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Li J, Xiong D, Gao C, Huang Y, Li Z, Zhou J, Ning Y, Wu F, Wu K. Individualized Spectral Features in First-Episode and Drug-Naïve Major Depressive Disorder: Insights From Periodic and Aperiodic Electroencephalography Analysis. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2025:S2451-9022(24)00390-2. [PMID: 39788348 DOI: 10.1016/j.bpsc.2024.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2024] [Revised: 12/03/2024] [Accepted: 12/22/2024] [Indexed: 01/12/2025]
Abstract
BACKGROUND The detection of abnormal brain activity plays an important role in the early diagnosis and treatment of major depressive disorder (MDD). Recent studies have shown that the decomposition of the electroencephalography (EEG) spectrum into periodic and aperiodic components is useful for identifying the drivers of electrophysiologic abnormalities and avoiding individual differences. METHODS In this study, we aimed to elucidate the pathological changes in individualized periodic and aperiodic activities and their relationships with the symptoms of MDD. EEG data in the eyes-closed resting state were continuously recorded from 97 first-episode and drug-naïve patients with MDD and 90 healthy control participants. Both periodic oscillations and aperiodic components were obtained via the fitting oscillations and one-over f (FOOOF) algorithm and then used to compute individualized spectral features. RESULTS Patients with MDD presented higher canonical alpha and beta band power but lower aperiodic-adjusted alpha and beta power. Furthermore, we found that alpha power was strongly correlated with the age of patients but not with disease symptoms. The aperiodic intercept was lower in the parieto-occipital region and was positively correlated with Hamilton Depression Rating Scale scores after accounting for age and sex. In the asymmetry analysis, alpha activity appeared asymmetrical only in the healthy control group, whereas aperiodic activity was symmetrical in both groups. CONCLUSIONS The findings of this study provide insights into the role of abnormal neural spiking activity and impaired neuroplasticity in MDD progression and suggest that the aperiodic intercept in resting-state EEG may be a potential biomarker of MDD.
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Affiliation(s)
- Jiaxin Li
- School of Material Science and Engineering, South China University of Technology, Guangzhou, China
| | - Dongsheng Xiong
- School of Material Science and Engineering, South China University of Technology, Guangzhou, China
| | - Chenyang Gao
- School of Biomedical Sciences and Engineering, South China University of Technology, Guangzhou, China
| | - Yuanyuan Huang
- Department of Psychiatry, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Diseases, Guangzhou, China
| | - Zhaobo Li
- School of Biomedical Sciences and Engineering, South China University of Technology, Guangzhou, China
| | - Jing Zhou
- School of Material Science and Engineering, South China University of Technology, Guangzhou, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Diseases, Guangzhou, China; Guangdong Engineering Technology Research Center for Diagnosis and Rehabilitation of Dementia, Guangzhou, China
| | - Yuping Ning
- Department of Psychiatry, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Diseases, Guangzhou, China
| | - Fengchun Wu
- Department of Psychiatry, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Diseases, Guangzhou, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, China
| | - Kai Wu
- School of Biomedical Sciences and Engineering, South China University of Technology, Guangzhou, China; Guangdong Province Key Laboratory of Biomedical Engineering, South China University of Technology, Guangzhou, China; Department of Aging Research and Geriatric Medicine, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
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2
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Gupta RS, Light GA, Simmons AN, Harlé KM, Stout DM. Sex moderates the effect of anhedonia on parietal alpha asymmetry. J Psychiatr Res 2024; 177:97-101. [PMID: 39002532 PMCID: PMC11816936 DOI: 10.1016/j.jpsychires.2024.06.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 06/23/2024] [Accepted: 06/28/2024] [Indexed: 07/15/2024]
Abstract
Anhedonia, a transdiagnostic symptom present in many neuropsychiatric disorders, differs in males and females. Parietal EEG alpha asymmetry is associated with reduced arousal and low positive emotionality, and is, therefore, a promising neurophysiologic biomarker of anhedonia. To date, however, no prior studies have determined whether this measure captures sex differences in anhedonic expression. This preliminary study (N = 36) investigated whether anhedonia severity is associated with EEG resting-state parietal alpha asymmetry in adults and whether sex moderates this relationship. Results showed that there was a significant moderating effect of sex such that, only for females, higher levels of anhedonia were associated with increased parietal alpha asymmetry. These findings suggest that parietal alpha asymmetry is a promising biomarker of anhedonia severity in female adults and reinforces the need to account for sex differences in future research.
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Affiliation(s)
- Resh S Gupta
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, 63130, USA.
| | - Gregory A Light
- Department of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA; Desert Pacific Mental Illness Research Education and Clinical Center, La Jolla, CA, USA
| | - Alan N Simmons
- Department of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA; Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, 92161, USA
| | - Katia M Harlé
- Department of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA; Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, 92161, USA
| | - Daniel M Stout
- Department of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA; Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, 92161, USA
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3
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Sylvester CM, Luby JL, Pine DS. Novel mechanism-based treatments for pediatric anxiety and depressive disorders. Neuropsychopharmacology 2024; 49:262-275. [PMID: 37608220 PMCID: PMC10700626 DOI: 10.1038/s41386-023-01709-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 08/03/2023] [Accepted: 08/08/2023] [Indexed: 08/24/2023]
Abstract
Pediatric anxiety and depressive disorders are common, can be highly impairing, and can persist despite the best available treatments. Here, we review research into novel treatments for childhood anxiety and depressive disorders designed to target underlying cognitive, emotional, and neural circuit mechanisms. We highlight three novel treatments lying along a continuum relating to clinical impact of the disorder and the intensity of clinical management required. We review cognitive training, which involves the lowest risk and may be applicable for problems with mild to moderate impact; psychotherapy, which includes a higher level of clinical involvement and may be sufficient for problems with moderate impact; and brain stimulation, which has the highest potential risks and is therefore most appropriate for problems with high impact. For each treatment, we review the specific underlying cognitive, emotional, and brain circuit mechanisms that are being targeted, whether treatments modify those underlying mechanisms, and efficacy in reducing symptoms. We conclude by highlighting future directions, including the importance of work that leverages developmental windows of high brain plasticity to time interventions to the specific epochs in childhood that have the largest and most enduring life-long impact.
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Affiliation(s)
- Chad M Sylvester
- Washington University Department of Psychiatry, St. Louis, MO, USA.
- Washington University Department of Radiology, St. Louis, MO, USA.
| | - Joan L Luby
- Washington University Department of Psychiatry, St. Louis, MO, USA
| | - Daniel S Pine
- National Institute of Mental Health, Emotion and Development Branch, St. Louis, MO, USA
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4
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Shokouh Alaei H, Ghoshuni M, Vosough I. Directed brain network analysis in anxious and non-anxious depression based on EEG source reconstruction and graph theory. Biomed Signal Process Control 2023. [DOI: 10.1016/j.bspc.2023.104666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
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5
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Sharpley CF, Bitsika V, Shadli SM, Jesulola E, Agnew LL. EEG frontal lobe asymmetry as a function of sex, depression severity, and depression subtype. Behav Brain Res 2023; 443:114354. [PMID: 36801473 DOI: 10.1016/j.bbr.2023.114354] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Revised: 01/29/2023] [Accepted: 02/16/2023] [Indexed: 02/19/2023]
Abstract
To investigate possible contributors to the inconsistent association between frontal lobe asymmetry (FLA) and depression, EEG data were collected across five frontal sites, and examined for their associations with four subtypes of depression (Depressed mood, Anhedonia, Cognitive depression, Somatic depression). One hundred community volunteers (54 males, 46 females) aged at least 18 yr completed standardized scales for depression and anxiety, and gave EEG data under Eyes Open and Eyes Closed conditions. Results indicated that, although there was no significant correlation between the differences in EEG power across each of the five pairs of frontal sites and total depression scores, there were several meaningful correlations (accounting for at least 10% of the variance) between specific EEG site differences data and each of the four depression subtypes. There were also different patterns of association between FLA and the depression subtypes according to sex, and total depression severity. These findings help to explain the apparent inconsistency in previous FLA-depression results, and argue for a more nuanced approach to this hypothesis.
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Affiliation(s)
- Christopher F Sharpley
- Brain-Behaviour Research Group, University of New England, Armidale 2350, New South Wales, Australia.
| | - Vicki Bitsika
- Brain-Behaviour Research Group, University of New England, Armidale 2350, New South Wales, Australia
| | - Shabah M Shadli
- Brain-Behaviour Research Group, University of New England, Armidale 2350, New South Wales, Australia
| | - Emmanuel Jesulola
- Brain-Behaviour Research Group, University of New England, Armidale 2350, New South Wales, Australia; Emmanuel Jesulola is now at Department of Neurosurgery, The Alfred Hospital, Melbourne, Australia
| | - Linda L Agnew
- Brain-Behaviour Research Group, University of New England, Armidale 2350, New South Wales, Australia; Linda Agnew is now at Griffith University, Qld, Australia
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6
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Wise S, Huang-Pollock C, Pérez-Edgar K. Frontal alpha asymmetry in anxious school-aged children during completion of a threat identification task. Biol Psychol 2023; 179:108550. [PMID: 37003420 PMCID: PMC10175183 DOI: 10.1016/j.biopsycho.2023.108550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 03/09/2023] [Accepted: 03/29/2023] [Indexed: 04/03/2023]
Abstract
Asymmetry of EEG alpha power in the frontal lobe has been extensively studied over the past 30 years as a potential marker of emotion and motivational state. However, most studies rely on time consuming manipulations in which participants are placed in anxiety-provoking situations. Relatively fewer studies have examined alpha asymmetry in response to briefly presented emotionally evocative stimuli. If alpha asymmetry can be evoked in those situations, it would open up greater methodological possibilities for examining task-driven changes in neural activation. Seventy-seven children, aged 8-12 years old (36 of whom were high anxious), completed three different threat identification tasks (faces, images, and words) while EEG signal was recorded. Alpha power was segmented and compared across trials in which participants viewed threatening vs. neutral stimuli. Threatening images and faces, but not words, induced lower right vs. left alpha power (greater right asymmetry) that was not present when viewing neutral images or faces. Mixed results are reported for the effect of anxiety symptomatology on asymmetry. In a similar manner to studies of state- and trait-level withdrawal in adults, frontal neural asymmetry can be induced in school-aged children using presentation of brief emotional stimuli.
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Affiliation(s)
- Shane Wise
- The Pennsylvania State University, Department of Psychology, USA.
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7
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Xie YH, Zhang YM, Fan FF, Song XY, Liu L. Functional role of frontal electroencephalogram alpha asymmetry in the resting state in patients with depression: A review. World J Clin Cases 2023; 11:1903-1917. [PMID: 36998965 PMCID: PMC10044961 DOI: 10.12998/wjcc.v11.i9.1903] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 02/10/2023] [Accepted: 03/01/2023] [Indexed: 03/16/2023] Open
Abstract
Depression is a psychological disorder that affects the general public worldwide. It is particularly important to make an objective and accurate diagnosis of depression, and the measurement methods of brain activity have gradually received increasing attention. Resting electroencephalogram (EEG) alpha asymmetry in patients with depression shows changes in activation of the alpha frequency band of the left and right frontal cortices. In this paper, we review the findings of the relationship between frontal EEG alpha asymmetry in the resting state and depression. Based on worldwide studies, we found the following: (1) Compared with individuals without depression, those with depression showed greater right frontal EEG alpha asymmetry in the resting state. However, the pattern of frontal EEG alpha asymmetry in the resting state in depressive individuals seemed to disappear with age; (2) Compared with individuals without maternal depression, those with maternal depression showed greater right frontal EEG alpha asymmetry in the resting state, which indicated that genetic or experience-based influences have an impact on frontal EEG alpha asymmetry at rest; and (3) Frontal EEG alpha asymmetry in the resting state was stable, and little or no change occurred after antidepressant treatment. Finally, we concluded that the contrasting results may be due to differences in methodology, clinical characteristics, and participant characteristics.
