Evidence map›Paper›PMID 34249628›Full record

ArticleQuantitative imaging in medicine and surgery2021

Relationship between illness duration, corpus callosum changes, and sustained attention dysfunction in major depressive disorder.

Wenming Zhao, Daomin Zhu, Yu Zhang, Cun Zhang, Biao Zhang, Ying Yang, Jiajia Zhu, Yongqiang Yu

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Article in Quantitative imaging in medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
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17citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Nanoparticulate MgHJournal of neuroinflammation · 2023
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Wenming ZhaoDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Daomin ZhuDepartment of Sleep Disorders, Affiliated Psychological Hospital of Anhui Medical University, Hefei, China.
Yu ZhangDepartment of Sleep Disorders, Affiliated Psychological Hospital of Anhui Medical University, Hefei, China.
Cun ZhangDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Biao ZhangDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Ying YangDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Jiajia ZhuDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Yongqiang YuDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIllness duration is the main index of cumulative illness severity during depression progression. Corpus callosum (CC) damage is among the most replicated neurobiological findings in major depressive disorder (MDD). We aimed to investigate the nature and extent of the association between illness duration and CC changes.

methodsNinety-six MDD patients and 50 controls underwent diffusion and resting-state functional magnetic resonance imaging (fMRI). White matter micro-structure and inter-hemispheric functional connectivity were quantified by fractional anisotropy (FA) and voxel-mirrored homotopic connectivity (VMHC). The CC was reconstructed by tractography and divided into five sub-regions. The associations of illness duration with FA of each CC sub-region and voxel-wise VMHC were examined using correlation analyses. Also, we investigated the potential relationship between illness duration, CC changes, and clinical variables using mediation analyses.

resultsIn MDD patients, longer illness duration was selectively associated with lower FA of CC sub-regions 2 [partial correlation coefficient (pr) =-0.269, P=0.009] and 5 (pr=-0.296, P=0.004) as well as higher VMHC in the supplementary motor areas (pr=0.378, P<0.001), precuneus (pr=0.384, P<0.001), and lingual gyrus (pr=0.373, P<0.001) connected by the affected CC sub-regions. Further subgroup analyses demonstrated pronounced FA decrease and VMHC increase in patients with illness duration over 20 years relative to healthy controls (HC) and other patient subgroups with shorter illness durations. Moreover, lower FA of CC sub-regions 2 and 5 mediated the association between longer illness duration and more severe sustained attention dysfunction.

conclusionsThese findings provide evidence for compromised structure yet compensatory function of the CC with increasing depression illness duration, which may inform effective antidepressant treatment strategies at different disease stages.

Indexed as

corpus callosum (CC)illness durationinter-hemispheric functional connectivitymagnetic resonance imaging (MRI)Major depressive disorder (MDD)white matter micro-structure

Identifiers

PMID34249628
PMCPMC8250000

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.