Evidence map›Paper›PMID 42032026›Full record

ArticleCommunications medicine2026

Graph theory reveals functional connectome disruptions in adolescent major depressive disorder with childhood trauma.

Tong Zhu, Yang Huang, Xuemei Li, Mengqi Liu, Jingbo Zhang, Taocui Yan, Yuhang Yang, Wenjing Wang, Linlin Hu, Jie Wang and 6 more

Abstract read
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Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Tong Zhu *College of Artificial Intelligence Medicine, Chongqing Medical University, Chongqing, China.
Yang Huang *Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xuemei Li *Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Mengqi LiuDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jingbo ZhangCollege of Artificial Intelligence Medicine, Chongqing Medical University, Chongqing, China.
Taocui YanCollege of Artificial Intelligence Medicine, Chongqing Medical University, Chongqing, China.
Yuhang YangCollege of Artificial Intelligence Medicine, Chongqing Medical University, Chongqing, China.
Wenjing WangDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Linlin HuDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jie WangDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qian LiDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chao LiDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.ORCID http://orcid.org/0000-0002-0734-0011
Robert K McNamaraDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Melissa P DelBelloDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Xinyu ZhouDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. zhouxinyu@cqmu.edu.cn.
Du LeiCollege of Artificial Intelligence Medicine, Chongqing Medical University, Chongqing, China. alien18@163.com.ORCID http://orcid.org/0000-0002-3503-3692

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood trauma (CT) is a major risk factor for adolescent major depressive disorder (MDD), yet its neurobiological underpinnings and longitudinal treatment effects remain poorly characterized.

methodsLeveraging graph theory and resting-state fMRI, we analyzed in 343 adolescents with MDD aged 10 - 18 years, including 211 with a history of childhood trauma (MDD-CT) and 106 without childhood trauma (MDD-NCT), as well as 149 healthy controls. Machine learning models were applied to baseline functional network data to distinguish between treatment responders and non-responders.

resultsWe identified CT-associated functional connectome disruptions marked by increased network randomness and topological deficits in default mode network (DMN) hubs (left parahippocampal gyrus, posterior cingulate gyrus, temporal pole). Longitudinal neuroimaging revealed post-treatment normalization of these abnormalities, particularly in the left precuneus and amygdala, paralleling symptom improvement. Machine learning models using baseline connectomes predicted antidepressant response with 82% accuracy.

conclusionOur findings establish CT-driven connectome disturbances in adolescent MDD, map dynamic network reorganization to therapeutic recovery, and position functional connectivity as a clinically actionable biomarker. This work bridges neurobiological mechanisms of trauma-related depression with precision treatment strategies, offering a path toward biomarker-guided interventions.

Identifiers

PMID42032026
PMCPMC13320209

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