PMID- 34624103 OWN - NLM STAT- MEDLINE DCOM- 20220314 LR - 20221221 IS - 1745-1701 (Electronic) IS - 0586-7614 (Print) IS - 0586-7614 (Linking) VI - 48 IP - 2 DP - 2022 Mar 1 TI - Neural Substrates of Psychotic Depression: Findings From the Global ECT-MRI Research Collaboration. PG - 514-523 LID - 10.1093/schbul/sbab122 [doi] AB - Psychotic major depression (PMD) is hypothesized to be a distinct clinical entity from nonpsychotic major depression (NPMD). However, neurobiological evidence supporting this notion is scarce. The aim of this study is to identify gray matter volume (GMV) differences between PMD and NPMD and their longitudinal change following electroconvulsive therapy (ECT). Structural magnetic resonance imaging (MRI) data from 8 independent sites in the Global ECT-MRI Research Collaboration (GEMRIC) database (n = 108; 56 PMD and 52 NPMD; mean age 71.7 in PMD and 70.2 in NPMD) were analyzed. All participants underwent MRI before and after ECT. First, cross-sectional whole-brain voxel-wise GMV comparisons between PMD and NPMD were conducted at both time points. Second, in a flexible factorial model, a main effect of time and a group-by-time interaction were examined to identify longitudinal effects of ECT on GMV and longitudinal differential effects of ECT between PMD and NPMD, respectively. Compared with NPMD, PMD showed lower GMV in the prefrontal, temporal and parietal cortex before ECT; PMD showed lower GMV in the medial prefrontal cortex (MPFC) after ECT. Although there was a significant main effect of time on GMV in several brain regions in both PMD and NPMD, there was no significant group-by-time interaction. Lower GMV in the MPFC was consistently identified in PMD, suggesting this may be a trait-like neural substrate of PMD. Longitudinal effect of ECT on GMV may not explain superior ECT response in PMD, and further investigation is needed. CI - (c) The Author(s) 2021. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. FAU - Takamiya, Akihiro AU - Takamiya A AD - Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. AD - Department of Neurosciences and Neuropsychiatry, Leuven Brain Institute, KU Leuven, Leuven, Belgium. FAU - Dols, Annemiek AU - Dols A AD - GGZ inGeest Specialized Mental Health Care, Amsterdam, the Netherlands. AD - Department of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. FAU - Emsell, Louise AU - Emsell L AD - Department of Neurosciences and Neuropsychiatry, Leuven Brain Institute, KU Leuven, Leuven, Belgium. FAU - Abbott, Christopher AU - Abbott C AD - Department of Psychiatry, University of New Mexico, Albuquerque, NM, USA. FAU - Yrondi, Antoine AU - Yrondi A AD - Service de Psychiatrie et de Psychologie Medicale, Centre Expert Depression Resistante FondaMental, CHU Toulouse, Hospital Purpan, ToNIC, Toulouse NeuroImaging Center, Universite de Toulouse, Inserm, UPS, Toulouse, France. FAU - Soriano Mas, Carles AU - Soriano Mas C AD - Department of Psychiatry, Bellvitge Biomedical Research Institute-IDIBELL, Barcelona, Spain. AD - CIBERSAM, Carlos III Health Institute, Madrid, Spain. AD - Department of Psychobiology and Methodology in Health Sciences, Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Jorgensen, Martin Balslev AU - Jorgensen MB AD - Psychiatric Centre Copenhagen, Copenhagen, Denmark. AD - Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. FAU - Nordanskog, Pia AU - Nordanskog P AD - Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience (CSAN), Linkoping University, Linkoping, Sweden. FAU - Rhebergen, Didi AU - Rhebergen D AD - Mental Health Care Institute, GGZ Centraal, Amersfoort, the Netherlands. FAU - van Exel, Eric AU - van Exel E AD - GGZ inGeest Specialized Mental Health Care, Amsterdam, the Netherlands. AD - Department of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. FAU - Oudega, Mardien L AU - Oudega ML AD - GGZ inGeest Specialized Mental Health Care, Amsterdam, the Netherlands. AD - Department of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. FAU - Bouckaert, Filip AU - Bouckaert F AD - Department of Neurosciences and Neuropsychiatry, Leuven Brain