点来缓解CCM症状或阻碍其进展。结论:了解CCM的分子机制为靶向治疗提供了可能。进一步研究新的突变和治疗策略对于改善患者预后至关重要。
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引用次数: 0
High Body Roundness Index Is Associated With Unhealthy Sleep Patterns: Insights From NHANES (2007–2014) 高身体圆度指数与不健康的睡眠模式有关:来自NHANES的见解(2007-2014)。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70224
Pingchuan Liu, Yuding Luo, Xing He, Jiali Zhang, Fanzhou Ren, Bingyang Zhang, Bo Zheng, Jian Wang

Background

Substantial evidence suggests an association between obesity and sleep. However, research investigating sleep patterns in relation to novel anthropometric indices is limited. Therefore, we conducted a cross-sectional analysis of data from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2014 to examine the relationship between the body roundness index (BRI) and unhealthy sleep patterns.

Objective

This study aimed to investigate the association between the BRI and unhealthy sleep patterns among US adults.

Methods

Data were sourced from NHANES (2007–2014), including respondents aged 20 years and older. Participants were categorized into two groups based on the healthiness of their sleep patterns. The data were weighted, and multiple potential covariates were included in the analysis to provide national estimates and account for the comprehensive sampling design. A multivariable weighted logistic regression model was used, employing restricted cubic spline (RCS) curves to examine potential associations, and subgroup analyses were conducted to determine the stability of the results. Receiver operating characteristic (ROC) analysis was used to compare the diagnostic performance of BRI and body mass index (BMI) in identifying unhealthy sleep patterns.

Results

In the fully adjusted multivariable logistic regression model, the prevalence odds ratio (POR) for the association between BRI and unhealthy sleep patterns was 1.09, with a 95% confidence interval (CI) of 1.07–1.10. The RCS analysis found that the nonlinear association between BRI and unhealthy sleep patterns was not significant. Subgroup and sensitivity analyses indicated a consistently positive association between high BRI and unhealthy sleep patterns across most subgroups. ROC diagnostic tests showed that BRI's effectiveness in diagnosing unhealthy sleep patterns was comparable to that of BMI, and it was not inferior to BMI in assessing certain components of sleep patterns.

Conclusion

High BRI is positively associated with unhealthy sleep patterns significantly, indicating that BRI could be a promising metric for evaluating sleep health.

背景:大量证据表明肥胖和睡眠之间存在关联。然而,研究睡眠模式与新型人体测量指标的关系是有限的。因此,我们对2007年至2014年国家健康与营养检查调查(NHANES)的数据进行了横断面分析,以检验身体圆度指数(BRI)与不健康睡眠模式之间的关系。目的:本研究旨在调查美国成年人中BRI与不健康睡眠模式之间的关系。方法:数据来源于NHANES(2007-2014),调查对象年龄在20岁及以上。参与者根据睡眠模式的健康程度被分为两组。对数据进行加权,并将多个潜在协变量纳入分析,以提供全国估计并考虑综合抽样设计。采用多变量加权logistic回归模型,采用限制性三次样条(RCS)曲线检验潜在关联,并进行亚组分析以确定结果的稳定性。采用受试者工作特征(ROC)分析比较BRI和体重指数(BMI)在识别不健康睡眠模式方面的诊断性能。结果:在完全调整的多变量logistic回归模型中,BRI与不健康睡眠模式相关的患病率优势比(POR)为1.09,95%置信区间(CI)为1.07-1.10。RCS分析发现,BRI与不健康睡眠模式之间的非线性关联并不显著。亚组和敏感性分析表明,在大多数亚组中,高BRI与不健康睡眠模式之间始终存在正相关。ROC诊断测试表明,BRI在诊断不健康睡眠模式方面的有效性与BMI相当,并且在评估睡眠模式的某些组成部分方面并不逊于BMI。结论:高BRI与不健康的睡眠模式显著正相关,表明BRI可能是评估睡眠健康的一个有希望的指标。
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引用次数: 0
Nicorandil Ameliorates Depression-Like Behaviors After Traumatic Brain Injury by Suppressing Ferroptosis Through the SLC7A11/GPX4 Axis in the Hippocampus 尼可地尔通过海马SLC7A11/GPX4轴抑制铁下沉,改善创伤性脑损伤后抑郁样行为
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70199
Yao-Ran Tu, Ming Tan, Yao Li, De-Quan Hong, Fan Niu

