Disrupted Structural Brain Networks and Structural-Functional Decoupling in First-Episode Drug-Naïve Adolescent Major Depressive Disorder.

J Adolesc Health

Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, China; Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, China. Electronic address:

Published: May 2024

AI Article Synopsis

  • The study investigates the structural and functional brain networks in adolescents with major depressive disorder (MDD), revealing that MDD impacts the brain's connectivity and organization.
  • Adolescent MDD patients displayed significant disruptions in their brain networks, including reduced small-world and modular organizations, compared to healthy controls.
  • The findings indicate that MDD is associated with lower coupling strength between structural and functional connectivity, suggesting impaired communication within the brain's network.

Article Abstract

Purpose: Major depressive disorder (MDD) tends to emerge during adolescence, but the neurobiology of adolescent MDD is still poorly understood. This study aimed to explore the topological organization of white matter structural networks and the relationship between structural and functional connectivity in adolescent MDD.

Methods: Structural and functional magnetic resonance imaging data were acquired from 94 first-episode drug-naïve adolescent MDD patients and 78 healthy adolescents. Whole brain structural and functional brain networks were constructed for each subject. Then, the topological organization of structural brain networks and the coupling strength between structural and functional connectivity were analyzed.

Results: Compared with controls, adolescent MDD patients showed disrupted small-world, rich-club, and modular organizations. Nodal centralities in the medial part of bilateral superior frontal gyrus, bilateral hippocampus, right superior occipital gyrus, right angular gyrus, bilateral precuneus, left caudate nucleus, bilateral putamen, right superior temporal gyrus, and right temporal pole part of superior temporal gyrus were significantly lower in adolescent MDD patients compared with controls. The coupling strength between structural and functional connectivity was significantly lower in adolescent MDD patients compared with controls.

Discussion: Our findings suggest widespread disruption of structural brain networks and structural-functional decoupling in adolescent MDD, potentially leading to reduced network communication capacity.

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Source
http://dx.doi.org/10.1016/j.jadohealth.2024.01.015DOI Listing

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