Evidence map›Paper›PMID 35421280›Full record

ArticleDepression and anxiety2022

Brain morphometry and connectivity differs between adolescent- and adult-onset major depressive disorder.

Thomas S Blank, Bernhard M Meyer, Marie-Kathrin Wieser, Ulrich Rabl, Paul Schögl, Lukas Pezawas

Open access · hybridAbstract read
In one paragraph

Article in Depression and anxiety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 6% of its field
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.

2 · The registry

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Thomas S BlankDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Wien, Austria.
Bernhard M MeyerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Wien, Austria.ORCID 0000-0002-9772-0471
Marie-Kathrin WieserDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Wien, Austria.
Ulrich RablDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Wien, Austria.
Paul SchöglDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Wien, Austria.
Lukas PezawasDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Wien, Austria.ORCID 0000-0002-1329-6352
Medical University of Vienna · ATZero to Three · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly-onset (EO) major depressive disorder (MDD) patients experience more depressive episodes and an increased risk of relapse. Thus, on a neurobiological level, adult EO patients might display brain structure and function different from adult-onset (AO) patients.

methodsA total of 103 patients (66 females) underwent magnetic resonance imaging. Structural measures of gray matter volume (GMV) and functional connectivity networks during resting state were compared between EO (≤19 years) and AO groups. Four residual major depression symptoms, mood, anxiety, insomnia, and somatic symptoms, were correlated with GMV between groups.

resultsWe found comparatively increased GMV in the EO group, namely the medial prefrontal and insular cortex, as well as the anterior hippocampus. Functional networks in EO patients showed a comparatively weaker synchronization of the left hippocampus with the adjacent amygdala, and a stronger integration with nodes in the contralateral prefrontal cortex and supramarginal gyrus. Volumetric analysis of depression symptoms associated the caudate nuclei with symptoms of insomnia, and persisting mood symptoms with the right amygdala, while finding no significant clusters for somatic and anxiety symptoms.

conclusionsThe study highlights the important role of the hippocampus and the prefrontal cortex in EO patients as part of emotion-regulation networks. Results in EO patients demonstrated subcortical volume changes irrespective of sleep and mood symptom recovery, which substantiates adolescence as a pivotal developmental phase for MDD. Longitudinal studies are needed to differentiate neural recovery trajectories while accounting for age of onset.

Indexed as

Major Depressive DisorderSleep Initiation and Maintenance DisordersAdolescentAdultBrainFemaleGray MatterHumansMagnetic Resonance ImagingMaleaffective disordersillness onsetmajor depressive disorderneuroimagingpsychiatryvoxel-based morphometry

Identifiers

PMID35421280
PMCPMC9323432
OpenAlexW4223975148

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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.