期刊论文详细信息
BMC Psychiatry
Neural mechanisms of subclinical depressive symptoms in women: a pilot functional brain imaging study
Gabriel S Dichter2  Christopher Petty2  Joshua Bizzell2  Joseph McClernon2  Brett Froeliger3  Rachel V Kozink3  Moria J Smoski3  Jennifer N Felder1 
[1] Department of Psychology and Neuroscience, University of Colorado Boulder, UCB 345, Boulder, CO, 80309-0345, USA;Duke-UNC Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC, USA;Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
关键词: Reward;    Resting state;    Emotion regulation;    Depression symptoms;    FMRI;   
Others  :  1124279
DOI  :  10.1186/1471-244X-12-152
 received in 2012-01-05, accepted in 2012-08-24,  发布年份 2012
PDF
【 摘 要 】

Background

Studies of individuals who do not meet criteria for major depressive disorder (MDD) but with subclinical levels of depressive symptoms may aid in the identification of neurofunctional abnormalities that possibly precede and predict the development of MDD. The purpose of this study was to evaluate relations between subclinical levels of depressive symptoms and neural activation patterns during tasks previously shown to differentiate individuals with and without MDD.

Methods

Functional magnetic resonance imaging (fMRI) was used to assess neural activations during active emotion regulation, a resting state scan, and reward processing. Participants were twelve females with a range of depressive symptoms who did not meet criteria for MDD.

Results

Increased depressive symptom severity predicted (1) decreased left midfrontal gyrus activation during reappraisal of sad stimuli; (2) increased right midfrontal gyrus activation during distraction from sad stimuli; (3) increased functional connectivity between a precuneus seed region and left orbitofrontal cortex during a resting state scan; and (4) increased paracingulate activation during non-win outcomes during a reward-processing task.

Conclusions

These pilot data shed light on relations between subclinical levels of depressive symptoms in the absence of a formal MDD diagnosis and neural activation patterns. Future studies will be needed to test the utility of these activation patterns for predicting MDD onset in at-risk samples.

【 授权许可】

   
2012 Felder et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150216065647593.pdf 2878KB PDF download
Figure 5. 57KB Image download
Figure 4. 42KB Image download
Figure 3. 31KB Image download
Figure 2. 66KB Image download
Figure 1. 35KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

