|
1
|
Xu Y, Cheng X, Li Y, Shen H, Wan Y, Ping L, Yu H, Cheng Y, Xu X, Cui J, Zhou C. Shared and Distinct White Matter Alterations in Major Depression and Bipolar Disorder: A Systematic Review and Meta-Analysis. J Integr Neurosci 2024; 23:170. [PMID: 39344242 DOI: 10.31083/j.jin2309170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 07/22/2024] [Accepted: 07/31/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND Identifying white matter (WM) microstructural similarities and differences between major depressive disorder (MDD) and bipolar disorder (BD) is an important way to understand the potential neuropathological mechanism in emotional disorders. Numerous diffusion tensor imaging (DTI) studies over recent decades have confirmed the presence of WM anomalies in these two affective disorders, but the results were inconsistent. This study aimed to determine the statistical consistency of DTI findings for BD and MDD by using the coordinate-based meta-analysis (CBMA) approach. METHODS We performed a systematic search of tract-based spatial statistics (TBSS) studies comparing MDD or BD with healthy controls (HC) as of June 30, 2024. The seed-based d-mapping (SDM) was applied to investigate fractional anisotropy (FA) changes. Meta-regression was then used to analyze the potential correlations between demographics and neuroimaging alterations. RESULTS Regional FA reductions in the body of the corpus callosum (CC) were identified in both of these two diseases. Besides, MDD patients also exhibited decreased FA in the genu and splenium of the CC, as well as the left anterior thalamic projections (ATP), while BD patients showed FA reduction in the left median network, and cingulum in addition to the CC. CONCLUSIONS The results highlighted that altered integrity in the body of CC served as the shared basis of MDD and BD, and distinct microstructural WM abnormalities also existed, which might induce the various clinical manifestations of these two affective disorders. The study was registered on PROSPERO (http://www.crd.york.ac.uk/PROSPERO), registration number: CRD42022301929.
Collapse
Affiliation(s)
- Yinghong Xu
- Department of Psychiatry, Shandong Daizhuang Hospital, 272075 Jining, Shandong, China
- School of Mental Health, Jining Medical University, 272002 Jining, Shandong, China
| | - Xiaodong Cheng
- Department of Psychiatry, Shandong Daizhuang Hospital, 272075 Jining, Shandong, China
| | - Ying Li
- School of Mental Health, Jining Medical University, 272002 Jining, Shandong, China
| | - Hailong Shen
- School of Mental Health, Jining Medical University, 272002 Jining, Shandong, China
| | - Yu Wan
- School of Mental Health, Jining Medical University, 272002 Jining, Shandong, China
| | - Liangliang Ping
- Department of Psychiatry, Xiamen Xianyue Hospital, 361012 Xiamen, Fujian, China
| | - Hao Yu
- School of Mental Health, Jining Medical University, 272002 Jining, Shandong, China
| | - Yuqi Cheng
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, 650032 Kunming, Yunnan, China
| | - Xiufeng Xu
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, 650032 Kunming, Yunnan, China
| | - Jian Cui
- Department of Psychiatry, Shandong Daizhuang Hospital, 272075 Jining, Shandong, China
| | - Cong Zhou
- School of Mental Health, Jining Medical University, 272002 Jining, Shandong, China
- Department of Psychology, Affiliated Hospital of Jining Medical University, 272067 Jining, Shandong, China
| |
Collapse
|
|
2
|
Yao J, Wang S, Li Y, Xu J, Ye R, Shen Y, Chen W, Dai N. How to treat major depressive disorder with shorter-duration hypomanic episodes? A case report. Front Psychiatry 2024; 15:1411882. [PMID: 39077629 PMCID: PMC11284331 DOI: 10.3389/fpsyt.2024.1411882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Accepted: 06/25/2024] [Indexed: 07/31/2024] Open
Abstract
Here we report on a case of a 61-year-old female patient with 7-year history of major depressive disorder with shorter-duration hypomanic episodes who was prescribed with antidepressants which turned out to be ineffective. After a COVID-19 infection, the patient's clinical presentation became sufficient for the diagnosis of bipolar disorder and she was consistently effective on a mood stabilizer and an atypical antipsychotic. The course of treatment in this case suggests bipolar disorder is not a binary disorder, but a continuous spectrum disorder. For patients suffering from major depressive disorder with shorter-duration hypomanic episodes, mood stabilizers and atypical antipsychotics are possibly more suitable than antidepressants.
Collapse
Affiliation(s)
- Jiashu Yao
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Shenpang Wang
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
- Department of Psychiatry, Shaoxing 7th People’s Hospital, Shaoxing, Zhejiang, China
| | - Yifei Li
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Jiating Xu
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
- The Second Department of General Psychiatry, The Third Hospital of Quzhou City, Quzhou, Zhejiang, China
| | - Ruihuan Ye
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Yuedi Shen
- The Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Wei Chen
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Ning Dai
- Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| |
Collapse
|
|
3
|
Lima Santos JP, Bertocci M, Bebko G, Goldstein T, Kim T, Iyengar S, Bonar L, Gill M, Merranko J, Yendiki A, Birmaher B, Phillips ML, Versace A. White Matter Correlates of Early-Onset Bipolar Illness and Predictors of One-Year Recurrence of Depression in Adults with Bipolar Disorder. J Clin Med 2022; 11:3432. [PMID: 35743502 PMCID: PMC9225103 DOI: 10.3390/jcm11123432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 06/12/2022] [Accepted: 06/13/2022] [Indexed: 11/16/2022] Open
Abstract
Diffusion Magnetic Resonance Imaging (dMRI) studies have reported abnormalities in emotion regulation circuits in BD; however, no study has examined the contribution of previous illness on these mechanisms. Using global probabilistic tractography, we aimed to identify neural correlates of previous BD illness and the extent to which these can help predict one-year recurrence of depressive episodes. dMRI data were collected in 70 adults with early-onset BD who were clinically followed for up to 18 years and 39 healthy controls. Higher number of depressive episodes during childhood/adolescence and higher percentage of time with syndromic depression during longitudinal follow-up was associated with lower fractional anisotropy (FA) in focal regions of the forceps minor (left, F = 4.4, p = 0.003; right, F = 3.1, p = 0.021) and anterior cingulum bundle (left, F = 4.7, p = 0.002; right, F = 7.0, p < 0.001). Lower FA in these regions was also associated with higher depressive and anxiety symptoms at scan. Remarkably, those having higher FA in the right cluster of the forceps minor (AOR = 0.43, p = 0.017) and in a cluster of the posterior cingulum bundle (right, AOR = 0.50, p = 0.032) were protected against the recurrence of depressive episodes. Previous depressive symptomatology may cause neurodegenerative effects in the forceps minor that are associated with worsening of BD symptomatology in subsequent years. Abnormalities in the posterior cingulum may also play a role.
Collapse
Affiliation(s)
- João Paulo Lima Santos
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Michele Bertocci
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Genna Bebko
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Tina Goldstein
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Tae Kim
- Magnetic Resonance Research Center, Department of Radiology, University of Pittsburgh, Pittsburgh, PA 15260, USA;
| | - Satish Iyengar
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Lisa Bonar
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - MaryKay Gill
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - John Merranko
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Anastasia Yendiki
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA;
| | - Boris Birmaher
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Mary L. Phillips
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
| | - Amelia Versace
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA; (M.B.); (G.B.); (T.G.); (S.I.); (L.B.); (M.G.); (J.M.); (B.B.); (M.L.P.); (A.V.)
- Magnetic Resonance Research Center, Department of Radiology, University of Pittsburgh, Pittsburgh, PA 15260, USA;
| |
Collapse
|