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The positive and negative emotion functions related to loneliness: A systematic review of behavioural and neuroimaging studies 与孤独有关的积极和消极情绪功能:行为学和神经影像学研究的系统回顾
Pub Date : 2023-11-24 DOI: 10.1093/psyrad/kkad029
Qianyi Luo, Robin Shao
Loneliness is associated with high prevalences of major psychiatric illnesses such as major depression. However, the underlying emotional mechanisms of loneliness remained unclear. We hypothesized that loneliness originates from both decreases in positive emotional processing and increase of negative emotion processing. To test this, we conducted a systematic review of 29 previous studies (total participant n=19560, mean age=37.16 years, female proportion=59.7%), including 18 studies which included questionnaire measures of emotions only, and 11 studies which examined the brain correlates of emotions. The main findings were that loneliness was negatively correlated with general positive emotions and positively correlated with general negative emotions. Furthermore, limited evidence indicates loneliness exhibited negative and positive correlations with the brain positive (e.g., the striatum) and negative (e.g., insula) emotion systems respectively, but the sign of correlation was not entirely consistent. Additionally, loneliness was associated with the structure and function of the brain emotion regulation systems, particularly the prefrontal cortex, but the direction of this relationship remained ambiguous. We concluded that the existing evidence supported a bivalence model of loneliness, but several critical gaps existed which could be addressed by future studies which include adolescent and middle-aged samples, employ both questionnaire and task measures of emotions, distinguish between general emotion and social emotion as well as between positive and negative emotion regulation, and adopt a longitudinal design which allows ascertaining the causal relationships between loneliness and emotion dysfunction. Our findings provide new insights into the underlying emotion mechanisms of loneliness that can inform interventions on lonely individuals.
孤独与重度抑郁症等主要精神疾病的高发病率有关。然而,孤独感的内在情绪机制仍不清楚。我们假设,孤独感源于积极情绪处理的减少和消极情绪处理的增加。为了验证这一假设,我们对之前的 29 项研究(总参与人数=19560,平均年龄=37.16 岁,女性比例=59.7%)进行了系统性回顾,其中包括 18 项仅对情绪进行问卷测量的研究,以及 11 项研究情绪的大脑相关因素。主要发现是,孤独与一般积极情绪呈负相关,与一般消极情绪呈正相关。此外,有限的证据表明,孤独感分别与大脑的积极情绪系统(如纹状体)和消极情绪系统(如脑岛)呈负相关和正相关,但相关的符号并不完全一致。此外,孤独还与大脑情绪调节系统的结构和功能有关,尤其是前额叶皮层,但这种关系的方向仍然模糊不清。我们的结论是,现有的证据支持孤独感的二元模型,但还存在一些关键的差距,这些差距可以通过未来的研究来弥补。未来的研究将包括青少年和中年样本,采用问卷和任务两种情绪测量方法,区分一般情绪和社会情绪,以及积极情绪调节和消极情绪调节,并采用纵向设计,以确定孤独感和情绪功能障碍之间的因果关系。我们的研究结果为了解孤独的潜在情绪机制提供了新的视角,可以为孤独个体的干预措施提供参考。
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引用次数: 0
Data-driven multimodal fusion: approaches and applications in psychiatric research. 数据驱动的多模态融合:精神病学研究的方法和应用。
Pub Date : 2023-11-22 eCollection Date: 2023-01-01 DOI: 10.1093/psyrad/kkad026
Jing Sui, Dongmei Zhi, Vince D Calhoun

In the era of big data, where vast amounts of information are being generated and collected at an unprecedented rate, there is a pressing demand for innovative data-driven multi-modal fusion methods. These methods aim to integrate diverse neuroimaging perspectives to extract meaningful insights and attain a more comprehensive understanding of complex psychiatric disorders. However, analyzing each modality separately may only reveal partial insights or miss out on important correlations between different types of data. This is where data-driven multi-modal fusion techniques come into play. By combining information from multiple modalities in a synergistic manner, these methods enable us to uncover hidden patterns and relationships that would otherwise remain unnoticed. In this paper, we present an extensive overview of data-driven multimodal fusion approaches with or without prior information, with specific emphasis on canonical correlation analysis and independent component analysis. The applications of such fusion methods are wide-ranging and allow us to incorporate multiple factors such as genetics, environment, cognition, and treatment outcomes across various brain disorders. After summarizing the diverse neuropsychiatric magnetic resonance imaging fusion applications, we further discuss the emerging neuroimaging analyzing trends in big data, such as N-way multimodal fusion, deep learning approaches, and clinical translation. Overall, multimodal fusion emerges as an imperative approach providing valuable insights into the underlying neural basis of mental disorders, which can uncover subtle abnormalities or potential biomarkers that may benefit targeted treatments and personalized medical interventions.