【 参考文献 】
  • [1]Cuijpers P, Smit F: Subclinical depression: a clinically relevant condition? Tijdschr Psychiatr 2008, 50(8):519-528.
  • [2]Brown GW, Bifulco A, Harris T, Bridge L: Life stress, chronic subclinical symptoms and vulnerability to clinical depression. J Affect Disord 1986, 11(1):1-19.
  • [3]Kendler KS, Walters E, Truett KR, Heath AC, Neale MC, Martin NG, Eaves LJ: Sources of individual differences in depressive symptoms: analysis of two samples of twins and their families. Am J Psychiatry 1994, 151(11):1605-1614.
  • [4]Kendall PC, Butcher JN, Holmbeck GN: Conceptual and Methodological Issues in Research. In Handbook of Research Methods in Clinical Psychology (2nd ed.). New York: John Wiley & Sons, Inc.; 1999.
  • [5]Mednick SA, McNeil TF: Current methodology in research on the etiology of schizophrenia: serious difficulties which suggest the use of the high-risk-group method. Psychol Bull 1968, 70(6):681-693.
  • [6]Johnstone T, van Reekum CM, Urry HL, Kalin NH, Davidson RJ: Failure to regulate: counterproductive recruitment of top-down prefrontal-subcortical circuitry in major depression. J Neurosci 2007, 27(33):8877-8884.
  • [7]Wager TD, Davidson ML, Hughes BL, Lindquist MA, Ochsner KN: Prefrontal-subcortical pathways mediating successful emotion regulation. Neuron 2008, 59(6):1037-1050.
  • [8]Kim SH, Hamann S: Neural correlates of positive and negative emotion regulation. J Cogn Neurosci 2007, 19(5):776-798.
  • [9]Light SN, Heller AS, Johnstone T, Kolden GG, Peterson MJ, Kalin NH, Davidson RJ: Reduced right ventrolateral prefrontal cortex activity while inhibiting positive affect is associated with improvement in hedonic capacity after 8 weeks of antidepressant treatment in major depressive disorder. Biol Psychiatry 2011, 70(10):962-968.
  • [10]Heller AS, Johnstone T, Shackman AJ, Light SN, Peterson MJ, Kolden GG, Kalin NH, Davidson RJ: Reduced capacity to sustain positive emotion in major depression reflects diminished maintenance of fronto-striatal brain activation. Proc Natl Acad Sci U S A 2009, 106(52):22445-22450.
  • [11]Beauregard M, Paquette V, Levesque J: Dysfunction in the neural circuitry of emotional self-regulation in major depressive disorder. Neuroreport 2006, 17(8):843-846.
  • [12]Kanske P, Heissler J, Schonfelder S, Wessa M: Neural correlates of emotion regulation deficits in remitted depression: The influence of regulation strategy, habitual regulation use, and emotional valence. Neuroimage 2012, 61(3):686-693.
  • [13]Raichle ME, MacLeod AM, Snyder AZ, Powers WJ, Gusnard DA, Shulman GL: A default mode of brain function. Proc Natl Acad Sci U S A 2001, 98(2):676-682.
  • [14]Raichle ME: The restless brain. Brain Connect 2011, 1(1):3-12.
  • [15]Fransson P: Spontaneous low-frequency BOLD signal fluctuations: an fMRI investigation of the resting-state default mode of brain function hypothesis. Hum Brain Mapp 2005, 26(1):15-29.
  • [16]Greicius MD, Flores BH, Menon V, Glover GH, Solvason HB, Kenna H, Reiss AL, Schatzberg AF: Resting-state functional connectivity in major depression: abnormally increased contributions from subgenual cingulate cortex and thalamus. Biol Psychiatry 2007, 62(5):429-437.
  • [17]Buckner RL, Andrews-Hanna JR, Schacter DL: The brain's default network: anatomy, function, and relevance to disease. Ann N Y Acad Sci 2008, 1124:1-38.
  • [18]Sheline YI, Barch DM, Price JL, Rundle MM, Vaishnavi SN, Snyder AZ, Mintun MA, Wang S, Coalson RS, Raichle ME: The default mode network and self-referential processes in depression. Proc Natl Acad Sci U S A 2009, 106(6):1942-1947.
  • [19]Sheline YI, Price JL, Yan Z, Mintun MA: Resting-state functional MRI in depression unmasks increased connectivity between networks via the dorsal nexus. Proc Natl Acad Sci U S A 2010, 107(24):11020-11025.
  • [20]Zhou Y, Yu C, Zheng H, Liu Y, Song M, Qin W, Li K, Jiang T: Increased neural resources recruitment in the intrinsic organization in major depression. J Affect Disord 2010, 121(3):220-230.
  • [21]Dichter GS, Damiano CA, Allen JA: Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings. Journal of Neurodevelopmental Disorders 2012., 4
  • [22]Smoski MJ, Felder J, Bizzell J, Green SR, Ernst M, Lynch TR, Dichter GS: fMRI of alterations in reward selection, anticipation, and feedback in major depressive disorder. J Affect Disord 2009, 118(1–3):69-78.
  • [23]Pizzagalli DA, Holmes AJ, Dillon DG, Goetz EL, Birk JL, Bogdan R, Dougherty DD, Iosifescu DV, Rauch SL, Fava M: Reduced caudate and nucleus accumbens response to rewards in unmedicated individuals with major depressive disorder. Am J Psychiatry 2009, 166(6):702-710.
  • [24]Knutson B, Bhanji JP, Cooney RE, Atlas LY, Gotlib IH: Neural responses to monetary incentives in major depression. Biol Psychiatry 2008, 63(7):686-692.
