Resting-State Functional Connectivity between Fronto-Parietal and Default Mode Networks in Obsessive-Compulsive Disorder 英文参考文献.docVIP
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Resting-State Functional Connectivity between Fronto-Parietal and Default Mode Networks in Obsessive-Compulsive Disorder 英文参考文献
Resting-State Functional Connectivity between
Fronto-Parietal and Default Mode Networks in
Obsessive-Compulsive Disorder
EmilyR.Stern1*,KateD.Fitzgerald2,RobertC.Welsh2,3,JamesL.Abelson2,StephanF.Taylor2
1DepartmentsofPsychiatryandNeuroscience,MountSinaiSchoolofMedicine,NewYork,NewYork,UnitedStatesofAmerica,2DepartmentofPsychiatry,Universityof
Michigan,AnnArbor,Michigan,UnitedStatesofAmerica,3DepartmentofRadiology,UniversityofMichigan,AnnArbor,Michigan,UnitedStatesofAmerica
Abstract
Background: Obsessive-compulsive disorder (OCD) is characterized by an excessive focus on upsetting or disturbing
thoughts, feelings, and images that are internally-generated. Internally-focused thought processes are subserved by the
‘‘default mode network’’ (DMN), which has been found to be hyperactive in OCD during cognitive tasks. In healthy
individuals,disengagementfrominternally-focusedthoughtprocessesmayrelyoninteractionsbetweenDMNandafronto-
parietalnetwork(FPN)associatedwithexternalattentionandtaskexecution.AlteredconnectivitybetweenFPNandDMN
maycontributetothedysfunctionalbehaviorandbrainactivityfoundinOCD.
Methods: The current study examined interactions between FPN and DMN during rest in 30 patients with OCD (17
unmedicated) and 32 control subjects (17 unmedicated). Timecourses from seven fronto-parietal seeds were correlated
acrossthewholebrainandcomparedbetweengroups.
Results:OCDpatientsexhibitedalteredconnectivitybetweenFPNseeds(primarilyanteriorinsula)andseveralregionsof
DMNincluding posterior cingulatecortex, medialfrontalcortex, posterior inferiorparietal lobule, andparahippocampus.
Thesedifferencesweredrivenlargelybyareductionofnegativecorrelationsamongpatientscomparedtocontrols.Patients
alsoshowedgreaterpositiveconnectivitybetweenFPNandregionsoutsideDMN,includingthalamus,lateralfrontalcortex,
andsomatosensory/motorregions.
Conclusions: OCD is associated with abnormal intrinsic functional connectivity between large-scale brain networks.
Alterationofinteractionsbetwee
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