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Affiliation(s)
- Yu-Hong Xie
- Psychology College of Teacher Education, Center of Group Behavior and Social Psychological Service, Ningbo University, Ningbo 315211, Zhejiang Province, China
| | - Ye-Min Zhang
- Psychology College of Teacher Education, Center of Group Behavior and Social Psychological Service, Ningbo University, Ningbo 315211, Zhejiang Province, China
| | - Fan-Fan Fan
- Psychology College of Teacher Education, Center of Group Behavior and Social Psychological Service, Ningbo University, Ningbo 315211, Zhejiang Province, China
| | - Xi-Yan Song
- Psychology College of Teacher Education, Center of Group Behavior and Social Psychological Service, Ningbo University, Ningbo 315211, Zhejiang Province, China
| | - Lei Liu
- Psychology College of Teacher Education, Center of Group Behavior and Social Psychological Service, Ningbo University, Ningbo 315211, Zhejiang Province, China
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8
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Wu H, Li T, Peng C, Yang C, Bian Y, Li X, Xiao Q, Wang P, Zhang Z, Zhang Y. The right prefrontal cortex (PFC) can distinguish anxious depression from non-anxious depression: A promising functional near infrared spectroscopy study (fNIRS). J Affect Disord 2022; 317:319-328. [PMID: 36007594 DOI: 10.1016/j.jad.2022.08.024] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 07/11/2022] [Accepted: 08/10/2022] [Indexed: 10/31/2022]
Abstract
BACKGROUND Anxious depression is a serious mental disorder characterized by comorbidity of anxiety and depression, and its symptoms are similar to those of non-anxious depression. This study aimed to use functional near-infrared spectroscopy (fNIRS) as a tool to distinguish between patients with anxious and non-anxious depression based on differences in hemodynamic changes in the right prefrontal cortex during the verbal fluency task. It is helpful to improve the diagnostic accuracy of the two disorders to further promote their therapeutic effect and prognosis. METHODS A total of 105 subjects, comprising 39 patients with anxious depression, 32 patients with non-anxious depression, and 32 healthy controls, were evaluated using 53-channel fNIRS and the Depression and Anxiety Clinical Scale. RESULTS Hemodynamic activation was significantly enhanced in the right dorsolateral prefrontal cortex (DLPFC) and right frontopole cortex (FPC) in the anxious depressed group compared with the non-anxious depressed and healthy groups. LIMITATIONS First, Hospital Anxiety and Depression Scale (HADS) was used to evaluate the scores of anxiety and depression among the three groups in our study. Different scales may result in different research results. Therefore, other scales (HAM, the Montgomery Asberg Depression Rating Scale, or the Beck Depression Inventory) should be used for further verification. Second, although all the samples we have chosen were patients with the diagnosis of anxious depression or no-anxious depression, we did not distinguish between different severity of anxious depression or no-anxious depression. Third, pure anxiety was not included as the control condition in our study. CONCLUSIONS There are significant differences in activation patterns of the right DLPFC and right FPC areas between patients with and without anxious depression. Moreover, the right FPC area is promising as a brain region to assess the severity of anxious depression. fNIRS may be a potential tool to improve diagnostic accuracy for both disorders.
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Affiliation(s)
- Huifen Wu
- School of Education, Huazhong University of Science and Technology, Wuhan, China; School of Education, Hubei Engineering University, Xiaogan, China
| | - Taiping Li
- School of Education, Huazhong University of Science and Technology, Wuhan, China
| | - Cong Peng
- School of Education, Huazhong University of Science and Technology, Wuhan, China
| | - Caihong Yang
- School of Psychology, Central China Normal University, Wuhan, China
| | - Yueran Bian
- School of Education, Huazhong University of Science and Technology, Wuhan, China
| | - Xiaoqin Li
- School of Education, Huazhong University of Science and Technology, Wuhan, China
| | - Qiang Xiao
- Department of Psychiatry, Huazhong University of Science and Technology Hospital, Wuhan, China
| | - Pu Wang
- Department of Rehabilitation Medicine in The Seventh Affiliated Hospital (Shenzhen), Sun Yat-Sen University, Shenzhen, China
| | - Zhe Zhang
- Department of Humanities and Social Sciences, Huazhong University of Science and Technology, Wuhan, China.
| | - Yan Zhang
- School of Education, Huazhong University of Science and Technology, Wuhan, China.
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Monni A, Collison KL, Hill KE, Oumeziane BA, Foti D. The novel frontal alpha asymmetry factor and its association with depression, anxiety, and personality traits. Psychophysiology 2022; 59:e14109. [PMID: 35616309 PMCID: PMC9532346 DOI: 10.1111/psyp.14109] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 01/28/2022] [Accepted: 04/21/2022] [Indexed: 12/19/2022]
Abstract
Frontal alpha asymmetry (FAA) is widely examined in EEG research, yet a procedural consensus on its assessment is lacking. In this study, we tested a latent factorial approach to measure FAA. We assessed resting-state FAA at broad, low, and high alpha bands (8-13; 8-10.5; and 11-13 Hz) using mastoids as reference electrodes and Current Source Density (CSD) transformation (N = 139 non-clinical participants). From mastoid-referenced data, we extracted a frontal alpha asymmetry factor (FAAf) and a parietal factor (PAAf) subjecting all asymmetry indices to a varimax-rotated, principal component analysis. We explored split-half reliability and discriminant validity of the mastoid factors and the mastoid and CSD raw asymmetry indices (F3/4, F7/8, P3/4, and P7/8). Both factor and raw scores reached an excellent split-half reliability (>.99), but only the FAAf reached the maximum discriminant validity from parietal scores. Next, we explored the correlations of latent factor and raw FAA scores with symptoms of depression, anxiety, and personality traits to determine which associations were driven by FAA after variance from parietal activity was removed. After correcting for false discovery rate, only FAAf at the low alpha band was negatively associated with depression symptoms (a latent CES-D factor) and significantly diverged from PAAf's association with depression symptoms. With respect to personality traits, only CSD-transformed F7/8 was positively correlated with Conscientiousness and significantly diverged from the correlations between Conscientiousness and P3/4 and P7/8. Overall, the latent factor approach shows promise for isolating functionally distinct resting-state EEG signatures, although further research is needed to examine construct validity.
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Affiliation(s)
- Alessandra Monni
- Department of Psychology, University of Rome ‘La Sapienza’, Rome, Italy
- Department of Education, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | | | - Kaylin E. Hill
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, United States
| | - Belel Ait Oumeziane
- Department of Psychological Sciences, Purdue University, West Lafayette, IN, United States
| | - Dan Foti
- Department of Psychological Sciences, Purdue University, West Lafayette, IN, United States
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Glier S, Campbell A, Corr R, Pelletier-Baldelli A, Belger A. Individual differences in frontal alpha asymmetry moderate the relationship between acute stress responsivity and state and trait anxiety in adolescents. Biol Psychol 2022; 172:108357. [PMID: 35662579 PMCID: PMC10091222 DOI: 10.1016/j.biopsycho.2022.108357] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 05/09/2022] [Accepted: 05/16/2022] [Indexed: 11/25/2022]
Abstract
Stress is a risk factor in the development and maintenance of psychopathology, particularly anxiety. Despite theory suggesting differences in stress responsivity may explain heterogeneity in anxiety, findings remain contradictory. This may be due to failure to account for individuals' neurobiological states and outdated methodologic analyses which confound conceptually and biologically distinct stress response pathways. In 145 adolescents, this study examined whether individual differences in neural activation underlying motivational states, indexed by resting frontal alpha asymmetry (FAA) before and after the Trier Social Stress Test (TSST), moderate the relationship between stress responsivity (measured by cortisol) and anxiety. Adolescents with rightward FAA activation (indexed by changes in resting FAA pre-to-post TSST) and high trait anxiety showed blunted cortisol reactivities while those with leftward FAA activation and high state anxiety showed prolonged cortisol recoveries. Our work reveals individual differences in vulnerability to psychosocial stressors and is the first study to show that FAA activation moderates the relationships between anxiety and distinct phases of the stress response in adolescents.
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Affiliation(s)
- Sarah Glier
- School of Medicine at the University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Psychiatry Department at University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
| | - Alana Campbell
- Psychiatry Department at University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Carolina Institute for Developmental Disabilities University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Rachel Corr
- Psychiatry Department at University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Aysenil Belger
- Psychiatry Department at University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Carolina Institute for Developmental Disabilities University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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11
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Resting posterior alpha power and adolescent major depressive disorder. J Psychiatr Res 2021; 141:233-240. [PMID: 34256274 PMCID: PMC8364881 DOI: 10.1016/j.jpsychires.2021.07.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 06/28/2021] [Accepted: 07/04/2021] [Indexed: 11/22/2022]
Abstract
For several decades, resting electroencephalogram (EEG) alpha oscillations have been used to characterize neurophysiological alterations related to major depressive disorder. Prior research has generally focused on frontal alpha power and asymmetry despite resting alpha being maximal over posterior electrode sites. Research in depressed adults has shown evidence of hemispheric asymmetry for posterior alpha power, however, the resting posterior alpha-depression link among adolescents remains unclear. To clarify the role of posterior alpha among depressed adolescents, the current study acquired eyes-closed 128-channel resting EEG data from 13 to 18 year-old depressed (n = 31) and healthy (n = 35) female adolescents. Results indicated a significant group by hemisphere interaction, as depressed adolescents exhibited significantly larger posterior alpha (i.e., lower brain activity) over the right versus left hemisphere, whereas healthy adolescents showed no hemispheric differences. Relatively greater alpha over the right versus left hemisphere correlated with depression symptoms, anhedonia symptoms, rumination, and self-criticism. Further, depressed adolescents had reduced overall posterior alpha compared to healthy youth; though, no associations with symptoms and related traits emerged. Resting posterior alpha may be a promising neurophysiological index of adolescent depression, and more broadly, may relate to risk factors characterized by enhanced perseveration.
