ArticlePsychoradiology2026
Altered dynamic functional connectivity of orbitofrontal cortex underlies olfactory and cognitive impairment in late-life depression.
Article in Psychoradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Late-life depression (LLD) and odor identification (OI) dysfunction are risk factors for dementia, but the underlying neural mechanisms remain unclear. This study investigated dynamic functional connectivity (dFC) in olfactory brain regions of LLD patients with and without OI dysfunction and examined how dFC moderates the OI-cognition link. Methods: Resting-state functional magnetic resonance imaging data were acquired from 51 LLD patients with OI deficits (LLD-OID), 59 LLD patients without deficits (LLD-noOID), and 51 healthy controls (HC). A sliding-window approach (50 TR width, 1 TR step) was used to estimate dFC variability between the orbitofrontal cortex (OFC) and the whole brain. Bayesian regression and moderation analyses assessed associations among OFC dFC, OI scores, and cognitive measures. Results were robust across window sizes. Results: Compared to LLD-noOID and HC, LLD-OID showed decreased OFC-left inferior frontal gyrus dFC variability ( Conclusion: LLD patients with OI dysfunction exhibited more disrupted dFC in secondary olfactory regions compared with those without OI dysfunction. Dynamic OFC-MFG disconnectivity may index vulnerability to cognitive decline and dementia risk in LLD patients.
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