Common and distinct neural activities in frontoparietal network in first-episode bipolar disorder and major depressive disorder: Preliminary findings from a follow-up resting state fMRI study

•Changes in FPN may provide common and distinct markers to affective disorders.•Changes in right-side frontal cortex may distinguish BD from MDD and HC.•Changes in parietal cortex may be the commonality of affective disorders.•Patient groups showed different neural patterns in the frontal and pariet...

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Veröffentlicht in:Journal of affective disorders 2020-01, Vol.260, p.653-659
Hauptverfasser: Jiang, Xiaowei, Fu, Shinan, Yin, Zhiyang, Kang, Jiahui, Wang, Xinrui, Zhou, Yifang, Wei, Shengnan, Wu, Feng, Kong, Lingtao, Wang, Fei, Tang, Yanqing
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container_issue
container_start_page 653
container_title Journal of affective disorders
container_volume 260
creator Jiang, Xiaowei
Fu, Shinan
Yin, Zhiyang
Kang, Jiahui
Wang, Xinrui
Zhou, Yifang
Wei, Shengnan
Wu, Feng
Kong, Lingtao
Wang, Fei
Tang, Yanqing
description •Changes in FPN may provide common and distinct markers to affective disorders.•Changes in right-side frontal cortex may distinguish BD from MDD and HC.•Changes in parietal cortex may be the commonality of affective disorders.•Patient groups showed different neural patterns in the frontal and parietal cortex.•ReHo is a sensitive method to detect neuroactivities in FE-affective disorders. It is difficult to distinguish bipolar disorder (BD) from major depressive disorder (MDD), especially with the initial depressive episode. In this study, we compared neural activities of BD and MDD patients during the first-episode (FE) to investigate common and distinct neural activities and further explore predictive indicators in the two diseases. FE-MDD patients were performed resting state functional magnetic resonance imaging and followed up after scanning. After follow-up, FE-MDD patients were regrouped into FE-BD and FE-MDD patients. The study included 24 FE-BD patients, 28 FE-MDD patients, and 30 age- and sex-matched healthy controls (HC) to investigate neural activities with regional homogeneity (ReHo) analysis among the 3 groups. Compared to HC, FE-BD patients displayed significantly higher ReHo values in the superior frontal gyrus, the medial superior frontal gyrus within right-side cerebral hemisphere than FE-MDD patients and HC. Compared to HC, FE-BD and FE-MDD patients displayed significant decreased ReHo values in the paracentral lobule, the precuneus and the median cingulate and paracingulate gyrus within bilateral cerebral hemisphere, and the postcentral gyrus and the precentral gyrus within the right-side. FE-BD displayed significant lower ReHo values than FE-MDD patients in these regions. The potential effects of medicine, age, course of disease and handedness on results could not be ignored. Abnormal neural activities of frontoparietal network may provide common and distinct markers to affective disorders and scientific basis for further prediction researches of affective disorders.
doi_str_mv 10.1016/j.jad.2019.09.063
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It is difficult to distinguish bipolar disorder (BD) from major depressive disorder (MDD), especially with the initial depressive episode. In this study, we compared neural activities of BD and MDD patients during the first-episode (FE) to investigate common and distinct neural activities and further explore predictive indicators in the two diseases. FE-MDD patients were performed resting state functional magnetic resonance imaging and followed up after scanning. After follow-up, FE-MDD patients were regrouped into FE-BD and FE-MDD patients. The study included 24 FE-BD patients, 28 FE-MDD patients, and 30 age- and sex-matched healthy controls (HC) to investigate neural activities with regional homogeneity (ReHo) analysis among the 3 groups. Compared to HC, FE-BD patients displayed significantly higher ReHo values in the superior frontal gyrus, the medial superior frontal gyrus within right-side cerebral hemisphere than FE-MDD patients and HC. 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subjects Adult
Bipolar disorder
Bipolar Disorder - physiopathology
Brain - physiopathology
Depressive Disorder, Major - physiopathology
Female
Follow-up
Follow-Up Studies
Frontal Lobe - physiopathology
Humans
Magnetic Resonance Imaging
Major depressive disorder
Male
Middle Aged
Parietal Lobe - physiopathology
Prefrontal Cortex - physiopathology
Regional homogeneity
Resting-state fMRI
title Common and distinct neural activities in frontoparietal network in first-episode bipolar disorder and major depressive disorder: Preliminary findings from a follow-up resting state fMRI study
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