首页|基于图论方法分析青少年非自杀性自伤患者大脑功能网络的拓扑属性

基于图论方法分析青少年非自杀性自伤患者大脑功能网络的拓扑属性

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目的 基于图论方法,构建并分析青少年非自杀性自伤(non-suicidal self-injury,NSSI)患者的大脑功能网络拓扑属性变化.材料与方法 纳入35名青少年NSSI患者(NSSI组)及24名健康对照者(对照组),采集其静息态功能磁共振数据,构建并二值化脑功能网络进行图论分析.通过独立样本t检验比较NSSI组与对照组的网络特性参数,并分析其与自伤次数和成瘾特征的相关性.结果 对比对照组,NSSI组小世界属性下降,特征路径长度上升,差异有统计学意义(P<0.05).NSSI组右嗅皮质、右杏仁核的介数中心度上升,左梭状回、左颞上回下降(P均<0.05);右杏仁核的节点中心度上升,左颞上回、右颞上回、左颞中回下降(P均<0.05);左楔前叶的节点聚类系数上升,眶部额下回、左辅助运动区、左脑岛、右枕上回、右梭状回下降(P均<0.05);左额中回、右后扣带回、右杏仁核、右楔前叶的节点效率上升,颞上回下降(P均<0.05);楔前叶的节点局部效率上升,右梭状回、右颞极下降(P均<0.05).NSSI组左辅助运动区的节点聚类系数与近一个月自伤次数评分呈正相关(r=0.426,P<0.05);右枕上回的节点聚类系数、右梭状回的节点局部效率和左额中回的节点效率与自伤成瘾特征量表得分均呈负相关(r=-0.335、-0.415、-0.404,P均<0.05).结论 NSSI青少年脑网络全局整合能力降低,前额叶皮层信息传输效率降低与自伤成瘾特征密切相关,为阐明NSSI患者自伤成瘾心理障碍的脑功能机制提供新视角,有助于青少年心理健康干预与治疗.
Analysis of topological properties of brain functional networks in adolescents with non-suicidal self-injury based on graph theory
Objective:To construct and analyze the changes in topological properties of brain functional networks in adolescent non-suicidal self-injury(NSSI)patients based on graph theory.Materials and Methods:Thirty-five adolescent NSSI patients(NSSI group)and 24 healthy controls(control group)were enrolled in the study.Their resting-state functional magnetic resonance imaging data were collected,and the brain functional network was constructed and binarized for graph theory analysis.The network characteristic parameters of the NSSI group and the control group were compared by independent sample t-test,and their correlation with the number of self-injury and addiction characteristics was analyzed.Results:Compared with the Control group,the small-world attribute of the NSSI group decreased,and the characteristic path length increased,and the difference was statistically significant(P<0.05).In the NSSI group,the betweenness centrality of the right olfactory cortex and right amygdala increased,while that of the left fusiform gyrus and left superior temporal gyrus decreased(P all<0.05);The node centrality of the right amygdala increased,while that of the left superior temporal gyrus,right superior temporal gyrus,and left middle temporal gyrus decreased(P all<0.05);The node clustering coefficient of the left precuneus increased,while that of the orbital inferior frontal gyrus,left supplementary motor area,left insula,right superior occipital gyrus,and right fusiform gyrus decreased(P all<0.05);The node efficiency of the left middle frontal gyrus,right posterior cingulate gyrus,right amygdala,and right precuneus increased,while that of the superior temporal gyrus decreased(P all<0.05);The node local efficiency of the precuneus increased,while that of the right fusiform gyrus and right temporal pole decreased(P all<0.05).The node clustering coefficient of the left supplementary motor area in the NSSI group was positively correlated with the number of self-injury in the past month(r=0.426,P<0.05);The node clustering coefficient of the right superior occipital gyrus,the node local efficiency of the right fusiform gyrus,and the node efficiency of the left middle frontal gyrus were negatively correlated with the score of the self-injury addiction characteristic scale(r=-0.335,-0.415,-0.404,P all<0.05).Conclusions:The reduction of the global integration ability of NSSI adolescent brain network and the reduction of information transmission efficiency in the prefrontal cortex are closely related to the characteristics of self-injury addiction,which provides a new perspective for elucidating the brain function mechanism of self-injury addiction psychological disorder in NSSI patients,and is helpful for adolescent mental health intervention and treatment.

adolescentsnon-suicidal self-injuryself-injury addictionmagnetic resonance imaginggraph theorybrain networks

林新贝、陈珂珂、孙永兵、邹智、李中林、武肖玲、王玲、常淑莹、胡岩、樊富珉、李涛、吕雪、郝义彬、李永丽

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郑州大学人民医院放射科,郑州 450003

新乡医学院河南省人民医院放射科,郑州 450003

河南省人民医院放射科,郑州 450003

河南省人民医院核医学科,郑州 450003

河南省人民医院护理研究中心,郑州 450003

郑州大学护理与健康学院,郑州 450001

北京师范大学心理学部,北京 100875

阜外华中心血管病医院健康管理学科,郑州 451460

郑州大学人民医院/河南省人民医院健康管理学科,郑州 450003

河南省人民医院医院办公室,郑州 450003

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青少年 非自杀性自伤 自伤成瘾 磁共振成像 图论 脑网络

2024

磁共振成像
中国医院协会 首都医科大学附属北京天坛医院

磁共振成像

CSTPCD北大核心
影响因子:1.38
ISSN:1674-8034
年,卷(期):2024.15(12)