  • [25]Kessler RC: Epidemiology of women and depression. J Affect Disord 2003, 74(1):5-13.
  • [26]Kring AM, Gordon AH: Sex differences in emotion: expression, experience, and physiology. J Pers Soc Psychol 1998, 74(3):686-703.
  • [27]Spreckelmeyer KN, Krach S, Kohls G, Rademacher L, Irmak A, Konrad K, Kircher T, Grunder G: Anticipation of monetary and social reward differently activates mesolimbic brain structures in men and women. Soc Cogn Affect Neurosci 2009, 4(2):158-165.
  • [28]Almeida JR, Kronhaus DM, Sibille EL, Langenecker SA, Versace A, Labarbara EJ, Phillips ML: Abnormal left-sided orbitomedial prefrontal cortical-amygdala connectivity during happy and fear face processing: a potential neural mechanism of female MDD. Front Psychiatry 2011, 2:69.
  • [29]Keedwell PA, Chapman R, Christiansen K, Richardson H, Evans J, Jones DK: Cingulum white matter in young women at risk of depression: the effect of family history and anhedonia. Biol Psychiatry 2012, 72(4):296-302.
  • [30]Ray RD, Ochsner KN, Cooper JC, Robertson ER, Gabrieli JD, Gross JJ: Individual differences in trait rumination and the neural systems supporting cognitive reappraisal. Cogn Affect Behav Neurosci 2005, 5(2):156-168.
  • [31]Beck AT, Steer RA, Brown GK: Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.
  • [32]First MB, Spitzer RL, Gibbon M, Williams JBW: Structured Clinical Interview for DSM-IV Axis I Disorders (SCID), Clinician Version; Administration Booklet. Washington, DC: American Psychiatric Press; 1996.
  • [33]Wang L, McCarthy G, Song AW, LaBar KS: Amygdala activation to sad pictures during high-field (4 tesla) functional magnetic resonance imaging. Emotion 2005, 5(1):12-22.
  • [34]Dichter GS, Felder JN, Smoski MJ: Affective context interferes with cognitive control in unipolar depression: An fMRI investigation. J Affect Disord 2009, 114(1–3):131-142.
  • [35]Ernst M, Nelson EE, McClure EB, Monk CS, Munson S, Eshel N, Zarahn E, Leibenluft E, Zametkin A, Towbin K, Blair J, Charney D, Pine DS: Choice selection and reward anticipation: an fMRI study. Neuropsychologia 2004, 42(12):1585-1597.
  • [36]Voyvodic JT: Real-time fMRI paradigm control software for integrating stimulus presentation, Behavioral and physiological monitoring, and statistical analysis. Proc. Soc. Mag. Reson. Med. 1996, 1835. 15th Annual Meeting
  • [37]Smith SM, Jenkinson M, Woolrich MW, Beckmann CF, Behrens TEJ, Johansen-Berg H, Bannister PR, De Luca M, Drobnjak I, Flitney DE, Niazy RK, Saunders J, Vickers J, Zhang Y, DeStefano N, Brady JM, Matthews PM: Advances in functional and structural MR image analysis and implementation as FSL. NeuroImage 2004, 23(Suppl 1):S208-219.
  • [38]Smith SM: Fast robust automated brain extraction. Human Brain Mapping 2002, 17(3):143-155.
  • [39]Jenkinson M, Bannister P, Brady M, Smith S: Improved optimization for the robust and accurate linear registration and motion correction of brain images. Neuroimage 2002, 17(2):825-841.
  • [40]Jenkinson M, Smith S: A global optimisation method for robust affine registration of brain images. Medical Image Analysis 2001, 5(2):143-156.
  • [41]Woolrich MW, Ripley BD, Brady M, Smith SM: Temporal autocorrelation in univariate linear modeling of FMRI data. Neuroimage 2001, 14(6):1370-1386.
  • [42]Vul E, Harris C, Winkielman P, Pashler H: Puzzlingly high correlations in fMRI studies of emotion, personality, and social cognition. Perspectives on Psychological Science 2009, 4(3):274-290.
  • [43]Lieberman MD, Cunningham WA: Type I and Type II error concerns in fMRI research: re-balancing the scale. Soc Cogn Affect Neurosci 2009, 4(4):423-428.
  • [44]Thirion B, Pinel P, Meriaux S, Roche A, Dehaene S, Poline JB: Analysis of a large fMRI cohort: statistical and methodological issues for group analyses. Neuroimage 2007, 35(1):105-120.
  • [45]Dichter GS, Felder JN, Petty C, Bizzell J, Ernst M, Smoski MJ: The effects of psychotherapy on neural responses to rewards in major depression. Biol Psychiatry 2009, 66(9):886-897.
  • [46]Dichter GS, Felder JN, Smoski MJ: The effects of brief behavioral activation therapy for depression on cognitive control in affective contexts: An fMRI investigation. J Affect Disord 2010, 126(1–2):236-244.
  • [47]Dichter GS, Kozink RV, McClernon FJ, Smoski MJ: Remitted major depression is characterized by reward network hyperactivation during reward anticipation and hypoactivation during reward outcomes. J Affect Disord 2012, 136(3):1126-1134.
  • [48]Olino TM, McMakin DL, Dahl RE, Ryan ND, Silk JS, Birmaher B, Axelson DA, Forbes EE: "I won, but I'm not getting my hopes up": depression moderates the relationship of outcomes and reward anticipation. Psychiatry Res 2011, 194(3):393-395.
  • [49]Kessler RC: The costs of depression. Psychiatr Clin North Am 2012, 35(1):1-14.
  文献评价指标  
  下载次数:155次 浏览次数:36次