Introduction

Depression is a prevalent and significant psychological consequence of traumatic brain injury (TBI). Ferroptosis, an iron-dependent form of regulated cell death, exacerbates the neurological damage associated with TBI. This study investigates whether nicorandil, a potassium channel opener with nitrate-like properties known for its antioxidative and neuroprotective effects, can mitigate depression-like behaviors following TBI by modulating ferroptosis.

Methods

A controlled cortical impact (CCI) device was used to establish the TBI model. Depression-like behaviors in rats were assessed using the sucrose preference test (SPT), the tail suspension test (TST), and the forced swimming test (FST). The antioxidant system, lipid peroxidation, and ferroptosis levels were evaluated. The SLC7A11/GPX4 axis was analyzed using quantitative real-time PCR (qRT-PCR) and Western blot analysis.

Results

Nicorandil administration significantly ameliorated depression-like behaviors in rats with TBI. Nicorandil administration also effectively restored the antioxidant system, substantially reduced lipid peroxidation, and attenuated ferroptosis in the hippocampus of rats with TBI. Mechanistically, nicorandil administration promoted the SLC7A11/GPX4 axis in the hippocampus of rats with TBI. Crucially, knockdown of hippocampal SLC7A11 abrogated the protective effects of nicorandil on depression-like behaviors, lipid peroxidation, and ferroptosis in the hippocampus of rats with TBI.

Conclusion

These findings indicate that nicorandil ameliorates depression-like behaviors following TBI by inhibiting hippocampal ferroptosis through the activation of the SLC7A11/GPX4 axis.

抑郁症是创伤性脑损伤(TBI)的一种普遍而显著的心理后果。铁死亡是一种铁依赖性的细胞死亡形式,它加剧了与TBI相关的神经损伤。这项研究调查了nicorandil,一种钾通道开启剂,具有类似硝酸盐的特性,以其抗氧化和神经保护作用而闻名,是否可以通过调节铁下沉来减轻TBI后的抑郁样行为。方法:采用控制性皮质撞击(CCI)装置建立脑外伤模型。采用蔗糖偏好试验(SPT)、悬尾试验(TST)和强迫游泳试验(FST)对大鼠抑郁样行为进行评价。评估抗氧化系统、脂质过氧化和铁下垂水平。采用实时荧光定量PCR (qRT-PCR)和Western blot分析SLC7A11/GPX4轴。结果:尼可地尔可显著改善脑外伤大鼠抑郁样行为。尼可地尔也能有效恢复脑外伤大鼠的抗氧化系统,显著减少脂质过氧化,减轻海马铁下垂。在机制上,尼可地尔促进脑外伤大鼠海马SLC7A11/GPX4轴的表达。重要的是,敲低海马SLC7A11可消除尼可地尔对创伤性脑损伤大鼠海马抑郁样行为、脂质过氧化和铁下沉的保护作用。结论:这些研究结果表明,尼可地尔通过激活SLC7A11/GPX4轴抑制海马铁下沉,从而改善脑外伤后抑郁样行为。
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引用次数: 0
The Effect of Digital Era on Human Visual Working Memory 数字时代对人类视觉工作记忆的影响。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-31 DOI: 10.1002/brb3.70220
Dandan Tang, Jiangtao Chen, Ping Xu

Background

The digital age has had a profound impact on our lives and cognitive abilities, such as working memory. Typically, visual working memory (VWM) is an important aspect of our working memory. As a crucial cognitive function for individuals, VWM has been extensively studied in the context of the digital age and may be affected by the digital age.

