Evidence map›Paper›PMID 37304034›Full record

ArticleFrontiers in neuroscience2023

Aberrant structural and functional alterations in postpartum depression: a combined voxel-based morphometry and resting-state functional connectivity study.

Chunlian Chen, Bo Li, Shufen Zhang, Zhe Liu, Yu Wang, Minghe Xu, Yuqing Ji, Shuang Wang, Gang Sun, Kai Liu

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Review
  6. Article
  7. Biomarkers of reproductive psychiatric disorders.The British journal of psychiatry : the journal of mental science · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Chunlian ChenJinzhou Medical University, Jinzhou, China.
Bo LiDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Shufen ZhangDepartment of Obstetrics, Shandong Second Provincial General Hospital, Jinan, China.
Zhe LiuDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Yu WangDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Minghe XuDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Yuqing JiDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Shuang WangDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Gang SunDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
Kai LiuDepartment of Radiology, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan, Shandong, China.
People's Liberation Army 401 Hospital · CNJinzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Postpartum depression (PPD) is a severe postpartum psychiatric disorder with unclear pathogenesis. Previous neuroimaging studies have reported structural or functional alterations in areas associated with emotion regulation, cognitive disorder, and parenting behaviors of PPD. The primary goal of this investigation was to explore the presence of brain structural alterations and relevant functional changes in PPD patients. Methods: A total of 28 patients and 30 matched healthy postnatal women (HPW) underwent both three-dimensional T1-weighted magnetic resonance imaging (MRI) and resting-state functional MRI. Structural analysis was performed by voxel-based morphometry (VBM), followed by resting-state functional analysis using a seed-based whole-brain functional connectivity (FC) approach with abnormal gray matter volume (GMV) regions as seed. Results: Compared with HPW, the PPD patients showed increased GMV in the left dorsolateral prefrontal cortex (DLPFC.L), the right precentral gyrus (PrCG.R), and the orbitofrontal cortex (OFC). In the PPD group, the DLPFC.L showed increased FC with the right anterior cingulate and paracingulate gyri (ACG.R) and the right middle frontal gyrus (MFG.R); the FC between the PrCG.R and the right median cingulate and paracingulate gyri (DCG.R) exhibited enhanced; the OFC showed increased FC with MFG.R and the left inferior occipital gyrus (IOG.L). In PPD, GMV of DLPFC.L was positively correlated with EDPS scores ( Conclusion: Structural and functional damage of the DLPFC.L and OFC is associated with cognitive disorders and parenting behaviors in PPD, while structural abnormalities of the DLPFC.L and PrCG.R are involved in impaired executive function. The increased GMV of DLPFC.L may be a unique structural pathological mechanism of PPD related to the inability of PPD patients to withstand long-term parenting stress. These findings have important implications for understanding neural mechanisms in PPD.

Indexed as

functional connectivitypostpartum depressionResting-State fMRIstructural MRIvoxel-based morphometry

Identifiers

PMID37304034
PMCPMC10249609
OpenAlexW4378214067

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.