在大数据时代,海量信息正以前所未有的速度产生和收集,人们对创新的数据驱动多模态融合方法有着迫切的需求。这些方法旨在整合不同的神经成像视角,以提取有意义的见解,从而更全面地了解复杂的精神疾病。然而,对每种模式进行单独分析可能只能揭示部分见解,或忽略不同类型数据之间的重要关联。这就是数据驱动的多模态融合技术发挥作用的地方。通过将多种模式的信息以协同增效的方式结合起来,这些方法使我们能够发现隐藏的模式和关系,否则这些模式和关系就会被忽视。在本文中,我们广泛概述了有无先验信息的数据驱动多模态融合方法,并特别强调了典型相关分析和独立分量分析。这种融合方法的应用范围很广,使我们能够将遗传、环境、认知和治疗结果等多种因素纳入各种脑部疾病的研究中。在总结了各种神经精神磁共振成像融合应用之后,我们进一步讨论了大数据中新兴的神经成像分析趋势,如 N 路多模态融合、深度学习方法和临床转化。总之,多模态融合是一种势在必行的方法,它能为精神疾病的潜在神经基础提供有价值的见解,从而发现微妙的异常或潜在的生物标记物,这可能有利于靶向治疗和个性化医疗干预。
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引用次数: 0
Insight in Obsessive-compulsive Disorder: Conception, Clinical Characteristics, Neuroimaging and Treatment 洞察强迫症:概念,临床特征,神经影像学和治疗
Pub Date : 2023-11-08 DOI: 10.1093/psyrad/kkad025
Yueqi Huang, Yazhu Weng, Lan Lan, Cheng Zhu, Ting Shen, Wenxin Tang, Hsin-Yi Lai
Abstract Obsessive-compulsive disorder (OCD) is a chronic disabling disease with often unsatisfactory therapeutic outcomes. The 5th Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has broadened the diagnostic criteria for OCD, acknowledging that some OCD patients may lack insight into their symptoms. Previous studies have demonstrated that insight can impact therapeutic efficacy and prognosis, underscoring its importance in the treatment of mental disorders, including OCD. In recent years, there has been a growing interest in understanding the influence of insight on mental disorders, leading to advancements in related research. However, to the best of our knowledge, there is dearth of comprehensive reviews on the topic of insight in OCD. In this review article, we aim to fill this gap by providing a concise overview of the concept of insight and its multifaceted role in clinical characteristics, neuroimaging mechanism and treatment for OCD.
强迫症(OCD)是一种慢性致残疾病,治疗效果往往不理想。第五版《精神疾病诊断与统计手册》(DSM-5)扩大了强迫症的诊断标准,承认一些强迫症患者可能对自己的症状缺乏洞察力。先前的研究表明,洞察力可以影响治疗效果和预后,强调了它在治疗精神障碍(包括强迫症)中的重要性。近年来,人们对理解洞察力对精神障碍的影响越来越感兴趣,导致相关研究取得进展。然而,据我们所知,关于强迫症的洞察力这个话题缺乏全面的评论。在这篇综述文章中,我们旨在通过提供一个简明的概述,洞察的概念及其在临床特征,神经影像学机制和治疗强迫症多方面的作用来填补这一空白。
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引用次数: 0
The potential utility of evoked potentials in the treatment of mental illnesses 诱发电位在精神疾病治疗中的潜在效用
Pub Date : 2023-10-26 DOI: 10.1093/psyrad/kkad024
Salvatore Campanella
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引用次数: 0
Affected cortico-striatal-cerebellar network in schizophrenia with catatonia revealed by magnetic resonance imaging: indications for electroconvulsive therapy and repetitive transcranial magnetic stimulation 磁共振成像显示精神分裂症伴紧张症的皮质纹状体小脑网络受影响:电痉挛治疗和重复经颅磁刺激的适应症
Pub Date : 2023-10-19 DOI: 10.1093/psyrad/kkad019
Xiao-Fan Liu, Shu-Wan Zhao, Zachary Kratochvil, Jia-Cheng Jiang, Di Cui, Lu Wang, Jing-Wen Fan, Yue-Wen Gu, Hong Yin, Jin-Jin Cui, Xiao Chang, Long-Biao Cui
Abstract Catatonia is a psychomotor syndrome that can occur in a broad spectrum of brain disorders, including schizophrenia. Current findings suggest that the neurobiological process underlying catatonia symptoms in schizophrenia is poorly understood. However, emerging neuroimaging studies in catatonia patients have indicated that a disruption in anatomical connectivity of the cortico-striatal-cerebellar system is part of the neurobiology of catatonia, which could serve as a target of neurostimulation such as electroconvulsive therapy and repeated transcranial magnetic stimulation.
