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Antea D’Andrea

3 papers in the library · 101 citations · publishing 2023-2024

Papers

Predicting outcome with Intranasal Esketamine treatment: A machine-learning, three-month study in Treatment-Resistant Depression (ESK-LEARNING)

Psychiatry Research July 29, 2023 Mauro Pettorruso, Roberto Guidotti, Giacomo D’andrea et al. 56 citations

Machine learning models predicted which patients with treatment-resistant depression would respond to esketamine nasal spray. In a retrospective study of 149 patients, three random forest classifiers achieved 68.53% accuracy for response at one month and 66.26% at three months, and 68.60% accuracy for remission at three months. Features such as severe anhedonia, anxious distress, mixed symptoms, and bipolarity positively predicted response and remission, while benzodiazepine use and depression severity were linked to delayed responses. The findings suggest machine learning may aid personalized treatment decisions for treatment-resistant depression.

Long-Term and Meditation-Specific Modulations of Brain Connectivity Revealed Through Multivariate Pattern Analysis

Brain Topography March 28, 2023 Roberto Guidotti, Antea D’Andrea, Alessio Basti et al. 32 citations

Machine learning applied to fMRI functional connectivity data can distinguish focused attention from open monitoring meditation styles, but only in expert Theravada Buddhist monks, not in novice meditators. The Anterior Salience and Default Mode networks were key for classification, consistent with their roles in emotion and self-regulation during meditation. Specific couplings between areas regulating attention, self-awareness, and somatosensory processing were also important, along with left inter-hemispheric connections. The findings support that extensive meditation practice differentially modulates large-scale brain networks according to meditation style.

Mindfulness meditation styles differently modulate source-level MEG microstate dynamics and complexity

Frontiers in Neuroscience February 2, 2024 Antea D’Andrea, Pierpaolo Croce, Jordan O’Byrne et al. 13 citations

Theravada Buddhist monks with extensive meditation experience underwent magnetoencephalography during focused attention meditation, open monitoring meditation, and resting states. Brain microstate coverage and occurrence differed between meditation and rest and between the two meditation styles. The Hurst exponent, a measure of long-range memory in brain dynamics, was lower during both meditation conditions than during rest. Lempel-Ziv complexity, which quantifies signal complexity, increased progressively from rest to focused attention meditation to open monitoring meditation. These changes in brain criticality indices suggest that meditation shifts brain dynamics toward a more critical state, paralleling changes in cognitive state.