Abstract
Depression is currently one of the most complicated public health problems with the rising number of patients, increasing partly due to pandemics, but also due to increased existential insecurities and complicated aetiology of disease. Besides the tsunami of mental health issues, there are limitations imposed by ambiguous clinical rules of assessment of the symptoms and obsolete and inefficient standard therapy approaches. Here we are summarizing the neuroimaging results pointing out the actual complexity of the disease and novel attempts to detect depression that are evidence-based, mostly related to electrophysiology. It is repeatedly shown that the complexity of resting-state EEG recorded in patients suffering from depression is increased compared to healthy controls. We are discussing here how that can be interpreted and what we can learn about future effective therapies. Also, there is evidence that novel options of treatment, like different modalities of electromagnetic stimulation, are successful just because they are capable of decreasing that aberrated complexity. And complexity measures extracted from electrophysiological signals of depression patients can serve as excellent features for further machine learning models in order to automatize detection. In addition, after initial detection and even selection of responders for further therapy route, it is possible to monitor the therapeutic flow for one person, which leads us to possible tailored treatment for patients suffering from depression.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wiener N. Cybernetics: or control and communication in the animal and the machine. 2nd revised ed. Paris/Cambridge, MA: Hermann & Cie/MIT Press; 1948. ISBN 978-0-262-730099.
Bluhm R, Williamson P, Lanius R, Theberge J, Densmore M, Bartha R, Neufeld R, Osuch E. Resting state default-mode network connectivity in early depression using a seed region-of-interest analysis: decreased connectivity with caudate nucleus. Psychiat Clin Neurosci. 2009;63:754–61. https://doi.org/10.1111/j.14401819.2009.02030.x.
Vederine FE, Wessa M, Leboyer M, Houenou JA. Meta-analysis of whole-brain diffusion tensor imaging studies in bipolar disorder. Prog Neuro-Psychopharmacol Biol Psychiatry. 2011;35:1820–6. https://doi.org/10.1016/j.pnpbp.2011.05.009.
Berman MG, Peltier S, Nee DE, Kross E, Deldin PJ, Jonides J. Depression, rumination and the default network. Soc Cogn Affect Neurosci. 2011;6:548–55. https://doi.org/10.1093/scan/nsq080.
Zhang J, Wang J, Wu Q, Kuang W, Huang X, He Y, Gong Q. Disrupted brain connectivity networks in drug-naive, first-episode major depressive disorder. Biol Psychiatry. 2011;70:334–42. https://doi.org/10.1016/J.BIOPSYCH.2011.05.018.
Kim D, Bolbecker AR, Howell J, Rass O, Sporns O, Hetrick WP, Breier A, O’Donnell BF. Disturbed resting state EEG synchronization in bipolar disorder: a graph-theoretic analysis. NeuroImage Clin. 2013;2:414–23. https://doi.org/10.1016/j.nicl.2013.03.007.
Chen X, Yang R, Kuang D, Zhang L, Lv R, Huang X, et al. Heart rate variability in patients with major depression disorder during a clinical autonomic test. Psychiatry Res. 2017;256:207–11.
Grimm S, Schmidt CF, Bermpohl F, Heinzel A, Dahlem Y, Wyss M, Hell D, Boesiger P, Boeker H, Northoff G. Segregated neural representation of distinc emotion dimensions in the prefrontal cortexand fMRI study. NeuroImage. 2006;30:325–40.
Ge R, Torres I, Brown JJ, Gregory E, McLellan E, Downar JH, Blumberger DM, Daskalakis ZJ, Lam RW, Vila-Rodriguez F. Functional disconnectivity of the hippocampal network and neural correlates of memory impairment in treatment-resistant depression. J Affect Disord. 2019;253:248–56. https://doi.org/10.1016/j.jad.2019.04.096.
Pezawas L, Meyer-Lindenberg A, Drabant EM, Verchinski BA, Munoz KE, Kolachana BS, Egan MF, Mattay VS, Hariri AR, Weinberger DR. 5-HTTLPR polymorphism impacts human cingulate-amygdala interactions: a genetic susceptibility mechanism for depression. Nat Neurosci. 2005;8:828–34.