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12
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Kołodziej A, Magnuski M, Ruban A, Brzezicka A. No relationship between frontal alpha asymmetry and depressive disorders in a multiverse analysis of five studies. eLife 2021; 10:e60595. [PMID: 34037520 PMCID: PMC8154036 DOI: 10.7554/elife.60595] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 04/21/2021] [Indexed: 11/13/2022] Open
Abstract
For decades, the frontal alpha asymmetry (FAA) - a disproportion in EEG alpha oscillations power between right and left frontal channels - has been one of the most popular measures of depressive disorders (DD) in electrophysiology studies. Patients with DD often manifest a left-sided FAA: relatively higher alpha power in the left versus right frontal lobe. Recently, however, multiple studies failed to confirm this effect, questioning its reproducibility. Our purpose is to thoroughly test the validity of FAA in depression by conducting a multiverse analysis - running many related analyses and testing the sensitivity of the effect to changes in the analytical approach - on data from five independent studies. Only 13 of the 270 analyses revealed significant results. We conclude the paper by discussing theoretical assumptions underlying the FAA and suggest a list of guidelines for improving and expanding the EEG data analysis in future FAA studies.
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Affiliation(s)
| | | | | | - Aneta Brzezicka
- University of Social Sciences and HumanitiesWarsawPoland
- Cedars-Sinai Medical Center Department of NeurosurgeryLos AngelesUnited States
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13
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Lin IM, Chen TC, Lin HY, Wang SY, Sung JL, Yen CW. Electroencephalogram patterns in patients comorbid with major depressive disorder and anxiety symptoms: Proposing a hypothesis based on hypercortical arousal and not frontal or parietal alpha asymmetry. J Affect Disord 2021; 282:945-952. [PMID: 33601739 DOI: 10.1016/j.jad.2021.01.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 12/04/2020] [Accepted: 01/01/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND Major depressive disorder (MDD) is often comorbid with anxiety disorders or symptoms. Brain hyperactivity, frontal alpha asymmetry (FAA), and parietal alpha asymmetry (PAA) have been considered as trait markers in patients with MDD. This study investigated the electroencephalogram (EEG) patterns among patients with MDD comorbid with anxiety symptoms. METHODS One hundred and thirty-five patients with MDD comorbid with anxiety (MDD group) and 135 healthy controls (HC group) were analyzed. The Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI) were completed, and 19 EEG channels were measured during the resting state, depressive recall and recovery tasks, and happiness recall and recovery tasks. FAA and PAA were computed by log (F4 alpha)-log (F3 alpha) and log (P4 alpha)-log (P3 alpha). RESULTS The FAA and PAA indices between the two groups showed no significant differences; however, compared with the HC group, the MDD group had lower total delta and theta values, and higher total beta, low beta, and high beta values in the resting state. The total beta value positively correlated with the BDI-II and BAI scores in the MDD group. LIMITATIONS Most patients had anxious MDD and taking prescriptions, antidepressants or benzodiazepine may affect EEG patterns. CONCLUSION Compared with HCs, patients with MDD comorbid with anxiety had a higher beta activity in the entire brain region, supporting the role of brain hyperactivity, instead of FAA or PAA, as a trait marker in these patients. A neurofeedback protocol could be developed in future based on the brain hyperactivity findings.
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Affiliation(s)
- I-Mei Lin
- Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Taiwan; Department of Medical Research, Kaohsiung Medical University Hospital, Taiwan; Pervasive Artificial Intelligence Research (PAIR) Labs, Taiwan.
| | - Ting-Chun Chen
- Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Taiwan; Department of Psychiatry, E-Da Hospital, Kaohsiung, Taiwan
| | - Hsin-Yi Lin
- Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Taiwan; Department of Clinical Psychology, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan
| | - San-Yu Wang
- Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Taiwan
| | - Jia-Li Sung
- Department of Mechanical and Electromechanical Engineering, National Sun Yat-sen University, Kaohsiung, Taiwan
| | - Chen-Wen Yen
- Department of Mechanical and Electromechanical Engineering, National Sun Yat-sen University, Kaohsiung, Taiwan; Department of Physical Therapy, College of Health Science, Kaohsiung Medical University, Kaohsiung, Taiwan; Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan.
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14
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Amidfar M, Kim YK. EEG Correlates of Cognitive Functions and Neuropsychiatric Disorders: A Review of Oscillatory Activity and Neural Synchrony Abnormalities. CURRENT PSYCHIATRY RESEARCH AND REVIEWS 2021. [DOI: 10.2174/2666082216999201209130117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background:
A large body of evidence suggested that disruption of neural rhythms and
synchronization of brain oscillations are correlated with a variety of cognitive and perceptual processes.
Cognitive deficits are common features of psychiatric disorders that complicate treatment of
the motivational, affective and emotional symptoms.
Objective:
Electrophysiological correlates of cognitive functions will contribute to understanding of
neural circuits controlling cognition, the causes of their perturbation in psychiatric disorders and
developing novel targets for the treatment of cognitive impairments.
Methods:
This review includes a description of brain oscillations in Alzheimer’s disease, bipolar
disorder, attention-deficit/hyperactivity disorder, major depression, obsessive compulsive disorders,
anxiety disorders, schizophrenia and autism.
Results:
The review clearly shows that the reviewed neuropsychiatric diseases are associated with
fundamental changes in both spectral power and coherence of EEG oscillations.
Conclusion:
In this article, we examined the nature of brain oscillations, the association of brain
rhythms with cognitive functions and the relationship between EEG oscillations and neuropsychiatric
diseases. Accordingly, EEG oscillations can most likely be used as biomarkers in psychiatric
disorders.
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Affiliation(s)
- Meysam Amidfar
- Department of Neuroscience, Tehran University of Medical Sciences, Tehran, Iran
| | - Yong-Ku Kim
- Department of Psychiatry, College of Medicine, Korea University, Seoul, South Korea
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15
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Stewart JL, White EJ, Kuplicki R, Akeman E, T1000 Investigators, Paulus MP, Aupperle RL, Khalsa SS, Savitz JB, Victor TA, Paulus MP, Aupperle RL. Women with Major Depressive Disorder, Irrespective of Comorbid Anxiety Disorders, Show Blunted Bilateral Frontal Responses during Win and Loss Anticipation. J Affect Disord 2020; 273:157-166. [PMID: 32421596 PMCID: PMC7306441 DOI: 10.1016/j.jad.2020.04.064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 02/25/2020] [Accepted: 04/27/2020] [Indexed: 01/19/2023]
Abstract
BACKGROUND Electroencephalography (EEG) studies suggest that major depressive disorder (MDD) is associated with lower left than right frontal brain activity (asymmetry), a pattern appearing stronger in women than men, and when elicited during emotionally-relevant paradigms versus an uncontrolled resting state. However, it is unclear whether this asymmetry pattern generalizes to the common presentation of MDD with co-occurring anxiety. Moreover, asymmetry may differ for anxiety subtypes, wherein anxious apprehension (AnxApp: worry characteristic of generalized anxiety disorder) appears left-lateralized, but anxious arousal (AnxAro: panic characteristic of social anxiety, posttraumatic stress, and panic disorders) may be right-lateralized. METHODS This analysis attempted to replicate frontal EEG asymmetry patterns using functional magnetic resonance imaging (fMRI). Participants completed clinical interviews and a monetary incentive delay (MID) task during fMRI recording. We compared five groups of right-handed women from the Tulsa 1000 study, MDD (n=40), MDD-AnxApp (n=26), MDD-AnxAro (n=34), MDD-Both (with AnxApp and AnxAro; n=26), and healthy controls (CTL; n=24), as a function of MID anticipation condition (no win/loss, win, loss) and hemisphere on frontal blood oxygen-level-dependent (BOLD) signal. RESULTS CTL exhibited higher bilateral superior, middle, and inferior middle frontal gyrus BOLD signal than the four MDD groups for high arousal (win and loss) conditions. However, frontal attenuations were unrelated to current depression/anxiety symptoms, suggestive of a trait as opposed to a state marker. LIMITATIONS This was a cross-sectional analysis restricted to women. CONCLUSIONS Reduced prefrontal cortex recruitment during processing of both positively and negatively valenced stimuli is consistent with the emotion context insensitivity theory of MDD.
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Affiliation(s)
- Jennifer L. Stewart
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA,Department of Community Medicine, Oxley Health Sciences, University of Tulsa, 800 South Tucker Drive, Tulsa, OK 74104, USA,Corresponding author: Jennifer L. Stewart, Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136; phone: (918) 502-5106;
| | - Evan J. White
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA
| | - Rayus Kuplicki
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA
| | - Elisabeth Akeman
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA
| | - T1000 Investigators
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA
| | - Martin P. Paulus
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA,Department of Community Medicine, Oxley Health Sciences, University of Tulsa, 800 South Tucker Drive, Tulsa, OK 74104, USA
| | - Robin L. Aupperle
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA,Department of Community Medicine, Oxley Health Sciences, University of Tulsa, 800 South Tucker Drive, Tulsa, OK 74104, USA
| | - Sahib S Khalsa
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK, 74136, USA
| | - Jonathan B Savitz
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK, 74136, USA
| | - Teresa A Victor
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK, 74136, USA
| | - Martin P Paulus
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK, 74136, USA; Department of Community Medicine, Oxley Health Sciences, University of Tulsa, 800 South Tucker Drive, Tulsa, OK, 74104, USA
| | - Robin L Aupperle
- Laureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK, 74136, USA; Department of Community Medicine, Oxley Health Sciences, University of Tulsa, 800 South Tucker Drive, Tulsa, OK, 74104, USA
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16
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Hui J, Lioumis P, Blumberger DM, Daskalakis ZJ. Non-invasive Central Neuromodulation with Transcranial Magnetic Stimulation. Stereotact Funct Neurosurg 2020. [DOI: 10.1007/978-3-030-34906-6_15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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17
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Fernández-Palleiro P, Rivera-Baltanás T, Rodrigues-Amorim D, Fernández-Gil S, Del Carmen Vallejo-Curto M, Álvarez-Ariza M, López M, Rodriguez-Jamardo C, Luis Benavente J, de Las Heras E, Manuel Olivares J, Spuch C. Brainwaves Oscillations as a Potential Biomarker for Major Depression Disorder Risk. Clin EEG Neurosci 2020; 51:3-9. [PMID: 31537100 DOI: 10.1177/1550059419876807] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Major depressive disorder (MDD) is a multidimensional disorder that is characterized by the presence of alterations in mood, cognitive capacity, sensorimotor, and homeostatic functions. Given that about half of the patients diagnosed with MDD do not respond to the various current treatments, new techniques are being sought to predict not only the course of the disease but also the characteristics that differentiate responders from non-responders. Using the electroencephalogram, a noninvasive and inexpensive tool, most studies have proposed that patients with MDD have some lateralization in brain electrical activity, with alterations in alpha and theta rhythms being observed, which would be related to dysfunctions in emotional capacity such as the absence or presence of responses to the different existing treatments. These alterations help in the identification of subjects at high risk of suffering from depression, in the differentiation into responders and nonresponders to various therapies (pharmacological, electroconvulsive therapy, and so on), as well as to establish in which period of the disease the treatment will be more effective. Although the data are still inconclusive and more research is needed, these alpha and theta neurophysiological markers could support future clinical practice when it comes to establishing an early diagnosis and treating state disorders more successfully and accurately of mood disorders.
