The brain imaging mechanisms of visual cognitive impairment in depression

Yiliang Zhang, S. Zhong, Shunkai Lai
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引用次数: 1

Abstract

Major depressive disorder (MDD) is one of the most common psychiatric disorders.It is characterized by emotional, cognitive, and physical symptoms which can also cause severe disability and disease burden. The current study found that patients with MDD have cognitive impairment in both acute and remission phases, which seriously affect the prognosis of patients. The impairment of visual cognitive function greatly affects the social function of MDD patients and the current researches showed that visual cognitive impairment of MDD patients is closely related to the functional connection in the brain, which can be reflected by different degrees of neuroimaging changes in the frontal, occipital, temporal, and parietal regions.The change of visual cognitive function in patients with MDD is mainly influenced by the frontal lobe and the occipital lobe, which may be related to the large number of visual cortex in the anatomy of the two brain regions. The activation of the frontal lobe may be positively related to the patient's visual cognitive impairment; the reduction of the occipital lobe activity may have an impact on the visual process and may be the starting factor for cognitive impairment. The active enhancement of the parietal region plays an important role in the visual short-term memory. In addition, the temporo-parietal junction is also found to be involved in the processing of visual and working memory, and the activation of temporal lobe and parietal lobe can be observed.This review summarizes recent researches at home and abroad and reveals the visual perception of MDD patients in different ways in each different brain regions. Key words: Major depressive disorder; Visual cognitive; Brain imaging
抑郁症视觉认知障碍的脑成像机制
重度抑郁症(MDD)是最常见的精神疾病之一。它的特点是情绪、认知和身体症状,也可能导致严重的残疾和疾病负担。目前研究发现MDD患者在急性期和缓解期均存在认知障碍,严重影响患者预后。视觉认知功能障碍极大地影响了MDD患者的社会功能,目前的研究表明,MDD患者的视觉认知障碍与大脑的功能连接密切相关,可以通过额叶、枕叶、颞叶和顶叶不同程度的神经影像学改变来反映。MDD患者视觉认知功能的改变主要受额叶和枕叶的影响,这可能与这两个脑区解剖结构中视觉皮层数量较多有关。额叶的激活可能与患者的视觉认知障碍呈正相关;枕叶活动的减少可能对视觉过程有影响,可能是认知障碍的开始因素。顶叶区的主动增强在视觉短期记忆中起着重要的作用。此外,还发现颞顶叶交界参与了视觉记忆和工作记忆的加工,可以观察到颞叶和顶叶的激活。本文综述了国内外近年来的研究成果,揭示了MDD患者在不同脑区以不同的方式进行视觉感知。关键词:重度抑郁症;视觉认知;脑成像
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来源期刊
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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