在严重抑郁症,焦虑症和慢性疼痛中共享皮层特征:一个结构性MRI元分析研究
Wei Yu1,2,3, Bo Tao1,2,3, Fei Zhu1,2,3
1Department of Radiology, Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, No. 37 Guoxue Xiang, Chengdu, 610041, China.
Translational psychiatry
|October 24, 2025
概括
慢性疼痛,主要抑郁症和焦虑症有共同的大脑变化,特别是像胰岛和前带带膜这样的关键区域的皮质厚度降低. 这些发现突出了情绪和认知处理的共同神经支.
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.
- 医疗成像医学成像
背景情况:
- 慢性疼痛 (CP),主要抑郁症 (MDD) 和焦虑症 (ANX) 具有很高的并发病率和共同的风险因素.
- 以前的研究表明,在这些疾病中存在共同的神经相关性,但神经解剖学的基础仍然不清楚.
研究的目的:
- 调查CP,MDD和ANX中皮质厚度的常见变化.
- 确定共同的神经解剖学缺陷导致这些高度并发性疾病.
主要方法:
- 进行了一项预先注册的元分析 (CRD42019119709).
- 包括68项研究的数据,其中包括3072名患者和3427名健康对照.
- 分析了皮层厚度,这是大脑病理的一个敏感指标.
主要成果:
- 四个常见的群体显示,在所有疾病中,皮质厚度显著降低.
- 这些包括右侧胰岛,左侧前带带状环 (AC),左侧下线 (IFG) 的三角部分和左侧中线 (MTG).
结论:
- 在CP,MDD和ANX中发现了共享的皮层缺陷,特别是涉及ACC岛/IFG电路和左MTG,这些缺陷在CP,MDD和ANX中被发现.
- 这些发现揭示了在这些并发症条件下认知和情绪处理的常见神经相关性.
相关概念视频
Depressive Disorders: MDD and Dysthymia
627
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
627
Depressive Disorders: Etiology
437
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
437
Functional Brain Systems: Limbic System
6.4K
The limbic system, often called the "emotional brain," is a complex set of structures located deep within the brain. The intricate network of the limbic system supports a wide range of psychological functions, from emotional regulation to memory formation and sensory processing. This functional brain region encompasses specific parts of the diencephalon and the cerebrum, integrating the higher mental functions of the cerebral cortex with the primitive emotional responses of the deep brain...
6.4K
Depression: Overview
777
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
777


