The effects of deep TMS on purpose in life, quantitative EEG and event-related potentials in major depressive disorder.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Nathaniel A Shanok, Emma G Bright, Sabrina Muzac, Charlotte Baumeister, Tate Lahr, Enis Cabeza, Brittany Derbin, Raul Rodriguez
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Abstract

Background: Perceived purpose in life (PIL) is linked with many vital health outcomes, including Major Depressive Disorder (MDD).

Methods: In this study, biomarkers associated with depression and PIL were investigated using Brain Network Activation (BNA) based quantitative electroencephalography (QEEG) and event-related potential (ERP) measures in a sample of individuals with MDD. Data were analyzed before and after a 36-session, Deep transcranial magnetic stimulation (TMS) program.

Results: At baseline, the study observed that increased slow-frequency resting-state activity in the frontal and temporal regions correlated with higher levels of depression and reduced PIL. Additionally, a reduced P3b amplitude was found to predict elevated depressive symptoms. However, with the application of Deep TMS treatment notable improvements were observed in both depression (p < .001. d = 2.15) and PIL (p < .001, d = 1.59) levels. The treatment also successfully regulated resting-state QEEG (delta/beta) and ERP characteristics (P200 latency), bringing them closer to healthy levels.

Conclusions: This attenuation of brain activity patterns relating to depression is encouraging as it suggests that effects were robust and are more likely to be sustained over time. This study represents the first exploration of the effects of Deep TMS on PIL and relevant QEEG and ERP biomarkers. The initial evidence suggests that Deep TMS holds promise in enhancing both PIL and neurophysiological health. Future investigations should continue exploring the utility of Deep TMS in targeting a wide range of neuropsychological and physical health conditions, leveraging objective biomarkers such as QEEG and ERP.

深度经颅磁刺激对重度抑郁症患者生活目的、定量脑电图和事件相关电位的影响。
背景:感知生活目标(PIL)与许多重要的健康结果有关,包括重度抑郁症(MDD):在这项研究中,研究人员使用基于脑网络激活(BNA)的定量脑电图(QEEG)和事件相关电位(ERP)测量方法,对 MDD 患者样本中与抑郁和 PIL 相关的生物标志物进行了调查。研究人员对深度经颅磁刺激(TMS)项目前后的数据进行了分析:研究观察到,在基线时,额叶和颞叶区域的慢频静息态活动增加与抑郁程度较高和 PIL 减少相关。此外,研究还发现 P3b 振幅的降低可预测抑郁症状的升高。然而,在应用深度 TMS 治疗后,抑郁(p < .001. d = 2.15)和 PIL(p < .001. d = 1.59)水平均有显著改善。治疗还成功调节了静息态 QEEG(delta/beta)和 ERP 特征(P200 潜伏期),使其更接近健康水平:与抑郁有关的大脑活动模式的减弱令人鼓舞,因为这表明疗效是稳健的,并且更有可能随着时间的推移而持续。这项研究首次探讨了深度经颅磁刺激对 PIL 以及相关 QEEG 和 ERP 生物标记的影响。初步证据表明,深度经颅磁刺激有望增强 PIL 和神经生理健康。未来的研究应利用 QEEG 和 ERP 等客观生物标志物,继续探索深度经颅磁刺激在针对各种神经心理和生理健康状况方面的效用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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