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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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Structural disconnection-based prediction of poststroke depression.

Chensheng Pan1, Guo Li1, Ping Jing2

  • 1Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, Hubei, China.

Translational Psychiatry
|November 4, 2022
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Summary
This summary is machine-generated.

Structural disconnection patterns in the brain predict poststroke depression (PSD). A specific disconnection score independently predicts PSD and improves existing prediction models, offering new insights into brain-behavior mechanisms.

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Area of Science:

  • Neuroscience
  • Neurology
  • Psychiatry

Background:

  • Poststroke depression (PSD) is a frequent complication following stroke.
  • Brain network disruptions are suspected contributors to PSD, but their precise roles remain unclear.

Purpose of the Study:

  • To identify the structural disconnection (SDC) pattern associated with PSD three months poststroke.
  • To evaluate the predictive capability of SDC information for PSD.

Main Methods:

  • A prospective cohort study of 697 first-ever acute ischemic stroke patients.
  • Collection of sociodemographic, clinical, psychological, and neuroimaging data at baseline.
  • Voxel-based disconnection-symptom mapping to identify SDC patterns and assess PSD at three months.

Main Results:

  • SDCs in bilateral temporal white matter, posterior corpus callosum, and adjacent to prefrontal and parietal cortices were linked to PSD.
  • The derived SDC score independently predicted PSD (OR=1.25, P=0.006) after covariate adjustment.
  • SDC score significantly enhanced the predictive model performance, demonstrating high predictor importance.

Conclusions:

  • A strategic, bilateral SDC pattern involving multiple brain lobes is identified as a predictor of PSD at three months.
  • The SDC score serves as an independent predictor of PSD and can augment existing clinical prediction models.
  • Findings provide novel evidence for the brain-behavior mechanisms underlying PSD and support the biopsychosocial theory.