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Affiliation(s)
- Patricia Fernández-Palleiro
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Tania Rivera-Baltanás
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Daniela Rodrigues-Amorim
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Sonia Fernández-Gil
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | | | - María Álvarez-Ariza
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Marta López
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Cynthia Rodriguez-Jamardo
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Jose Luis Benavente
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Elena de Las Heras
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - José Manuel Olivares
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
| | - Carlos Spuch
- Translational Neuroscience Research Group, Galicia Sur Health Research Institute, University of Vigo, Cibersam, Spain
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18
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Kawe TNJ, Shadli SM, McNaughton N. Higuchi's fractal dimension, but not frontal or posterior alpha asymmetry, predicts PID-5 anxiousness more than depressivity. Sci Rep 2019; 9:19666. [PMID: 31873184 PMCID: PMC6928148 DOI: 10.1038/s41598-019-56229-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 12/06/2019] [Indexed: 12/28/2022] Open
Abstract
Depression is a major cause of health disability. EEG measures may provide one or more economical biomarkers for the diagnosis of depression. Here we compared frontal alpha asymmetry (FAA), posterior alpha asymmetry (PAA), and Higuchi's fractal dimension (HFD) for their capacity to predict PID-5 depressivity and for the specificity of these predictions relative to PID-5 anxiousness. University students provided 8 or 10 minutes of resting EEG and PID-5 depressivity and PID-5 anxiousness questionnaire scores. FAA and PAA had no significant correlations with the measures at any electrode pair. There were distinct frontal and posterior factors underlying HFD that correlated significantly with anxiousness and with each other. Posterior HFD also correlated significantly with depressivity, though this was weaker than the correlation with anxiousness. The portion of depressivity variance accounted for by posterior HFD was not unique but shared with anxiousness. Inclusion of anxiety disorder patients into the sample rendered the frontal factor somewhat more predictive than the posterior one but generally strengthened the prior conclusions. Contrary to our predictions, none of our measures specifically predicted depressivity. Previous reports of links with depression may involve confounds with concurrent anxiety. Indeed, HFD may be a better measure of anxiety than depression; and its previous linkage to depression may be due to a confound between the two, given the high incidence of depression in cases of severe anxiety.
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Affiliation(s)
- Tame N J Kawe
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Shabah M Shadli
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Neil McNaughton
- Department of Psychology, University of Otago, Dunedin, New Zealand.
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19
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Marino C, Riva V, Mornati G, Piazza C, del Giudice R, Dionne G, Molteni M, Cantiani C. Postnatal maternal symptoms of depression and child emotion dysregulation: The mediation role of infant EEG alpha asymmetry. Infant Behav Dev 2019; 57:101321. [DOI: 10.1016/j.infbeh.2019.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2018] [Revised: 04/11/2019] [Accepted: 04/13/2019] [Indexed: 11/27/2022]
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20
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Alperin BR, Smith CJ, Gustafsson HC, Figuracion MT, Karalunas SL. The relationship between alpha asymmetry and ADHD depends on negative affect level and parenting practices. J Psychiatr Res 2019; 116:138-146. [PMID: 31233897 PMCID: PMC6625668 DOI: 10.1016/j.jpsychires.2019.06.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Revised: 05/03/2019] [Accepted: 06/17/2019] [Indexed: 11/25/2022]
Abstract
Atypical frontal alpha asymmetry is associated with the approach/withdrawal and affective processes implicated in many psychiatric disorders. Rightward alpha asymmetry, associated with high approach, is a putative endophenotype for attention deficit/hyperactivity disorder (ADHD). However, findings are inconsistent, likely because of a failure to consider emotional heterogeneity within the ADHD population. In addition, how this putative risk marker interacts with environmental factors known to increase symptom severity, such as parenting practices, has not been examined. The current study examined patterns of alpha asymmetry in a large sample of adolescents with and without ADHD, including the moderating role of negative affect and inconsistent discipline. Resting-state EEG was recorded from 169 well-characterized adolescents (nADHD = 79). Semi-structured clinical interviews and well-validated rating scales were used to create composites for negative affect and inconsistent discipline. The relationship between alpha asymmetry and ADHD diagnosis was moderated by negative affect. Right asymmetry was present only for those with ADHD and low levels of negative affect. In addition, greater right alpha asymmetry predicted severity of ADHD symptoms for those with the disorder, but only in the context of inconsistent parenting practices. Results confirm right alpha asymmetry is a possible endophenotype in ADHD but highlight the need to consider emotional heterogeneity and how biological risk interacts with child environment in order to fully characterize its relationship to disorder liability and severity.
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Affiliation(s)
- Brittany R. Alperin
- Department of Behavioral Neuroscience, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd. Portland, OR 97239, USA
| | - Christiana J. Smith
- Department of Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd. Portland, OR 97239, USA
| | - Hanna C. Gustafsson
- Department of Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd. Portland, OR 97239, USA
| | - McKenzie T. Figuracion
- Department of Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd. Portland, OR 97239, USA
| | - Sarah L. Karalunas
- Department of Behavioral Neuroscience, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd. Portland, OR 97239, USA,Department of Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd. Portland, OR 97239, USA
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21
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Kim JS, Oh S, Jeon HJ, Hong KS, Baek JH. Resting-state alpha and gamma activity in affective disorder with ADHD symptoms: Comparison between bipolar disorder and major depressive disorder. Int J Psychophysiol 2019; 143:57-63. [PMID: 31255738 DOI: 10.1016/j.ijpsycho.2019.06.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 05/21/2019] [Accepted: 06/17/2019] [Indexed: 11/19/2022]
Abstract
Although comorbid attention deficit/hyperactivity disorder (ADHD) symptoms are very common in mood disorder, its neurophysiological correlates have not been explored. This study aimed to examine clinical and neurophysiological correlates of ADHD symptoms in major depressive disorder (MDD) and bipolar disorder (BP). A total of 67 subjects with mood disorder, current depressive episode (38 subjects with MDD and 29 subjects with BP depression) were included in the analysis. Resting quantitative electroencephalography (qEEG) recordings were collected under eyes closed condition. ADHD symptoms, depression, anxiety, and lifetime hypomania were evaluated using self-report questionnaires. In MDD, ADHD symptoms did not show significant associations with anxiety and depression. In BP, ADHD symptoms showed significant associations with depression, anxiety and lifetime hypomania. Significant correlations with Adult ADHD self-report scales (ASRS) inattention score and total score were detected in left and right frontal alpha powers in MDD while significant correlation with ASRS hyperactivity score and ASRS total score were detected in right frontal gamma power in BP. Linear regression analyses revealed that left and right frontal alpha powers, depression and lifetime hypomania showed significant association with ASRS inattention score and ASRS total score in MDD. In BP, linear regression analysis showed ASRS hyperactivity score was associated with lifetime hypomania and the right frontal gamma power. MDD and BP showed different correlation patterns between frontal qEEG measures and ADHD symptoms. This might be associated with distinct neurobiological underpinnings of co-occurring ADHD symptoms in MDD and BP.
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Affiliation(s)
- Ji Sun Kim
- Department of Psychiatry, Sooncheonhyang University Cheonan Hospital, Cheonan, Chungcheongnam-do Province, Republic of Korea
| | - Soohwan Oh
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Hong Jin Jeon
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Kyung Sue Hong
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Ji Hyun Baek
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
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22
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Baik SY, Kim C, Kim S, Yook DW, Kim HS, Chang H, Lee SH. The moderating effect of heart rate variability on the relationship between alpha asymmetry and depressive symptoms. Heliyon 2019; 5:e01290. [PMID: 30949595 PMCID: PMC6429580 DOI: 10.1016/j.heliyon.2019.e01290] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 01/13/2019] [Accepted: 02/26/2019] [Indexed: 12/28/2022] Open
Abstract
Electroencephalographic (EEG) research has suggested relatively reduced brain activity in the left frontal and right posterior region trait-markers of depression. However, inconsistent results have been reported. Based on previous studies reporting the heart rate variability (HRV) as an index of emotional regulation, this study makes a novel investigation of the role of heart rate variability (HRV) as a moderator in the relationship between frontal and parietal alpha asymmetry and depression. Resting EEG (eyes open) was recorded in 38 patients with MDD and 34 healthy subjects. Frontal and parietal alpha asymmetries were calculated at total (8–12 Hz), high (10–12 Hz), and low (8–10 Hz) alpha frequency bands. Three vagally mediated HRV (vmHRV) components (LF, HF, and the LF/HF ratio) were calculated in the frequency domain. Relatively greater right parietal alpha activity significantly predicted the severity of depression only when HF was low (or the LF/HF ratio was high) at low alpha frequency band. The interaction effect of parietal alpha asymmetry and vmHRV remained significant after including anxiety score as a covariate. No moderation effect of vmHRV was found for frontal sites and other frequency bands, as well as healthy subjects. These findings suggest that vmHRV moderates the association between parietal alpha asymmetry at low frequency band and depression for MDD patients. We suggest that the interaction between parietal alpha asymmetry and vmHRV may be a biomarker of MDD.
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Affiliation(s)
- Seung Yeon Baik
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea.,Department of Psychology, Sogang University, Seoul, Republic of Korea
| | - Cholong Kim
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea.,Department of Psychology, Sungkyunkwan University, Seoul, Republic of Korea
| | - Sungkean Kim
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea.,Department of Biomedical Engineering, Hanyang University, Seoul, Republic of Korea
| | - Dong-Wook Yook
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea.,Department of Psychology, Sogang University, Seoul, Republic of Korea
| | - Hyang Sook Kim
- Department of Psychology, Sogang University, Seoul, Republic of Korea
| | - Hyein Chang
- Department of Psychology, Sungkyunkwan University, Seoul, Republic of Korea
| | - Seung-Hwan Lee
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea.,Department of Psychiatry, Inje University Ilsan Paik Hospital, Ilsan, Republic of Korea
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23
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Thériault RK, Perreault ML. Hormonal regulation of circuit function: sex, systems and depression. Biol Sex Differ 2019; 10:12. [PMID: 30819248 PMCID: PMC6394099 DOI: 10.1186/s13293-019-0226-x] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Accepted: 02/18/2019] [Indexed: 01/10/2023] Open
Abstract
Major depressive disorder (MDD) is a debilitating chronic illness that is two times more prevalent in women than in men. The mechanisms associated with the increased female susceptibility to depression remain poorly characterized. Aberrant neuronal oscillatory activity within the putative depression network is an emerging mechanism underlying MDD. However, innate sex differences in network activity and its contribution to depression vulnerability have not been well described. In this review, current evidence of sex differences in neuronal oscillatory activity, including the influence of sex hormones and female cycling, will first be described followed by evidence of disrupted neuronal circuit function in MDD and the effects of antidepressant treatment. Lastly, current knowledge of sex differences in MDD-associated aberrant circuit function and oscillatory activity will be highlighted, with an emphasis on the role of sex steroids and female cycling. Collectively, it is clear that there are significant gaps in the literature regarding innate and pathologically associated sex differences in network activity and that the elucidation of these differences is invaluable to our understanding of sex-specific vulnerabilities and therapies for MDD.
