2013, Number 6
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Salud Mental 2013; 36 (6)
Procesamiento de la música en el primer episodio de trastorno depresivo mayor sin tratamiento
Flores-Gutiérrez EO, Cervantes JJ, Torres ÁM, Alcauter SS
Language: Spanish
References: 62
Page: 449-457
PDF size: 426.50 Kb.
ABSTRACT
The purpose of this study is the assessment of the differences in brain
activity when patients with major depressive disorder (MDD) listen
to two different types of music, with healthy subjects as control, by
using functional magnetic resonance imaging (fMRI). Brain activity
in musical stimuli with healthy subjects has been investigated extensively,
but there are few neurobiologic music studies in mental illness,
particularly in MDD. Studies in this area provide a new perspective
on interdisciplinary research to explore the neurobiological substrates
of MDD. This study involved 20 male subjects: 10 patients (34 ±7
years), and 10 control subjects (33 ± 7 years). The MDD Patients
were selected in the pre-consultation service of the National Institute
of Psychiatry Ramón de la Fuente Muñiz (INPRFM) of Mexico City,
and control subjects were selected among workers of the Institute who
responded to the invitation. All participants completed the Hamilton
scales for anxiety and depression, Beck inventories for depression and
anxiety and, the SCL-90-R. The Mini–Mental State Examination test
was also administered to patients for diagnostic purposes. The fMRI
was obtained by Philips Achieva 3-Tesla in the INPRF; the analysis
was done using SPM2 format MRIcro system. The experimental stimuli
were two pieces of music: one by JS Bach validated as quiet and another
one by J Prodromidès validated as disturbing. Results show differences
between both groups of subjects and between types of music.
In all cases, the parahippocampal area, the tail of the caudate nucleus
and the auditory temporal cortex were activated. The neurobiological
processing of music is affected by MDD. We discuss the clinical and
cognitive implications of these findings.
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