紧张症是一种精神运动综合征,可发生在广泛的脑部疾病,包括精神分裂症。目前的研究结果表明,精神分裂症紧张症症状背后的神经生物学过程尚不清楚。然而,新兴的紧张症患者神经影像学研究表明,皮质-纹状体-小脑系统解剖连通性的破坏是紧张症神经生物学的一部分,可以作为神经刺激的靶点,如电休克治疗和反复经颅磁刺激。
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引用次数: 0
A mini-review on how COVID-19 pandemic impact on intertemporal choice 关于COVID-19大流行如何影响跨期选择的综述
Pub Date : 2023-10-10 DOI: 10.1093/psyrad/kkad021
Xinwen Zhang, Ziyun Wu, Qinghua He
Abstract The coronavirus disease (COVID-19) has extremely harmful impacts on individual lifestyles, and at present, people must make financial or survival decisions under the profound changes frequently. Although it has been reported that COVID-19 changed decision-making patterns, the underlying mechanisms remained unclear. This mini-review focuses on the impact of the COVID-19 pandemic on intertemporal choice, and potential psychological, biological, and social factors that mediate this relationship. A search of the Web of Science electronic database yielded twenty-three studies. The results showed that under the COVID-19 pandemic, people tended to choose immediate and smaller rewards, and became less patient. Especially, people with negative emotion, worse physical healthy condition, or incompliance with the government restriction rules tend to become more short-sighted. Future studies should examine more longitudinal and cross-cultural research to give a broad view about the decision-making change under the COVID-19 pandemic.
冠状病毒病(COVID-19)对个人的生活方式产生了极其有害的影响,目前人们必须在深刻的变化下频繁地做出财务或生存的决定。尽管有报道称COVID-19改变了决策模式,但其潜在机制尚不清楚。这篇小型综述的重点是COVID-19大流行对跨期选择的影响,以及介导这种关系的潜在心理、生物和社会因素。对Web of Science电子数据库的搜索产生了23项研究。结果表明,在新冠疫情下,人们倾向于选择即时和较小的奖励,并且变得缺乏耐心。特别是那些情绪消极、身体健康状况较差或不遵守政府限制规定的人,往往会变得更加短视。未来的研究应该进行更多的纵向和跨文化研究,以更广泛地了解COVID-19大流行下的决策变化。
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引用次数: 0
Aberrant single-subject morphological brain networks in first-episode, treatment-naive adolescents with major depressive disorder 首次发作、未接受治疗的重性抑郁症青少年的异常单主体脑形态网络
Pub Date : 2023-09-26 DOI: 10.1093/psyrad/kkad017
Xiaofan Qiu, Junle Li, Fen Pan, Yuping Yang, Weihua Zhou, Jinkai Chen, Ning Wei, Shaojia Lu, Xuchu Weng, Manli Huang, Jinhui Wang
Abstract Background Neuroimaging-based connectome studies have indicated that major depressive disorder (MDD) is associated with disrupted topological organization of large-scale brain networks. However, the disruptions and their clinical and cognitive relevance are not well established for morphological brain networks in adolescent MDD. Methods Twenty-five first-episode, treatment-naive adolescents with MDD and 19 healthy controls (HCs) underwent T1-weighted MRI and a battery of neuropsychological tests. Single-subject morphological brain networks were constructed separately based on cortical thickness, fractal dimension, gyrification index and sulcus depth, and topologically characterized by graph-based approaches. Between-group differences were inferred by permutation testing. For significant alterations, partial correlations were used to examine their associations with clinical and neuropsychological variables in the patients. Finally, support vector machine was used to classify the patients from controls. Results Compared with the HCs, the patients exhibited topological alterations only in cortical thickness-based networks characterized by higher nodal centralities in parietal (left PriMary Sensory Cortex) but lower nodal centralities in temporal (left ParaBelt Complex, right Perirhinal Ectorhinal Cortex, right Area PHT and right Ventral Visual Complex) regions. Moreover, decreased nodal centralities of some temporal regions were correlated with cognitive dysfunction and clinical characteristics of the patients. These results were largely reproducible for binary and weighted network analyses. Finally, topological properties of the cortical thickness-based networks were able to distinguish the MDD adolescents from controls with 87.6% accuracy. Conclusion Adolescent MDD is associated with disrupted topological organization of morphological brain networks, and the disruptions provide potential biomarkers for diagnosing and monitoring the disease.