Furman DJ, Hamilton JP, Gotlib IH. Frontostriatal functional connectivity in major depressive disorder. Biol Mood Anxiety Disord. 2011;1:11. https://doi.org/10.1186/2045-5380-1-11.
Horn DI, Yu C, Steiner J, et al. Glutamatergic and resting-state functional connectivity correlates of severity in major depression – the role of pregenual anterior cingulate cortex and anterior insula. Front Syst Neurosci. 2010;4:33. https://doi.org/10.3389/fnsys.2010.00033.
de Kwaasteniet B, Ruhe E, Caan M, Rive M, Olabarriaga S, Groefsema M, Heesink L, van Wingen G, Denys D. Relation between structural and functional connectivity in major depressive disorder. Biol Psychiatry. 2013;74:40–7. https://doi.org/10.1016/j.biopsych.2012.12.024.
Van Essen DC, Ugurbil K, Auerbach E, et al. The human connectome project: a data acquisition perspective. NeuroImage. 2012;62:2222–31. https://doi.org/10.1016/j.neuroimage.2012.02.018.
Castellanos FX, Di Martino A, Craddock RC, Mehta AD, Milham MP. Clinical applications of the functional connectome. NeuroImage. 2013;80:527–40.
Lee T, Wu Y, Yu YW, Chen M, Chen T. The implication of functional connectivity strength in predicting treatment responseof major depressive disorder: a resting EEG study. Psychiatry Res. 2011;194(3):372–7. https://doi.org/10.1016/j.pscychresns.2011.02.009.
Wayne C, Drevets JLP, Furey M. Brain structural and functional abnormalities in mood disorders: implications for neurocircuitry models of depression. Brain Struct Funct. 2008;213:93–118. https://doi.org/10.1007/s00429-008-0189-x.
Willner P, Scheel-Krüger J, Belzung C. The neurobiology of depression and antidepressant action. Neurosci Biobehav Rev. 2013;37:2331–71. https://doi.org/10.1016/j.neubiorev.2012.12.007.
Willner P, Hale AS, Argyropoulos SV. Dopaminergic mechanism of antidepressant action in depressed patients. J Affect Disord. 2005;86:37–45. https://doi.org/10.1016/j.jad.2004.12.010.
Hamilton JP, Chen G, Thomason ME, Schwartz ME, Gotlib IH. Investigating neural primacy in major depressive disorder: multivariate granger causality analysis of resting-state fMRI time-series data. Mol Psychiatry. 2011;16:763–72.
Lozano AM, Mayberg HS, Giacobbe P, Hamani C, Craddock RC, Kennedy H. Subcallosal cingulate gyrus deep brain stimulation for treatment-resistant depression. Biol Psychiatry. 2008;64:461–7.
Seminowicz DA, Mayberg HS, McIntosh AR, Goldapple K, Kennedy S, Segal Z, et al. Limbic-frontal circuitry in major depression: a path modeling metanalysis. NeuroImage. 2004;22:409–18.
Whelan R, Garavan H. When optimism hurts: inflated predictions in psychiatric neuroimaging. Biol Psychiatry. 2014;75:746–8. https://doi.org/10.1016/j.biopsych.2013.05.014.
Gillan CM, Whelan R. What big data can do for treatment in psychiatry. Current Opin Behav Sci. 2017;18:34–42. https://doi.org/10.1016/j.cobeha.2017.07.003.
Goldberger AL. Fractal variability versus pathologic periodicity: complexity loss and stereotypy in disease. Perspect Biol Med. 1997;40(4):543–61.
Goldberger AL, Peng CK, Lipsitz LA. What is physiologic complexity and how does it change with aging and disease? Neurobiol Aging. 2002;23:23–6.
Čukić RM, Lopez V, Pavon J. Machine learning approaches for detecting the depression from resting-state electroencephalogram (EEG): a review. J Med Internet Res. 2020a;22:e19548. https://doi.org/10.2196/19548.
Nandrino J, Pezard L, Martinerie J, el Massioui F, Renault B, Jouvent R, et al. Decrease of complexity in EEG as a symptomof depression. Neuroreport. 1994;5(4):528–30. https://doi.org/10.1097/00001756-199401120-00042.
De la Torre-Luque А, Bornas X. Complexity and irregularity in the brain oscillations of depressive patients: a systematic review. Neuropsychiatry (London). 2017;5:466–77.
