Murage Daniel, Nazarova Anna, Drobinin Vladislav, Adepalli Nitya, Helmick Carl A, Schmidt Matthias H, Newman Aaron J, Bowen Christopher V, Uher Rudolf
From the Department of Psychiatry, Dalhousie University, Halifax, N.S. (Murage, Nazarova, Drobonin, Adepalli, Helmick, Newman, Uher); the Nova Scotia Health Authority, Halifax, N.S. (Murage, Nazarova, Adepalli, Uher); the Department of Diagnostic Radiology, Dalhousie University, Halifax, N.S. (Schmidt, Bowen).
From the Department of Psychiatry, Dalhousie University, Halifax, N.S. (Murage, Nazarova, Drobonin, Adepalli, Helmick, Newman, Uher); the Nova Scotia Health Authority, Halifax, N.S. (Murage, Nazarova, Adepalli, Uher); the Department of Diagnostic Radiology, Dalhousie University, Halifax, N.S. (Schmidt, Bowen)
J Psychiatry Neurosci. 2025 May 27;50(3):E181-E193. doi: 10.1503/jpn.250002. Print 2025 May-Jun.
BACKGROUND: Mood disorders, including depressive and bipolar disorders, begin in late adolescence to early adulthood, tend to run in families, and present early with subthreshold symptoms. They have been associated with differential connectivity in 3 core networks: the default mode network (DMN), cognitive executive network (CEN), and salience network (SN), but it remains unclear whether differences in connectivity in the DMN, CEN, and SN are associated with familial risk for mood disorders. METHODS: We recruited youth aged 9-19 years, including offspring of parents with major depressive or bipolar disorders (familial high risk [FHR]) and offspring of parents with no mood disorder (controls) for a resting-state functional magnetic resonance imaging study. We tested associations between family history of major mood disorders and connectivity within and between the DMN, CEN, and SN. RESULTS: We included 215 youth: 126 at FHR with a mean age of 13.38 (standard deviation [SD] 2.91) years and 79 controls with a mean age of 13.17 (SD 2.67) years. Mean connectivity in the DMN (β = 0.003, 95% confidence interval [CI] -0.023 to 0.029), CEN (β = -0.009, 95% CI, -0.070 to 0.089), and SN (β = -0.010, 95% CI -0.071 to 0.051) in the FHR group was similar to that of controls. Moreover, DMN, CEN, and SN connectivity was not significantly associated with depressive symptoms. LIMITATIONS: Given that brain connectivity changes over the developmental period, longitudinal studies would improve understanding of how this change occurs in familial risk groups to identify critical time periods for intervention or prevention of mood disorders. CONCLUSION: Connectivity within and between the DMN, CEN, and SN is not a neural indicator of familial risk for major mood disorders.
背景:情绪障碍,包括抑郁症和双相情感障碍,始于青春期晚期至成年早期,往往具有家族聚集性,并早期表现为阈下症状。它们与三个核心网络的不同连接性有关:默认模式网络(DMN)、认知执行网络(CEN)和突显网络(SN),但DMN、CEN和SN的连接性差异是否与情绪障碍的家族风险相关仍不清楚。 方法:我们招募了9至19岁的青少年,包括患有重度抑郁症或双相情感障碍的父母的后代(家族高风险[FHR])和没有情绪障碍的父母的后代(对照组),进行静息态功能磁共振成像研究。我们测试了重度情绪障碍家族史与DMN、CEN和SN内部及之间的连接性之间的关联。 结果:我们纳入了215名青少年:126名FHR组青少年,平均年龄为13.38岁(标准差[SD]2.91),79名对照组青少年,平均年龄为13.17岁(SD 2.67)。FHR组DMN(β = 0.003,95%置信区间[CI] -0.023至0.029)、CEN(β = -0.009,95% CI,-0.070至0.089)和SN(β = -0.010,95% CI -0.071至0.051)的平均连接性与对照组相似。此外,DMN、CEN和SN的连接性与抑郁症状无显著关联。 局限性:鉴于大脑连接性在发育过程中会发生变化,纵向研究将有助于更好地理解这种变化在家族风险群体中是如何发生的,以确定干预或预防情绪障碍的关键时期。 结论:DMN、CEN和SN内部及之间的连接性不是重度情绪障碍家族风险的神经指标。
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