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Lithium excessively enhances event related beta oscillations in patients with bipolar disorder.

Abstract：

BACKGROUND:Previous resting-state electroencephalography studies have consistently shown that lithium enhances delta and theta oscillations in default mode networks. Cognitive task based networks differ from resting-state networks and this is the first study to investigate effects of lithium on evoked and event-related beta oscillatory responses of patients with bipolar disorder. METHODS:The study included 16 euthymic patients with bipolar disorder on lithium monotherapy, 22 euthymic medication-free patients with bipolar disorder and 21 healthy participants. The maximum peak-to-peak amplitudes were measured for each subject's averaged beta responses (14-28 Hz) in the 0-300 ms time window. Auditory simple and oddball paradigm were presented to obtain evoked and event-related beta oscillatory responses. RESULTS:There were significant differences in beta oscillatory responses between groups (p=0.010). Repeated measures ANOVA revealed location (p=0.007), laterality X group (p=0.043) and stimulus X location (p=0.013) type effects. Serum lithium levels were correlated with beta responses. LIMITATIONS:The lithium group had higher number of previous episodes, suggesting that patients of the lithium were more severe cases than patients of the medication-free group. DISCUSSION:Lithium stimulates neuroplastic cascades and beta oscillations become prominent during neuroplastic changes. Excessively enhanced beta oscillatory responses in the lithium-treated patients may be indicative of excessive activation of the neuron groups of the certain cognitive networks and dysfunctional GABAergic modulation during cognitive activity.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Atagün Mİ,Güntekin B,Tan D,Tülay EE,Başar E

doi

10.1016/j.jad.2014.08.024

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

59-65

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(14)00513-8

journal_volume

170

pub_type

杂志文章

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