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第45卷第6期               行浩然,赵海强,鲍天昊. 事件相关电位在抑郁障碍诊疗中的潜力与前景[J].
                  2025年6月                    南京医科大学学报(自然科学版),2025,45(6):756-765,809                     ·759 ·


                                            表1 P300波幅和潜伏期在抑郁障碍患者中的变化
                               Table 1 Changes of P300 amplitude and latency in patients with depressive disorders

                Study         Participants(n)  Parameters    Antidepressant use            Major findings
                Van Dinteren  MDD:1008;     P300,N100  Patients were randomized in a Patients with MDD exhibited significantly
                        [16]
                et al.,2015   HC:336                   1∶1∶1 ratio to receive treatment lower P300 amplitudes compared to HC.
                                                       with escitalopram,sertraline,or There were no significant differences in
                                                       venlafaxine               P300 changes among patients treated with
                                                                                 the three different antidepressants,and
                                                                                 P300 was not an effective predictor of treat⁃
                                                                                 ment response
                Chen et al.,  First⁃episode  P3a,      Antidepressants acting on the In patients with recurrent MDD,the P3a
                   [13]
                2015          MDD:45;Recur⁃ MMN        serotonin system          amplitude was significantly reduced and
                              rent MDD:40;                                       the latency was significantly prolonged
                              HC:46                                              compared to HC. Additionally,the MMN
                                                                                 amplitude was significantly reduced in pa⁃
                                                                                 tients with MDD compared to HC
                Zhou et al.,  MDD:30;HC:30 P300        Five patients were medication ⁃ Patients with MDD exhibited significantly
                2018 [5]                               free,while twenty ⁃ five patients reduced P300 amplitudes and prolonged
                                                       were  receiving  antidepressant P300 latencies compared to HC
                                                       treatment
                Shim et al.,  MDD:67;HC:39 P300        Antidepressant treatment  Patients with MDD exhibited significantly
                2019 [22]                                                        reduced P300 amplitudes compared to HC
                Li et al.,    MDD:60;HC:40 P300,MMN, Patients with first ⁃ episode MDD Patients with MDD exhibited significantly
                   [12]
                2020                        P50        who were drug⁃naïve       reduced P300 and MMN amplitudes and
                                                                                 prolonged P300 and MMN latencies com⁃
                                                                                 pared to HC. Furthermore,the S1 P50 am⁃
                                                                                 plitude was significantly lower in patients
                                                                                 with MDD than in HC,while the S2 P50
                                                                                 amplitude was significantly higher
                Santopetro    MDD:58        P300       Some patients were medicated, A reduction in P300 amplitude at the first
                        [15]
                et al.,2020                            while others were drug⁃naïve  visit in patients with MDD was associated
                                                                                 with an increase in overall depressive
                                                                                 symptoms at follow⁃up
                Jang et al.,  MDD:33;HC:30 P300,N100   Twenty⁃seven patients were drug⁃ Patients with MDD exhibited significantly
                2021 [17]                              naïve,while six patients received reduced P300 and N100 amplitudes com⁃
                                                       antidepressant treatment  pared to HC
                White et al.,  MDD:60;HC:40 P300,N200  Some patients were medicated, Patients with MDD exhibited significantly
                   [19]
                2021                                   while others were drug⁃naïve  reduced P300 amplitudes compared to HC
                Wen et al.,   MDD with Self⁃injury: P3a,P3b,  Patients with first ⁃ episode MDD Patients with MDD exhibited significantly
                2021 [23]     18;MDD without Self⁃ N100,N200, who were drug⁃naïve  prolonged latencies of P3a,P3b,N100,
                              injury:21;HC:24  P50                               N200,and P50 compared to HC
                Santopetro et al., MDD:80;HC:43 P300   Forty ⁃ four patients were drug ⁃ Patients with MDD exhibited significantly
                2021 [21]                              naïve,while thirty ⁃ six patients reduced P300 amplitudes compared to HC
                                                       received antidepressant treatment
                Fang et al.,  MDD:18;HC:20 P300,N200, Some patients were medicated, Patients with MDD in remission exhibited
                2022 [20]                   N450       while others were drug⁃naïve  significantly increased P300 amplitudes
                                                                                 compared to HC
                Jang et al.,  MDD:31;HC:31 P300        Patients with first ⁃ episode MDD Patients with MDD exhibited significantly
                   [14]
                2023                                   who were drug⁃naïve       increased P300 amplitudes compared to HC
                   MMN:mismatch negativity;MDD:major depressive disorder;HC:healthy controls.
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