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Aberrant Functional Connectivity Architecture in Participants with Chronic Insomnia Disorder Accompanying Cognitive Dysfunction: A Whole-Brain, Data-Driven Analysis

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机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, [2]Department of Radiology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China, [3]Brainnetome Center, Institute of Automation, Chinese Academy of Sciences, Beijing, China, [4]School of Biomedical Engineering, Southern Medical University, Guangzhou, China, [5]Department of Neurology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China, [6]School of Clinical Medicine, Beijing University of Chinese Medicine, Beijing, China, [7]National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, China, [8]Center for Excellence in Brain Science and Intelligence Technology, Institute of Automation, Chinese Academy of Sciences, Beijing, China, [9]University of Chinese Academy of Sciences, Beijing, China, [10]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
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关键词: chronic insomnia disorder cognitive impairment functional connectivity resting-state fMRI

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Objectives: Although it is widely observed that chronic insomnia disorder (CID) is associated with cognitive impairment, the neurobiological mechanisms underlying this remain unclear. Prior neuroimaging studies have confirmed that a close correlation exists between functional connectivity and cognitive impairment. Based on this observation, in this study we used resting-state functional magnetic resonance imaging (rs-fMRI) to study the relationship between whole brain functional connectivity and cognitive function in CID. Methods: We included 39 patients with CID and 28 age-, gender-, and education-matched healthy controls (HC). Abnormalities in functional connectivity were identified by comparing the correlation coefficients for each pair of 116 brain regions between CID and HC. Results: Cognitive impairment was associated with reduced subjective insomnia scores after controlling for age, gender, and educational effects. Compared with HC, patients with CID had larger negative correlations within the task-negative network [medial prefrontal cortex (mPFC), precuneus, inferior temporal gyrus, cerebellum, and superior parietal gyrus], and between two intrinsic anti-correlation networks (mPFC and middle temporal gyrus; supplementary motor area and cerebellum). Patients with CID also had decreased positive correlations within the default mode network (DMN), and between the cerebellum and DMN, which mainly comprises the mPFC and posterior cingulated cortex. There were positive correlations of decreased positive connectivity with subjective sleep scores and MMSE scores, and increased negative correlations between the task-negative-network and MMSE scores in CID. Conclusions: Using rs-fMRI, our results support previous observations of cortical disconnection in CID in the prefrontal and DMN networks. Moreover, abnormal correlations within the task-negative network, and between two intrinsically anti-correlation networks, might be important neurobiological indicators of CID and associated cognitive impairment.

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出版当年[2016]版:
大类 | 2 区 医学
小类 | 3 区 神经科学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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出版当年[2015]版:
Q2 NEUROSCIENCES
最新[2023]版:
Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, [2]Department of Radiology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China,
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通讯机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, [2]Department of Radiology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China, [10]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
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