Eight-week antidepressant treatment reduces functional connectivity in first-episode drug-naive patients with major depressive disorder
Li, Le1,2; Su, Yun-Ai3,4; Wu, Yan-Kun3,4; Castellanos, Francisco Xavier5,6; Li, Ke7; Li, Ji-Tao3,4; Si, Tian-Mei3,4; Yan, Chao-Gan1,8,9,10
刊名HUMAN BRAIN MAPPING
2021-02-27
页码13
关键词antidepressants brain network functional connectivity major depressive disorder resting‐ state fMRI
ISSN号1065-9471
DOI10.1002/hbm.25391
产权排序1
文献子类实证研究
英文摘要

Previous neuroimaging studies have revealed abnormal functional connectivity of brain networks in patients with major depressive disorder (MDD), but findings have been inconsistent. A recent big-data study found abnormal intrinsic functional connectivity within the default mode network in patients with recurrent MDD but not in first-episode drug-naive patients with MDD. This study also provided evidence for reduced default mode network functional connectivity in medicated MDD patients, raising the question of whether previously observed abnormalities may be attributable to antidepressant effects. The present study ( identifier: NCT03294525) aimed to disentangle the effects of antidepressant treatment from the pathophysiology of MDD and test the medication normalization hypothesis. Forty-one first-episode drug-naive MDD patients were administrated antidepressant medication (escitalopram or duloxetine) for 8 weeks, with resting-state functional connectivity compared between posttreatment and baseline. To assess the replicability of the big-data finding, we also conducted a cross-sectional comparison of resting-state functional connectivity between the MDD patients and 92 matched healthy controls. Both Network-Based Statistic analyses and large-scale network analyses revealed intrinsic functional connectivity decreases in extensive brain networks after treatment, indicating considerable antidepressant effects. Neither Network-Based Statistic analyses nor large-scale network analyses detected significant functional connectivity differences between treatment-naive patients and healthy controls. In short, antidepressant effects are widespread across most brain networks and need to be accounted for when considering functional connectivity abnormalities in MDD.

资助项目National Key R&D Program of China[2017YFC1309902] ; Beijing Municipal Science and Technology Project[Z171100000117016] ; Beijing Nova Program of Science and Technology[Z191100001119104] ; Capital Medical Development Research Fund[2016-1-4111] ; The 13th Five-year Informatization Plan of Chinese Academy of Sciences[XXH13505] ; Key Research Program of the Chinese Academy of Sciences[ZDBS-SSW-JSC006] ; National Key Technology RD Program[2015BAI13B01] ; National Natural Science Foundation of China[81630031] ; National Natural Science Foundation of China[81671774]
WOS研究方向Neurosciences & Neurology ; Radiology, Nuclear Medicine & Medical Imaging
出版者WILEY
WOS记录号WOS:000622323300001
内容类型期刊论文
源URL[http://ir.psych.ac.cn/handle/311026/38583]  
专题心理研究所_中国科学院行为科学重点实验室
通讯作者Si, Tian-Mei; Yan, Chao-Gan
作者单位1.Inst Psychol, CAS Key Lab Behav Sci, Beijing, Peoples R China
2.Beijing Language & Culture Univ, Ctr Cognit Sci Language, Beijing, Peoples R China
3.Peking Univ, Peking Univ Sixth Hosp, Inst Mental Hlth, Beijing, Peoples R China
4.Peking Univ, Peking Univ Sixth Hosp, Natl Clin Res Ctr Mental Disorders, NHC Key Lab Mental Hlth, Beijing, Peoples R China
5.NYU Grossman Sch Med, Dept Child & Adolescent Psychiat, New York, NY USA
6.Nathan S Kline Inst Psychiat Res, Orangeburg, NY USA
7.Peoples Liberat Army, Hosp 306, Dept Radiol, Beijing, Peoples R China
8.Chinese Acad Sci, Magnet Resonance Imaging Res Ctr, Inst Psychol, Beijing, Peoples R China
9.Chinese Acad Sci, Int Big Data Ctr Depress Res, Inst Psychol, Beijing, Peoples R China
10.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Li, Le,Su, Yun-Ai,Wu, Yan-Kun,et al. Eight-week antidepressant treatment reduces functional connectivity in first-episode drug-naive patients with major depressive disorder[J]. HUMAN BRAIN MAPPING,2021:13.
APA Li, Le.,Su, Yun-Ai.,Wu, Yan-Kun.,Castellanos, Francisco Xavier.,Li, Ke.,...&Yan, Chao-Gan.(2021).Eight-week antidepressant treatment reduces functional connectivity in first-episode drug-naive patients with major depressive disorder.HUMAN BRAIN MAPPING,13.
MLA Li, Le,et al."Eight-week antidepressant treatment reduces functional connectivity in first-episode drug-naive patients with major depressive disorder".HUMAN BRAIN MAPPING (2021):13.
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