The Predictive Role of Quantitative Electroencephalography in Evaluation of Responsiveness of Obsessive-compulsive Disorder Patients to Fluvoxamine.

IF 1.1 Q4 NEUROSCIENCES
Basic and Clinical Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-03-18 DOI:10.32598/bcn.2023.4565.1
Mohammad Sayadnasiri, Mahta Moridian, Borzooyeh Naji
{"title":"The Predictive Role of Quantitative Electroencephalography in Evaluation of Responsiveness of Obsessive-compulsive Disorder Patients to Fluvoxamine.","authors":"Mohammad Sayadnasiri, Mahta Moridian, Borzooyeh Naji","doi":"10.32598/bcn.2023.4565.1","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>It is not surprising that an obsessive-compulsive disorder (OCD) patient does not respond desirably to the first choice of medication, and it may last up to one year to find the best treatment. According to the consequences of failed antidepressant therapy for OCD, any factor that can predict responsiveness would be of high importance. We investigated the potential predictive value of quantitative electroencephalography (QEEG) in the responsiveness of OCD patients to fluvoxamine.</p><p><strong>Methods: </strong>We included 40 medication-free, non-depressed OCD patients assessed before the intervention and 6 weeks after that. Five minutes of opened eyes and closed eyes QEEG records were taken. The relative power of each frequency band was calculated for all electrodes. The patients received fluvoxamine, 150-300 mg per day. We used univariate analyses and multivariate logistic regression to compare the brain waves between responders and non-responders.</p><p><strong>Results: </strong>Responsiveness was correlated with normal relative powers in FP<sub>1</sub>, FP<sub>2</sub>, FZ, and F<sub>3</sub> and increased relative power in O<sub>1</sub> in closed eyes condition, increased relative power of alpha in O<sub>1</sub> and O<sub>2</sub>, and normal relative powers in FP<sub>1</sub> and FP<sub>2</sub> with open eyes. Unresponsiveness was correlated with increased theta wave in FP<sub>2</sub>, FZ, and F<sub>3</sub>, no change in the alpha wave in O<sub>1</sub> with closed eyes, and increased alpha in the O<sub>1</sub> and O<sub>2</sub> in opened eyes condition.</p><p><strong>Conclusion: </strong>The electroencephalographic waves of the medial-frontal area and occipital areas can be biomarkers to predict responsiveness to treatment with fluvoxamine.</p>","PeriodicalId":8701,"journal":{"name":"Basic and Clinical Neuroscience","volume":"16 Spec","pages":"333-352"},"PeriodicalIF":1.1000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265434/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Basic and Clinical Neuroscience","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32598/bcn.2023.4565.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/18 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: It is not surprising that an obsessive-compulsive disorder (OCD) patient does not respond desirably to the first choice of medication, and it may last up to one year to find the best treatment. According to the consequences of failed antidepressant therapy for OCD, any factor that can predict responsiveness would be of high importance. We investigated the potential predictive value of quantitative electroencephalography (QEEG) in the responsiveness of OCD patients to fluvoxamine.

Methods: We included 40 medication-free, non-depressed OCD patients assessed before the intervention and 6 weeks after that. Five minutes of opened eyes and closed eyes QEEG records were taken. The relative power of each frequency band was calculated for all electrodes. The patients received fluvoxamine, 150-300 mg per day. We used univariate analyses and multivariate logistic regression to compare the brain waves between responders and non-responders.

Results: Responsiveness was correlated with normal relative powers in FP1, FP2, FZ, and F3 and increased relative power in O1 in closed eyes condition, increased relative power of alpha in O1 and O2, and normal relative powers in FP1 and FP2 with open eyes. Unresponsiveness was correlated with increased theta wave in FP2, FZ, and F3, no change in the alpha wave in O1 with closed eyes, and increased alpha in the O1 and O2 in opened eyes condition.

Conclusion: The electroencephalographic waves of the medial-frontal area and occipital areas can be biomarkers to predict responsiveness to treatment with fluvoxamine.

定量脑电图在评估强迫症患者对氟伏沙明的反应性中的预测作用。
引言:强迫症(OCD)患者对首选药物的反应不佳并不奇怪,而且可能需要长达一年的时间才能找到最佳治疗方法。根据对强迫症的抗抑郁治疗失败的后果,任何可以预测反应性的因素都是非常重要的。目的探讨定量脑电图(QEEG)对强迫症患者氟伏沙明反应性的潜在预测价值。方法:在干预前和干预后6周分别对40例无药物、非抑郁性强迫症患者进行评估。分别取睁眼和闭眼5分钟QEEG记录。计算了各电极各频段的相对功率。患者给予氟伏沙明150 ~ 300 mg / d。我们使用单变量分析和多变量逻辑回归来比较反应者和无反应者的脑电波。结果:反应性与FP1、FP2、FZ、F3相对功率正常相关,闭眼状态下O1相对功率增高,O1、O2相对功率增高,睁眼状态下FP1、FP2相对功率正常。无反应性与FP2、FZ和F3的θ波升高有关,闭眼时O1的α波没有变化,睁眼时O1和O2的α波升高有关。结论:内侧额叶区和枕叶区的脑电图可作为预测氟伏沙明治疗反应性的生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.60
自引率
0.00%
发文量
64
审稿时长
4 weeks
期刊介绍: BCN is an international multidisciplinary journal that publishes editorials, original full-length research articles, short communications, reviews, methodological papers, commentaries, perspectives and “news and reports” in the broad fields of developmental, molecular, cellular, system, computational, behavioral, cognitive, and clinical neuroscience. No area in the neural related sciences is excluded from consideration, although priority is given to studies that provide applied insights into the functioning of the nervous system. BCN aims to advance our understanding of organization and function of the nervous system in health and disease, thereby improving the diagnosis and treatment of neural-related disorders. Manuscripts submitted to BCN should describe novel results generated by experiments that were guided by clearly defined aims or hypotheses. BCN aims to provide serious ties in interdisciplinary communication, accessibility to a broad readership inside Iran and the region and also in all other international academic sites, effective peer review process, and independence from all possible non-scientific interests. BCN also tries to empower national, regional and international collaborative networks in the field of neuroscience in Iran, Middle East, Central Asia and North Africa and to be the voice of the Iranian and regional neuroscience community in the world of neuroscientists. In this way, the journal encourages submission of editorials, review papers, commentaries, methodological notes and perspectives that address this scope.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信