Alterations in Patients With First-Episode Depression in the Eyes-Oven and Eves-Closed Conditions: A Resting-State EEG Study

Altered resting-state EEG activity has been repeatedly reported in major depressive disorder (MDD), but no robust biomarkers have been identified until now. The poor consistency of EEG alterations may be due to inconsistent resting conditions; that is, the eyes-open (EO) and eyes-closed (EC) conditions. Here, we explored the effect of the EO and EC conditions on EEG biomarkers for discriminating MDD subjects and healthy control (HC) subjects. EEG data were recorded from 30 first-episode MDD and 26 HC subjects during an 8-min resting-state session. The features were extracted using spectral power, Lempel-Ziv complexity, and detrended fluctuation analysis. Significant features were further selected via the sequential backward feature selection algorithm. Support vector machine (SVM), logistic regression, and linear discriminate analysis were used to determine a better resting condition to provide more reliable estimates for identifying MDD. Compared with the HC group, we found that the MDD group exhibited widespread increased beta and gamma powers (p < 0.01) in both conditions. In the EO condition, the MDD group showed increased complexity and scaling exponents in the alpha band relative to HC subjects (p < 0.05). The best classification performance of the combined feature sets was found in the EO condition, with the leave-one-out classification accuracy of 89.29%, sensitivity of 90.00%, and specificity of 88.46% using SVM with the linear kernel classifier when the threshold was set to 0.7, followed by the beta and gamma spectral features with an average accuracy of 83.93%. Overall, EO and EC conditions indeed affected the between-group variance, and the EO condition is suggested as the more separable resting condition to identify depression. Specially, the beta and gamma powers are suggested as potential biomarkers for first-episode MDD.

Automated summary

This study investigated the effects of eyes-closed and eyes-open conditions on EEG biomarkers for discriminating between major depressive disorder (MDD) and healthy control (HC) subjects. The findings showed that MDD subjects exhibited increased beta and gamma powers in both conditions compared to HC subjects. In the eyes-open condition, MDD subjects also showed increased complexity and scaling exponents in the alpha band. The best classification performance was achieved in the eyes-open condition, with a leave-one-out classification accuracy of 89.29%.