Ahmadlou M, Adeli H, Adeli A. Fractality analysis of frontal brain in major depressive disorder. Int J Psychophysiol. 2012;85(2):206–11. https://doi.org/10.1016/j.ijpsycho.2012.05.001.
Bachmann M, Lass J, Suhhova A, Hinrikus H. Spectral asymmetry and Higuchi’s fractal dimension of depression electroencephalogram. Comput Math Methods Med. 2013;2013:251638. https://doi.org/10.1155/2013/251638. Published online 2013 Oct 22
Bachmann M, Päeske L, Kalev K, Aarma K, Lehtmets A, Ööpik P, et al. Methods for classifying depression in single channel EEG using linear and nonlinear signal analysis. Comput Methods Prog Biomed. 2018;155:11–7. https://doi.org/10.1016/j.cmpb.2017.11.023.
Čukić M, Pokrajac D, Stokić M, Simić S, Radivojević V, Ljubisavljević M. EEG machine learning with Higuchi’s fractal dimension and sample entropy as features for successful detection of depression. arXiv. 2018;
Lebiecka K, Zuchowicz U, Wozniak-Kwasniewska A, Szekely D, Olejarczyk E, David O. Complexity analysis of EEG data in persons with depression subjected to transcranial magnetic stimulation. Front Physiol. 2018;9:1385. https://doi.org/10.3389/fphys.2018.01385.
Hosseinifard B, Moradi MH, Rostami R. Classifying depression patients and normal subjects using machine learning techniques and nonlinear features from EEG signal. Comput Methods Prog Biomed. 2013;109(3):339–45. https://doi.org/10.1016/j.cmpb.2012.10.008.
Acharya UR, Sudarshan VK, Adeli H, Santhosh J, Koh JE, Puthankatti SD, et al. A novel depression diagnosis index using nonlinear features in EEG signals. Eur Neurol. 2015;74(1-2):79–83. https://doi.org/10.1159/000438457.
Čukić M, López V, Pavón J. Classification of depression through resting-state electroencephalogram as a novel practice in psychiatry. J Med Internet Res. 2020c;22:e19548. https://doi.org/10.2196/19548.
Llamocca P, López V, Santos M, Cuki’c M. Personalized characterization of emotional states in patients with bipolar disorder. Mathematics. 2021a;9:1174. https://doi.org/10.3390/math9111174.
Llamocca P., López V. and Čukić M.(2021b) The Proposition for future bipolar depres-Sion forecasting based on wearables data collection. Mini review, Front Physiol, Special issue Physio-logging (accepted on November 29 2021, published on January 29 2022) https://www.frontiersin.org/articles/10.3389/fphys.2021.777137/full.
Avots E, Jermakovs K, Bachmann M, Päeske L, Ozcinar C, Anbarjafari G. Ensemble approach for detection of depression using EEG features. Entropy. 2022;24:211. https://doi.org/10.3390/e24020211.
Čukić M, Stikić M, Radenković S, Ljubisavljević M, Simić S, Savić D. Nonlinear analysis of EEG complexity in episode and remission phase of recurrent depression. Int J Methods Psychiatr Res. 2019; https://doi.org/10.1002/mpr.1816.
Čukić M, Pokrajac D, Lopez D. On mistakes we made in prior computational psychiatry data driven approach projects and how they jeopardize translation of those findings in clinical practice. A chapter 37 in the book. In: Proceedings of the 2020 intelligent systems conference (IntelliSys), vol. 3; 2020d. (AISC 1252 proceedings), Springer Nature, September 2020. ISSN 2194-5357 ISSN 2194-5365 (electronic); Advances in Intelligent Systems and Computing. https://doi.org/10.1007/978-3-030-55190-2.
Spasić S, Kalauzi A, Culić M, Grbić G, Martać LJ. Estimation of parameter kmax in fractal analysis of rat brain activity. Ann N Y Acad Sci. 2005;1048:427–9. https://doi.org/10.1196/annals.1342.054.
Smits FM, Porcaro C, Cottone C, Cancelli A, Rossini PM, Tecchio F. Electroencephalographic fractal dimension in healthy ageing and Alzheimer’s disease. PLoS One. 2016;11(2):e0149587. https://doi.org/10.1371/journal.pone.0149587.
