机构:[1]Department of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China[2]Sichuan Integrative Medicine Hospital, Chengdu, Sichuan 610041, China[3]Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China广东省中医院[4]Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China
Neuroimaging studies have demonstrated that the brain is altered both structurally and functionally in patients with primary insomnia (PI). However, most previous hypothesis-driven studies of PI might bias observations. Here, we use global functional connectivity density (gFCD), a hypothesis-free approach, to investigate the brain functional alteration in patients with PI. Forty-eight patients with PI and 51 matched healthy control (HC) subjects were recruited and underwent a resting state functional magnetic resonance imaging (fMRI) scan. Analyses of group differences of gFCD in the whole brain and the clinical significances of abnormal brain function were conducted, Compared with the HC group, patients with PI showed increased gFCD in the executive control network, salience network, dorsal attention network, and visual network. Interestingly, the gFCD in the anterior default mode network (DMN) is increased in the PI group, whereas the gFCD in the posterior DMN is decreased. In addition, the increased gFCD in the insula is associated with higher Pittsburgh Sleep Quality Index scores in the PI group. The gender and duration of disease have no significant effects on abnormal gFCD network. This study is the first attempt to explore the gFCD feature in patients with PI. Our findings support the hyper arousal model of insomnia and suggest an imbalanced neural spontaneous fluctuation between anterior and posterior DMN in the resting state in patients with PI. These findings expand our understanding of the neuropathological mechanism of primary insomnia.
基金:
National Natural Science Foundation of China [81303057, 81503670, 81603682, 81373560]
第一作者机构:[1]Department of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China
共同第一作者:
通讯作者:
通讯机构:[4]Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China[*1]Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, No. 37 Shierqiao Road, Chengdu, Sichuan, 610075, China
推荐引用方式(GB/T 7714):
Yu Siyi,Guo Baojun,Shen Zhifu,et al.The imbalanced anterior and posterior default mode network in the primary insomnia[J].JOURNAL OF PSYCHIATRIC RESEARCH.2018,103:97-103.doi:10.1016/j.jpsychires.2018.05.013.
APA:
Yu, Siyi,Guo, Baojun,Shen, Zhifu,Wang, Zhengyan,Kui, Yu...&Feng, Fen.(2018).The imbalanced anterior and posterior default mode network in the primary insomnia.JOURNAL OF PSYCHIATRIC RESEARCH,103,
MLA:
Yu, Siyi,et al."The imbalanced anterior and posterior default mode network in the primary insomnia".JOURNAL OF PSYCHIATRIC RESEARCH 103.(2018):97-103