Neo-striatal rCBF correlates of psychomotor slowing in patients with major depression

作者: Ian Hickie , Philip Ward , Elizabeth Scott , Walter Haindl , Brenda Walker

DOI: 10.1016/S0925-4927(99)00038-4

关键词: Depression (differential diagnoses)In patientSingle photon emission computerised tomographyPsychomotor learningNeuroscienceInternal medicinePsychomotor disorderPsychologyHexamethylpropylene amine oximeCerebral blood flowHemodynamicsCardiology

摘要: Abstract Psychomotor slowing is a fundamental clinical feature of severe depression and thought to reflect dysfunction within prefrontal-subcortical circuits. This study utilised split-dose single photon emission computerised tomography (SPECT) scanning technique in association with two-stage test psychomotor speed. Twenty-five patients primary depressive disorders were injected technetium-99m hexamethylpropylene amine oxime ( 99m Tc-HMPAO) whilst performing each component task. The first stage, ‘simple reaction time' (RT) the second ‘choice (CRT), followed by 30-min SPECT scans. Regions interest (ROIs) corresponding left right neo-striatum (caudate-putamen) drawn, regional cerebral blood flow (rCBF) values calculated. Importantly, change rCBF measure was inversely correlated RT r =−0.48, P

参考文章(35)
Felicia A. Huppert, Margaret J. Whichelow, Brian D. Cox, The health and lifestyle survey : seven years on Dartmouth. ,(1993)
Peter Silfverskiöld, Jarl Risberg, Regional Cerebral Blood Flow in Depression and Mania Archives of General Psychiatry. ,vol. 46, pp. 253- 259 ,(1989) , 10.1001/ARCHPSYC.1989.01810030059008
C. J. Bench, K. J. Friston, R. G. Brown, R. S. J. Frackowiak, R. J. Dolan, Regional cerebral blood flow in depression measured by positron emission tomography: the relationship with clinical dimensions. Psychological Medicine. ,vol. 23, pp. 579- 590 ,(1993) , 10.1017/S0033291700025368
Edzard Klemm, Peter Danos, Frank Grünwald, Siegfried Kasper, Hans-Jürgen Möller, Hans-Jürgen Biersack, Temporal lobe dysfunction and correlation of regional cerebral blood flow abnormalities with psychopathology in schizophrenia and major depression — A study with single photon emission computed tomography Psychiatry Research: Neuroimaging. ,vol. 68, pp. 1- 10 ,(1996) , 10.1016/S0925-4927(96)02837-5
M-P. Austin, N. Dougall, M. Ross, C. Murray, R.E. O'Carroll, A. Moffoot, K.P. Ebmeier, G.M. Goodwin, Single photon emission tomography with 99mTc-exametazime in major depression and the pattern of brain activity underlying the psychotic/neurotic continuum. Journal of Affective Disorders. ,vol. 26, pp. 31- 43 ,(1992) , 10.1016/0165-0327(92)90032-2
Russell G. Vasile, Richard B. Schwartz, Basem Garada, B.Leonard Holman, Marilyn Alpert, Paul B. Davidson, Joseph J. Schildkraut, Focal cerebral perfusion defects demonstrated by 99mTc-hexamethylpropyleneamine oxime SPECT in elderly depressed patients. Psychiatry Research-neuroimaging. ,vol. 67, pp. 59- 70 ,(1996) , 10.1016/0925-4927(96)02689-3
Gordon Parker, Dusan Hadzi-Pavlovic, Philip Boyce, Kay Wilhelm, Henry Brodaty, Philip Mitchell, Ian Hickie, Kerrie Eyers, Classifying depression by mental state signs. British Journal of Psychiatry. ,vol. 157, pp. 55- 65 ,(1990) , 10.1192/BJP.157.1.55
K. Ranga Rama Krishnan, Magnetic Resonance Imaging of the Caudate Nuclei in Depression Archives of General Psychiatry. ,vol. 49, pp. 553- 557 ,(1992) , 10.1001/ARCHPSYC.1992.01820070047007
Mady Hornig, P. David Mozley, Jay D. Amsterdam, HMPAO spect brain imaging in treatment-resistant depression Progress in Neuro-psychopharmacology & Biological Psychiatry. ,vol. 21, pp. 1097- 1114 ,(1997) , 10.1016/S0278-5846(97)00100-0