Differential Abnormal Pattern of Anterior Cingulate Gyrus Activation in Unipolar and Bipolar Depression: An fMRI and Pattern Classification Approach

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Christian Bürger - , University of Münster (Author)
  • Ronny Redlich - , University of Münster (Author)
  • Dominik Grotegerd - , University of Münster (Author)
  • Susanne Meinert - , University of Münster (Author)
  • Katharina Dohm - , University of Münster (Author)
  • Ilona Schneider - , University of Münster (Author)
  • Dario Zaremba - , University of Münster (Author)
  • Katharina Förster - , University of Münster (Author)
  • Judith Alferink - , University of Münster (Author)
  • Jens Bölte - , University of Münster (Author)
  • Walter Heindel - , University of Münster (Author)
  • Harald Kugel - , University of Münster (Author)
  • Volker Arolt - , University of Münster (Author)
  • Udo Dannlowski - , University of Münster, University of Marburg (Author)

Abstract

Distinguishing bipolar disorder from major depressive disorder is a major challenge in psychiatric treatment. Consequently, there has been growing interest in identifying neuronal biomarkers of disorder-specific pathophysiological processes to differentiate affective disorders. Thirty-six depressed bipolar patients, 36 depressed unipolar patients, and 36 matched healthy controls (HCs) participated in an fMRI experiment. Emotional faces served as stimuli in a matching task. We investigated neural activation towards angry, fearful, and happy faces focusing on prototypical regions related to emotion processing, ie, the amygdala and the anterior cingulate gyrus (ACG). Furthermore, we employed a whole-brain and a multivariate pattern classification analysis. Unipolar patients showed abnormally reduced ACG activation toward happy and fearful faces compared with bipolar patients and HCs respectively. Furthermore, the whole-brain analysis revealed significantly increased activation in bipolar patients compared with unipolar patients in the fearful condition in the right frontal and parietal cortex. Moreover, the multivariate pattern classification analysis yielded significant classification rates of up to 72% based on ACG activation elicited by fearful faces. Our results question the rather 'amygdalocentric' neurobiological models of mood disorders. We observed patterns of abnormally reduced ventral and supragenual ACG activation, potentially indicating impaired bottom-up emotion processing and automatic emotion regulation specifically in unipolar but not in bipolar individuals.

Details

Original languageEnglish
Pages (from-to)1399-1408
Number of pages10
JournalNeuropsychopharmacology
Volume42
Issue number7
Publication statusPublished - Jun 2017
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 28205606

Keywords

Sustainable Development Goals

Library keywords