强迫症共病抠皮障碍患者磁共振波谱分析

郑会蓉; 华冠民; 郭光全; 全东明; 李刚; 姚思羽

doi:10.11817/j.issn.1672-7347.2020.190577

您当前的位置：

首页 >

文章列表页 >

强迫症共病抠皮障碍患者磁共振波谱分析

扫描看全文

文章被引用时，请邮件提醒。

提交

论著 | 更新时间：2022-05-10

强迫症共病抠皮障碍患者磁共振波谱分析
Analysis of magnetic resonance spectroscopy in patients with obsessive-compulsive disorder comorbid skin-picking disorder
中南大学学报(医学版) 中南大学学报(医学版) 2020年45卷第2期页码：160-164
作者机构：

1.广东省人民医院，广东省医学科学院，广东省精神卫生中心，广州 510080
2.广州市越秀区中医医院，广州 510030
作者简介：

郑会蓉，Email: hgm198103@163.com, ORCID: 0000-0002-8548-6921
基金信息：

广东省科技计划(2014A020212587);广东省自然科学基金(2018A030313989);广州市科技计划(201804010331);广东省人民医院科技专项基金人才类项目(2017)
DOI：10.11817/j.issn.1672-7347.2020.190577
中图分类号：
CSTR：
纸质出版日期： 2020-02-28 ，

收稿日期： 2019-08-21 ，

郑会蓉, 华冠民, 郭光全, 全东明, 李刚, 姚思羽. 强迫症共病抠皮障碍患者磁共振波谱分析[J]. 中南大学学报(医学版), 2020, 45(2): 160-164.

ZHENG Huirong, HUA Guanmin, GUO Guangquan, QUAN Dongming, LI Gang, YAO Siyu. Analysis of magnetic resonance spectroscopy in patients with obsessive-compulsive disorder comorbid skin-picking disorder[J]. Journal of Central South University. Medical Science, 2020, 45(2): 160-164.
郑会蓉, 华冠民, 郭光全, 全东明, 李刚, 姚思羽. 强迫症共病抠皮障碍患者磁共振波谱分析[J]. 中南大学学报(医学版), 2020, 45(2): 160-164. DOI： 10.11817/j.issn.1672-7347.2020.190577.

ZHENG Huirong, HUA Guanmin, GUO Guangquan, QUAN Dongming, LI Gang, YAO Siyu. Analysis of magnetic resonance spectroscopy in patients with obsessive-compulsive disorder comorbid skin-picking disorder[J]. Journal of Central South University. Medical Science, 2020, 45(2): 160-164. DOI： 10.11817/j.issn.1672-7347.2020.190577.

摘要

目的

探讨强迫症共病抠皮障碍患者前扣带区神经生化代谢特征，为强迫性障碍的病理生理基础研究提供参考。

方法

应用质子磁共振波谱技术(proton magnetic resonance spectroscopy，

H-MRS)对17例强迫症不伴抠皮障碍患者和13例强迫症共病抠皮障碍患者的前扣带区进行检测，测定感兴趣区N-乙酰基天冬氨酸+N-乙酰基天冬氨酰谷氨酸(total N-acetyl aspartyl，tNAA)、谷氨酸(glutamate，Glu)、谷氨酰氨(glutamine，Gln)、肌酸(creatine，Cr)、肌醇(myo-inositol，mI)、胆碱化合物(choline-containing compounds，Cho)的代谢物浓度，对两组患者进行临床评估和代谢物指标定量分析。

结果

强迫症共病抠皮障碍患者前扣带区Glu浓度显著低于强迫症不伴抠皮障碍患者(

=0.001)，其余代谢物浓度组间比较差异无统计学意义(

0.05)。两组患者Glu浓度与汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale，HAMA)评分呈负相关(

=-0.55，

=0.002)。在强迫症合并抠皮障碍组中，女性患者Glu浓度与耶鲁-布朗强迫症状量表(Yale-Brown Obsessive Compulsive Scale，Y-BOCS)总分相关(

=0.69；

=0.041)，与其他临床指标无明显相关(

0.05)。

结论

前扣带区Glu代谢改变参与了强迫症共病抠皮障碍的病理生理过程，为研究强迫症和抠皮障碍的发病机制提供了一定证据支持。

Abstract

Objective

To investigate the neurobiochemical characteristics of the anterior cingulate cortex (ACC) in patients with obsessive-compulsive disorder (OCD) comorbid skin-picking disorder (SPD)

and to provide reference for the pathophysiological basis for OCD.

