Research Article
Brain Networks Connectivity in Mild to Moderate Depression:
Resting State fMRI Study with Implications to
Nonpharmacological Treatment
Dmitry D. Bezmaternykh ,
1
Mikhail Ye. Melnikov ,
1
Andrey A. Savelov ,
2
Lyudmila I. Kozlova ,
1
Evgeniy D. Petrovskiy ,
2
Kira A. Natarova ,
3
and Mark B. Shtark
1
1
Laboratory of Biofeedback Computer Systems, Institute of Molecular Biology and Biophysics, Federal Research Center of
Fundamental and Translational Medicine, Novosibirsk 630060, Russia
2
International Tomography Center SB RAS, Novosibirsk 630090, Russia
3
International Institute of Psychology and Psychotherapy, Novosibirsk 630007, Russia
Correspondence should be addressed to Mikhail Ye. Melnikov; mikhail-melnikov@mail.ru
Received 11 July 2020; Revised 4 December 2020; Accepted 21 December 2020; Published 15 January 2021
Academic Editor: Bingjin Li
Copyright © 2021 Dmitry D. Bezmaternykh et al. This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work
is properly cited.
Network mechanisms of depression development and especially of improvement from nonpharmacological treatment remain
understudied. The current study is aimed at examining brain networks functional connectivity in depressed patients and its
dynamics in nonpharmacological treatment. Resting state fMRI data of 21 healthy adults and 51 patients with mild or moderate
depression were analyzed with spatial independent component analysis; then, correlations between time series of the
components were calculated and compared between-group (study 1). Baseline and repeated-measure data of 14 treated
(psychotherapy or fMRI neurofeedback) and 15 untreated depressed participants were similarly analyzed and correlated with
changes in depression scores (study 2). Aside from diverse findings, studies 1 and 2 both revealed changes in within-default
mode network (DMN) and DMN to executive control network (ECN) connections. Connectivity in one pair, initially lower in
depression, decreased in no treatment group and was inversely correlated with Montgomery-Asberg depression score change in
treatment group. Weak baseline connectivity in this pair also predicted improvement on Montgomery-Asberg scale in both
treatment and no treatment groups. Coupling of another pair, initially stronger in depression, increased in therapy though was
unrelated to improvement. The results demonstrate possible role of within-DMN and DMN-ECN functional connectivity in
depression treatment and suggest that neural mechanisms of nonpharmacological treatment action may be unrelated to
normalization of initially disrupted connectivity.
1. Introduction
Depression is a widespread psychiatric disorder associated
with a number of different symptoms. The diversity of symp-
toms implies existence of multiple disruptions of neural cir-
cuits in depression, and this may be the reason for diverse
findings in studies of brain networks in depression.
A body of research considers default mode network
(DMN) as a central one for depression development. Depres-
sion is mostly associated with increased functional connec-
tivity (FC) within DMN [1–9] with a few contradicting
findings [1, 10–13]. External FC of the DMN is increased to
anterior cingulate [1, 14–15], thalamus [14], and pars trian-
gularis [3] and decreased to fusiform gyrus, motor cortices
[16], cerebellum, insula [17], thalamus, putamen, and calcar-
ine sulcus [18] with mixed findings for hippocampus [1, 18–
19]. On internetwork level, depression is associated with less
coupling of DMN and anterior salience network (ASN) [2]
Hindawi
Neural Plasticity
Volume 2021, Article ID 8846097, 15 pages
https://doi.org/10.1155/2021/8846097