Antidepressant Treatment-Induced State-Dependent Reconfiguration of Emotion Regulation Networks in Major Depressive Disorder

Autor: Lei Zhao, Donglin Wang, Shao-Wei Xue, Zhonglin Tan, Hong Luo, Yan Wang, Hanxiaoran Li, Chenyuan Pan, Sufen Fu, Xiwen Hu, Zhihui Lan, Yang Xiao, Changxiao Kuai
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Psychiatry, Vol 12 (2022)
Druh dokumentu: article
ISSN: 1664-0640
DOI: 10.3389/fpsyt.2021.771147
Popis: Deficits in emotion regulation are the main clinical features, common risk factors, and treatment-related targets for major depressive disorder (MDD). The neural bases of emotion regulation are moving beyond specific functions and emphasizing instead the integrative functions of spatially distributed brain areas that work together as large-scale brain networks, but it is still unclear whether the dynamic interactions among these emotion networks would be the target of clinical intervention for MDD. Data were collected from 70 MDD patients and 43 sex- and age-matched healthy controls. The dynamic functional connectivity (dFC) between emotion regions was estimated via a sliding-window method based on resting-state functional magnetic resonance imaging (R-fMRI). A k-means clustering method was applied to classify all time windows across all participants into several dFC states reflecting recurring functional interaction patterns among emotion regions over time. The results showed that four dFC states were identified in the emotion networks. Their alterations of state-related occurrence proportion were found in MDD and subsequently normalized following 12-week antidepressant treatment. Baseline strong dFC could predict the reduction rate of Hamilton Depression Rating Scale (HAMD) scores. These findings highlighted the state-dependent reconfiguration of emotion regulation networks in MDD patients owing to antidepressant treatment.
Databáze: Directory of Open Access Journals