Common and distinct functional brain network abnormalities in adolescent, early-middle adult, and late adult major depressive disorders

BACKGROUND: The age-related heterogeneity in major depressive disorder (MDD) has received significant attention. However, the neural mechanisms underlying such heterogeneity still need further investigation. This study aimed to explore the common and distinct functional brain abnormalities across different age groups of MDD patients from a large-sample, multicenter analysis.

METHODS: The analyzed sample consisted of a total of 1238 individuals including 617 MDD patients (108 adolescents, 12-17 years old; 411 early-middle adults, 18-54 years old; and 98 late adults, > = 55 years old) and 621 demographically matched healthy controls (60 adolescents, 449 early-middle adults, and 112 late adults). MDD-related abnormalities in brain functional connectivity (FC) patterns were investigated in each age group separately and using the whole pooled sample, respectively.

RESULTS: We found shared FC reductions among the sensorimotor, visual, and auditory networks across all three age groups of MDD patients. Furthermore, adolescent patients uniquely exhibited increased sensorimotor-subcortical FC; early-middle adult patients uniquely exhibited decreased visual-subcortical FC; and late adult patients uniquely exhibited wide FC reductions within the subcortical, default-mode, cingulo-opercular, and attention networks. Analysis of covariance models using the whole pooled sample further revealed: (1) significant main effects of age group on FCs within most brain networks, suggesting that they are decreased with aging; and (2) a significant age group × MDD diagnosis interaction on FC within the default-mode network, which may be reflective of an accelerated aging-related decline in default-mode FCs.

CONCLUSIONS: To summarize, these findings may deepen our understanding of the age-related biological and clinical heterogeneity in MDD.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Psychological medicine - 54(2024), 3 vom: 23. Feb., Seite 582-591

Sprache:

Englisch

Beteiligte Personen:

Long, Yicheng [VerfasserIn]
Li, Xuemei [VerfasserIn]
Cao, Hengyi [VerfasserIn]
Zhang, Manqi [VerfasserIn]
Lu, Bing [VerfasserIn]
Huang, Yang [VerfasserIn]
Liu, Mengqi [VerfasserIn]
Xu, Ming [VerfasserIn]
Liu, Zhening [VerfasserIn]
Yan, Chaogan [VerfasserIn]
Sui, Jing [VerfasserIn]
Ouyang, Xuan [VerfasserIn]
Zhou, Xinyu [VerfasserIn]

Links:

Volltext

Themen:

Aging
Brain network
Connectome
Functional connectivity
Journal Article
Major depressive disorder
Multicenter Study

Anmerkungen:

Date Completed 28.02.2024

Date Revised 28.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S0033291723002234

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360536085