Respiration pattern variability and related default mode network connectivity are altered in remitted depression

Respiration pattern variability and related default mode network connectivity are altered in remitted depression
复制标题

缓解抑郁症时呼吸模式变异性和相关默认模式网络连接发生改变

DOI:
10.1017/s0033291717003890
复制
发表时间:
2018
影响因子:
6.9
通讯作者:
Kirsch P
Kirsch P
中科院分区:
医学1区
文献类型:
--
作者:
Zamoscik VE;Schmidt SNL;Gerchen MF;Samsouris C;Timm C;Kuehner C;Kirsch P

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BackgroundStudies with healthy participants and patients with respiratory diseases suggest a relation between respiration and mood. The aim of the present analyses was to investigate whether emotionally challenged remitted depressed participants show higher respiration pattern variability (RPV) and whether this is related to mood, clinical outcome and increased default mode network connectivity.MethodsTo challenge participants, sad mood was induced with keywords of personal negative life events in individuals with remitted depression [recurrent major depressive disorder (rMDD), n = 30] and matched healthy controls (HCs, n = 30) during functional magnetic resonance imaging. Respiration was measured by means of a built-in respiration belt. Additionally, questionnaires, a daily life assessment of mood and a 3 years follow-up were applied. For replication, we analysed RPV in an independent sample of 53 rMDD who underwent the same fMRI paradigm.ResultsDuring sad mood, rMDD compared with HC showed greater RPV, with higher variability in pause duration and respiration frequency and lower expiration to inspiration ratio. Higher RPV was related to lower daily life mood and predicted higher depression scores as well as relapses during a 3-year follow-up period. Furthermore, in rMDD compared with HC higher main respiration frequency exhibited a more positive association with connectivity of the posterior cingulate cortex and the right parahippocampal gyrus.ConclusionsThe results suggest a relation between RPV, mood and depression on the behavioural and neural level. Based on our findings, we propose interventions focusing on respiration to be a promising additional tool in the treatment of depression.
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