抑郁症患者事件相关电位P300与健康问卷-9评分的相关性及其临床意义分析

刘贺;南彩;马思梦;翟云云;康丽君;刘忠纯

神经损伤与功能重建 ›› 2020, Vol. 15 ›› Issue (2) : 91-94.

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神经损伤与功能重建 ›› 2020, Vol. 15 ›› Issue (2) : 91-94.
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抑郁症患者事件相关电位P300与健康问卷-9评分的相关性及其临床意义分析

  • 刘贺,南彩,马思梦,翟云云,康丽君,刘忠纯
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Cognitive Impairment and Event-related Potential P300 Change in Depression Patients Based on Patient Health Questionnaire-9

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摘要

目的:研究抑郁症患者事件相关电位P300的特点及其与患者健康问卷抑郁量表(PHQ-9)评分的相关 性,并分析其临床意义。方法:抑郁障碍患者36例纳入抑郁症组,34例健康者纳入正常对照组。2组均进行 PHQ-9的评分以及在单一视觉怪球任务下进行事件相关电位P300的采集,分析2组P300的潜伏期和幅值 的差异以及其与 PHQ-9 评分的相关性。结果:抑郁症组 C4、P4、T4、T6 导联的 P300 幅值低于对照组(P= 0.020、0.015、0.033、0.013);PHQ-9评分与P300的幅值在C4、P4、F8、T4、T6电极存在负相关关系(r= -0.267、 -0.252、-0.285、-0.287、-0.335,P=0.026、0.036、0.017、0.016、0.005)。结论:事件相关电位P300改变作为 一项潜在客观指标可能可反映抑郁症患者的认知损害,依据患者PHQ-9的抑郁严重程度评估,对反应抑郁 症患者认知损害可能具有一定指导意义。

Abstract

To explore the characteristics of event-related potential P300 in patients with depression and its correlation with the Patient Health Questionnaire (PHQ-9) scores. Methods: Thirty-six patients with depressive disorder were included into the depression group, and 34 healthy subjects were recruited as the control group. PHQ-9 scores were obtained from the subjects, and event-related potential P300 was collected under the visual oddball task in both groups. The difference of latency and amplitude of P300 between the two groups and its correlation with PHQ-9 scores was analyzed. Results: The P300 amplitude of the depression group compared with that of the normal control group was significantly reduced in the C4, P4, T4, and T6 electrodes (P=0.020, 0.015, 0.033, 0.013). PHQ-9 was negatively correlated with the amplitude of P300 at the C4, P4, F8, T4, and T6 electrodes (r=-0.267, -0.252, -0.285, -0.287, -0.335, P=0.026, 0.036, 0.017, 0.016, 0.005). Conclusion: The change of event-related potential P300 is a possible objective indicator to reflect the cognitive impairment of patients with depression. Based on the severity assessment by PHQ-9, it may have some guiding significance in indicating cognitive impairment in patients with depression.

关键词

抑郁症 / 患者健康问卷-9 / 认知损害 / 事件相关电位

Key words

depression

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刘贺;南彩;马思梦;翟云云;康丽君;刘忠纯. 抑郁症患者事件相关电位P300与健康问卷-9评分的相关性及其临床意义分析[J]. 神经损伤与功能重建. 2020, 15(2): 91-94
Cognitive Impairment and Event-related Potential P300 Change in Depression Patients Based on Patient Health Questionnaire-9[J]. Neural Injury and Functional Reconstruction. 2020, 15(2): 91-94

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