通过神经技术观察和解决青少年抑郁症。

Osama Ejaz, Muhammad Abul Hasan, Mishal Ashraf, Saad Ahmed Qazi
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摘要

据联合国统计,青年占全球总人口的16%,而世界卫生组织报告说,每七个年轻人中就有一个患有抑郁症。在各种已测试的抑郁症治疗方案中,经颅直流电刺激(tDCS)对年轻参与者的疗效仍未明确探讨。因此,本研究旨在通过神经学、神经心理学和行为测量方法,在青少年人群中研究跨半球tDCS干预与较少的会话数。总共招募了50名年轻参与者,其中包括25名健康的人和25名抑郁的人。抑郁组随机分为活跃tDCS组和假tDCS组,连续5天完成150分钟的训练。活跃tDCS组在前额皮质背外侧接受2 mA的刺激。与健康人不同,抑郁症参与者在闭眼和睁眼休息状态下的大脑活动差异减小,在积极组干预后恢复。此外,与健康个体相比,tDCS干预有效地改变了先前在抑郁参与者中观察到的减少的α不对称。运动组抑郁神经心理学评分升高(t = 5.47, P)也可能支持这些神经学预后。活跃组的Stroop任务的注意得分(t = 5.14, P)和反应时间(t = 2.22, P = 0.02)在tDCS干预后也有显著提高。报告的研究结果强调了tDCS快速有效地管理青少年抑郁症的能力。
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Brain Insights and Resolution of Youth Depression through Neurotechnology.

As per United Nations, the youth constitute 16% of total population globally whereas World Health Organization reported that one in every seven young individual suffers from depression. Among various tested therapeutic solutions for depression management, the efficacy of transcranial Direct Current Stimulation (tDCS) is still unexplored specifically in young participants. Therefore, this study aims to investigate the cross hemispheric tDCS intervention with a smaller number of sessions in youth population by means of neurological, neuropsychological, and behavioural measures. A total of 50 young participants were recruited comprising of 25 healthy and 25 depressed individuals. The participants of depressed group were randomly assigned to active tDCS and sham tDCS sub groups and completed 150 min of training over 5 consecutive days. The active tDCS group received stimulation of 2 mA over dorsolateral prefrontal cortex. Unlike healthy individuals, depressed participants demonstrated reduced difference of brain activity between eyes opened and closed resting conditions which gets restored following the intervention in active group. Additionally, the tDCS intervention effectively modified the previously reduced alpha asymmetry observed in depressed participants compared to healthy individuals. These neurological outcomes may also be supported with enhanced neuropsychological score of depression (t = 5.47, P < .01) in active group. The attention score (t = 5.14, P < .01) and reaction time (t = 2.22, P = .02) evaluated through behavioural measure of Stroop task were also significantly improved in active group post tDCS intervention. The reported outcomes of the study highlighted the ability of tDCS for prompt and efficient youth depression management.

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