Cognitive impairment and depression: Meta-analysis of structural magnetic resonance imaging studies.
Major depressive disorder
Meta-analysis
Mild cognitive impairment
Shared volumetric reductions
structural magnetic resonance imaging (MRI)
voxel-based morphometry (VBM)
Journal
NeuroImage. Clinical
ISSN: 2213-1582
Titre abrégé: Neuroimage Clin
Pays: Netherlands
ID NLM: 101597070
Informations de publication
Date de publication:
2021
2021
Historique:
received:
18
04
2021
revised:
05
09
2021
accepted:
12
09
2021
pubmed:
25
9
2021
medline:
20
1
2022
entrez:
24
9
2021
Statut:
ppublish
Résumé
Longitudinal comorbidity of depression and cognitive impairment has been reported by number of epidemiological studies but the underlying mechanisms explaining the link between affective problems and cognitive decline are not very well understood. Imaging studies have typically investigated patients with major depressive disorder (MDD) and mild cognitive impairment (MCI) separately and thus have not identified a structural brain signature common to these conditions that may illuminate potentially targetable shared biological mechanisms. We performed a meta-analysis of. 48 voxel-based morphometry (VBM) studies of individuals with MDD, MCI, and age-matched controls and demonstrated that MDD and MCI patients had shared volumetric reductions in a number of regions including the insula, superior temporal gyrus (STG), inferior frontal gyrus, amygdala, hippocampus, and thalamus. We suggest that the shared volumetric reductions in the insula and STG might reflect communication deficits and infrequent participation in mentally or socially stimulating activities, which have been described as risk factors for both MCI and MDD. We also suggest that the disease-specific structural changes might reflect the disease-specific symptoms such as poor integration of emotional information, feelings of helplessness and worthlessness, and anhedonia in MDD. These findings could contribute to better understanding of the origins of MDD-MCI comorbidity and facilitate development of early interventions.
Identifiants
pubmed: 34560530
pii: S2213-1582(21)00274-6
doi: 10.1016/j.nicl.2021.102830
pmc: PMC8473769
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
102830Informations de copyright
Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.
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