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Affiliation(s)
- Rachel-Karson Thériault
- Department of Molecular and Cellular Biology, University of Guelph (ON), 50 Stone Rd. E, Guelph, Ontario N1G 2W1 Canada
- Collaborative Neuroscience Program, University of Guelph (ON), Guelph, Canada
| | - Melissa L. Perreault
- Department of Molecular and Cellular Biology, University of Guelph (ON), 50 Stone Rd. E, Guelph, Ontario N1G 2W1 Canada
- Collaborative Neuroscience Program, University of Guelph (ON), Guelph, Canada
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24
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Pössel P, Roane SJ, Hautzinger M. Does frontal brain activity mediate the effect of depression prevention in adolescents? A pilot study. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2019; 55 Suppl 1:40-47. [PMID: 30779119 DOI: 10.1002/ijop.12573] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 01/18/2019] [Indexed: 11/07/2022]
Abstract
We investigated whether (a) depression prevention was associated with depressive symptoms and medial-frontal alpha asymmetry in adolescents; (b) alpha asymmetry mediated the association between participation in a prevention program and depressive symptoms; and (c) gender affects these associations. In our randomised control group study, we compared a universal prevention program (n = 40 adolescents, 14 females) with a non-intervention control condition (n = 39 adolescents, 20 females) in German secondary school students (mean age: 13.53 years, SD = 0.53). We collected data at baseline, post-intervention, 6-month, and 12-month follow-up using the Self-Rating Questionnaire for Depressive Disorders (SBB-DES) and resting medial-frontal alpha activity on F3 and F4. We found that girls benefitted from participating in the prevention program in regards to their depressive symptoms at 12-month follow-up but not alpha asymmetry. In boys, participation in the prevention program was associated with their alpha asymmetry at 6-month follow-up but not their depressive symptoms. Alpha asymmetry did not mediate the effects of the prevention program on depressive symptoms in either gender. Although participation in the prevention program was associated with both depressive symptoms and alpha asymmetry, those associations seem independent from each other. Possible explanations for this result pattern are discussed.
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25
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Resting frontal EEG asymmetry in adolescents with major depression: Impact of disease state and comorbid anxiety disorder. Clin Neurophysiol 2018; 129:2577-2585. [DOI: 10.1016/j.clinph.2018.09.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 09/07/2018] [Accepted: 09/19/2018] [Indexed: 12/18/2022]
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26
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Jenkins LM, Stange JP, Bessette KL, Chang YS, Corwin SD, Skerrett KA, Patrón VG, Zubieta JK, Crane NA, Passarotti AM, Pine DS, Langenecker SA. Differential engagement of cognitive control regions and subgenual cingulate based upon presence or absence of comorbid anxiety with depression. J Affect Disord 2018; 241:371-380. [PMID: 30145507 PMCID: PMC6237191 DOI: 10.1016/j.jad.2018.07.082] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 05/30/2018] [Accepted: 07/31/2018] [Indexed: 01/08/2023]
Abstract
BACKGROUND Major depressive disorder (MDD) and anxiety disorders are highly comorbid, sharing many similar symptoms, including impairments in cognitive control. Deficits in cognitive control could be a potential mechanism underlying impaired emotion regulation in mood disorders. METHODS Participants were 44 individuals with no history of mental illness (healthy controls, HC), 31 individuals in the remitted state of MDD (rMDD), and 18 individuals who met lifetime DSM-IV-TR criteria for rMDD and an anxiety disorder in remission (Comorbid). Participants completed a Parametric Go/No-Go (PGNG) test during fMRI. Event-related analyses modeled activity for cognitive control successes (Hits for Targets, Rejections for Lures) and failures (Commissions on Lures) on the PGNG task. RESULTS The rMDD group showed significantly reduced activity within the cognitive control network (CCN) during Commission errors, including the middle frontal gyrus and inferior parietal lobule (IPL). The Comorbid group showed significantly reduced activity in several clusters within the CCN during correct Rejections, including the left IPL and right inferior frontal gyrus and greater subgenual cingulate. Notably, during correct Rejections, 60% of activation for the Comorbid group was within the Salience and Emotion Network (SEN), with 0% within the CCN. LIMITATIONS The size of the Comorbid subgroup was modest, preventing subanalysis of the different AD subtypes. CONCLUSIONS There is evidence that CCN activity declines in rMDD and that there may be compensatory SEN activity in individuals with Comorbid rMDD and anxiety. Our findings support the identification of comorbid anxiety as a meaningful subtype of MDD that may obscure group differences between rMDD and HCs.
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Affiliation(s)
| | | | | | - Yi-Shin Chang
- The University of Illinois at Chicago, Department of Psychiatry
| | | | | | | | | | | | | | | | - Scott A. Langenecker
- The University of Illinois at Chicago, Department of Psychiatry,Department of Psychiatry, The University of Michigan,Corresponding author: Scott A. Langenecker, Cognitive Neuroscience Center, Department of Psychiatry, The University of Illinois at Chicago, 1601 W Taylor St. Chicago, IL 60612 and
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27
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Kaiser AK, Gnjezda MT, Knasmüller S, Aichhorn W. Electroencephalogram alpha asymmetry in patients with depressive disorders: current perspectives. Neuropsychiatr Dis Treat 2018; 14:1493-1504. [PMID: 29928121 PMCID: PMC6001846 DOI: 10.2147/ndt.s137776] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
PURPOSE Electroencephalogram (EEG) alpha asymmetry (AA) in depressive disorders has been of interest over the last few decades, but it continues to remain unclear whether EEG AA can discriminate between healthy and depressive individuals. MATERIALS AND METHODS A systematic literature search for papers addressing EEG AA using the keywords alpha asymmetry, depression, and EEG was performed in PubMed. All studies were checked for sample size, gender, handedness, reference, recording protocol, EEG band range, impedance, type of analysis, drugs, and comorbidity. RESULTS A total of 61 articles were found, of which 44 met our inclusion criteria. They have been consecutively analyzed in respect of methodology and results. Approximately 25% (11/44) of the studies did not mention or ignored handedness, 41% (18/44) of the studies used data with only self-reported handedness, and only 34.1% (15/44) of all studies tested handedness. Only 35% (15/44) of the studies reported pharmacological treatment, and only 35% (15/44) of the studies controlled for medication. A total of 52% (23/44) of the studies reported comorbidity, and only 30% (13/44) of the studies controlled for comorbidity. Only 29.6% (13/44) of the studies reported education. In all, 30.5% (13/44) of the studies analyzed group differences and correlations, while 15.9 (7/44) of the studies used only correlational analyses. A total of 52.3% (23/44) of the studies analyzed only group differences. Alpha range was fixed (8-13 Hz) in 59.1% (26/44) of all studies. Reference to common average was used in seven of 44 studies (15.9%). In all, nine of 44 (20.5%) studies used the midline central position as reference, 22 of 44 (50%) studies used the ear or the mastoid as reference, and four of 44 (9.1%) studies used the nose as reference. CONCLUSION Discriminative power of EEG AA for depressed and healthy controls remains unclear. A systematic analysis of 44 studies revealed that differences in methodology and disregarding proper sampling are problematic. Ignoring handedness, gender, age, medication, and comorbidity could explain inconsistent findings. Hence, we formulated a guideline for requirements for future studies on EEG AA in order to allow for better comparisons.
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Affiliation(s)
- Andreas Kurt Kaiser
- Department of Clinical Psychology, Salzburger Landeskliniken Betriebs-GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University, Salzburg, Austria
| | - Maria-Theresa Gnjezda
- Department of Clinical Psychology, Salzburger Landeskliniken Betriebs-GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University, Salzburg, Austria
| | - Stephanie Knasmüller
- Department of Clinical Psychology, Salzburger Landeskliniken Betriebs-GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University, Salzburg, Austria
| | - Wolfgang Aichhorn
- Department of Psychiatry, Salzburger Landeskliniken Betriebs-GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University, Salzburg, Austria
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28
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Lahat A, Tang A, Tanaka M, Van Lieshout RJ, MacMillan HL, Schmidt LA. Longitudinal Associations Among Child Maltreatment, Resting Frontal Electroencephalogram Asymmetry, and Adolescent Shyness. Child Dev 2018; 89:746-757. [DOI: 10.1111/cdev.13060] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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29
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Grünewald BD, Greimel E, Trinkl M, Bartling J, Großheinrich N, Schulte-Körne G. Resting frontal EEG asymmetry patterns in adolescents with and without major depression. Biol Psychol 2018; 132:212-216. [DOI: 10.1016/j.biopsycho.2018.01.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2017] [Revised: 10/24/2017] [Accepted: 01/03/2018] [Indexed: 01/14/2023]
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30
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Beck RW, Laugharne J, Laugharne R, Woldman W, McLean B, Mastropasqua C, Jorge R, Shankar R. Abnormal cortical asymmetry as a target for neuromodulation in neuropsychiatric disorders: A narrative review and concept proposal. Neurosci Biobehav Rev 2017; 83:21-31. [PMID: 28958599 DOI: 10.1016/j.neubiorev.2017.09.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2016] [Revised: 09/17/2017] [Accepted: 09/25/2017] [Indexed: 12/20/2022]
Abstract
Recent advances in knowledge relating to the organization of neural circuitry in the human brain have increased understanding of disorders involving brain circuit asymmetry. These asymmetries, which can be measured and identified utilizing EEG and LORETA analysis techniques, may be a factor in mental disorders. New treatments involving non-invasive brain stimulation (NIBS), including trans-cranial magnetic stimulation, direct current stimulation and vagal nerve stimulation, have emerged in recent years. We propose that EEG identification of circuit asymmetry geometries can direct non-invasive brain stimulation more specifically for treatments of mental disorders. We describe as a narrative review new NIBS therapies that have been developed and delivered, and suggest that they are proving effective in certain patient groups. A brief narrative of influence of classical and operant conditioning of neurofeedback on EEG coherence, phase, abnormalities and Loreta's significance is provided. We also discuss the role of Heart rate variability and biofeedback in influencing EEG co-relates. Clinical evidence is at an early stage, but the basic science evidence and early case studies suggest that this may be a promising new modality for treating mental disorders and merits further research.
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Affiliation(s)
- Randy W Beck
- Institute of Functional Neuroscience, Perth, Australia
| | - Jonathan Laugharne
- School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia
| | - Richard Laugharne
- Cornwall Partnership NHS Foundation Trust and Hon, University of Exeter Medical School, Exeter, United Kingdom
| | - Wessel Woldman
- Living Systems Institute, University of Exeter, Exeter EX4 4QD, United Kingdom; Wellcome Trust Centre for Biomedical Modelling and Analysis, University of Exeter, Exeter EX4 4QD, United Kingdom; EPSRC Centre for Predictive Modelling in Healthcare, University of Exeter, Exeter EX4 4QD, United Kingdom
| | - Brendan McLean
- The Royal Cornwall Hospitals NHS Trust, Treliske, Truro, Cornwall, United Kingdom
| | - Chiara Mastropasqua
- Institute of Functional Neuroscience, Sydney, Australia; Neuroimaging Laboratory, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy
| | - Ricardo Jorge
- Institute of Functional Neuroscience, Perth, Australia
| | - Rohit Shankar
- Cornwall Partnership NHS Foundation Trust, University of Exeter Medical School, Exeter, United Kingdom.
