Evidence map›Paper›PMID 40301743›Full record

ArticleBMC psychiatry2025

Differences in cognitive deficits and brain functional impairments between patients with first-episode and recurrent depression.

Lianzi Guan, Yifei Li, Hui Kong, Jie Fang, Jiakuai Yu, Ting Wang, Jiajia Zhu, Daomin Zhu

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 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

8 authors.

Lianzi Guan *The School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230032, China.
Yifei Li *Department of Sleep Disorders, Affiliated Psychological Hospital of Anhui Medical University, Hefei, 230022, China.
Hui KongThe School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230032, China.
Jie FangThe School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230032, China.
Jiakuai YuDepartment of Sleep Disorders, Affiliated Psychological Hospital of Anhui Medical University, Hefei, 230022, China.
Ting WangDepartment of Sleep Disorders, Affiliated Psychological Hospital of Anhui Medical University, Hefei, 230022, China.
Jiajia Zhu *Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. zhujiajiagraduate@163.com.
Daomin Zhu *The School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230032, China. daominzhu1977@126.com.

Funding

Hefei City Science and Technology Bureau of Life and Health Special Project GJ2022SM04
6 · The paper itself

Abstract

backgroundAccumulating evidence shows that cognitive deficits are common in patients with major depressive disorder (MDD). However, the specific differences in cognitive impairment and brain functional alterations between first-episode depression (FED) and recurrent major depression (RMD) remain unclear, as do the relationships among these factors.

methodsA total of 43 RMD and 41 FED patients were included in this study. All the patients underwent examinations of resting-state functional magnetic resonance imaging (fMRI), event-related potential (ERP) measurements, and a series of standardised neuropsychological tests, including event-based (EBPM) and time-based (TBPM) prospective memory tasks, the Semantic Fluency Test (SFT), and the Continuous Performance Task-Identical Pairs (CPT-IP). Two-sample t-tests were used to compare cognitive functioning, ERP parameters, and brain functional indices between FED and RMD groups. Correlation analyses were performed to explore the associations between these variables.

resultsCompared with FED patients, those with RMD displayed poorer CPT-IP performance, lower prospective memory (EBPM) scores, lower SFT performance, and prolonged P300 latency (all P < 0.05). Moreover, neuroimaging data analysis revealed increased regional neural activity in the right inferior temporal gyrus (ITG), alongside decreased interhemispheric functional connectivity in the bilateral ITG in RMD relative to FED. Correlation analyses indicated that these functional changes were significantly associated with the observed cognitive deficits.

conclusionOur data demonstrated more pronounced cognitive deficits and brain functional impairments in RMD relative to FED as well as their potential links. These findings not only elucidate the neural mechanisms underlying cognitive deficits in MDD, but also inform future treatment and prevention of cognitive dysfunction in patients suffering from MDD. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

BrainCognitive DysfunctionMajor Depressive DisorderAdultEvoked PotentialsFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsRecurrenceYoung AdultBrain functionCognitive functionDepressionEvent-related potentialsFunctional magnetic resonance imaging

Identifiers

PMID40301743
PMCPMC12042317

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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.