Evaluation of a Clustering Approach to Define Distinct Subgroups of Patients With Migraine to Select Electroacupuncture Treatments
文献类型:期刊论文
作者 | Liu, Jixin1; Quan, Shilan1; Zhao, Ling2; Yuan, Kai1; Wang, Yanan2; Zhang, Yutong; Wang, Ziwen2; Sun, Mingsheng2; Hu, Li3,4 |
刊名 | NEUROLOGY |
出版日期 | 2023-08-15 |
卷号 | 101期号:7页码:E699-E709 |
通讯作者邮箱 | huli@psych.ac.cn (l. hu) |
ISSN号 | 0028-3878 |
DOI | 10.1212/WNL.0000000000207484 |
产权排序 | 3 |
文献子类 | 实证研究 |
英文摘要 | Background and ObjectivesThe objective of this study was to propose a clustering approach to identify migraine subgroups and test the clinical usefulness of the approach by providing prognostic information for electroacupuncture treatment selection.MethodsParticipants with migraine without aura (MWoA) were asked to complete a daily headache diary, self-rating depression and anxiety, and quality-of-life questionnaires. Whole-brain functional connectivities (FCs) were assessed on resting-state functional MRI (fMRI). By integrating clinical measurements and fMRI data, partial least squares correlation and hierarchical clustering analysis were used to cluster participants with MWoA. Multivariate pattern analysis was applied to validate the proposed subgrouping strategy. Some participants had an 8-week electroacupuncture treatment, and the response rate was compared between different MWoA subgroups.ResultsIn study 1, a total of 97 participants (age of 28.2 & PLUSMN; 1.0 years, 70 female participants) with MWoA and 77 healthy controls (HCs) (age of 26.8 & PLUSMN; 0.1 years, 61 female participants) were enrolled (dataset 1), and 2 MWoA subgroups were defined. The participants in subgroup 1 had a significantly lower headache frequency (times/month of 4.4 & PLUSMN; 1.1) and significantly higher self-ratings of depression (depression score of 49.5 & PLUSMN; 2.3) when compared with participants in subgroup 2 (times/month of 7.0 & PLUSMN; 0.6 and depression score of 43.4 & PLUSMN; 1.2). The between-group differences of FCs were predominantly related to the amygdala, thalamus, hippocampus, and parahippocampal area. In study 2, 33 participants with MWoA (age of 30.9 & PLUSMN; 2.0 years, 28 female participants) and 23 HCs (age of 29.8 & PLUSMN; 1.1 years, 13 female participants) were enrolled as an independent dataset (dataset 2). The classification analysis validated the effectiveness of the 2-cluster solution of participants with MWoA in datasets 1 and 2. In study 3, 58 participants with MWoA were willing to receive electroacupuncture treatment and were assigned to different subgroups. Participants in different subgroups exhibited different response rates (p = 0.03, OR CI 0.086-0.93) to electroacupuncture treatment (18% and 44% for subgroups 1 and 2, respectively).DiscussionOur study proposed a novel clustering approach to define distinct MWoA subgroups, which could be useful for refining the diagnosis of participants with MWoA and guiding individualized strategies for pain prophylaxis and analgesia. |
收录类别 | SCI |
WOS关键词 | CHRONIC PAIN ; ACUPUNCTURE ; BIOMARKERS |
资助项目 | National Key Research and Development Project[2019YFC1709701] ; National Natural Science Foundation of China[81973962] ; National Natural Science Foundation of China[81871330] ; National Natural Science Foundation of China[32071061] ; National Natural Science Foundation of China[31822025] ; First-Class Disciplines Development - Chengdu University of Traditional Chinese Medicine[CZYJC1901] ; Fundamental Research Funds for the Central Universities[JB211203] ; Innovation Team and Talents Cultivation Program of the National Administration of Traditional Chinese Medicine[ZYYCXTD-D-202003] |
WOS研究方向 | Neurosciences & Neurology |
语种 | 英语 |
出版者 | LIPPINCOTT WILLIAMS & WILKINS |
WOS记录号 | WOS:001047146600013 |
资助机构 | National Key Research and Development Project ; National Natural Science Foundation of China ; First-Class Disciplines Development - Chengdu University of Traditional Chinese Medicine ; Fundamental Research Funds for the Central Universities ; Innovation Team and Talents Cultivation Program of the National Administration of Traditional Chinese Medicine |
源URL | [http://ir.psych.ac.cn/handle/311026/45867] |
专题 | 心理研究所_中国科学院心理健康重点实验室 |
通讯作者 | Hu, Li |
作者单位 | 1.Xidian Univ, Sch Life Sci & Technol, Xian Key Lab Intelligent Sensing & Regulat transsc, Xian, Shaanxi, Peoples R China 2.Chengdu Univ Tradit Chinese Med, Acupuncture & Tuina Sch, Chengdu, Peoples R China 3.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China 4.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China |
推荐引用方式 GB/T 7714 | Liu, Jixin,Quan, Shilan,Zhao, Ling,et al. Evaluation of a Clustering Approach to Define Distinct Subgroups of Patients With Migraine to Select Electroacupuncture Treatments[J]. NEUROLOGY,2023,101(7):E699-E709. |
APA | Liu, Jixin.,Quan, Shilan.,Zhao, Ling.,Yuan, Kai.,Wang, Yanan.,...&Hu, Li.(2023).Evaluation of a Clustering Approach to Define Distinct Subgroups of Patients With Migraine to Select Electroacupuncture Treatments.NEUROLOGY,101(7),E699-E709. |
MLA | Liu, Jixin,et al."Evaluation of a Clustering Approach to Define Distinct Subgroups of Patients With Migraine to Select Electroacupuncture Treatments".NEUROLOGY 101.7(2023):E699-E709. |
入库方式: OAI收割
来源:心理研究所
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