Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology

ContextDepressive disorders are one of the greatest public health challenges, affecting more than 300 million people worldwide. Traditional diagnostic methods are based on subjective clinical assessments, which limits their accuracy and reproducibility. Therefore, there is an urgent need to implemen...

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Main Authors: Marta Kopańska, Danuta Ochojska, Izabela Sarzyńska, Oliwia Bartkowska, Jacek Szczygielski
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Human Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2025.1624434/full
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author Marta Kopańska
Marta Kopańska
Danuta Ochojska
Izabela Sarzyńska
Oliwia Bartkowska
Jacek Szczygielski
Jacek Szczygielski
Jacek Szczygielski
author_facet Marta Kopańska
Marta Kopańska
Danuta Ochojska
Izabela Sarzyńska
Oliwia Bartkowska
Jacek Szczygielski
Jacek Szczygielski
Jacek Szczygielski
author_sort Marta Kopańska
collection DOAJ
description ContextDepressive disorders are one of the greatest public health challenges, affecting more than 300 million people worldwide. Traditional diagnostic methods are based on subjective clinical assessments, which limits their accuracy and reproducibility. Therefore, there is an urgent need to implement objective, easily accessible diagnostic tools. One such tool is quantitative electroencephalography (QEEG), which allows for the analysis of the bioelectrical activity of the brain in a non-invasive and precise manner.MethodsIn this narrative review, the latest research on the use of QEEG and traditional EEG in the assessment of patients with major depressive disorder (MDD) was analyzed. The literature search was carried out in the PubMed and SpringerLink databases, focusing on articles investigating the correlations between spectral EEG properties (alpha, beta, theta, delta, gamma waves) and symptoms of depression.ResultsThe literature review indicates the presence of characteristic patterns of brain activity in patients with MDD, such as alpha wave asymmetry in the frontal areas, increased beta band activity, and changes in the theta and delta waves. This indicates the potential use of these parameters as biomarkers for early detection and monitoring of therapy effectiveness.ConclusionsQEEG and classical EEG may play an important role in the diagnosis and treatment of depression, supporting the development of personalized therapeutic strategies. Despite promising results, further research on the standardization of methods and validation of neurophysiological indicators is needed to enable their wider application in psychiatric clinical practice.
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spelling doaj-art-d7c97f5a116a4df3994aac85b7d2aba92025-08-20T03:37:57ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612025-08-011910.3389/fnhum.2025.16244341624434Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiologyMarta Kopańska0Marta Kopańska1Danuta Ochojska2Izabela Sarzyńska3Oliwia Bartkowska4Jacek Szczygielski5Jacek Szczygielski6Jacek Szczygielski7Faculty of Medicine, Department of Medical Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, PolandLaboratory of Neurophysiology, Clinimetrics and Microsurgical Training, Centre for Innovative Research in Medical and Natural Sciences, Collegium Medicum, University of Rzeszów, Rzeszów, PolandFaculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, PolandStudent Research Club “Reh-Tech”, Collegium Medicum, University of Rzeszów, Rzeszów, PolandStudent Research Club “Reh-Tech”, Collegium Medicum, University of Rzeszów, Rzeszów, PolandLaboratory of Neurophysiology, Clinimetrics and Microsurgical Training, Centre for Innovative Research in Medical and Natural Sciences, Collegium Medicum, University of Rzeszów, Rzeszów, PolandFaculty of Medicine, Department of Neurosurgery, Collegium Medicum, University of Rzeszów, Rzeszów, PolandFaculty of Medicine and Saarland University Medical Centre, Department of Neurosurgery, Saarland University, Homburg, GermanyContextDepressive disorders are one of the greatest public health challenges, affecting more than 300 million people worldwide. Traditional diagnostic methods are based on subjective clinical assessments, which limits their accuracy and reproducibility. Therefore, there is an urgent need to implement objective, easily accessible diagnostic tools. One such tool is quantitative electroencephalography (QEEG), which allows for the analysis of the bioelectrical activity of the brain in a non-invasive and precise manner.MethodsIn this narrative review, the latest research on the use of QEEG and traditional EEG in the assessment of patients with major depressive disorder (MDD) was analyzed. The literature search was carried out in the PubMed and SpringerLink databases, focusing on articles investigating the correlations between spectral EEG properties (alpha, beta, theta, delta, gamma waves) and symptoms of depression.ResultsThe literature review indicates the presence of characteristic patterns of brain activity in patients with MDD, such as alpha wave asymmetry in the frontal areas, increased beta band activity, and changes in the theta and delta waves. This indicates the potential use of these parameters as biomarkers for early detection and monitoring of therapy effectiveness.ConclusionsQEEG and classical EEG may play an important role in the diagnosis and treatment of depression, supporting the development of personalized therapeutic strategies. Despite promising results, further research on the standardization of methods and validation of neurophysiological indicators is needed to enable their wider application in psychiatric clinical practice.https://www.frontiersin.org/articles/10.3389/fnhum.2025.1624434/fulldepressive disordersEEGQEEGneurophysiological biomarkersfrontal alpha asymmetrybrain wave activity
spellingShingle Marta Kopańska
Marta Kopańska
Danuta Ochojska
Izabela Sarzyńska
Oliwia Bartkowska
Jacek Szczygielski
Jacek Szczygielski
Jacek Szczygielski
Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology
Frontiers in Human Neuroscience
depressive disorders
EEG
QEEG
neurophysiological biomarkers
frontal alpha asymmetry
brain wave activity
title Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology
title_full Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology
title_fullStr Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology
title_full_unstemmed Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology
title_short Quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression. A modern approach to clinical neurophysiology
title_sort quantitative and qualitative electroencephalography in the diagnosis and monitoring of depression a modern approach to clinical neurophysiology
topic depressive disorders
EEG
QEEG
neurophysiological biomarkers
frontal alpha asymmetry
brain wave activity
url https://www.frontiersin.org/articles/10.3389/fnhum.2025.1624434/full
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