Cognitive behavioral therapy changes functional connectivity between medial prefrontal and anterior cingulate cortices

Shinpei Yoshimura*, Yasumasa Okamoto, Miki Matsunaga, Keiichi Onoda, Go Okada, Yoshihiko Kunisato, Atsuo Yoshino, Kazutaka Ueda, Shin ichi Suzuki, Shigeto Yamawaki

*この研究の対応する著者

研究成果: Article査読

17 被引用数 (Scopus)

抄録

Background Depression is characterized by negative self-cognition. Our previous study (Yoshimura et al. 2014) revealed changes in brain activity after cognitive behavioral therapy (CBT) for depression, but changes in functional connectivity were not assessed. Method This study included 29 depressive patients and 15 healthy control participants. Functional Magnetic Resonance Imaging was used to investigate possible CBT-related functional connectivity changes associated with negative emotional self-referential processing. Depressed and healthy participants (overlapping with our previous study, Yoshimura et al. 2014) were included. We defined a seed region (medial prefrontal cortex) and coupled region (ACC) based on our previous study, and we examined changes in MPFC-ACC functional connectivity from pretreatment to posttreatment. Results CBT was associated with reduced functional connectivity between the MPFC and ACC. Symptom change with CBT was positively correlated with change in MPFC-ACC functional connectivity. Limitations Patients received pharmacotherapy including antidepressant. The present sample size was quite small and more study is needed. Statistical threshold in fMRI analysis was relatively liberal. Conclusions CBT for depression may disrupt MPFC-ACC connectivity, with associated improvements in depressive symptoms and dysfunctional cognition.

本文言語English
ページ(範囲)610-614
ページ数5
ジャーナルJournal of Affective Disorders
208
DOI
出版ステータスPublished - 2017 1 15

ASJC Scopus subject areas

  • 臨床心理学
  • 精神医学および精神衛生

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