TY - JOUR PY - 2024// TI - Prefrontal brain activity and self-injurious behavior in adolescents with major depressive disorder: a functional near-infrared spectroscopy (fNIRS) study JO - Journal of psychiatric research A1 - Zhang, Yunshu A1 - Li, Bing A1 - Zhang, Lili A1 - Cheng, Aobo A1 - Long, Shuaiyu A1 - Wang, Jie A1 - Wen, Min A1 - Li, Keqing A1 - Liu, Chaomeng SP - 248 EP - 253 VL - 176 IS - N2 - In clinical practice, accurately identifying self-injurious behavior among adolescents with major depressive disorder (MDD) is crucial for individualized treatment. This study aimed to examine the differences in prefrontal cortex activation using the functional near-infrared spectroscopy (fNIRS) during the verbal fluency task (VFT) assessment of adolescents with MDD and self-harm (SH) compared with those without SH. A total of 60 eligible patients were included for final analysis, with the SH group containing 36 participants, and the Non-SH group containing 24 participants. We found that right middle frontal gyrus (rMFG) was more activated in the SH group than that in the Non-SH group during the VFT assessments (z = -3.591, p = 0.004, FDR correction). The z-scores of beta values of rMFG exhibited a good discriminatory power with the area under the curve (AUC) in distinguishing the two groups (AUC = 0.775, p < 0.001). These findings reveal that the fNIRS-VFT paradigm may be a useful tool for discovering neurobiological differences among adolescents with MDD.
Language: en
LA - en SN - 0022-3956 UR - http://dx.doi.org/10.1016/j.jpsychires.2024.06.001 ID - ref1 ER -