White matter microstructure associated with anhedonia among individuals with bipolar disorders and high-risk for bipolar disorders

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art_DIAZ_White_matter_microstructure_associated_with_anhedonia_among_individuals_2022.PDF (2.01 MB)
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2022
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER
Autores
DIAZ, Alexandre Paim
FERNANDES, Brisa S.
TEIXEIRA, Antonio Lucio
MWANGI, Benson
HASAN, Khader M.
WU, Mon-Ju
SELVARAJ, Sudhakar
Citação
JOURNAL OF AFFECTIVE DISORDERS, v.300, p.91-98, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Anhedonia - a key symptom of depression - is highly associated with poorer outcomes and suicidal behavior. Alterations in the circuitry of reward-related brain regions have been robustly associated with anhedonia in unipolar depression, but not bipolar disorder (BD). We investigated white matter microstructures associated with anhedonia in participants with BD types I and II and first-degree relatives of patients with BD (BD-siblings). Methods: Eighty participants (BD types I and II: 56 [70%], and BD-siblings: 24 [30%]) underwent diffusion tensor imaging (DTI); Fractional anisotropy (FA) of different tracts were computed. Anhedonia was assessed using item 8, (""inability to feel"") of the MADRS scale. General linear models were used to compare the FA of different tracts in participants with and without anhedonia controlling for several clinical and demographic variables. Results: The mean age of the sample was 37 (+/- 11) years old, and 68.8% were female. Participants with anhedonia (32.5%) presented lower mean FA in the left uncinate fasciculus (UF) (p = 0.005), right temporal endings of the superior longitudinal fasciculus (SLFT) (p = 0.04), and in the left and right parietal endings of the superior longitudinal fasciculus (SLFP) (p = 0.003, and p = 0.04, respectively). Similar comparisons between participants with or without current depressive episodes and between participants with or without inner tension according to the MADRS did not show significant differences, specificity of the findings for anhedonia. Conclusions: Lower FA in the left UF and SLF are potential neuroimaging markers of anhedonia in individuals with BD and high-risk for BD.
Palavras-chave
Bipolar disorders, Neuroimaging, Anhedonia, Orbitofrontal cortex, Nucleus accumbens, Diffusion tensor imaging, Biomarker
URI
https://observatorio.fm.usp.br/handle/OPI/44327
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - LIM/27