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31
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Nusslock R, Shackman AJ, McMenamin BW, Greischar LL, Davidson RJ, Kovacs M. Comorbid anxiety moderates the relationship between depression history and prefrontal EEG asymmetry. Psychophysiology 2017; 55. [PMID: 28755454 DOI: 10.1111/psyp.12953] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 05/22/2017] [Accepted: 05/23/2017] [Indexed: 11/27/2022]
Abstract
The internalizing spectrum of psychiatric disorders-depression and anxiety-are common, highly comorbid, and challenging to treat. Individuals with childhood onset depression have a particularly poor prognosis. There is compelling evidence that individuals with depression display reduced resting-state EEG activity at sensors overlying the left prefrontal cortex, even during periods of remission, but it remains unknown whether this asymmetry is evident among individuals with a comorbid anxiety disorder. Here, we demonstrate that women with a history of childhood onset depression and no anxiety disorder (n = 37) show reduced left lateral frontal activity compared to psychiatrically healthy controls (n = 69). In contrast, women with a history of childhood onset depression and pathological levels of anxious apprehension (n = 18)-as indexed by a current generalized anxiety disorder, obsessive compulsive disorder, or separation anxiety disorder diagnosis-were statistically indistinguishable from healthy controls. Collectively, these observations suggest that anxious apprehension can mask the relationship between prefrontal EEG asymmetry and depression. These findings have implications for understanding (a) prefrontal EEG asymmetry as a neurophysiological marker of depression, (b) the comorbidity of depression and anxiety, and (c) failures to replicate the relationship between prefrontal EEG asymmetry and depression. More broadly, they set the stage for developing refined interventions for internalizing psychopathology.
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Affiliation(s)
- Robin Nusslock
- Department of Psychology, Northwestern University, Evanston, Illinois, USA
| | | | - Brenton W McMenamin
- Department of Psychology and Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Lawrence L Greischar
- Department of Psychology and Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Richard J Davidson
- Department of Psychology and Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, USA.,Center for Healthy Minds, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Maria Kovacs
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
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32
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van der Vinne N, Vollebregt MA, van Putten MJ, Arns M. Frontal alpha asymmetry as a diagnostic marker in depression: Fact or fiction? A meta-analysis. Neuroimage Clin 2017; 16:79-87. [PMID: 28761811 PMCID: PMC5524421 DOI: 10.1016/j.nicl.2017.07.006] [Citation(s) in RCA: 171] [Impact Index Per Article: 21.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Revised: 07/06/2017] [Accepted: 07/11/2017] [Indexed: 11/18/2022]
Abstract
BACKGROUND Frontal alpha asymmetry (FAA) has frequently been reported as potential discriminator between depressed and healthy individuals, although contradicting results have been published. The aim of the current study was to provide an up to date meta-analysis on the diagnostic value of FAA in major depressive disorder (MDD) and to further investigate discrepancies in a large cross-sectional dataset. METHODS SCOPUS database was searched through February 2017. Studies were included if the article reported on both MDD and controls, provided an FAA measure involving EEG electrodes F3/F4, and provided data regarding potential covariates. Hedges' d was calculated from FAA means and standard deviations (SDs). Potential covariates, such as age and gender, were explored. Post hoc analysis was performed to elucidate interindividual differences that could explain interstudy discrepancies. RESULTS 16 studies were included (MDD: n = 1883, controls: n = 2161). After resolving significant heterogeneity by excluding studies, a non-significant Grand Mean effect size (ES) was obtained (d = - 0.007;CI = [- 0.090]-[0.075]). Crosssectional analyses showed a significant three-way interaction for Gender × Age × Depression severity in the depressed group, which was prospectively replicated in an independent sample. CONCLUSIONS The main result was a non-significant, negligible ES, demonstrating limited diagnostic value of FAA in MDD. The high degree of heterogeneity across studies indicates covariate influence, as was confirmed by crosssectional analyses, suggesting future studies should address this Gender × Age × Depression severity interaction. Upcoming studies should focus more on prognostic and research domain usages of FAA rather than a pure diagnostic tool.
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Affiliation(s)
- Nikita van der Vinne
- Research Institute Brainclinics, Bijleveldsingel 34, 6524 AD, Nijmegen, The Netherlands
- Synaeda Psycho Medisch Centrum, Fonteinland 9, 8913 CZ, Leeuwarden, The Netherlands
- Dept. of Clinical Neurophysiology, Faculty of Science and Technology, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, The Netherlands
| | - Madelon A. Vollebregt
- Research Institute Brainclinics, Bijleveldsingel 34, 6524 AD, Nijmegen, The Netherlands
- Dept. of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
| | - Michel J.A.M. van Putten
- Dept. of Clinical Neurophysiology, Faculty of Science and Technology, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, The Netherlands
- Dept. of Neurology and Clinical Neurophysiology, Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, The Netherlands
| | - Martijn Arns
- Research Institute Brainclinics, Bijleveldsingel 34, 6524 AD, Nijmegen, The Netherlands
- Dept. of Experimental Psychology, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, The Netherlands
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33
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Bruder GE, Stewart JW, McGrath PJ. Right brain, left brain in depressive disorders: Clinical and theoretical implications of behavioral, electrophysiological and neuroimaging findings. Neurosci Biobehav Rev 2017; 78:178-191. [PMID: 28445740 DOI: 10.1016/j.neubiorev.2017.04.021] [Citation(s) in RCA: 122] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Revised: 04/19/2017] [Accepted: 04/20/2017] [Indexed: 12/15/2022]
Abstract
The right and left side of the brain are asymmetric in anatomy and function. We review electrophysiological (EEG and event-related potential), behavioral (dichotic and visual perceptual asymmetry), and neuroimaging (PET, MRI, NIRS) evidence of right-left asymmetry in depressive disorders. Recent electrophysiological and fMRI studies of emotional processing have provided new evidence of altered laterality in depressive disorders. EEG alpha asymmetry and neuroimaging findings at rest and during cognitive or emotional tasks are consistent with reduced left prefrontal activity in depressed patients, which may impair downregulation of amygdala response to negative emotional information. Dichotic listening and visual hemifield findings for non-verbal or emotional processing have revealed abnormal perceptual asymmetry in depressive disorders, and electrophysiological findings have shown reduced right-lateralized responsivity to emotional stimuli in occipitotemporal or parietotemporal cortex. We discuss models of neural networks underlying these alterations. Of clinical relevance, individual differences among depressed patients on measures of right-left brain function are related to diagnostic subtype of depression, comorbidity with anxiety disorders, and clinical response to antidepressants or cognitive behavioral therapy.
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Affiliation(s)
- Gerard E Bruder
- Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, USA; Cognitive Neuroscience Division, New York State Psychiatric Institute, New York, USA.
| | - Jonathan W Stewart
- Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, USA; Depression Evaluation Service, New York State Psychiatric Institute, New York, USA.
| | - Patrick J McGrath
- Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, USA; Depression Evaluation Service, New York State Psychiatric Institute, New York, USA.
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34
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Transcranial Direct Current Stimulation for the Treatment of Depression: a Comprehensive Review of the Recent Advances. Int J Ment Health Addict 2017. [DOI: 10.1007/s11469-017-9741-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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35
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Hewig J. Intentionality in frontal asymmetry research. Psychophysiology 2017; 55. [DOI: 10.1111/psyp.12852] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2016] [Revised: 12/12/2016] [Accepted: 12/27/2016] [Indexed: 01/25/2023]
Affiliation(s)
- Johannes Hewig
- Institute of Psychology at the University of Würzburg; Würzburg Germany
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36
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Dziembowska I, Izdebski P, Rasmus A, Brudny J, Grzelczak M, Cysewski P. Effects of Heart Rate Variability Biofeedback on EEG Alpha Asymmetry and Anxiety Symptoms in Male Athletes: A Pilot Study. Appl Psychophysiol Biofeedback 2017; 41:141-50. [PMID: 26459346 DOI: 10.1007/s10484-015-9319-4] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Heart rate variability biofeedback (HRV-BFB) has been shown as useful tool to manage stress in various populations. The present study was designed to investigate whether the biofeedback-based stress management tool consisting of rhythmic breathing, actively self-generated positive emotions and a portable biofeedback device induce changes in athletes' HRV, EEG patterns, and self-reported anxiety and self-esteem. The study involved 41 healthy male athletes, aged 16-21 (mean 18.34 ± 1.36) years. Participants were randomly divided into two groups: biofeedback and control. Athletes in the biofeedback group received HRV biofeedback training, athletes in the control group didn't receive any intervention. During the randomized controlled trial (days 0-21), the mean anxiety score declined significantly for the intervention group (change-4 p < 0.001) but not for the control group (p = 0.817). In addition, as compared to the control, athletes in biofeedback group showed substantial and statistically significant improvement in heart rate variability indices and changes in power spectra of both theta and alpha brain waves, and alpha asymmetry. These changes suggest better self-control in the central nervous system and better flexibility of the autonomic nervous system in the group that received biofeedback training. A HRV biofeedback-based stress management tool may be beneficial for stress reduction for young male athletes.
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Affiliation(s)
- Inga Dziembowska
- Department of Pathophysiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Toruń, Poland.,Institute of Psychology, Kazimierz Wielki University in Bydgoszcz, Bydgoszcz, Poland
| | - Paweł Izdebski
- Institute of Psychology, Kazimierz Wielki University in Bydgoszcz, Bydgoszcz, Poland.
| | - Anna Rasmus
- Institute of Psychology, Kazimierz Wielki University in Bydgoszcz, Bydgoszcz, Poland
| | - Janina Brudny
- Institute of Psychology, Kazimierz Wielki University in Bydgoszcz, Bydgoszcz, Poland.,Department of Gastroenterology and Eating Disorders, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus Univeristy in Toruń, Toruń, Poland
| | - Marta Grzelczak
- Department of Health, Physical Education and Sport, the University of Economy in Bydgoszcz, Bydgoszcz, Poland
| | - Piotr Cysewski
- Chair and Department of Physical Chemistry, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus Univeristy in Toruń, Toruń, Poland
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37
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Kungl MT, Leyh R, Spangler G. Attachment Representations and Brain Asymmetry during the Processing of Autobiographical Emotional Memories in Late Adolescence. Front Hum Neurosci 2017; 10:644. [PMID: 28082880 PMCID: PMC5183619 DOI: 10.3389/fnhum.2016.00644] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 12/05/2016] [Indexed: 11/30/2022] Open
Abstract
Frontal and parietal asymmetries have repeatedly been shown to be related to specific functional mechanisms involved in emotion regulation. From a developmental perspective, attachment representations based on experiences with the caregiver are theorized to serve regulatory functions and influence how individuals deal with emotionally challenging situations throughout the life span. This study aimed to investigate neural substrates of emotion regulation by assessing state- and trait dependent EEG asymmetries in secure, insecure-dismissing and insecure-preoccupied subjects. The sample consisted of 40 late adolescents. The Adult Attachment Interview was administered and they were asked to report upon personally highly salient emotional memories related to anger, happiness and sadness. EEG was recorded at rest and during the retrieval of each of these emotional memories, and frontal and parietal hemispheric asymmetry were analyzed. We found attachment representations to differentially affect both the frontal and parietal organization of hemispheric asymmetry at rest and (for parietal region only) during the retrieval of emotional memories. During rest, insecure-dismissing subjects showed an elevated right-frontal brain activity and a reduced right-parietal brain activity. We interpret this finding in light of a disposition to use withdrawal strategies and low trait arousal in insecure-dismissing subjects. Emotional memory retrieval did not affect frontal asymmetry. However, both insecure groups showed an increase in right-sided parietal activity indicating increased arousal during the emotional task as compared to the resting state suggesting that their emotion regulation capability was especially challenged by the retrieval of emotional memories while securely attached subjects maintained a state of moderate arousal. The specific neurophysiological pattern of insecure-dismissing subjects is discussed with regard to a vulnerability to affective disorders.
