【目的】 探讨品行障碍(conduct disorder, CD)青少年在静息态下脑功能磁共振的特点。 【方法】 对12名符合DSM-IV品行障碍诊断标准的12~18岁青少年和11名正常对照进行静息态的功能磁共振扫描,采用局部一致性(ReHo)作为测量指标进行数据分析,比较CD组和正常组间脑功能的差异。 【结果】 经过比较校正发现,与正常组相比,CD组在两侧额叶、左侧楔前叶和顶下小叶的ReHo值降低,在左侧颞叶、梭状回和右侧前扣带回ReHo值升高。 【结论】 与正常组相比,品行障碍青少年在静息状态下的脑功能存在异常,这些脑区可能在品行障碍的发病机制中起着重要的作用。
Abstract
【Objective】 To investigate the differences of brain spontaneous activity in resting state between adolescents with conduct disorder(CD) and matched controls using function magnetic imaging(fMRI). 【Method】 11 cases diagnosed with DSM-IV and 11 normal controls underwent resting-state fMRI, the data were analyzed using a newly reported method called Regional Homogeneity(ReHo) to analyze fMRI data between CD and normal controls. 【Result】 Compared with normal controls, CD showed decreased ReHo in bilateral frontal lobe and left inferior parietal and precuneus and increased in left temporal lobe and left fusiform gyrus and right anterior cingulated. 【Conclusion】 The results suggest that CD showed abnormal activity in resting state compared with the normal controls.
关键词
品行障碍 /
磁共振成像 /
局部一致性
Key words
conduct disorder /
magnetic resonance imaging /
regional homogeneity
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参考文献
[1] American Psychiatric Association. Diagnostic and stastistical manual of mental disorder[M]. 4th ed. APA,1994.
[2] Sterzer P, Stadler C, Krebs A, et al. Abnormal neural responses to emotional visual stimuli in adolescents with conduct disorder[J]. Biol Psychiatry,2005,57(1):7-15.
[3] Herpertz SC, Huebner T, Marx I, et al. Emotional processing in male adolescents with childhood-onset conduct disorder[J]. J Child Psychol Psychiatry,2008,49(7):781-791.
[4] Rubia, K, Halari R, Smith AB, et al. Dissociated functional brain abnormalities of inhibition in boys with pure conduct disorder and in boys with pure attention deficit hyperactivity disorder[J]. Am J Psychiatry,2008,165(7):889-897.
[5] Zang Y, Jiang T, Lu YL, et al. Regional homogeneity approach to fMRI data analysis[J]. Neuroimage,2004,22(1):394-400.
[6] Liu H, Liu Z, Liang M, et al. Decreased regional homogeneity in schizophrenia: a resting state functional magnetic resonance imaging study[J]. Neuroreport,2006,17(1):19-22.
[7] Cao Q, Zang Y, Sun L, et al. Abnormal neural activity in children with attention deficit hyperactivity disorder: a resting-state functional magnetic resonance imaging study[J]. Neuroreport,2006,17(10):1033-1036.
[8] Paakki JJ, Rahko J, Long X, et al. Alterations in regional homogeneity of resting-state brain activity in autism spectrum disorders[J]. Brain Res,2010,1321:169-179.
[9] Goyer PF, Andreason PJ, Semple WE, et al. Positron-emission tomography and personality disorders[J]. Neuropsychopharmacology,1994,10(1):21-28.
[10] Raine A, Lencz T, Bihrle S, et al. Reduced prefrontal gray matter volume and reduced autonomic activity in antisocial personality disorder[J]. Arch Gen Psychiatry,2000,57(2):119-129.
[11] Amen DG, Stubblefield M, Carmicheal B, et al. Brain SPECT findings and aggressiveness[J]. Ann Clin Psychiatry,1996,8(3):129-137.
[12] Rubia K, Smith AB, Halari R, et al. Disorder-specific dissociation of orbitofrontal dysfunction in boys with pure conduct disorder during reward and ventrolateral prefrontal dysfunction in boys with pure ADHD during sustained attention[J]. Am J Psychiatry,2009,166(1):83-94.
[13] Rubia K, Halari R, Smith AB, et al. Shared and disorder-specific prefrontal abnormalities in boys with pure attention-deficit/hyperactivity disorder compared to boys with pure CD during interference inhibition and attention allocation[J]. Journal of Child Psychology and Psychiatry,2009,50(6):669-678.
[14] Kerns JG, Cohen JD, MacDonald AW, et al. Anterior Cingulate Con?ict Monitoring and Adjustments in Control[J]. Science,2004,303(5660):1023-1026.
[15] Herpertz SC, Dietrich TM, Wenning B, et al. Evidence of abnormal amygdala functioning in borderline personality disorder: a functional MRI study[J]. Biol Psychiatry,2001,50(4):292-298.
基金
国家“十一五”科技支撑计划的子课题(2007BAI17B03);上海市科学技术委员会科研计划项目(10411966300)