000 03062cam a2200349 a 4500
003 EG-GiCUC
005 20250223031817.0
008 171002s2017 ua h f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.21.Ph.D.2017.Re.M
100 0 _aReham Ashraf Hassan Fayez Fahmy
245 1 0 _aMindfulness and changes in functional connectivity in the brains of patients with substance dependence /
_cReham Ashraf Hassan Fayez Fahmy ; Supervised Maha Wasfi Mobasher , Robert Christian Wolf , Rania Mamdouh Mohammed
246 1 5 _aالوعى الانى و التغييرات فى شبكات التواصل الوظيفى بالمخ فى مرضى الاعتمادية على المواد الادمانية
260 _aCairo :
_bReham Ashraf Hassan Fayez Fahmy ,
_c2017
300 _a211 P. :
_bfacsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neuropsychiatry
520 _aObjective: to detect changes in resting state network RSN in opiate dependent patients receiving mindfulness based therapy (MBT) during their first month of treatment. Method: Data from 32 patients assigned to MBT or treatments as usual (TAU) groups which were investigated by means of resting-state functional MRI at 1.5 Tesla before and after treatment. Independent component analysis (ICA) was used to investigate distinct subsystems of the default mode network (DMN). Brain activity changes after treatment were related to clinically relevant measures such as impulsivity, distress tolerance and mindfulness. Results: Between groups comparisons showed increased mindfulness scores in MBT compared to TAU group posttreatment, which was correlated with a pattern of decreased left superior frontal, left anterior cingulate ACC (p=0.007), right inferior parietal lobule (p=0.02) activity in MBT compared to TAU (p<0.05 cluster-corrected). Within the MBT group, distinct changes were detected over time: an activity decrease was found in right superior frontal cortex. Superior frontal cortical activity showed significant relationship with mindfulness (p=0.032), while within TAU group changes showed; decreased striatal and hippocampal activity and an increased tempro-insular activity with significant correlation to distress tolerance (p=0.044). Conclusion: MBT can be particularly useful during early abstinence from opiate dependence and induces distinct functional connectivity changes that can be detected during restful non meditative states. Distinct changes in DMN connectivity at rest can be clinically related to mindfulness
530 _aIssued also as CD
653 4 _aMBT
653 4 _aMindfulness
653 4 _aOpiate dependence
700 0 _aMaha Wasfi Mobasher ,
_eSupervisor
700 0 _aRania Mamdouh Mohammed ,
_eSupervisor
700 0 _aRobert Christian Wolf ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c62692
_d62692