Michael C. Gemar Ph.D., Shitij Kapur M.D., F.R.C.P.(C), Zindel V. Segal Ph.D., Gregory M. Brown M.D., Ph.D., F.R.C.P.(C), Sylvain Houle M.D., Ph.D., F.R.C.P.(C)
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Abstract
This study investigated the cerebral regions modulated by self-generated sad mood in normal subjects. Eleven healthy men experienced a temporary sad mood by recalling sad personal memories. Two control states were used for comparison: a resting condition, and a condition involving the recall of affectively neutral personal events. Regional cerebral blood flow (rCBF) images were obtained using [15 O]-H2 O Positron Emission Tomography. A statistical comparison of the images during negative mood and neutral recall conditions revealed that sad mood was associated with a decrease in rCBF in the left dorsolateral prefrontal, left medial prefrontal, and left temporal cortex; no increase in activity was noted in this comparison. Our results are consistent with the noted left prefrontal decrease in metabolism found in depressed patients through a variety of methodologies; however, our results contrast with findings of increased left or bilateral prefrontal activity in transient induced negative mood states reported for women (George et al., 1995, Am J Psychiatry 152:341–341) and for mixed-gender (Pardo et al., 1993, Am J Psychiatry 150:713–719) subject groups. The study brings to light a number of methodological issues, including the crucial importance of the baseline condition used for the isolation of the emotional components of a given task. Depression 4:81–88 (1996). © 1997 Wiley-Liss, Inc.
自我产生的悲伤情绪对正常受试者局部脑活动的影响:PET研究
本研究探讨了正常人自我产生悲伤情绪所调节的大脑区域。11名健康男性通过回忆个人的悲伤记忆,经历了暂时的悲伤情绪。两种控制状态用于比较:静息状态和涉及回忆情感中立的个人事件的状态。使用[15O]-H2O正电子发射断层扫描获得区域脑血流(rCBF)图像。对消极情绪和中性回忆条件下的图像进行统计比较发现,悲伤情绪与左前额叶背外侧、左前额叶内侧和左颞叶皮层rCBF减少有关;在这个比较中没有注意到活动的增加。我们的结果与通过各种方法在抑郁症患者中发现的左前额叶代谢减少一致;然而,我们的研究结果与女性(George et al., 1995,美国精神病学杂志152:341-341)和混合性别(Pardo et al., 1993,美国精神病学杂志150:713-719)受试者在短暂性消极情绪状态下左侧或双侧前额叶活动增加的结果形成对比。这项研究揭示了一些方法上的问题,包括用于隔离给定任务的情感成分的基线条件的至关重要性。抑郁症:81 - 88(1996)。©1997 Wiley-Liss, Inc
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