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Affiliation(s)
- Melanie T Kungl
- Institute of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen, Germany
| | - Rainer Leyh
- Institute of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen, Germany
| | - Gottfried Spangler
- Institute of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen, Germany
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38
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Jesulola E, Sharpley CF, Agnew LL. The effects of gender and depression severity on the association between alpha asymmetry and depression across four brain regions. Behav Brain Res 2016; 321:232-239. [PMID: 28042006 DOI: 10.1016/j.bbr.2016.12.035] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2016] [Revised: 12/22/2016] [Accepted: 12/25/2016] [Indexed: 11/29/2022]
Abstract
Data describing the association between EEG asymmetry and depression status have been equivocal. Effects from brain regions involved, depression severity, and the generalisability of findings across genders, have been inconsistently examined and/or verified. This study investigated these issues within a community sample to potentially expand the asymmetry hypothesis to non-severe depression participants. The singular effects of brain region and electrode site, gender, and depression severity, plus the interaction between gender and depression severity across brain regions were investigated in a study of alpha asymmetry among 46 males and 54 females (M age=32.5 yr, SD=14.13 yr) using the Self-rating Depression Scale (Zung, 1973). There was no significant difference across genders or age for depression severity. Dichotomous classification of depressed state produced similar but slightly different results from analysis of the whole range of depression status, although the frontal region was the only area where depression was consistently significantly associated with EEG asymmetry, and then only for females. However, the direction of those differences for females was opposite of that predicted by the EEG asymmetry-depression hypothesis. Several methodological issues that may have contributed to these findings are discussed, with suggestions made for future research that focusses upon individual depression symptom profiles rather than dichotomous or total depression scores in order to assist in developing a clinically-relevant model of EEG asymmetry in depressed persons.
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Affiliation(s)
- Emmanuel Jesulola
- Brain-Behaviour Research Group, University of New England, Queen Elizabeth Drive, Armidale, New South Wales, 2351, Australia
| | - Christopher F Sharpley
- Brain-Behaviour Research Group, University of New England, Queen Elizabeth Drive, Armidale, New South Wales, 2351, Australia.
| | - Linda L Agnew
- Brain-Behaviour Research Group, University of New England, Queen Elizabeth Drive, Armidale, New South Wales, 2351, Australia
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39
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Adolph D, Margraf J. The differential relationship between trait anxiety, depression, and resting frontal α-asymmetry. J Neural Transm (Vienna) 2016; 124:379-386. [DOI: 10.1007/s00702-016-1664-9] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Accepted: 12/02/2016] [Indexed: 11/24/2022]
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40
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Claverie D, Becker C, Ghestem A, Coutan M, Camus F, Bernard C, Benoliel JJ, Canini F. Low β2 Main Peak Frequency in the Electroencephalogram Signs Vulnerability to Depression. Front Neurosci 2016; 10:495. [PMID: 27853418 PMCID: PMC5090000 DOI: 10.3389/fnins.2016.00495] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Accepted: 10/17/2016] [Indexed: 12/24/2022] Open
Abstract
Objective: After an intense and repeated stress some rats become vulnerable to depression. This state is characterized by persistent low serum BDNF concentration. Our objective was to determine whether electrophysiological markers can sign vulnerability to depression. Methods: Forty-three Sprague Dawley rats were recorded with supradural electrodes above hippocampus and connected to wireless EEG transmitters. Twenty-nine animals experienced four daily social defeats (SD) followed by 1 month recovery. After SD, 14 rats had persistent low serum BDNF level and were considered as vulnerable (V) while the 15 others were considered as non-vulnerable (NV). EEG signals were analyzed during active waking before SD (Baseline), just after SD (Post-Stress) and 1 month after SD (Recovery). Results: We found that V animals are characterized by higher high θ and α spectral relative powers and lower β2 main peak frequency before SD. These differences are maintained at Post-Stress and Recovery for α spectral relative powers and β2 main peak frequency. Using ROC analysis, we show that low β2 main peak frequency assessed during Baseline is a good predictor of the future state of vulnerability to depression. Conclusion: Given the straightforwardness of EEG recordings, these results open the way to prospective studies in humans aiming to identify population at-risk for depression.
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Affiliation(s)
- Damien Claverie
- Département Neurosciences and Contraintes Opérationnelles, Institut de Recherche Biomédicale des ArméesBrétigny-sur-Orge, France
- Sorbonne Universités, Pierre and Marie Curie University Univ Paris 06, INSERM, CNRS, Neurosciences Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Site Pitié-SalpêtrièreParis, France
- Institut National de la Santé et de la Recherche Médicale, U1130Paris, France
- Centre National de la Recherche Scientifique, UMR8246Paris, France
| | - Chrystel Becker
- Sorbonne Universités, Pierre and Marie Curie University Univ Paris 06, INSERM, CNRS, Neurosciences Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Site Pitié-SalpêtrièreParis, France
- Institut National de la Santé et de la Recherche Médicale, U1130Paris, France
- Centre National de la Recherche Scientifique, UMR8246Paris, France
- Université Paris Descartes, Sorbonne Paris Cité, Faculté de MédecineParis, France
| | - Antoine Ghestem
- Aix Marseille Univ., INSERM, INS, Inst. Neurosci. Syst.Marseille, France
| | - Mathieu Coutan
- Département Neurosciences and Contraintes Opérationnelles, Institut de Recherche Biomédicale des ArméesBrétigny-sur-Orge, France
| | - Françoise Camus
- Sorbonne Universités, Pierre and Marie Curie University Univ Paris 06, INSERM, CNRS, Neurosciences Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Site Pitié-SalpêtrièreParis, France
- Institut National de la Santé et de la Recherche Médicale, U1130Paris, France
- Centre National de la Recherche Scientifique, UMR8246Paris, France
| | - Christophe Bernard
- Aix Marseille Univ., INSERM, INS, Inst. Neurosci. Syst.Marseille, France
| | - Jean-Jacques Benoliel
- Sorbonne Universités, Pierre and Marie Curie University Univ Paris 06, INSERM, CNRS, Neurosciences Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Site Pitié-SalpêtrièreParis, France
- Institut National de la Santé et de la Recherche Médicale, U1130Paris, France
- Centre National de la Recherche Scientifique, UMR8246Paris, France
- AP-HP, Hôpital de la Pitié-Salpêtrière, Service de Biochimie Endocrinienne et OncologiqueParis, France
| | - Frédéric Canini
- Département Neurosciences and Contraintes Opérationnelles, Institut de Recherche Biomédicale des ArméesBrétigny-sur-Orge, France
- Ecole du Val de GrâceParis, France
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41
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Dix A, Wartenburger I, van der Meer E. The role of fluid intelligence and learning in analogical reasoning: How to become neurally efficient? Neurobiol Learn Mem 2016; 134 Pt B:236-47. [PMID: 27461735 DOI: 10.1016/j.nlm.2016.07.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Revised: 06/13/2016] [Accepted: 07/22/2016] [Indexed: 10/21/2022]
Abstract
This study on analogical reasoning evaluates the impact of fluid intelligence on adaptive changes in neural efficiency over the course of an experiment and specifies the underlying cognitive processes. Grade 10 students (N=80) solved unfamiliar geometric analogy tasks of varying difficulty. Neural efficiency was measured by the event-related desynchronization (ERD) in the alpha band, an indicator of cortical activity. Neural efficiency was defined as a low amount of cortical activity accompanying high performance during problem-solving. Students solved the tasks faster and more accurately the higher their FI was. Moreover, while high FI led to greater cortical activity in the first half of the experiment, high FI was associated with a neurally more efficient processing (i.e., better performance but same amount of cortical activity) in the second half of the experiment. Performance in difficult tasks improved over the course of the experiment for all students while neural efficiency increased for students with higher but decreased for students with lower fluid intelligence. Based on analyses of the alpha sub-bands, we argue that high fluid intelligence was associated with a stronger investment of attentional resource in the integration of information and the encoding of relations in this unfamiliar task in the first half of the experiment (lower-2 alpha band). Students with lower fluid intelligence seem to adapt their applied strategies over the course of the experiment (i.e., focusing on task-relevant information; lower-1 alpha band). Thus, the initially lower cortical activity and its increase in students with lower fluid intelligence might reflect the overcoming of mental overload that was present in the first half of the experiment.
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Affiliation(s)
- Annika Dix
- Department of Psychology, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany; Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany.
| | - Isabell Wartenburger
- Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany; Department of Linguistics, Cognitive Sciences, University of Potsdam, Karl-Liebknecht-Straße 24-25, 14476 Potsdam, Germany.
| | - Elke van der Meer
- Department of Psychology, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany; Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany.
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Kaiser AK, Doppelmayr M, Iglseder B. Electroencephalogram alpha asymmetry in geriatric depression : Valid or vanished? Z Gerontol Geriatr 2016; 51:200-205. [PMID: 27422260 DOI: 10.1007/s00391-016-1108-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2016] [Revised: 06/20/2016] [Accepted: 06/23/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND A correlation between asymmetry in electroencephalographs (EEG) and depression has been demonstrated in many studies. To the best of our knowledge there are no studies including oldest old geriatric patients. OBJECTIVE The objective of this study was to evaluate whether frontal and parietal alpha asymmetry can be used to differentiate between depressed and control patients in a cohort sample with a mean age of 80 years. MATERIAL AND METHODS Differences in the EEG were investigated in 39 right-handed female geriatric patients (mean age 80 years) with respect to frontal alpha asymmetry (FAA) and parietal alpha asymmetry (PAA) in depression (n = 14), depression combined with anxiety (n = 11) and normal controls (n = 14) as assessed with the hospital anxiety and depression scale (HADS). Band power was calculated for alpha 1 (6.9-8.9 Hz), alpha 2 (8.9-10.9 Hz) and alpha 3 bands (10.9-12.9 Hz). Furthermore, correlations between frontal and parietal alpha asymmetry and the geriatric depression scale (GDS), the HADS and the mini mental state examination (MMSE) were calculated. RESULTS A differentiation between the three groups was not possible with FAA and PAA. Significant correlations were found between PAA alpha 3 band and anxiety and depression. CONCLUSION The alpha asymmetry in EEG seemed to disappear with age. Correlations between PAA and anxiety and depression were found. The results are in line with the right (hemisphere) hemi-aging hypothesis.
