Effects of subclinical depression, anxiety and somatization on brain structure in healthy subjects.

Background: Dimensional approaches in highly prevalent psychiatric disorders like depression or anxiety could lead to a better understanding of pathogenesis and advantages in early detection and prevention. In an effort to better understand associations of brain structural variation across the depre...

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Publicado en:Journal of Affective Disorders Vol. 215; pp. 111 - 118
Autores principales: Besteher, Bianca, Gaser, Christian, Langbein, Kerstin, Dietzek, Maren, Sauer, Heinrich, Nenadić, Igor
Formato: research Journal Article
Publicado: Elsevier B.V. Jun2017
Acceso en línea:Ver este registro en EBSCOhost
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        01650327
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      jtl: Journal of Affective Disorders
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      dt: Jun2017
      vid: 215
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      pub: Elsevier B.V.
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        10.1016/j.jad.2017.03.039
        NLM28319687
        122585055
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        atl: Effects of subclinical depression, anxiety and somatization on brain structure in healthy subjects.
      aug:
        au:
          Besteher, Bianca
          Gaser, Christian
          Langbein, Kerstin
          Dietzek, Maren
          Sauer, Heinrich
          Nenadić, Igor
        affil: Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
      sug:
        subj:
          Anxiety Pathology
          Gray Matter Pathology
          Research Subjects Psychosocial Factors
          Somatoform Disorders Pathology
          Cerebral Cortex Pathology
          Cerebellum Pathology
          Depression Pathology
          Young Adult
          Male
          Early Diagnosis
          Adult
          Magnetic Resonance Imaging
          Brain Mapping
          Female
          Checklists
          Symptom Checklist-90-Revised
          Human
          Scales
          Adult: 19-44 years
          Male
          Female
      ab: Background: Dimensional approaches in highly prevalent psychiatric disorders like depression or anxiety could lead to a better understanding of pathogenesis and advantages in early detection and prevention. In an effort to better understand associations of brain structural variation across the depression/anxiety spectra, we investigated minor subclinical symptoms in a non-clinical healthy population.Methods: We studied 177 healthy subjects from the community, who underwent high-resolution T1-weighted 3T MRI and completed the symptom-checklist-90 (SCL-90-R). Using voxel-based morphometry (VBM) analysis with CAT12 software, we correlated SCL-90-R-subscales for depression, anxiety, and somatization with gray matter across the brain.Results: Significant positive gray matter correlations emerged across all three scales in different areas: the depression subscale correlated positively with gray matter in the Rolandic operculum, superior temporal gyrus (left) and postcentral gyrus (bilateral), the anxiety subscale correlated positively with middle temporal gyrus, Rolandic operculum, middle cingular gyrus and precuneus bilaterally, and the somatization subscale with left inferior prefrontal cortex. Somatization also showed negative correlations with cerebellar vermis and right supplementary motor area.Limitations: Our study is limited to VBM and does not include surface-based measures. It also only contains subjects with very small psychological distress by partly overlapping symptoms.Conclusion: Our findings are consistent with a non-linear relationship between symptom severity and cortical volume in several brain areas involved in both emotion regulation as well as altered in clinically manifest depressive/anxiety disorders.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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