基于神经成像的连接组研究表明,重度抑郁症(MDD)与大规模脑网络拓扑组织的破坏有关。然而,在青少年重度抑郁症的大脑形态网络中,这种破坏及其临床和认知相关性尚未得到很好的确立。方法25例首发、未接受治疗的MDD青少年和19例健康对照(hc)接受了t1加权MRI和一系列神经心理测试。基于皮质厚度、分形维数、回转指数和脑沟深度分别构建单受试者脑形态网络,并采用基于图的方法进行拓扑表征。通过排列检验推断组间差异。对于显著的改变,部分相关性被用来检查它们与患者临床和神经心理学变量的关联。最后,利用支持向量机对患者和对照组进行分类。结果与hc相比,患者仅表现出皮层厚度网络的拓扑结构改变,其特征是顶叶(左侧初级感觉皮层)的节点中心性较高,而颞叶(左侧带旁复合体、右侧鼻周外皮层、右侧PHT区和右侧腹侧视觉复合体)的节点中心性较低。此外,部分颞区淋巴结中心性下降与患者的认知功能障碍和临床特征有关。这些结果在二进制和加权网络分析中基本上是可重复的。最后,基于皮质厚度的网络拓扑特性能够以87.6%的准确率将MDD青少年与对照组区分开来。结论青少年MDD与脑形态网络拓扑组织的破坏有关,这种破坏为该病的诊断和监测提供了潜在的生物标志物。
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引用次数: 1
The right inferior frontal gyrus as pivotal node and effective regulator of the basal ganglia-thalamocortical response inhibition circuit 右侧额下回作为基底神经节-丘脑皮质反应抑制回路的关键节点和有效调节器
Pub Date : 2023-09-13 DOI: 10.1093/psyrad/kkad016
Qian Zhuang, Lei Qiao, Lei Xu, Shuxia Yao, Shuaiyu Chen, Xiaoxiao Zheng, Jialin Li, Meina Fu, Keshuang Li, Deniz Vatansever, Stefania Ferraro, Keith M Kendrick, Benjamin Becker
Abstract Background The involvement of specific basal ganglia-thalamocortical circuits in response inhibition has been extensively mapped in animal models. However, the pivotal nodes and directed casual regulation within this inhibitory circuit in humans remains controversial. Methods Here, we capitalize on the recent progress in robust and biologically plausible directed causal modelling (DCM-PEB) and a large response inhibition dataset (n=250) acquired with concomitant functional fMRI to determine key nodes, their causal regulation and modulation via biological variables (sex) and inhibitory performance in the inhibitory circuit encompassing the right inferior frontal gyrus (rIFG), caudate nucleus (rCau), globus pallidum (rGP) and thalamus (rThal). Results The entire neural circuit exhibited high intrinsic connectivity and response inhibition critically increased causal projections from the rIFG to both rCau and rThal. Direct comparison further demonstrated that response inhibition induced an increasing rIFG inflow and increased the causal regulation of this region over the rCau and rThal. In addition, sex and performance influenced the architecture of the regulatory circuits such that women displayed increased rThal self-inhibition and decreased rThal to GP modulation, while better inhibitory performance was associated with stronger rThal to rIFG communication. Furthermore, control analyses did not reveal a similar key communication in a left lateralized model. Conclusions Together these findings indicate a pivotal role of the rIFG as input and causal regulator of subcortical response inhibition nodes.
