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Statistical Modelling of Cortical Connectivity Using Non-invasive Electroencephalograms
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Graph theory analysis based on cross frequency coupling methods in major depressive disorder: A resting state EEG
Sepideh Baghernezhad1, Parisa Raouf1, Vahid Shalchyan1
1Neuroscience & Neuroengineering Research Lab., Biomedical Engineering Department, School of Electrical Engineering, Iran University of Science and Technology (IUST), Tehran, Iran.
Computers in Biology and Medicine
|October 4, 2025
Summary
This study identifies electroencephalography (EEG) biomarkers for diagnosing major depressive disorder (MDD) severity. Combining cross-frequency coupling and graph theory, the method achieved 94.25% accuracy in classifying depression levels.
Area of Science:
- Neuroscience
- Computational Psychiatry
- Biomarkers
Background:
- Major depressive disorder (MDD) is a prevalent and disabling condition impacting personal and social functioning.
- Current diagnostic methods rely on subjective patient reports and clinical expertise, potentially limiting diagnostic precision.
- Objective biomarkers are needed for accurate and reliable MDD diagnosis and severity assessment.
Purpose of the Study:
- To identify electroencephalography (EEG)-based biomarkers for diagnosing depression severity.
- To investigate the utility of cross-frequency coupling (CFC) and graph theory metrics in differentiating depression levels.
- To develop a machine learning model for multi-level depression severity classification using EEG data.
Main Methods:
- Resting-state EEG signals were acquired from 37 participants (15 healthy, 10 moderately depressed, 12 severely depressed).
- EEG data were analyzed using cross-frequency coupling (CFC) measures and graph theory metrics (degree, K-coreness centrality).
- A Support Vector Machine (SVM) classifier was trained using selected CFC features to predict depression severity.
Main Results:
- Depression impacts the entire cerebral cortex, with notable effects in frontal and occipital regions.
- Significant differences in degree and K-coreness centrality were observed across most brain regions.
- The SVM classifier achieved 94.25% accuracy in classifying depression severity using four CFC features (low α and low γ bands).
Conclusions:
- The combination of CFC and graph theory analysis provides effective EEG-based biomarkers for multi-level depression severity classification.
- This novel approach shows promise for objective diagnosis and treatment monitoring of MDD.
- Integrating this method with psychological scales may enhance MDD diagnosis and management.

