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Relationship between cognitive function and brain activation in major depressive disorder patients with and without insomnia: A functional near-infrared spectroscopy (fNIRS) study | |
Li, Yanli1,2; Li, Xingxing1,2; Zhaung, Wenhao1,2; Yu, Chang1,2; Wei, Shuochi1,2; Li, Yuchen1,2; Liu, Junyao1,2; Li, Jiaxin1,2; Luorui, Chenxi1,2; Zheng, Chao1,2; Yu, Haihang1,2; Zhou, Dongsheng1,2; Zhang, Xiang-Yang3,4,5 | |
第一作者 | Li, Yanli |
通讯作者邮箱 | yuhaihang0414@sina.com (h. yu) ; wyzhouds@sina.com (d. zhou) ; zhnngay@psych.nc.cn (x.-y. zhang) |
心理所单位排序 | 3 |
摘要 | Background: Patients with major depressive disorder (MDD) frequently present with sleep disturbances and cognitive impairment. The purpose of this study was to investigate whether cognitive impairment is more severe in MDD patients with insomnia, and the underlying neural mechanisms. Methods: A total of 41 MDD patients with insomnia and 43 MDD patients without insomnia were recruited. We used functional near-infrared spectroscopy (fNIRS) to assess changes in oxyhemoglobin (Oxy-Hb) concentrations in the brain of patients while performing a verbal fluency task (VFT). Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI), cognitive function by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), and severity of depression by the Hamilton Depression Scale (HAMD). Results: Compared to MDD patients without insomnia, those with insomnia had lower scores on the RBANS total and immediate memory, visuospatial/constructional, and delayed memory subscales, as well as lower oxy-Hb concentrations in the bilateral dorsolateral prefrontal cortex (DLPFC) and bilateral medial prefrontal cortex (mPFC).Further correlation analysis showed that there was a significant correlation between the RBANS total score in all brain regions except left mPFC in MDD patients with insomnia(all p < 0.05). Further multiple linear regression showed that Oxy-Hb concentrations of left DLPFC were independently associated with RBANS total score. Conclusion: Our study suggests that MDD patients with insomnia have more cognitive impairment, which is associated with impaired frontal brain activity. Our findings may provide new insights to understand the underlying neural mechanisms of both disorders MDD patients and provide potential clinical value for developing treatment strategies for insomnia in MDD patients. |
关键词 | Depression Insomnia Cognitive function Functional near-infrared spectroscopy study (fNIRS) |
2024 | |
语种 | 英语 |
DOI | 10.1016/j.jpsychires.2023.11.002 |
发表期刊 | JOURNAL OF PSYCHIATRIC RESEARCH |
ISSN | 0022-3956 |
卷号 | 169页码:134-141 |
期刊论文类型 | 实证研究 |
收录类别 | SCI ; SSCI |
资助项目 | Basic Public Welfare Project of Zhejiang Province[LGF22H090055] ; Medical Health Science and Technology Project of the Zhejiang Provincial Health Commission[2019RC079] ; Ningbo medical and health brand discipline[PPXK2018-08] ; Ningbo Natural Science Foundation of China[2019Y24] ; Ningbo Natural Science Foundation of China[2020Y19] ; Ningbo Medical & Health Leading Aca-demic Discipline Project[2020ZB229] ; Ningbo Medical Science and Technology Project ; Zhejiang Traditional Chinese Medicine Health Project[2022030410] ; CAS International Cooperation Research Program[202003N4263] ; Ningbo Top Medical and Health Research Program[2021J275] ; [2022-F28] ; [153111KYSB20190004] |
出版者 | PERGAMON-ELSEVIER SCIENCE LTD |
WOS关键词 | SLEEP QUALITY INDEX ; NEUROPSYCHOLOGICAL STATUS ; REPEATABLE BATTERY ; VERBAL FLUENCY ; RELIABILITY ; DURATION ; VALIDITY ; NETWORK ; ADULTS ; SCALE |
WOS研究方向 | Psychiatry |
WOS类目 | Psychiatry |
WOS记录号 | WOS:001128434900001 |
WOS分区 | Q2 |
资助机构 | Basic Public Welfare Project of Zhejiang Province ; Medical Health Science and Technology Project of the Zhejiang Provincial Health Commission ; Ningbo medical and health brand discipline ; Ningbo Natural Science Foundation of China ; Ningbo Medical & Health Leading Aca-demic Discipline Project ; Ningbo Medical Science and Technology Project ; Zhejiang Traditional Chinese Medicine Health Project ; CAS International Cooperation Research Program ; Ningbo Top Medical and Health Research Program |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | http://ir.psych.ac.cn/handle/311026/46763 |
专题 | 中国科学院心理健康重点实验室 |
通讯作者 | Yu, Haihang; Zhou, Dongsheng; Zhang, Xiang-Yang |
作者单位 | 1.Ningbo Univ, Ningbo Kangning Hosp, Ningbo Key Lab Phys Diag & Treatment Mental & Psyc, Ningbo, Zhejiang, Peoples R China 2.Ningbo Univ, Affiliated Mental Hlth Ctr, Ningbo Key Lab Phys Diag & Treatment Mental & Psyc, Ningbo, Zhejiang, Peoples R China 3.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China 4.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China 5.16 Lincui Rd, Beijing 100101, Peoples R China |
通讯作者单位 | 中国科学院心理健康重点实验室 |
推荐引用方式 GB/T 7714 | Li, Yanli,Li, Xingxing,Zhaung, Wenhao,et al. Relationship between cognitive function and brain activation in major depressive disorder patients with and without insomnia: A functional near-infrared spectroscopy (fNIRS) study[J]. JOURNAL OF PSYCHIATRIC RESEARCH,2024,169:134-141. |
APA | Li, Yanli.,Li, Xingxing.,Zhaung, Wenhao.,Yu, Chang.,Wei, Shuochi.,...&Zhang, Xiang-Yang.(2024).Relationship between cognitive function and brain activation in major depressive disorder patients with and without insomnia: A functional near-infrared spectroscopy (fNIRS) study.JOURNAL OF PSYCHIATRIC RESEARCH,169,134-141. |
MLA | Li, Yanli,et al."Relationship between cognitive function and brain activation in major depressive disorder patients with and without insomnia: A functional near-infrared spectroscopy (fNIRS) study".JOURNAL OF PSYCHIATRIC RESEARCH 169(2024):134-141. |
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