title: Abnormal regional homogeneity and functional connectivity in adjustment disorder of new recruits: a resting-state fMRI study.
abstract: OBJECTIVE
  To explore the regional spontaneous neural activity and functional connectivity alterations of adjustment disorder (AD) in new recruits with in vivo resting-state functional MR (rs-fMRI).
  
  
  METHODS
  Resting-state fMRI was performed in 31 recruits with AD and in 31 control recruits. Regional homogeneity (ReHo) was used to detect the regional synchronizing features of neuronal activations. Correlative analysis was performed to investigate the relationship between the Symptom Check List-90 (SCL-90) score and ReHo in regions with significant group differences. Regions with significant correlation were then defined as regions of interest (ROIs), and seed-ROI based whole-brain functional connectivity was performed.
  
  
  RESULTS
  Compared with the controls, patients with AD had significantly lower ReHo in the left posterior cerebellar lobe, bilateral medial orbitofrontal cortex, bilateral caudate and left middle temporal gyrus, whereas regions with enhanced ReHo were confined to bilateral posterior cingulate gyrus/precuneus. Only the left posterior cerebellar lobe showed significant correlation between ReHo and the SCL-90 score, and was defined as the seed ROI. Decreased functional connectivity was found between the ROI and bilateral supplementary motor area.
  
  
  CONCLUSIONS
  This study reveals abnormalities in recruits with AD in baseline brain function activities, which could further improve our understanding of the neural substrates of cognitive impairment in AD.
authors.affiliation: Department of Medical Imaging, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Medical Imaging, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China.
authors.forename: Yuning
authors.initials: Y
authors.lastname: Lin
authors.affiliation: Department of Medical Imaging, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China.
authors.forename: Ji
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Medical Imaging, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China.
authors.forename: Xiaoyang
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Medical Imaging, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China.
authors.forename: Qingqing
authors.initials: Q
authors.lastname: Wu
authors.affiliation: Department of Psychiatry, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of Medical Imaging, Fuzhou General Hospital, Second Military Medical University, No.156, West Erhuan Road, Fuzhou, 350025, Fujian, China. czq_radiology@163.com.
authors.forename: Ziqian
authors.initials: Z
authors.lastname: Chen
mesh_terms: D000275:Adjustment Disorders / Q000000981:diagnostic imaging* / Q000503:physiopathology* / Q000523:psychology; D000293:Adolescent; D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000503:physiopathology; D016022:Case-Control Studies; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000503:physiopathology; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008889:Military Personnel / Q000523:psychology*; D009434:Neural Pathways / Q000000981:diagnostic imaging / Q000503:physiopathology; D055815:Young Adult
keywords: Adjustment disorder; Functional connectivity; New recruits; Regional homogeneity; Resting state fMRI