重度抑郁障碍中的 P300 参数:系统回顾与元分析》。

IF 3 4区 医学 Q2 PSYCHIATRY
Mehmet Kemal Arıkan, Reyhan İlhan, Özden Orhan, Muhammed Taha Esmeray, Şenol Turan, Şakir Gica, Hasan Bakay, Oliver Pogarell, Kâşif Nevzat Tarhan, Barış Metin
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引用次数: 0

摘要

目的:有关精神障碍的事件相关电位测量已被广泛研究。其中,P300 的振幅和潜伏期反映了重性抑郁症(MDD)患者认知能力的受损情况。本系统综述和荟萃分析旨在研究重性抑郁症患者与健康对照组(HCs)在P300振幅和潜伏期方面是否存在差异:方法:在PubMed和Web of Science数据库中搜索了从开始到2023年1月15日期间比较MDD患者和HCs的P300振幅和潜伏期的病例对照研究。主要结果是标准平均差。共有13篇关于P300振幅和潜伏期的文章被纳入荟萃分析:随机效应模型显示,与健康对照组相比,MDD患者的P300振幅降低,但潜伏期相似。根据回归分析,效应大小随抑郁症严重程度的增加而增加,随 MDD 样本中女性比例的增加而减少。漏斗图的不对称性对发表偏倚无显著影响:结论:P300振幅降低可能是MDD的候选诊断生物标志物。结论:P300振幅的降低可能是MDD的一种候选诊断生物标志物,但还需要进行前瞻性研究,测试P300振幅是否可作为MDD的监测生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
P300 parameters in major depressive disorder: A systematic review and meta-analysis.

Objectives: Event-related potential measures have been extensively studied in mental disorders. Among them, P300 amplitude and latency reflect impaired cognitive abilities in major depressive disorder (MDD). The present systematic review and meta-analysis was conducted to investigate whether patients with MDD differ from healthy controls (HCs) with respect to P300 amplitude and latency.

Methods: PubMed and Web of Science databases were searched from inception to 15 January 2023 for case-control studies comparing P300 amplitude and latency in patients with MDD and HCs. The primary outcome was the standard mean difference. A total of 13 articles on P300 amplitude and latency were included in the meta-analysis.

Results: Random effect models indicated that MDD patients had decreased P300 amplitude, but similar latency compared to healthy controls. According to regression analysis, the effect size increased with the severity of depression and decreased with the proportion of women in the MDD samples. Funnel plot asymmetry was not significant for publication bias.

Conclusions: Decreased P300 amplitude may be a candidate diagnostic biomarker for MDD. However, prospective studies testing P300 amplitude as a monitoring biomarker for MDD are needed.

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来源期刊
CiteScore
7.00
自引率
3.20%
发文量
73
审稿时长
6-12 weeks
期刊介绍: The aim of The World Journal of Biological Psychiatry is to increase the worldwide communication of knowledge in clinical and basic research on biological psychiatry. Its target audience is thus clinical psychiatrists, educators, scientists and students interested in biological psychiatry. The composition of The World Journal of Biological Psychiatry , with its diverse categories that allow communication of a great variety of information, ensures that it is of interest to a wide range of readers. The World Journal of Biological Psychiatry is a major clinically oriented journal on biological psychiatry. The opportunity to educate (through critical review papers, treatment guidelines and consensus reports), publish original work and observations (original papers and brief reports) and to express personal opinions (Letters to the Editor) makes The World Journal of Biological Psychiatry an extremely important medium in the field of biological psychiatry all over the world.
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