背景:在动物模型中,特定的基底神经节-丘脑皮质回路参与反应抑制已被广泛绘制。然而,这一抑制回路中的关键节点和定向随意调节在人类中仍然存在争议。在此,我们利用鲁棒性和生物学上合理的定向因果模型(DCM-PEB)的最新进展,以及通过功能磁共振成像获得的大型反应抑制数据集(n=250)来确定关键节点,它们通过生物变量(性别)和抑制回路中的抑制表现进行因果调节和调节,抑制回路包括右额下回(rIFG)、尾状核(rCau)、白球(rGP)和丘脑(rThal)。结果整个神经回路表现出高度的内在连通性,反应抑制极大地增加了从rIFG到rCau和rThal的因果投射。直接比较进一步表明,反应抑制诱导了rIFG流入的增加,并增加了该区域对rCau和rThal的因果调节。此外,性别和表现会影响调节回路的结构,例如女性表现出增强的rThal自我抑制和减少的rThal对GP调制,而更好的抑制表现与更强的rThal与rIFG通信相关。此外,对照分析在左侧化模型中没有发现类似的关键通信。综上所述,这些发现表明了rIFG作为皮层下反应抑制节点的输入和因果调节的关键作用。
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引用次数: 1
Structural and functional differences in the brains of patients with MCI with and without depressive symptoms and their relations with Alzheimer's disease: an MRI study. 伴有抑郁症状和不伴有抑郁症状的 MCI 患者大脑结构和功能差异及其与阿尔茨海默病的关系:磁共振成像研究。
Pub Date : 2023-06-13 eCollection Date: 2023-01-01 DOI: 10.1093/psyrad/kkad008
Rodolfo Dias Chiari-Correia, Vitor Tumas, Antônio Carlos Santos, Carlos Ernesto G Salmon

Background: The mild cognitive impairment (MCI) stage among elderly individuals is very complex, and the level of diagnostic accuracy is far from ideal. Some studies have tried to improve the 'MCI due to Alzheimer's disease (AD)' classification by further stratifying these patients into subgroups. Depression-related symptoms may play an important role in helping to better define the MCI stage in elderly individuals.

Objective: In this work, we explored functional and structural differences in the brains of patients with nondepressed MCI (nDMCI) and patients with MCI with depressive symptoms (DMCI), and we examined how these groups relate to AD atrophy patterns and cognitive functioning.

Methods: Sixty-five participants underwent MRI exams and were divided into four groups: cognitively normal, nDMCI, DMCI, and AD. We compared the regional brain volumes, cortical thickness, and white matter microstructure measures using diffusion tensor imaging among groups. Additionally, we evaluated changes in functional connectivity using fMRI data.

Results: In comparison to the nDMCI group, the DMCI patients had more pronounced atrophy in the hippocampus and amygdala. Additionally, DMCI patients had asymmetric damage in the limbic-frontal white matter connection. Furthermore, two medial posterior regions, the isthmus of cingulate gyrus and especially the lingual gyrus, had high importance in the structural and functional differentiation between the two groups.

Conclusion: It is possible to differentiate nDMCI from DMCI patients using MRI techniques, which may contribute to a better characterization of subtypes of the MCI stage.

