Evidence map›Paper›PMID 38278993›Full record

ArticleMolecular psychiatry2024

Persistence of amygdala hyperactivity to subliminal negative emotion processing in the long-term course of depression.

Melissa Klug, Verena Enneking, Tiana Borgers, Charlotte M Jacobs, Katharina Dohm, Anna Kraus, Dominik Grotegerd, Nils Opel, Jonathan Repple, Thomas Suslow and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
11.7field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Novel insights into asthma pathophysiology and pharmacological interventions: spiral of respiratory symptoms and psychiatric episodes.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  15. Article
  16. Review
  17. Review
  18. Brain structural correlates of an impending initial major depressive episode.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  19. Review
  20. Article
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

16 authors at 4 institutions in 1 country.

Melissa Klug *Institute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0002-2234-4096
Verena Enneking *Institute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0002-6547-0324
Tiana BorgersInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Charlotte M JacobsInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0009-0000-4917-5512
Katharina DohmInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Anna KrausInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Dominik GrotegerdInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0001-8718-0128
Nils OpelInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0003-4749-3298
Jonathan ReppleInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Thomas SuslowDepartment of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Susanne MeinertInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0003-2177-7161
Hannah LemkeInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID 0000-0001-7117-2908
Elisabeth J LeehrInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Jochen BauerDepartment of Clinical Radiology, University of Münster, Münster, Germany.ORCID 0000-0001-9345-2126
Udo DannlowskiInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Ronny RedlichInstitute for Translational Psychiatry, University of Münster, Münster, Germany. ronny.redlich@psych.uni-halle.de.ORCID 0000-0002-7018-4525
University of Münster · DEGoethe University Frankfurt · DEHalle Institute for Economic Research · DELeipzig University · DE

Funding

Bundesministerium für Bildung und Forschung (Federal Ministry of Education and Research) 01EE2305CDeutsche Forschungsgemeinschaft (German Research Foundation) DA1151/5-2Deutsche Forschungsgemeinschaft (German Research Foundation) FOR2107 DA1151/5-1Deutsche Forschungsgemeinschaft (German Research Foundation) RE4458/1-1
6 · The paper itself

Abstract

Biased emotion processing has been suggested to underlie the etiology and maintenance of depression. Neuroimaging studies have shown mood-congruent alterations in amygdala activity in patients with acute depression, even during early, automatic stages of emotion processing. However, due to a lack of prospective studies over periods longer than 8 weeks, it is unclear whether these neurofunctional abnormalities represent a persistent correlate of depression even in remission. In this prospective case-control study, we aimed to examine brain functional correlates of automatic emotion processing in the long-term course of depression. In a naturalistic design, n = 57 patients with acute major depressive disorder (MDD) and n = 37 healthy controls (HC) were assessed with functional magnetic resonance imaging (fMRI) at baseline and after 2 years. Patients were divided into two subgroups according to their course of illness during the study period (n = 37 relapse, n = 20 no-relapse). During fMRI, participants underwent an affective priming task that assessed emotion processing of subliminally presented sad and happy compared to neutral face stimuli. A group × time × condition (3 × 2 × 2) ANOVA was performed for the amygdala as region-of-interest (ROI). At baseline, there was a significant group × condition interaction, resulting from amygdala hyperactivity to sad primes in patients with MDD compared to HC, whereas no difference between groups emerged for happy primes. In both patient subgroups, amygdala hyperactivity to sad primes persisted after 2 years, regardless of relapse or remission at follow-up. The results suggest that amygdala hyperactivity during automatic processing of negative stimuli persists during remission and represents a trait rather than a state marker of depression. Enduring neurofunctional abnormalities may reflect a consequence of or a vulnerability to depression.

Indexed as

AmygdalaEmotionsMagnetic Resonance ImagingMajor Depressive DisorderAdultBrain MappingCase-Control StudiesDepressionFacial ExpressionFemaleHumansMaleMiddle AgedProspective StudiesSubliminal Stimulation

Identifiers

PMID38278993
PMCPMC11189807
OpenAlexW4391260605

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.