Depression in multiple sclerosis: RS-FMRI research

Introduction Multiple sclerosis (MS) is a demyelinating and neurodegenerative disorder of the CNS, which incapacitates people of working age. Due to progressive disability, the quality of life decreases, adding a number of other diseases to the main one. Several studies have reported high rates of...

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Main Authors: A. Temniy, K. Markin, M. Poplyak, A. Trufanov, D. Tarumov, I. Litvinenko
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821002650/type/journal_article
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author A. Temniy
K. Markin
M. Poplyak
A. Trufanov
D. Tarumov
I. Litvinenko
author_facet A. Temniy
K. Markin
M. Poplyak
A. Trufanov
D. Tarumov
I. Litvinenko
author_sort A. Temniy
collection DOAJ
description Introduction Multiple sclerosis (MS) is a demyelinating and neurodegenerative disorder of the CNS, which incapacitates people of working age. Due to progressive disability, the quality of life decreases, adding a number of other diseases to the main one. Several studies have reported high rates of depression in MS with a lifetime prevalence of approximately 50%. Objectives Therefore, we would like to pattern the functional activation of the brain of patients with different phenotypes of MS. This would objectify the patient’s condition and the effectiveness of therapy for these diseases. Methods 68 patients with MS were examined: 40 with a relapsing-remitting type of course (RRMS) in remission and 28 with secondary - progressive MS (SPMS). Patients underwent MRI of the brain on a Siemens Tim Trio 3.0 T tomograph and processed the data using CONN 18b software. Clinical features were estimated by tests (BDI, HADS) results. Results 91% of all MS patients in research have signs of depression. We noted that decreased FC in RRMS patients has a whole-brain type, but it is only decreasing, not losing the connections between brain clusters. Decreased FC and losing the connections between large-scale brain networks and brain clusters. Due to tests, more severe depression was observed in SPMS patients. Conclusions Our findings suggest that patients with SPMS have depression, cause of decreasing in FC between the main clusters of the brain, and patients with SPMS have more severe depression, which, as we assume, neurodegeneration has turned into atrophy and loosing all connections between clusters even in large-scale brain networks. Disclosure No significant relationships.
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spelling doaj.art-0aa09b0975a44ae2aba2ab58320c04ea2023-11-17T05:08:11ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S90S9010.1192/j.eurpsy.2021.265Depression in multiple sclerosis: RS-FMRI researchA. Temniy0K. Markin1M. Poplyak2A. Trufanov3D. Tarumov4I. Litvinenko5Psychiatry, S.M.Kirov Military Medical Academy, Saint-Petersburg, Russian FederationPsychiatry, S.M.Kirov Military Medical Academy, Saint-Petersburg, Russian FederationNeurology, S.M.Kirov Military Medical Academy, Saint-Petersburg, Russian FederationNeurology, S.M.Kirov Military Medical Academy, Saint-Petersburg, Russian FederationPsychiatry, S.M.Kirov Military Medical Academy, Saint-Petersburg, Russian FederationNeurology, S.M.Kirov Military Medical Academy, Saint-Petersburg, Russian Federation Introduction Multiple sclerosis (MS) is a demyelinating and neurodegenerative disorder of the CNS, which incapacitates people of working age. Due to progressive disability, the quality of life decreases, adding a number of other diseases to the main one. Several studies have reported high rates of depression in MS with a lifetime prevalence of approximately 50%. Objectives Therefore, we would like to pattern the functional activation of the brain of patients with different phenotypes of MS. This would objectify the patient’s condition and the effectiveness of therapy for these diseases. Methods 68 patients with MS were examined: 40 with a relapsing-remitting type of course (RRMS) in remission and 28 with secondary - progressive MS (SPMS). Patients underwent MRI of the brain on a Siemens Tim Trio 3.0 T tomograph and processed the data using CONN 18b software. Clinical features were estimated by tests (BDI, HADS) results. Results 91% of all MS patients in research have signs of depression. We noted that decreased FC in RRMS patients has a whole-brain type, but it is only decreasing, not losing the connections between brain clusters. Decreased FC and losing the connections between large-scale brain networks and brain clusters. Due to tests, more severe depression was observed in SPMS patients. Conclusions Our findings suggest that patients with SPMS have depression, cause of decreasing in FC between the main clusters of the brain, and patients with SPMS have more severe depression, which, as we assume, neurodegeneration has turned into atrophy and loosing all connections between clusters even in large-scale brain networks. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821002650/type/journal_articleMultiple sclerosisDepressionrs-fMRIcomorbidity
spellingShingle A. Temniy
K. Markin
M. Poplyak
A. Trufanov
D. Tarumov
I. Litvinenko
Depression in multiple sclerosis: RS-FMRI research
European Psychiatry
Multiple sclerosis
Depression
rs-fMRI
comorbidity
title Depression in multiple sclerosis: RS-FMRI research
title_full Depression in multiple sclerosis: RS-FMRI research
title_fullStr Depression in multiple sclerosis: RS-FMRI research
title_full_unstemmed Depression in multiple sclerosis: RS-FMRI research
title_short Depression in multiple sclerosis: RS-FMRI research
title_sort depression in multiple sclerosis rs fmri research
topic Multiple sclerosis
Depression
rs-fMRI
comorbidity
url https://www.cambridge.org/core/product/identifier/S0924933821002650/type/journal_article
work_keys_str_mv AT atemniy depressioninmultiplesclerosisrsfmriresearch
AT kmarkin depressioninmultiplesclerosisrsfmriresearch
AT mpoplyak depressioninmultiplesclerosisrsfmriresearch
AT atrufanov depressioninmultiplesclerosisrsfmriresearch
AT dtarumov depressioninmultiplesclerosisrsfmriresearch
AT ilitvinenko depressioninmultiplesclerosisrsfmriresearch