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疼痛相关负面情绪和特质负面情绪对炎症性肠病患者脑功能的不同影响

The different impacts of pain-related negative emotion and trait negative emotion on brain function in patients with inflammatory bowel disease

Nature 等信源发布 2024-10-12 22:10

可切换为仅中文


AbstractInflammatory bowel diseases (IBD) are a group of chronic, non-specific intestinal diseases that could comorbid with varieties of negative emotional constructs, including pain-related negative emotions and trait negative emotions; however, the link between brain functions and different dimensions of negative emotions remains largely unknown.

摘要炎症性肠病(IBD)是一组慢性非特异性肠道疾病,可能与多种负面情绪结构共存,包括与疼痛相关的负面情绪和特质负面情绪;。

Ninety-eight patients with IBD and forty-six healthy subjects were scanned using a 3.0-T functional magnetic resonance imaging scanner. The amplitudes of low-frequency fluctuation (ALFF), regional homogeneity (ReHo), and degree centrality (DC) were used to assess resting-state brain activity. Partial least squares (PLS) correlation was employed to assess the relationship among abnormal brain activities, pain-related and trait negative emotions.

使用3.0-T功能磁共振成像扫描仪扫描了98名IBD患者和46名健康受试者。低频波动(ALFF),区域同质性(ReHo)和程度中心性(DC)的幅度用于评估静息状态的大脑活动。偏最小二乘(PLS)相关性用于评估异常大脑活动,疼痛相关和特质负面情绪之间的关系。

Compared to controls, patients with IBD exhibited higher values of ALFF in the right anterior cingulate cortex (ACC), lower values of ALFF in the left postcentral gyrus, and higher values of DC in the bilateral ACC. Multivariate PLS correlation analysis revealed the brain scores of the ACC were correlated with pain-related negative emotions, the brain salience in the left postcentral gyrus was associated with the higher-order trait depression.

与对照组相比,IBD患者右前扣带回(ACC)的ALFF值较高,左中央后回的ALFF值较低,双侧ACC的DC值较高。多变量PLS相关分析显示ACC的大脑评分与疼痛相关的负面情绪相关,左中央后回的大脑显着性与高阶特质抑郁有关。

These findings can enhance our comprehension of how pain-related negative emotion and trait negative emotion affect the brains of patients with IBD in distinct ways..

这些发现可以增强我们对疼痛相关负面情绪和特质负面情绪如何以不同方式影响IBD患者大脑的理解。。

IntroductionInflammatory bowel diseases (IBD) are a group of chronic, non-specific intestinal diseases that mostly comprise Crohn’s disease and ulcerative colitis1. They typically occur alternately in episodes and remissions and are difficult to cure2,3. Patients with IBD may have a variety of negative emotional behaviors, primarily characterized by heightened physical discomfort, excessive concern with the possibility of disease recurrence, and apprehension over exacerbating their condition4, and experiences of anxiety and depression5.

引言炎症性肠病(IBD)是一组慢性非特异性肠道疾病,主要包括克罗恩病和溃疡性结肠炎1。它们通常在发作和缓解期间交替发生,难以治愈2,3。IBD患者可能有多种负面情绪行为,主要表现为身体不适加剧,过度担心疾病复发的可能性,担心病情恶化4,以及焦虑和抑郁的经历5。

Lower-order pain-related psychological constructs (such as pain catastrophizing, pain-related anxiety, and pain-related fear) and higher-order personality traits (such as trait anxiety and depression) have been demonstrated to have different impacts on pain in healthy humans6. Despite the close association between negative feelings and repeated symptoms, few studies have considered the different impacts of pain-related negative emotions and trait negative emotions in patients with IBD.The brain-gut axis is commonly utilized to describe the intricate interactions among neuroendocrine pathways, the peripheral, central, and autonomic neural systems, and the gastrointestinal tract7.

