中山大学学报（医学科学版）2024，Vol.45Issue(3)：420-428,9.
伴有童年创伤的重症抑郁患者异常全脑功能连接:一项静息态功能磁共振研究
Abnormal Global Brain Functional Connectivity in MDD Patients with Childhood Trauma:A Resting-State fMRI Study
摘要
Abstract
[Objective]Childhood trauma(CT)is considered one of the major risk factors for developing major depres-sive disorder(MDD)in adulthood.However,the neural basis of MDD patients with CT(CT-MDD)remains poorly under-stood.Therefore,the objective of our study is to explore the resting-state global brain functional connectivity(FC)in CT-MDD.[Methods]A total of 34 CT-MDD and 34 healthy controls performed resting-state fMRI.Whole-brain voxel-level degree centrality(DC)analysis was performed,and the brain regions with significant differences between the two groups were selected as region of interest(ROI)for further estimating the global brain FC.Subsequently,correlation analysis was performed between DC values,FC values in abnormal brain areas and clinical characteristics.[Results]The CT-MDD group showed increased DC value of the right middle frontal gyrus(MFG)compared with the healthy controls.Seed-based FC revealed that the CT-MDD group showed increased connections between the left precuneus and the right MFG or the right medial prefrontal cortex,relative to healthy controls(threshold at P<0.05).Additionally,the DC value of the right MFG was correlated with the severity of CT.[Conclusion]Our results show the increased FC between the left precuneus and the ROI(right MFG)as well as the right medial prefrontal cortex,which are two important brain regions within the de-fault mode network(DMN),and might suggest increased synchronism between the cognitive executive networks and DMN in CT-MDD.These findings may provide insights into the pathophysiological mechanisms underlying CT-MDD.关键词
童年创伤/重症抑郁/度中心性/功能连接/默认网络Key words
childhood trauma/major depressive disorder/degree centrality/functional connectivity/default mode network分类
医药卫生引用本文复制引用
吴草军,傅世舜,江桂华,马晓芬,田军章..伴有童年创伤的重症抑郁患者异常全脑功能连接:一项静息态功能磁共振研究[J].中山大学学报（医学科学版）,2024,45(3):420-428,9.基金项目
国家自然科学基金(82001792) （82001792）