Institute, KU Leuven, Leuven, Belgium. FAU - Vandenbulcke, Mathieu AU - Vandenbulcke M AD - Department of Neurosciences and Neuropsychiatry, Leuven Brain Institute, KU Leuven, Leuven, Belgium. FAU - Sienaert, Pascal AU - Sienaert P AD - Academic Center for ECT and Neurostimulation (AcCENT), University Psychiatric Center (UPC)-KU Leuven, Kortenberg, Belgium. FAU - Peran, Patrice AU - Peran P AD - ToNIC, Toulouse NeuroImaging Center, Universite de Toulouse, Inserm, UPS, Toulouse, France. FAU - Cano, Marta AU - Cano M AD - CIBERSAM, Carlos III Health Institute, Madrid, Spain. AD - Mental Health Department, Unitat de Neurociencia Traslacional, Parc Tauli University Hospital, Institut d'Investigacio i Innovacio Sanitaria Parc Tauli (I3PT), Barcelona, Spain. AD - Department of Psychobiology and Methodology of Health Sciences, Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Cardoner, Narcis AU - Cardoner N AD - Mental Health Department, Unitat de Neurociencia Traslacional, Parc Tauli University Hospital, Institut d'Investigacio i Innovacio Sanitaria Parc Tauli (I3PT), Barcelona, Spain. FAU - Jorgensen, Anders AU - Jorgensen A AD - Psychiatric Centre Copenhagen, Copenhagen, Denmark. AD - Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. FAU - Paulson, Olaf B AU - Paulson OB AD - Neurobiological Research Unit, Rigshospitalet, Copenhagen, Denmark. FAU - Hamilton, Paul AU - Hamilton P AD - Department of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience (CSAN), Linkoping University, Linkoping, Sweden. FAU - Kampe, Robin AU - Kampe R AD - Department of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience (CSAN), Linkoping University, Linkoping, Sweden. FAU - Bruin, Willem AU - Bruin W AD - Department of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Amsterdam, the Netherlands. FAU - Bartsch, Hauke AU - Bartsch H AD - Department of Radiology, Mohn Medical Imaging and Visualization Centre, Haukeland University Hospital, Bergen, Norway. AD - Department of Research and Innovation, Haukeland University Hospital, Bergen, Norway. AD - Department of Informatics, University of Bergen, Bergen, Norway. FAU - Ousdal, Olga Therese AU - Ousdal OT AD - Department of Radiology, Mohn Medical Imaging and Visualization Centre, Haukeland University Hospital, Bergen, Norway. AD - Faculty of Psychology, Centre for Crisis Psychology, University of Bergen, Bergen, Norway. FAU - Kessler, Ute AU - Kessler U AD - Department of Clinical Medicine, University of Bergen, Bergen, Norway. AD - Division of Psychiatry, NORMENT, Haukeland University Hospital, Bergen, Norway. FAU - van Wingen, Guido AU - van Wingen G AD - Department of Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Amsterdam, the Netherlands. FAU - Oltedal, Leif AU - Oltedal L AD - Department of Radiology, Mohn Medical Imaging and Visualization Centre, Haukeland University Hospital, Bergen, Norway. AD - Department of Clinical Medicine, University of Bergen, Bergen, Norway. FAU - Kishimoto, Taishiro AU - Kishimoto T AD - Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. LA - eng GR - R01 MH111826/MH/NIMH NIH HHS/United States GR - R61 MH125126/MH/NIMH NIH HHS/United States GR - U01 MH111826/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Schizophr Bull JT - Schizophrenia bulletin JID - 0236760 SB - IM MH - Aged MH - Aged, 80 and over MH - Brain Cortical Thickness MH - Depression/*physiopathology MH - Electroconvulsive Therapy/methods/statistics & numerical data MH - Female MH - Humans MH - Magnetic Resonance Imaging/methods/statistics & numerical data MH - Male MH - Middle Aged PMC - PMC8886602 OTO - NOTNLM OT - depression OT - gray matter volume OT - magnetic resonance imaging OT - medial prefrontal cortex OT - psychosis EDAT- 2021/10/09 06:00 MHDA- 2022/03/15 06:00 PMCR- 2021/10/08 CRDT- 2021/10/08 17:17 PHST- 2021/10/09 06:00 [pubmed] PHST- 2022/03/15 06:00 [medline] PHST- 2021/10/08 17:17 [entrez] PHST- 2021/10/08 00:00 [pmc-release] AID - 6384729 [pii] AID - sbab122 [pii] AID - 10.1093/schbul/sbab122 [doi] PST - ppublish SO - Schizophr Bull. 2022 Mar 1;48(2):514-523. doi: 10.1093/schbul/sbab122.