精神分裂症的网络整合和隔离变化:电治疗的影响
Ningning Ding1,2, Entu Zhang1,2, Yangyang Liu2,3
1Department of Magnetic Resonance Imaging, The Second Affiliated Hospital of Xinxiang Medical University, Henan, China.
BMC psychiatry
|November 30, 2024
概括
电疗法 (ECT) 在精神分裂症患者中使大脑网络拓正常化,通过调节网络集成和解离来改善症状. 这项研究揭示了ECT.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 网络科学 网络科学
背景情况:
- 精神分裂症 (SZ) 的特征是大脑网络拓学的破坏.
- 电疗法 (ECT) 迅速缓解SZ的精神症状,但其神经系统机制尚不清楚.
研究的目的:
- 在ECT期间调查SZ患者全脑功能网络的拓变化.
- 阐明ECT在精神分裂症治疗效果背后的神经机制.
主要方法:
- 休息状态的fMRI数据来自53名SZ患者 (ECT前后) 和46名健康对照 (HC).
- Brainnetome Atlas和图形理论用于分析全球和节点网络属性.
- 使用正负综合征量表 (PANSS) 评估临床症状;统计分析包括t测试和部分相关性.
主要成果:
- 与HC相比,SZ患者的局部效率和聚类系数降低.
- ECT治疗导致局部效率和聚类系数的正常化.
- 观察到特定的节点网络变化,包括ECT后的上额和下额叶叶的变化.
- 在PANSS得分变化和拓性质变化之间没有发现显著的相关性.
结论:
- 通过调节大脑网络的整合和解离功能,ECT可以改善SZ症状.
- 默认模式网络 (DMN),中央执行网络 (CEN) 和听觉网络 (AN) 之间的平衡对于改善症状至关重要.
相关概念视频
Electroconvulsive Therapy
25
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
25
Psychological and Sociocultural Causes of Schizophrenia
78
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
78
Integration of Synaptic Events
1.4K
Synaptic integration mainly includes the summation of graded potentials. Graded potentials, regardless of their type, cause subtle alterations in membrane voltage, resulting in either depolarization or hyperpolarization. These incremental changes, when combined or summed, can propel the neuron toward its threshold. Consider, for example, a membrane experiencing a +15 mV shift, causing it to depolarize from -70 mV to -55 mV. In this scenario, graded potentials govern the membrane's ability...
1.4K
Schizophrenia
70
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
70
Biological Causes of Schizophrenia
46
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
46
Psychosurgery
46
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
46