Methods

We examined the levels of glutamate and other neurochemicals in ACC of 30 adult OCD patients (13 with comorbid SPD

17 without SPD)

using proton magnetic resonance spectroscopy (

H-MRS) at 3T. The clinical evaluation and the quantitative analysis of metabolites were carried out in the two groups.

Results

OCD patients with comorbid SPD showed significantly lower ACC glutamate than the patients without SPD (

=0.001). In all OCD patients

glutamate was negatively correlated with scores of Hamilton Anxiety Rating Scale (

=-0.55

=0.002). Moreover

the ACC glutamate of female patients was correlated with the total score of Yale-Brown Obsessive Compulsive Scale (

=0.69

=0.041) in the OCD with comorbid SPD patients.

Conclusion

Alterations of the glutamate content in the ACC are involved in the pathophysiological process of OCD with comorbid SPD

which provides evidence for the study on the pathogenesis of OCD and SPD.

关键词

强迫症抠皮障碍磁共振波谱学前扣带

Keywords

obsessive-compulsive disorderskin-picking disordermagnetic resonance spectroscopyanterior cingulate cortex

references

Ruscio AM, Stein DJ, Chiu WT, et al. The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication[J]. Mol Psychiatry, 2010, 15(1): 53-63.

Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication[J]. Arch Gen Psychiatry, 2005, 62(6): 593-602.

Lovato L, Ferrao YA, Stein DJ, et al. Skin picking and trichotillomania in adults with obsessive-compulsive disorder[J]. Compr Psychiatry, 2012, 53(5): 562-568.

Calikusu C, Yucel B, Polat A, et al. The relation of psychogenic excoriation with psychiatric disorders: a comparative study[J]. Compr Psychiatry, 2003, 44(3): 256-261.

Saxena S, Rauch SL. Functional neuroimaging and the neuroanatomy of obsessive-compulsive disorder[J]. Psychiatr Clin North Am, 2000, 23(3): 563-586.

Odlaug BL, Hampshire A, Chamberlain SR, et al. Abnormal brain activation in excoriation (skin-picking) disorder: evidence from an executive planning fMRI study[J]. Br J Psychiatry, 2016, 208(2): 168-174.

Gnanavel S, Sharan P, Khandelwal S, et al. Neurochemicals measured by (1)H-MR spectroscopy: putative vulnerability biomarkers for obsessive compulsive disorder[J]. MAGMA, 2014, 27(5): 407-417.

Ting JT, Feng G. Glutamatergic synaptic dysfunction and obsessive-compulsive disorder[J]. Curr Chem Gen, 2008, 2: 62.

Starck G, Ljungberg M, Nilsson M, et al. A 1H magnetic resonance spectroscopy study in adults with obsessive compulsive disorder: relationship between metabolite concentrations and symptom severity[J]. J Neural Transm (Vienna), 2008, 115(7): 1051-1062.

O'Neill J, Lai TM, Sheen C, et al. Cingulate and thalamic metabolites in obsessive-compulsive disorder[J]. Psychiatry Res Neuroimaging, 2016, 254: 34-40.

Ortiz AE, Gasso P, Mas S, et al. Association between genetic variants of serotonergic and glutamatergic pathways and the concentration of neurometabolites of the anterior cingulate cortex in paediatric patients with obsessive-compulsive disorder[J]. World J Biol Psychiatry, 2016, 17(5): 394-404.

Rosenberg DR, Mirza Y, Russell A, et al. Reduced anterior cingulate glutamatergic concentrations in childhood OCD and major depression versus healthy controls[J]. J Am Acad Child Adolesc Psychiatry, 2004, 43(9): 1146-1153.

Bedard MJ, Chantal S. Brain magnetic resonance spectroscopy in obsessive-compulsive disorder: the importance of considering subclinical symptoms of anxiety and depression[J]. Psychiatry Res, 2011, 192(1): 45-54.

Yücel M, Wood SJ, Wellard RM, et al. Anterior cingulate glutamate-glutamine levels predict symptom severity in women with obsessive-compulsive disorder[J]. AustN Z JPsychiatry, 2008, 42(6): 467-477.

Torresan RC, Ramos-Cerqueira AT, de Mathis MA, et al. Sex differences in the phenotypic expression of obsessive-compulsive disorder: an exploratory study from Brazil[J]. Compr Psychiatry, 2009, 50(1): 63-69.

浏览量

115

下载量

CSCD

工具集

关联资源

精神科门诊强迫症患者就医现状及影响因素