低阶疼痛相关的心理结构(如疼痛灾难,疼痛相关的焦虑和疼痛相关的恐惧)和高阶人格特征(如特质焦虑和抑郁)已被证明对健康人的疼痛有不同的影响6。尽管负面情绪与反复症状之间存在密切联系,但很少有研究考虑IBD患者疼痛相关负面情绪和特质负面情绪的不同影响。脑-肠轴通常用于描述神经内分泌途径,外周,中枢和自主神经系统以及胃肠道之间复杂的相互作用7。

These interconnected pathways might be bidirectional8. For example, there have been strong connections between gastrointestinal disorders and pain-related fear9, pain-related anxiety10, and pain catastrophizing11. Negative emotions, a higher-order trait associated with negative feelings, cognitions, and self-concept, are also linked to the intensity of symptoms in some chronically gastrointestinal conditions12,13.

这些相互关联的途径可能是双向的8。例如,胃肠道疾病与疼痛相关的恐惧9,疼痛相关的焦虑10和疼痛灾难11之间有很强的联系。负面情绪是与负面情绪,认知和自我概念相关的高阶特征,也与某些慢性胃肠道疾病的症状强度有关12,13。

Neuroimaging techniques provide a valuable tool for investigating the maladaptive plastic changes of the human brain and their association with psychol.

神经影像学技术为研究人脑适应不良的可塑性变化及其与心理的关系提供了有价值的工具。

Data availability

数据可用性

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

在当前研究期间生成和/或分析的数据集可根据合理要求从通讯作者处获得。

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Download referencesAcknowledgementsThe authors thank Jishu Xiao for excellent support for recruitment of subjects.Author informationAuthors and AffiliationsDepartment of Radiology Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, No.

下载参考文献致谢作者感谢肖季舒对招募受试者的出色支持。作者信息作者和附属机构重庆医科大学儿童医院放射科,国家儿童健康与疾病临床研究中心,教育部儿童发育与疾病重点实验室,第号。

136, Zhongshan Second Road, Yuzhong District, Chongqing, 400000, ChinaLing Yang & Jinhua CaiRadiology Department, Chongqing General Hospital, Chongqing University, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, ChinaLing Yang, Lingqin Zhang & Kang LiChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaLing Yang & Jinhua CaiSchool of Life Science and Technology, Center for Brain Imaging, Xidian University, Xi’an, ChinaJixin LiuGastroenterology Department, Chong Qing General Hospital, Chongqing University, Chongqing, ChinaYan LiuAuthorsLing YangView author publicationsYou can also search for this author in.

重庆市渝中区中山二路136号,400000,重庆大学重庆总医院放射科,重庆市两江新区星光大道118号,重庆市401147,重庆市杨凌勤,张凌勤,康李崇庆儿童代谢与炎症性疾病重点实验室,重庆市,西安西安西安西安西安西安西安西安西安西安西安西安西安西安西安重庆总医院消化内科,重庆重庆大学重庆总医院,中国Yan Liu作者Ling YangView作者出版物您也可以在中搜索这位作者。

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PubMed Google ScholarContributionsL.Y. contributed to study conception, data acquisition, image inspection, statistical analysis and manuscript drafting. L.Z. contributed to study design, data acquisition and manuscript drafting. Y.L. contributed to disease diagnosis. J.L. contributed to study conception and design, statistical analysis, manuscript drafting, and critical revision and final approval.

PubMed谷歌学术贡献l。Y、 为研究概念,数据采集,图像检查,统计分析和手稿起草做出了贡献。五十、 。Y、 L.有助于疾病诊断。J、 L.为研究概念和设计,统计分析,手稿起草以及关键修订和最终批准做出了贡献。

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Reprints and permissionsAbout this articleCite this articleYang, L., Zhang, L., Liu, Y. et al. The different impacts of pain-related negative emotion and trait negative emotion on brain function in patients with inflammatory bowel disease.

转载和许可本文引用本文Yang,L.,Zhang,L.,Liu,Y。等人。疼痛相关负性情绪和特质负性情绪对炎症性肠病患者脑功能的不同影响。

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KeywordsInflammatory bowel diseasesFunctional magnetic resonance imagingNegative emotionsAnterior cingulate cortexAmplitudes of low-frequency fluctuationDegree centrality

关键词炎症性肠病功能性磁共振成像阴性情绪扣带回皮层低频波动幅度程度中心性