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Abnormal intrinsic cerebro-cerebellar functional connectivity in un-medicated patients with bipolar disorder and major depressive disorder

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单位: [1]Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou 510631, China [2]Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou 510630, China [3]Department of Psychology, Research Center for Mind, Brain & Learning, National Chengchi University, Taipei, Taiwan [4]Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou 510630, China [5]Department of Applied Psychology, Guangdong University of Foreign Studies, Guangzhou 510006, China [6]Department of Radiology, China-Japan Friend Hospital, Yinghua Dongjie 2, Chaoyang District, Beijing 100029, China [7]Brain Imaging Center, School of Psychology, South China Normal University, Zhongshan Avenue West 55, Tianhe District, Guangzhou 510631, China
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关键词: Mood disorders Functional MRI Neuropsychiatry

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Objective The cerebellum plays an important role in depression. Cerebro-cerebellar circuits have been found to show aberrance in bipolar disorder (BD) and major depressive disorder (MDD). However, whether the cerebro-cerebellar connectivity contributes equally to the pathologic mechanisms of BD and MDD remains unknown. Methods We recruited 33 patients with MDD, 32 patients with BD, and 43 healthy controls (HC). We selected six seed regions (three per hemisphere) in the cerebrum, corresponding to the affective, cognitive control, and default mode networks, to establish cerebro-cerebellar functional connectivity maps. Results Relative to the HC, both the BD and MDD patients exhibited weaker negative connectivity between the right subgenual anterior cingulate cortex and the cerebellar vermis IV_V (p(BD) = 0.03, p(MDD) = 0.001) and weaker positive connectivity between the left precuneus and the left cerebellar lobule IX (p(BD) = 0.043, p(MDD) = 0.000). Moreover, the MDD patients showed weaker positive connectivity in the left precuneus-left cerebellar lobule IX circuit than the BD patients (p = 0.049). In addition, the BD patients showed weaker positive connectivity in the right dorsolateral prefrontal cortex-left cerebellar lobule Crus circuit compared to the HC (p = 0.002) or the MDD patients (p = 0.013). Receiver operating characteristic curves analyses showed that the altered cerebro-cerebellar connectivities could be used to distinguish the patients from the HC with relatively high accuracy. Conclusions Our findings suggested that differences in connectivity of cerebro-cerebellar circuits, which are involved in affective or cognitive functioning, significantly contributed to BD and MDD.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 药学 3 区 神经科学 3 区 精神病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学 3 区 药学 3 区 精神病学
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出版当年[2016]版:
Q2 PSYCHIATRY Q2 NEUROSCIENCES Q2 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q2 NEUROSCIENCES Q2 PHARMACOLOGY & PHARMACY Q2 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2016版] 出版当年五年平均[2012-2016] 出版前一年[2015版] 出版后一年[2017版]

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第一作者单位: [1]Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou 510631, China
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通讯机构: [1]Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou 510631, China [7]Brain Imaging Center, School of Psychology, South China Normal University, Zhongshan Avenue West 55, Tianhe District, Guangzhou 510631, China
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