Evidence map›Paper›PMID 40211094›Full record

ArticlePsychological medicine2025

Gray matter structural alterations in first-episode drug-naïve adolescents with major depressive disorder: a comprehensive morphological analysis study.

Baoshuai Zhang, Baolin Wu, Xun Zhang, Hongsheng Xie, Yanxin Ling, Ziru Zhao, Ruoqiu Gan, Lihua Qiu, Andrea Mechelli, Zhiyun Jia and 1 more

Abstract read
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

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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

5 citing papers in PubMed.

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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

11 authors.

Baoshuai ZhangDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China.
Baolin WuDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China.
Xun ZhangDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China.
Hongsheng XieResearch Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China.
Yanxin LingMedical Imaging Center, The Second People's Hospital of Yibin, Yibin, China.
Ziru ZhaoResearch Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China.
Ruoqiu GanResearch Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China.
Lihua QiuMedical Imaging Center, The Second People's Hospital of Yibin, Yibin, China.
Andrea MechelliDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Zhiyun JiaDepartment of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0003-1886-5654
Qiyong GongDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-5912-4871

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) tends to emerge during adolescence; however, neurobiological research in adolescents has lagged behind that in adults. This study aimed to characterize gray matter (GM) structural alterations in adolescents with MDD using comprehensive morphological analyses.

methodsThis study included 93 adolescent MDD patients and 77 healthy controls. Voxel-based morphometry (VBM), deformation-based morphometry (DBM), and surface-based morphometry (SBM) methods were used to analyze GM morphological alterations in adolescent MDD patients. Sex-by-group and age-by-group interactions, as well as the relationships between altered GM structure and clinical characteristics were also analyzed.

resultsWhole-brain VBM and DBM analyses revealed GM atrophy in the left thalamus and bilateral midbrain in adolescent MDD patients. Whole-brain SBM analysis revealed that adolescent MDD patients, relative to controls, showed decreased thickness in the left postcentral gyrus and left precentral gyrus; increased thickness in the bilateral superior temporal gyrus, left parahippocampal gyrus and right lateral orbitofrontal gyrus; and decreased fractal dimension in the right lateral occipital gyrus. A significant sex-by-group interaction effect was found in the fractal dimension of the left lateral occipital gyrus. The volume of the left thalamus and the thickness of the left superior temporal gyrus were correlated with the duration of disease in adolescent MDD patients.

conclusionsThis study suggested that adolescent MDD had GM morphological abnormalities in the frontal-limbic, subcortical, perceptual network and midbrain regions, with some morphological abnormalities associated with disease duration and sex differences. These findings provide new insight into the neuroanatomical substrates underlying adolescent MDD.

Indexed as

Gray MatterMajor Depressive DisorderAdolescentAtrophyCase-Control StudiesFemaleHumansMagnetic Resonance ImagingMaleThalamusadolescent major depressive disorderdeformation-based morphometrypsychoradiologysurface-based morphometryvoxel-based morphometry

Identifiers

PMID40211094
PMCPMC12094634

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