Abstract
Accumulating evidence suggests that the brain is highly dynamic; thus, investigation of brain dynamics especially in brain connectivity would provide crucial information that stationary functional connectivity could miss. This study investigated temporal expressions of spatial modes within the default mode network (DMN), salience network (SN) and cognitive control network (CCN) using a reliable data-driven co-activation pattern (CAP) analysis in two independent data sets. We found enhanced CAP-to-CAP transitions of the SN in patients with MDD. Results suggested enhanced flexibility of this network in the patients. By contrast, we also found reduced spatial consistency and persistence of the DMN in the patients, indicating reduced variability and stability in individuals with MDD. In addition, the patients were characterized by prominent activation of mPFC. Moreover, further correlation analysis revealed that persistence and transitions of RCCN were associated with the severity of depression. Our findings suggest that functional connectivity in the patients may not be simply attenuated or potentiated, but just alternating faster or slower among more complex patterns. The aberrant temporal–spatial complexity of intrinsic fluctuations reflects functional diaschisis of resting-state networks as characteristic of patients with MDD.
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The data that support the findings of this study as well as code used during the current study are available from the corresponding author upon reasonable request.
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Funding
This work was supported by the National Natural Science Foundation of China (62088102, U21A20485, 61976248, 91648208, 61976175, 81371478, 61503411).
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All authors contributed to the study conception and design. Data collection was performed by the LL, LL, JL and KZ. Clinical data were assessed by JL. The preprocessing analyses were performed by KZ and JQ. The first draft of the manuscript was written by KZ and BL. All authors commented on previous versions of the manuscript. KZ, BC and DH reviewed and revised the manuscript. All authors approved the final manuscript as submitted.
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This study was approved by the Ethics Committee in Zhumadian Psychiatric Hospital and Xi-jing Hospital. All subjects gave informed consent before participating in this study.
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Zheng, K., Li, B., Lu, H. et al. Aberrant temporal–spatial complexity of intrinsic fluctuations in major depression. Eur Arch Psychiatry Clin Neurosci 273, 169–181 (2023). https://doi.org/10.1007/s00406-022-01403-x
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DOI: https://doi.org/10.1007/s00406-022-01403-x