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Affiliation(s)
- Andreas K Kaiser
- Department of Geriatric Medicine, Salzburger Landeskliniken Betriebs GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University Salzburg, Ignaz-Harrer-Straße 79, 5020, Salzburg, Österreich. .,Department of Clinical Psychology, Salzburger Landeskliniken Betriebs GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University Salzburg, Salzburg, Österreich.
| | - Michael Doppelmayr
- Department for Sport Sciences, University of Mainz, Mainz, Deutschland.,Center for Neurocognitive Research, University of Salzburg, Salzburg, Österreich
| | - Bernhard Iglseder
- Department of Geriatric Medicine, Salzburger Landeskliniken Betriebs GesmbH, Christian-Doppler-Klinik, Paracelsus Medical University Salzburg, Ignaz-Harrer-Straße 79, 5020, Salzburg, Österreich
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Bruder GE, Alvarenga J, Abraham K, Skipper J, Warner V, Voyer D, Peterson BS, Weissman MM. Brain laterality, depression and anxiety disorders: New findings for emotional and verbal dichotic listening in individuals at risk for depression. Laterality 2015; 21:525-548. [PMID: 26582420 DOI: 10.1080/1357650x.2015.1105247] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Studies using dichotic listening tests and electroencephalographic (EEG) measures of hemispheric asymmetry have reported evidence of abnormal brain laterality in patients having depressive disorders. We present new findings from a multigenerational study of risk for depression, in which perceptual asymmetry was measured in dichotic listening tests of emotional and verbal processing. Biological offspring and grandchildren of probands with a major depressive disorder (MDD) who were at high risk and those of nondepressed controls who were at low risk were tested on dichotic emotional recognition and consonant-vowel syllable tests. In the emotion test, individuals with a lifetime diagnosis of MDD had a smaller right hemisphere advantage than those without a MDD, but there was no difference between high- and low-risk groups or between those with or without an anxiety disorder. In the syllable test, a smaller left hemisphere advantage was found in individuals with an anxiety disorder compared to those without an anxiety disorder, but there was no difference between high- and low-risk groups or between those with or without a MDD. This double dissociation indicates that lifetime diagnosis of MDD and anxiety disorders have a differential impact on lateralized hemispheric processing of emotional and verbal information.
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Affiliation(s)
- Gerard E Bruder
- a College of Physicians and Surgeons, Columbia University , New York , NY , USA.,b New York State Psychiatric Institute , New York , NY , USA
| | - Jorge Alvarenga
- b New York State Psychiatric Institute , New York , NY , USA
| | - Karen Abraham
- b New York State Psychiatric Institute , New York , NY , USA
| | - Jamie Skipper
- a College of Physicians and Surgeons, Columbia University , New York , NY , USA
| | - Virginia Warner
- a College of Physicians and Surgeons, Columbia University , New York , NY , USA.,b New York State Psychiatric Institute , New York , NY , USA
| | - Daniel Voyer
- c Department of Psychology, University of New Brunswick , Fredericton , Canada
| | - Bradley S Peterson
- d Institute for the Developing Mind at Children's Hospital Los Angeles , Los Angeles , CA , USA.,e Department of Psychiatry, University of Southern California , Los Angeles , CA , USA
| | - Myrna M Weissman
- a College of Physicians and Surgeons, Columbia University , New York , NY , USA.,b New York State Psychiatric Institute , New York , NY , USA
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Posterior versus frontal theta activity indexes approach motivation during affective autobiographical memories. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2015; 15:132-44. [PMID: 25245178 DOI: 10.3758/s13415-014-0322-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Research has recently identified a promising neurophysiological marker of approach motivation involving posterior versus frontal (Pz - Fz) electroencephalographic (EEG) theta activity PFTA; Wacker, Chavanon, & Stemmler (Journal of Personality and Social Psychology 91:171-187, 2006). Preliminary evidence indicated that PFTA is modulated by dopaminergic activity, thought to underlie appetitive tendencies, and that it indexes self-reported behavioral activation system (BAS) sensitivity. To date, research has largely relied on resting indices of PFTA and has yet to examine the relationship between PFTA and specific approach-related affective states generated by emotionally salient laboratory tasks. Accordingly, the present study evaluated PFTA both at rest and during an ecologically valid autobiographical memory task in which participants recalled personal life experiences involving a goal-striving, an anxious apprehension, a low-point (i.e., difficult), and a neutral memory while EEG data were recorded. In line with prediction, elevated PFTA was observed during both goal-striving and anxious apprehension autobiographical memories. PFTA was particularly elevated during anxious apprehension memories coded as being high on approach-related tendencies. Elevated PFTA during anxious apprehension is consistent with a growing literature indicating that anxious apprehension is associated with elevated approach- and reward-related brain function. Lastly, elevated resting PFTA was positively correlated with self-reported trait anger, a negatively valenced emotion characterized by approach-related tendencies. These results have implications for (a) enhancing our understanding of the neurophysiology of approach-related emotions, (b) establishing PFTA as an index of appetitive motivational states, and (c) clarifying our understanding of the neurophysiology and approach-related tendencies associated with both anxious apprehension and anger.
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Nusslock R, Walden K, Harmon-Jones E. Asymmetrical frontal cortical activity associated with differential risk for mood and anxiety disorder symptoms: An RDoC perspective. Int J Psychophysiol 2015; 98:249-261. [DOI: 10.1016/j.ijpsycho.2015.06.004] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 06/06/2015] [Accepted: 06/09/2015] [Indexed: 01/13/2023]
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Jesulola E, Sharpley CF, Bitsika V, Agnew LL, Wilson P. Frontal alpha asymmetry as a pathway to behavioural withdrawal in depression: Research findings and issues. Behav Brain Res 2015; 292:56-67. [DOI: 10.1016/j.bbr.2015.05.058] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 05/21/2015] [Accepted: 05/23/2015] [Indexed: 12/28/2022]
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47
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Fingelkurts AA, Fingelkurts AA. Altered structure of dynamic electroencephalogram oscillatory pattern in major depression. Biol Psychiatry 2015; 77:1050-60. [PMID: 25662102 DOI: 10.1016/j.biopsych.2014.12.011] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Revised: 12/04/2014] [Accepted: 12/05/2014] [Indexed: 11/17/2022]
Abstract
Research on electroencephalogram (EEG) characteristics associated with major depressive disorder (MDD) has accumulated diverse neurophysiologic findings related to the content, topography, neurochemistry, and functions of EEG oscillations. Significant progress has been made since the first landmark EEG study on affective disorders by Davidson 35 years ago. A systematic account of these data is important and necessary for building a consistent neuropsychophysiologic model of MDD and other affective disorders. Given the extensive data on frequency-dependent functional significance of EEG oscillations, a frequency domain approach may reveal the types of brain functions involved and disturbed in MDD. In this review, we systematize and integrate diverse and often unconnected observations on the content, topography, neurochemistry, and functions of EEG oscillations involved in MDD within the general concept of an EEG oscillatory pattern.
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Smart OL, Tiruvadi VR, Mayberg HS. Multimodal approaches to define network oscillations in depression. Biol Psychiatry 2015; 77:1061-70. [PMID: 25681871 PMCID: PMC5826645 DOI: 10.1016/j.biopsych.2015.01.002] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 12/18/2014] [Accepted: 01/12/2015] [Indexed: 01/26/2023]
Abstract
The renaissance in the use of encephalography-based research methods to probe the pathophysiology of neuropsychiatric disorders is well afoot and continues to advance. Building on the platform of neuroimaging evidence on brain circuit models, magnetoencephalography, scalp electroencephalography, and even invasive electroencephalography are now being used to characterize brain network dysfunctions that underlie major depressive disorder using brain oscillation measurements and associated treatment responses. Such multiple encephalography modalities provide avenues to study pathologic network dynamics with high temporal resolution and over long time courses, opportunities to complement neuroimaging methods and findings, and new approaches to identify quantitative biomarkers that indicate critical targets for brain therapy. Such goals have been facilitated by the ongoing testing of novel invasive neuromodulation therapies, notably, deep brain stimulation, where clinically relevant treatment effects can be monitored at multiple brain sites in a time-locked causal manner. We review key brain rhythms identified in major depressive disorder as foundation for development of putative biomarkers for objectively evaluating neuromodulation success and for guiding deep brain stimulation or other target-based neuromodulation strategies for treatment-resistant depression patients.
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Affiliation(s)
- Otis Lkuwamy Smart
- Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia
| | - Vineet Ravi Tiruvadi
- Department of Biomedical Engineering, Georgia Institute of Technology, Emory University School of Medicine, Atlanta, Georgia
| | - Helen S Mayberg
- Departments of Psychiatry, Neurology, and Radiology, Emory University School of Medicine, Atlanta, Georgia..
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Nelson BD, Shankman SA. Visuospatial and mathematical dysfunction in major depressive disorder and/or panic disorder: A study of parietal functioning. Cogn Emot 2015; 30:417-29. [PMID: 25707308 DOI: 10.1080/02699931.2015.1009003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The parietal cortex is critical for several different cognitive functions, including visuospatial processing and mathematical abilities. There is strong evidence indicating parietal dysfunction in depression. However, it is less clear whether anxiety is associated with parietal dysfunction and whether comorbid depression and anxiety are associated with greater impairment. The present study compared participants with major depression (MDD), panic disorder (PD), comorbid MDD/PD and controls on neuropsychological measures of visuospatial processing, Judgement of Line Orientation (JLO), and mathematical abilities, Wide Range Achievement Test (WRAT) Arithmetic. Only comorbid MDD/PD was associated with decreased performance on JLO, whereas all psychopathological groups exhibited comparably decreased performance on WRAT Arithmetic. Furthermore, the results were not accounted for by other comorbid disorders, medication use or psychopathology severity. The present study suggests comorbid depression and anxious arousal are associated with impairment in visuospatial processing and provides novel evidence indicating mathematical deficits across depression and/or anxiety. Implications for understanding parietal dysfunction in internalising psychopathology are discussed.
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Affiliation(s)
- Brady D Nelson
- a Department of Psychology , Stony Brook University , Stony Brook , NY , USA
| | - Stewart A Shankman
- b Department of Psychology , University of Illinois at Chicago , Chicago , IL , USA
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50
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Neural response to reward anticipation in those with depression with and without panic disorder. J Affect Disord 2014; 164:50-6. [PMID: 24856553 PMCID: PMC4043996 DOI: 10.1016/j.jad.2014.04.019] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2014] [Accepted: 04/11/2014] [Indexed: 01/19/2023]
Abstract
BACKGROUND One of the hallmark features of major depressive disorder (MDD) is reduced reward anticipation. There have been mixed findings in the literature as to whether reward anticipation deficits in MDD are related to diminished mesolimbic activation and/or enhanced dorsal anterior cingulate activation (dACC). One of the reasons for these mixed findings is that these studies have typically not addressed the role of comorbid anxiety, a class of disorders which frequently co-occur with depression and have a common neurobiology. METHODS The aim of the current study was to examine group differences in neural responses to reward anticipation in 40 adults with either: (1) current MDD with no lifetime diagnosis of an anxiety disorder (MDD-only), (2) current MDD with comorbid panic disorder (MDD-PD), or (3) no lifetime diagnosis of psychopathology. All participants completed a passive slot machine task during a functional magnetic resonance imaging (fMRI) scan. RESULTS Analyses indicated that there were no group differences in activation of mesolimbic reward regions; however, the MDD-only group exhibited greater dACC activation during the anticipation of rewards compared with the healthy controls and the comorbid MDD-PD group (who did not differ from each other). LIMITATIONS The sample size was small which limits generalizability. CONCLUSIONS These findings provide preliminary support for the role of hyperactive dACC functioning in reduced reward anticipation in MDD. They also indicate that comorbid anxiety may alter the association between MDD and neural responding to reward anticipation.
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