Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis

ObjectiveMajor depressive disorder (MDD) is associated with suicidal attempts (SAs) among adolescents, with suicide being the most common cause of mortality in this age group. This study explored the predictive utility of support vector machine (SVM)-based analyses of amplitude of low-frequency fluc...

Full description

Bibliographic Details
Main Authors: Yang Zhou, Yu Song, Cheng Chen, Shu Yan, Mo Chen, Tao Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1146944/full
_version_ 1797895441357996032
author Yang Zhou
Yang Zhou
Yu Song
Yu Song
Cheng Chen
Cheng Chen
Shu Yan
Shu Yan
Mo Chen
Mo Chen
Tao Liu
author_facet Yang Zhou
Yang Zhou
Yu Song
Yu Song
Cheng Chen
Cheng Chen
Shu Yan
Shu Yan
Mo Chen
Mo Chen
Tao Liu
author_sort Yang Zhou
collection DOAJ
description ObjectiveMajor depressive disorder (MDD) is associated with suicidal attempts (SAs) among adolescents, with suicide being the most common cause of mortality in this age group. This study explored the predictive utility of support vector machine (SVM)-based analyses of amplitude of low-frequency fluctuation (ALFF) results as a neuroimaging biomarker for aiding the diagnosis of MDD with SA in adolescents.MethodsResting-state functional magnetic resonance imaging (rs-fMRI) analyses of 71 first-episode, drug-naive adolescent MDD patients with SA and 54 healthy control individuals were conducted. ALFF and SVM methods were used to analyze the imaging data.ResultsRelative to healthy control individuals, adolescent MDD patients with a history of SAs showed reduced ALFF values in the bilateral medial superior frontal gyrus (mSFG) and bilateral precuneus. These lower ALFF values were also negatively correlated with child depression inventory (CDI) scores while reduced bilateral precuneus ALFF values were negatively correlated with Suicidal Ideation Questionnaire Junior (SIQ-JR) scores. SVM analyses showed that reduced ALFF values in the bilateral mSFG and bilateral precuneus had diagnostic accuracy levels of 76.8% (96/125) and 82.4% (103/125), respectively.ConclusionAdolescent MDD patients with a history of SA exhibited abnormal ALFF. The identified abnormalities in specific brain regions may be involved in the pathogenesis of this condition and may help identify at-risk adolescents. Specifically, reductions in the ALFF in the bilateral mSFG and bilateral precuneus may be indicative of MDD and SA in adolescent patients.
first_indexed 2024-04-10T07:25:37Z
format Article
id doaj.art-e115a04a1ac24d4898b8ea80b4f12634
institution Directory Open Access Journal
issn 1664-1078
language English
last_indexed 2024-04-10T07:25:37Z
publishDate 2023-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychology
spelling doaj.art-e115a04a1ac24d4898b8ea80b4f126342023-02-24T07:42:44ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-02-011410.3389/fpsyg.2023.11469441146944Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysisYang Zhou0Yang Zhou1Yu Song2Yu Song3Cheng Chen4Cheng Chen5Shu Yan6Shu Yan7Mo Chen8Mo Chen9Tao Liu10Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, Hubei, ChinaPsychiatric Rehabilitation Department, Wuhan Mental Health Center, Wuhan, Hubei, ChinaPsychiatric Rehabilitation Department, Wuhan Hospital for Psychotherapy, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, ChinaDepartment of Psychiatry, Wuhan Hospital for Psychotherapy, Wuhan, Hubei, ChinaDepartment of Psychiatry, Suizhou Hospital, Hubei University of Medicine, Suizhou, Hubei, ChinaObjectiveMajor depressive disorder (MDD) is associated with suicidal attempts (SAs) among adolescents, with suicide being the most common cause of mortality in this age group. This study explored the predictive utility of support vector machine (SVM)-based analyses of amplitude of low-frequency fluctuation (ALFF) results as a neuroimaging biomarker for aiding the diagnosis of MDD with SA in adolescents.MethodsResting-state functional magnetic resonance imaging (rs-fMRI) analyses of 71 first-episode, drug-naive adolescent MDD patients with SA and 54 healthy control individuals were conducted. ALFF and SVM methods were used to analyze the imaging data.ResultsRelative to healthy control individuals, adolescent MDD patients with a history of SAs showed reduced ALFF values in the bilateral medial superior frontal gyrus (mSFG) and bilateral precuneus. These lower ALFF values were also negatively correlated with child depression inventory (CDI) scores while reduced bilateral precuneus ALFF values were negatively correlated with Suicidal Ideation Questionnaire Junior (SIQ-JR) scores. SVM analyses showed that reduced ALFF values in the bilateral mSFG and bilateral precuneus had diagnostic accuracy levels of 76.8% (96/125) and 82.4% (103/125), respectively.ConclusionAdolescent MDD patients with a history of SA exhibited abnormal ALFF. The identified abnormalities in specific brain regions may be involved in the pathogenesis of this condition and may help identify at-risk adolescents. Specifically, reductions in the ALFF in the bilateral mSFG and bilateral precuneus may be indicative of MDD and SA in adolescent patients.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1146944/fullamplitude of low-frequency fluctuationmajor depressive disordersuicidal attemptsresting-state fMRIsupport vector machine
spellingShingle Yang Zhou
Yang Zhou
Yu Song
Yu Song
Cheng Chen
Cheng Chen
Shu Yan
Shu Yan
Mo Chen
Mo Chen
Tao Liu
Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis
Frontiers in Psychology
amplitude of low-frequency fluctuation
major depressive disorder
suicidal attempts
resting-state fMRI
support vector machine
title Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis
title_full Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis
title_fullStr Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis
title_full_unstemmed Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis
title_short Abnormal amplitude of low-frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents: A resting-state fMRI and support vector machine analysis
title_sort abnormal amplitude of low frequency fluctuation values as a neuroimaging biomarker for major depressive disorder with suicidal attempts in adolescents a resting state fmri and support vector machine analysis
topic amplitude of low-frequency fluctuation
major depressive disorder
suicidal attempts
resting-state fMRI
support vector machine
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1146944/full
work_keys_str_mv AT yangzhou abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT yangzhou abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT yusong abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT yusong abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT chengchen abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT chengchen abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT shuyan abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT shuyan abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT mochen abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT mochen abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis
AT taoliu abnormalamplitudeoflowfrequencyfluctuationvaluesasaneuroimagingbiomarkerformajordepressivedisorderwithsuicidalattemptsinadolescentsarestingstatefmriandsupportvectormachineanalysis