Objective

This review aims to provide a summary of the impact of the digital age on VWM and cover various aspects and novel methods for investigating its effects on our VWM.

Methods

Qualitative review of the VWM in the context of the digital age.

Results

This paper reviews the research on VWM in the context of the digital era, expounds the influence of both the digital content usage and the active video games on the VWM, introduces the application of the virtual technology in the research of VWM, and puts forward the future research direction of VWM in the context of the digital era.

Conclusion

By synthesizing the existing research, this review sheds light on the complex relationship between the digital age and VWM, as well as identifies potential avenues for future research on VWM.

背景:数字时代对我们的生活和认知能力产生了深远的影响,比如工作记忆。通常,视觉工作记忆(VWM)是我们工作记忆的一个重要方面。VWM作为个体的一项重要认知功能,在数字时代背景下得到了广泛的研究,并可能受到数字时代的影响。目的:本文综述了数字时代对VWM的影响,并介绍了数字时代对VWM影响的各个方面和新方法。方法:对数字时代背景下的VWM进行定性回顾。结果:本文回顾了数字时代背景下的虚拟文字管理研究,阐述了数字内容的使用和活跃的电子游戏对虚拟文字管理的影响,介绍了虚拟技术在虚拟文字管理研究中的应用,提出了数字时代背景下虚拟文字管理未来的研究方向。结论:通过对已有研究的综合,本文揭示了数字时代与VWM之间的复杂关系,并指出了未来VWM研究的潜在途径。
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引用次数: 0
Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review 头部外部压迫或牵引引起的原发性头痛:一篇叙述性综述。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-12-30 DOI: 10.1002/brb3.70202
Ole Hensel, Torsten Kraya

Background

The aim of this review is to synthesize the existing knowledge regarding headaches attributed to external physical stimuli, as classified by the ICHD-3 (Group 4.6). Two forms can be distinguished in this group: (1) headache attributed to external compression and (2) headache attributed to external traction.

Methods

A comprehensive literature review was conducted using the Medline (PubMed) database and other relevant academic sources. All English-language articles were subjected to a relevance assessment.

Results

The prevalence of the two types of headache varies considerably, with a higher incidence observed in women or in the presence of predisposing factors (e.g., work with compulsory helmets or long hair). An external-compression headache is typically described as a pressing sensation, whereas an external-traction headache is characterized by a sensation of pulling. The headaches typically persist for less than an hour after the stimulus has ceased, and the intensity is typically reported as mild to moderate. Apart from avoiding the trigger, which is not always possible, effective therapies have not been established.

Conclusion

Both types of headaches are relatively common, yet they remain underrepresented in the scientific literature. Furthermore, there is a dearth of comprehensive overviews. If the triggering factor cannot be eliminated, both types of headaches can interfere with daily living and working.

背景:本综述的目的是综合现有的关于外部物理刺激引起的头痛的知识,按照ICHD-3(4.6组)分类。该组可区分两种形式:(1)外部压迫引起的头痛和(2)外部牵引引起的头痛。方法:利用Medline (PubMed)数据库和其他相关学术来源进行全面的文献综述。所有英文文章都进行了相关性评估。结果:这两种类型的头痛的患病率差异很大,在女性中观察到的发病率较高,或者存在易感因素(例如,工作时必须戴头盔或留长发)。外压迫性头痛通常被描述为一种压迫感,而外牵引性头痛的特征是一种牵拉感。头痛通常在刺激停止后持续不到一个小时,强度通常为轻度至中度。除了避免触发因素(这并不总是可能的)之外,还没有建立有效的治疗方法。结论:这两种类型的头痛都是相对常见的,但它们在科学文献中仍然缺乏代表性。此外,缺乏全面的概述。如果触发因素不能消除,这两种类型的头痛都会干扰日常生活和工作。
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引用次数: 0
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Brain and Behavior
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