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Reduced default mode network functional connectivity in patients with recurrent major depressive disorder

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机构: [1]Chinese Acad Sci, Inst Psychol, Key Lab Behav Sci, Beijing 100101, Peoples R China; [2]Univ Chinese Acad Sci, Dept Psychol, Beijing 100049, Peoples R China; [3]Chinese Acad Sci, Magnet Resonance Imaging Res Ctr, Beijing 100101, Peoples R China; [4]Chinese Acad Sci, Inst Psychol, Res Ctr Lifespan Dev Mind & Brain, Beijing 100101, Peoples R China; [5]NYU, Sch Med, Dept Child & Adolescent Psychiat, New York, NY 10016 USA; [6]Nathan S Kline Inst Psychiat Res, Orangeburg, NY 10962 USA; [7]Anhui Med Univ, Hefei 230022, Anhui, Peoples R China; [8]Capital Med Univ, Beijing Anding Hosp, Beijing 100054, Peoples R China; [9]Chongqing Med Univ, Affiliated Hosp 1, Dept Psychiat, Chongqing 400016, Peoples R China; [10]Jinan Univ, Affiliated Hosp 1, Guangzhou 510630, Guangdong, Peoples R China; [11]Zhejiang Univ, Sch Med, Sir Run Run Shaw Hosp, Dept Psychiat, Hangzhou 310016, Zhejiang, Peoples R China; [12]Cent S Univ, Xiangya Hosp 2, Dept Psychiat, Changsha 410011, Hunan, Peoples R China; [13]Kunming Med Univ, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China; [14]China Med Univ, Affiliated Hosp 1, Dept Psychiat, Shenyang 110001, Liaoning, Peoples R China; [15]Shanghai Jiao Tong Univ, Sch Med, Dept Psychiat, Shanghai 200240, Peoples R China; [16]Sichuan Univ, West China Hosp, Huaxi MR Res Ctr, Dept Radiol, Chengdu 610041, Sichuan, Peoples R China; [17]Sichuan Univ, West China Hosp, Chinese Acad Med Sci, Psychoradiol Res Unit, Chengdu 610041, Sichuan, Peoples R China; [18]Southeast Univ, Sch Med, Zhongda Hosp, Dept Psychosomat & Psychiat, Nanjing 210096, Jiangsu, Peoples R China; [19]Sichuan Univ, West China Hosp, Mental Hlth Ctr, Chengdu 610041, Sichuan, Peoples R China; [20]Soochow Univ, Affiliated Guangji Hosp, Suzhou Psychiat Hosp, Dept Clin Psychol, Suzhou 215137, Jiangsu, Peoples R China; [21]Southwest Univ, Fac Psychol, Chongqing 400716, Peoples R China; [22]Hangzhou Normal Univ, Sch Med, Affiliated Hosp, Dept Diagnost, Hangzhou 311121, Zhejiang, Peoples R China; [23]Zhejiang Univ, Coll Med, Affiliated Hosp 1, Dept Radiol, Hangzhou 310058, Zhejiang, Peoples R China; [24]Peking Univ, Hosp 6, Natl Clin Res Ctr Mental Disorders, Beijing 100191, Peoples R China; [25]Peking Univ, Minist Hlth, Key Lab Mental Hlth, Beijing 100191, Peoples R China; [26]Xian Cent Hosp, Xian 710003, Shaanxi, Peoples R China; [27]Southeast Univ, Affiliated ZhongDa Hosp, Dept Neurol, Nanjing 210009, Jiangsu, Peoples R China; [28]Zhejiang Univ, Coll Med, Affiliated Hosp 4, Dept Psychiat, Hangzhou 310058, Zhejiang, Peoples R China; [29]Chongqing Med Univ, Inst Neurosci, Chongqing 400016, Peoples R China; [30]Chongqing Key Lab Neurobiol, Chongqing 400016, Peoples R China; [31]Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, Chongqing 400016, Peoples R China; [32]Xi An Jiao Tong Univ, Affiliated Hosp 1, Xian 710061, Shaanxi, Peoples R China; [33]Shanxi Med Univ, Hosp 1, Taiyuan 030001, Shanxi, Peoples R China; [34]Hangzhou Normal Univ, Inst Psychol Sci, Ctr Cognit & Brain Disorders, Hangzhou 311121, Zhejiang, Peoples R China; [35]Zhejiang Key Lab Res Assessment Cognit Impairment, Hangzhou 311121, Zhejiang, Peoples R China
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关键词: default mode network functional connectivity major depressive disorder resting-state fMRI REST-meta-MDD

摘要:
Major depressive disorder (MDD) is common and disabling, but its neuropathophysiology remains unclear. Most studies of functional brain networks in MDD have had limited statistical power and data analysis approaches have varied widely. The REST-meta-MDD Project of resting-state fMRI (R-fMRI) addresses these issues. Twenty-five research groups in China established the REST-meta-MDD Consortium by contributing R-fMRI data from 1,300 patients with MDD and 1,128 normal controls (NCs). Data were preprocessed locally with a standardized protocol before aggregated group analyses. We focused on functional connectivity (FC) within the default mode network (DMN), frequently reported to be increased in MDD. Instead, we found decreased DMN FC when we compared 848 patients with MDD to 794 NCs from 17 sites after data exclusion. We found FC reduction only in recurrent MDD, not in first-episode drug-naive MDD. Decreased DMN FC was associated with medication usage but not with MDD duration. DMN FC was also positively related to symptom severity but only in recurrent MDD. Exploratory analyses also revealed alterations in FC of visual, sensory-motor, and dorsal attention networks in MDD. We confirmed the key role of DMN in MDD but found reduced rather than increased FC within the DMN. Future studies should test whether decreased DMN FC mediates response to treatment. All R-fMRI indices of data contributed by the REST-meta-MDD consortium are being shared publicly via the R-fMRI Maps Project.

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出版当年[2020]版:
大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
最新[2023]版:
大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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出版当年[2019]版:
Q1 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者机构: [1]Chinese Acad Sci, Inst Psychol, Key Lab Behav Sci, Beijing 100101, Peoples R China; [2]Univ Chinese Acad Sci, Dept Psychol, Beijing 100049, Peoples R China; [3]Chinese Acad Sci, Magnet Resonance Imaging Res Ctr, Beijing 100101, Peoples R China; [4]Chinese Acad Sci, Inst Psychol, Res Ctr Lifespan Dev Mind & Brain, Beijing 100101, Peoples R China; [5]NYU, Sch Med, Dept Child & Adolescent Psychiat, New York, NY 10016 USA;
通讯作者:
通讯机构: [1]Chinese Acad Sci, Inst Psychol, Key Lab Behav Sci, Beijing 100101, Peoples R China; [2]Univ Chinese Acad Sci, Dept Psychol, Beijing 100049, Peoples R China; [3]Chinese Acad Sci, Magnet Resonance Imaging Res Ctr, Beijing 100101, Peoples R China; [4]Chinese Acad Sci, Inst Psychol, Res Ctr Lifespan Dev Mind & Brain, Beijing 100101, Peoples R China; [5]NYU, Sch Med, Dept Child & Adolescent Psychiat, New York, NY 10016 USA; [12]Cent S Univ, Xiangya Hosp 2, Dept Psychiat, Changsha 410011, Hunan, Peoples R China; [34]Hangzhou Normal Univ, Inst Psychol Sci, Ctr Cognit & Brain Disorders, Hangzhou 311121, Zhejiang, Peoples R China; [35]Zhejiang Key Lab Res Assessment Cognit Impairment, Hangzhou 311121, Zhejiang, Peoples R China
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