Internal reliability of blame-related functional MRI measures in major depressive disorder

Background: In major depressive disorder (MDD), self-blame-related fMRI measures have shown the potential to be used as prognostic markers for recurrence risk. Like most potential fMRI markers, however, their reliability is unclear. Here, we probed the internal reliability of self-blame-related fMRI...

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Autores principales: Diede Fennema, Owen O'Daly, Gareth J. Barker, Jorge Moll, Roland Zahn
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/98820a297b8e449db74e4c2b96eb8ac5
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spelling oai:doaj.org-article:98820a297b8e449db74e4c2b96eb8ac52021-12-02T05:01:31ZInternal reliability of blame-related functional MRI measures in major depressive disorder2213-158210.1016/j.nicl.2021.102901https://doaj.org/article/98820a297b8e449db74e4c2b96eb8ac52021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213158221003454https://doaj.org/toc/2213-1582Background: In major depressive disorder (MDD), self-blame-related fMRI measures have shown the potential to be used as prognostic markers for recurrence risk. Like most potential fMRI markers, however, their reliability is unclear. Here, we probed the internal reliability of self-blame-related fMRI measures, as well as the impact of different modelling approaches on reliability metrics and validity. Methods: Internal consistency (i.e. split-half reliability) was calculated for blood oxygen level-dependent (BOLD) responses and psychophysiological interactions (PPI) related to self-blame-related biases in medication-free remitted MDD participants (n = 81) and healthy controls (n = 41). Trial-length was modelled using three durations (0, 2 and 5 s), which was convolved with the haemodynamic response function (HRF) with and without time and dispersion derivatives. Intraclass correlation coefficients (ICCs) were calculated for simple contrasts examining activation to self-blaming emotions and other-blaming emotions and the more complex contrast of the subtraction-based difference between self- and other-blaming emotions within the following a priori ROIs: right superior anterior temporal lobe seed region, anterior subgenual cingulate cortex, posterior subgenual cortex and right striatum / pallidum. Results: Across ROIs, we obtained fair reliability (ICC ≥ 0.40) for simple, but poor reliability (ICC < 0.40) for more complex fMRI measures related to self-blame. Despite this low internal consistency of complex measures at the individual level, we observed robust activation at the group-level, reproducing previously published results. Conclusions: While simple BOLD contrasts had fair reliability, previously employed PPI models had poor reliability and simple connectivity measures lacked predictive validity. This calls for the development of functional connectivity measures that strike a better balance between reliability and validity for future clinical applications, which require robust measures at the individual rather than group-level.Diede FennemaOwen O'DalyGareth J. BarkerJorge MollRoland ZahnElsevierarticlefMRISplit-half reliabilityInternal consistencyIntraclass coefficient correlationSelf-blameDepressionComputer applications to medicine. Medical informaticsR858-859.7Neurology. Diseases of the nervous systemRC346-429ENNeuroImage: Clinical, Vol 32, Iss , Pp 102901- (2021)
institution DOAJ
collection DOAJ
language EN
topic fMRI
Split-half reliability
Internal consistency
Intraclass coefficient correlation
Self-blame
Depression
Computer applications to medicine. Medical informatics
R858-859.7
Neurology. Diseases of the nervous system
RC346-429
spellingShingle fMRI
Split-half reliability
Internal consistency
Intraclass coefficient correlation
Self-blame
Depression
Computer applications to medicine. Medical informatics
R858-859.7
Neurology. Diseases of the nervous system
RC346-429
Diede Fennema
Owen O'Daly
Gareth J. Barker
Jorge Moll
Roland Zahn
Internal reliability of blame-related functional MRI measures in major depressive disorder
description Background: In major depressive disorder (MDD), self-blame-related fMRI measures have shown the potential to be used as prognostic markers for recurrence risk. Like most potential fMRI markers, however, their reliability is unclear. Here, we probed the internal reliability of self-blame-related fMRI measures, as well as the impact of different modelling approaches on reliability metrics and validity. Methods: Internal consistency (i.e. split-half reliability) was calculated for blood oxygen level-dependent (BOLD) responses and psychophysiological interactions (PPI) related to self-blame-related biases in medication-free remitted MDD participants (n = 81) and healthy controls (n = 41). Trial-length was modelled using three durations (0, 2 and 5 s), which was convolved with the haemodynamic response function (HRF) with and without time and dispersion derivatives. Intraclass correlation coefficients (ICCs) were calculated for simple contrasts examining activation to self-blaming emotions and other-blaming emotions and the more complex contrast of the subtraction-based difference between self- and other-blaming emotions within the following a priori ROIs: right superior anterior temporal lobe seed region, anterior subgenual cingulate cortex, posterior subgenual cortex and right striatum / pallidum. Results: Across ROIs, we obtained fair reliability (ICC ≥ 0.40) for simple, but poor reliability (ICC < 0.40) for more complex fMRI measures related to self-blame. Despite this low internal consistency of complex measures at the individual level, we observed robust activation at the group-level, reproducing previously published results. Conclusions: While simple BOLD contrasts had fair reliability, previously employed PPI models had poor reliability and simple connectivity measures lacked predictive validity. This calls for the development of functional connectivity measures that strike a better balance between reliability and validity for future clinical applications, which require robust measures at the individual rather than group-level.
format article
author Diede Fennema
Owen O'Daly
Gareth J. Barker
Jorge Moll
Roland Zahn
author_facet Diede Fennema
Owen O'Daly
Gareth J. Barker
Jorge Moll
Roland Zahn
author_sort Diede Fennema
title Internal reliability of blame-related functional MRI measures in major depressive disorder
title_short Internal reliability of blame-related functional MRI measures in major depressive disorder
title_full Internal reliability of blame-related functional MRI measures in major depressive disorder
title_fullStr Internal reliability of blame-related functional MRI measures in major depressive disorder
title_full_unstemmed Internal reliability of blame-related functional MRI measures in major depressive disorder
title_sort internal reliability of blame-related functional mri measures in major depressive disorder
publisher Elsevier
publishDate 2021
url https://doaj.org/article/98820a297b8e449db74e4c2b96eb8ac5
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