Arns M, Cerquera A, Gutiérrez RM, Hasselman F, Freund JA. Non-linear EEG analyses predict non-response to rTMS treatment in major depressive disorder. Clin Neurophysiol. 2014;125(7):1392–9.
Čukić M, Stokić M, Simić S, Pokrajac D. The successful discrimination of depression from EEG could be attributed to proper feature extraction and not to a particular classification method. Cogn Neurodyn. 2020b;14(4):443–55. https://doi.org/10.1007/s11571-020-09581-x.
Jaworska N, Wang H, Smith DM, Blier P, Knott V, Protzner AB. Pre-treatment EEG signal variability is associated with treatment success in depression. Neuroimage Clin. 2018a;17:368–77. https://doi.org/10.1016/j.nicl.2017.10.035.
Jaworska N, de la Salle S, Ibrahim M, Blier P, Knott V. Leveraging machine learning approaches for predicting antidepressant treatment response using electroencephalography (EEG) and clinical data. Front Psych. 2018b;9:768. https://doi.org/10.3389/fpsyt.2018.00768. [Medline: 30692945]
Lookene M, Neuvonen T, et al. Reduction of symptoms in patients with major depressive disorder after transcranial direct current stimulation treatment: a real-world study. J Affect Dissord Rep. 2022;8:100347.
Walter N, Hintenberger T. Determining states of consciousness in the electroencephalogram based on spectral, complexity, and criticality features. Neurosci Conscious. 2022;8(1):1–10.
Kemp AH, Kemp DS, Quintana MA, Gray KL, Felmingham KB, Gatt JM. Impact of depression and antidepressant treatment on heart rate variability: a review and meta-analysis. Biol Psychiatry. 2010;67:1067–74. https://doi.org/10.1016/j.biopsych.2009.12.012.
Kemp AH, Quintana DS, Felmingham KL, Matthews S, Jelinek HF. Depression, comorbid anxiety disorders, and heart rate variability in PhysicallyHealthy, Unmedicated patients: implications for cardiovascular risk. PLoS One. 2012;7(2):e30777. https://doi.org/10.1371/journal.pone.0030777.
Kemp AH, Quintana DS, Quinn DR, Hopkinson P, Harris AWF. Major depressive disorder with melancholia displays robust alterations in resting state heart rate and its variability: implications for future morbidity and mortality. Front Psychol. 2014; https://doi.org/10.3389/fpsyg.2014.01387. PMID: 2550589
Čukić M, Chiara R, De Tommasi F, Carassiti M, Formica D, Schena E, Massaroni C. Linear and non-linear heart rate variability indexes from heart-induced mechanical signals recorded with a skin-interfaced IMU. Sensors MDPI; 2023. (second revision Nove 2022)
Koch C, Wilhelm M, Salzmann S, Rief W, Euteneuer F. A meta-analysis of heart rate variability in major depression. Psychol Med. 2019; https://doi.org/10.1017/S0033291719001351.
Massaroni C, et al. Heart rate and heart rate variability indexes estimated by mechanical signals from a skin-interfaced IMU. In: 2022 IEEE international workshop on metrology for industry 4.0 and IoT, MetroInd 4.0 and IoT 2022 – proceedings; 2022. p. 322–7.
Rottenberg J. Cardiac vagal control in depression: a critical analysis. Biol Psychiatry. 2007;74(2):200–11. https://doi.org/10.1016/j.biopsycho.2005.08.010. Epub 2006 Oct 12
Klonowski W. From conformons to human brains: an informal overview of nonlinear dynamics and its applications in biomedicine. Nonlinear Biomed Phys. 2007;1(1):5. https://doi.org/10.1186/1753-4631-1-5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Čukić, M., Olejarzcyk, E., Bachmann, M. (2024). Fractal Analysis of Electrophysiological Signals to Detect and Monitor Depression: What We Know So Far?. In: Di Ieva, A. (eds) The Fractal Geometry of the Brain. Advances in Neurobiology, vol 36. Springer, Cham. https://doi.org/10.1007/978-3-031-47606-8_34
Download citation
DOI: https://doi.org/10.1007/978-3-031-47606-8_34
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-47605-1
Online ISBN: 978-3-031-47606-8
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)