1深圳大学心理学院, 深圳 518060
2华中科技大学协和深圳医院, 深圳 518052
3深圳英智科技有限公司, 深圳 518010
4深港脑科学创新研究院, 深圳 518055
5深圳大学磁共振成像中心, 深圳 518060
收稿日期:
2021-05-05出版日期:
2021-10-25发布日期:
2021-08-23通讯作者:
张丹丹E-mail:zhangdd05@gmail.com基金资助:
国家自然科学基金面上项目(31970980);国家自然科学基金面上项目(31871115);广东省哲学社会科学规划(GD20CXL08);深港脑科学创新研究院(2021SHIBS0003);广东省科技厅国际科技合作领域项目(2019A050510048)The role of dorsolateral prefrontal cortex on voluntary forgetting of negative social feedback in depressed patients: A TMS study
CHEN Yuming1, LI Sijin1, GUO Tianyou1,2, XIE Hui1, XU Feng3, ZHANG Dandan1,4,5()1School of Psychology, Shenzhen University, Shenzhen 518060, China
2Union Shenzhen Hospital (Nanshan Hospital), Shenzhen 518052, China
3Shenzhen Yingchi Technology Co. Ltd., Shenzhen 518010, China
4Shenzhen-Hong Kong Institute of Brain Science, Shenzhen 518055, China
5Magnetic Resonance Imaging Center, Shenzhen 518060, China
Received:
2021-05-05Online:
2021-10-25Published:
2021-08-23Contact:
ZHANG Dandan E-mail:zhangdd05@gmail.com摘要/Abstract
摘要: 抑郁症患者的负性心境可能源于其抑制功能障碍。患者在主动遗忘负性材料时无法有效调用背外侧前额叶(the dorsolateral prefrontal cortex, DLPFC)等负责抑制控制的额叶脑网络。同时, 患者对社会信息的加工比对非社会信息的加工存在更明显的认知神经障碍, 很难主动遗忘对自己不利的社会反馈信息。为了提高抑郁症患者对负性社会反馈的主动遗忘能力, 本研究采用经颅磁刺激技术(transcranial magnetic stimulation, TMS), 考察抑郁症患者在左侧(n = 32)或右侧DLPFC (n = 30)被激活后其记忆控制能力的改变。结果表明, 当患者的DLPFC被TMS激活时, 他们对社会拒绝的回忆正确率与健康对照组(n = 31)无差异, 且TMS激活右侧DLPFC还改善了患者对他人的社会态度。本研究是采用TMS提高抑郁症患者主动遗忘能力的首次尝试, 研究结果不但支持了DLPFC与记忆控制功能的因果关系, 还为临床治疗抑郁症、创伤后应激障碍、药物成瘾等患者的记忆控制缺陷提供了明确的神经靶点。
图/表 4
表1本研究4组被试的人口学特征(M ± SD)
变量 | 左DLPFC 患者组 (n = 32) | 右DLPFC 患者组 (n = 30) | TMS控制 患者组 (n = 30) | 健康对照组 (n = 31) |
---|---|---|---|---|
年龄 | 29.21 ± 2.54 | 29.27 ± 2.92 | 28.88 ± 3.14 | 28.42 ± 2.48 |
性别 (女/男) | 18/14 | 17/13 | 17/13 | 17/14 |
受教 育年 | 15.50 ± 3.28 | 14.37 ± 2.29 | 14.23 ± 3.04 | 13.83 ± 3.72 |
拒绝 敏感性 | 9.07 ± 3.24 | 9.01 ± 3.12 | 8.64 ± 3.72 | 7.33 ± 2.50 |
抑郁 症状 | 23.52 ± 6.87 | 22.43 ± 4.72 | 23.04 ± 5.13 | 1.88 ± 1.82 |
表1本研究4组被试的人口学特征(M ± SD)
变量 | 左DLPFC 患者组 (n = 32) | 右DLPFC 患者组 (n = 30) | TMS控制 患者组 (n = 30) | 健康对照组 (n = 31) |
---|---|---|---|---|
年龄 | 29.21 ± 2.54 | 29.27 ± 2.92 | 28.88 ± 3.14 | 28.42 ± 2.48 |
性别 (女/男) | 18/14 | 17/13 | 17/13 | 17/14 |
受教 育年 | 15.50 ± 3.28 | 14.37 ± 2.29 | 14.23 ± 3.04 | 13.83 ± 3.72 |
拒绝 敏感性 | 9.07 ± 3.24 | 9.01 ± 3.12 | 8.64 ± 3.72 | 7.33 ± 2.50 |
抑郁 症状 | 23.52 ± 6.87 | 22.43 ± 4.72 | 23.04 ± 5.13 | 1.88 ± 1.82 |
图1实验流程。A, 实验任务流程图。每名被试接受10 min的TMS刺激: 从TMS任务阶段开始前的3 min持续至TMS任务阶段的定向遗忘任务结束。B, 定向遗忘任务的单个试次呈现内容。为避免侵犯肖像权版权, 此处图片中的人物已替换为课题组成员。
图1实验流程。A, 实验任务流程图。每名被试接受10 min的TMS刺激: 从TMS任务阶段开始前的3 min持续至TMS任务阶段的定向遗忘任务结束。B, 定向遗忘任务的单个试次呈现内容。为避免侵犯肖像权版权, 此处图片中的人物已替换为课题组成员。
图2TMS电流分布模拟图。实验被试共四组:两个患者实验组分别激活左侧和右侧DLPFC, 患者TMS控制组激活顶区vertex。健康对照组激活右侧DLPFC。图中的颜色代表归一化的电流场强度, 蓝色表示0, 红色表示个体最大值。本图采用软件SimNIBS生成(www.simnibs.org)。
图2TMS电流分布模拟图。实验被试共四组:两个患者实验组分别激活左侧和右侧DLPFC, 患者TMS控制组激活顶区vertex。健康对照组激活右侧DLPFC。图中的颜色代表归一化的电流场强度, 蓝色表示0, 红色表示个体最大值。本图采用软件SimNIBS生成(www.simnibs.org)。
图3实验结果。AB, 负性社会反馈的回忆正确率。CD, 面孔吸引度评分(1-吸引度最低, 9-吸引度最高)。AC为“基于组间”的比较, BD为“基于组内TMS效应”的比较。图中的误差条表示均值的标准误。*p < 0.05, **p < 0.01, ***p < 0.001。本图中, 4组被试的数据用不同颜色显示(参见电子版彩图):健康对照组为白色和灰色, 左DLPFC患者组为浅蓝色和深蓝色, 右DLPFC患者组为浅绿色和深绿色, 患者TMS控制组为浅红色和深红色。
图3实验结果。AB, 负性社会反馈的回忆正确率。CD, 面孔吸引度评分(1-吸引度最低, 9-吸引度最高)。AC为“基于组间”的比较, BD为“基于组内TMS效应”的比较。图中的误差条表示均值的标准误。*p < 0.05, **p < 0.01, ***p < 0.001。本图中, 4组被试的数据用不同颜色显示(参见电子版彩图):健康对照组为白色和灰色, 左DLPFC患者组为浅蓝色和深蓝色, 右DLPFC患者组为浅绿色和深绿色, 患者TMS控制组为浅红色和深红色。
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