背景:老年人的轻度认知障碍(MCI)阶段非常复杂,诊断的准确性远未达到理想水平。一些研究试图改进 "阿尔茨海默病(AD)导致的 MCI "分类,将这些患者进一步分层。抑郁症相关症状可能在帮助更好地界定老年 MCI 阶段方面发挥着重要作用:在这项研究中,我们探讨了非抑郁 MCI(nDMCI)患者和伴有抑郁症状的 MCI(DMCI)患者大脑的功能和结构差异,并研究了这些群体与 AD 萎缩模式和认知功能之间的关系:65名参与者接受了磁共振成像检查,并被分为四组:认知功能正常组、nDMCI组、DMCI组和AD组。我们使用弥散张量成像技术比较了各组的区域脑容量、皮质厚度和白质微结构。此外,我们还利用 fMRI 数据评估了功能连接的变化:结果:与 nDMCI 组相比,DMCI 患者的海马和杏仁核有更明显的萎缩。此外,DMCI 患者的边缘-额叶白质连接也受到不对称损伤。此外,扣带回峡部尤其是舌回这两个内侧后部区域在两组患者的结构和功能区分中具有重要意义:结论:利用磁共振成像技术可以区分 nDMCI 和 DMCI 患者,这有助于更好地描述 MCI 阶段的亚型。
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引用次数: 0
Gender difference in network relationship between inter-temporal decisions and prefrontal activation levels in Internet gaming disorder 网络游戏障碍颞叶间决策与前额叶激活水平网络关系的性别差异
Pub Date : 2023-03-01 DOI: 10.1093/psyrad/kkad015
Hui Zheng, Weiran Zhou, Min Wang, Hao-hao Dong, Chunlei Lu, Jia-lin Zhang, Xue-feng Ma, Yanbo Hu, Guangheng Dong
Abstract Background Impulsivity and decision-making are key factors in addiction. However, little is known about how gender and time sensitivity affect impulsivity in internet gaming disorder (IGD). Objective To investigate the gender difference of impulsive decision-making and relevant brain responses in IGD. Methods We conducted a functional magnetic resonance imaging (fMRI) study with 123 participants, including 59 IGD individuals (26 females) and 64 matched recreational game users (RGUs, 23 females). Participants performed a delay-discounting task during fMRI scanning. We examined gender-by-group effects on behavioral and neural measures to explore the preference for immediate over delayed rewards and the associated brain activity. We also investigated the network correlations between addiction severity and behavioral and neural measures, and analyzed the mediating role of brain activity in the link between delay discounting parameters and IGD severity. Results We found significant gender-by-group interactions. The imaging results revealed gender-by-group interactions in the dorsolateral prefrontal cortex, medial frontal gyrus, and inferior frontal gyrus (IFG). Post hoc analysis indicated that, for females, RGUs showed higher activity than IGD individuals in these brain regions, while for males IGD individuals exhibited higher activity than RGUs. The activation in the left IFG mediated the relation between Internet Addiction Test score and discount rate in females. In males, the activation in the right dlPFC mediated the relation between IAT score and time sensitivity. Discussion Our findings imply that male IGD participants demonstrate impaired intertemporal decisions associated with neural dysfunction. Influencing factors for impulsive decision-making in IGD diverge between males (time sensitivity) and females (discount rate). These findings augment our comprehension of the neural underpinnings of gender differences in IGD and bear significant implications for devising effective intervention strategies for treating people with IGD.
摘要背景冲动和决策是成瘾的关键因素。然而,关于性别和时间敏感性如何影响网络游戏障碍(IGD)中的冲动性,我们知之甚少。目的探讨IGD患者冲动性决策及相关脑反应的性别差异。方法对123名参与者进行了功能磁共振成像(fMRI)研究,其中包括59名IGD个体(26名女性)和64名匹配的休闲游戏用户(rgu, 23名女性)。参与者在fMRI扫描期间执行延迟折扣任务。我们研究了性别分组对行为和神经测量的影响,以探索对即时奖励的偏好和相关的大脑活动。我们还研究了成瘾严重程度与行为和神经测量之间的网络相关性,并分析了大脑活动在延迟折扣参数与IGD严重程度之间的联系中的中介作用。结果:我们发现了显著的性别群体互动。成像结果显示,在背外侧前额皮质、内侧额回和额下回(IFG)中,按性别分组的相互作用。事后分析表明,对于女性来说,rgu在这些脑区表现出比IGD个体更高的活性,而对于男性来说,IGD个体表现出比rgu更高的活性。左侧IFG的激活介导了网络成瘾测试分数与折现率之间的关系。在男性中,右侧dlPFC的激活介导了IAT得分与时间敏感性之间的关系。我们的研究结果表明,男性IGD参与者表现出与神经功能障碍相关的颞间决策受损。影响IGD冲动性决策的因素在男性(时间敏感性)和女性(贴现率)之间存在差异。这些发现增强了我们对IGD性别差异的神经基础的理解,并对制定有效的干预策略治疗IGD患者具有重要意义。
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引用次数: 0
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Psychoradiology
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