Early variations in white matter microstructure and depression outcome in adolescents with subthreshold depression

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Charité – Universitätsmedizin Berlin
  • Université Paris-Saclay
  • Université Paris Cité
  • Sorbonne Université
  • Hospital Group Nord-Essonne
  • Tampere University Hospital
  • Heidelberg University 
  • Medical Research Council (MRC)
  • King's College London (KCL)
  • University of Hamburg
  • French National Centre for Scientific Research (CNRS)
  • Physikalisch-Technische Bundesanstalt
  • University of Montreal
  • University of Vermont
  • University of Nottingham
  • University of Toronto
  • Medical University of Vienna
  • University College Dublin

Abstract

Objective: White matter microstructure alterations have recently been associated with depressive episodes during adolescence, but it is unknown whether they predate depression. The authors investigated whether subthreshold depression in adolescence is associated with white matter microstructure variations and whether they relate to depression outcome. Method: Adolescents with subthreshold depression (N=96) and healthy control subjects (N=336) drawn from a community-based cohort were compared using diffusion tensor imaging and whole brain tract-based spatial statistics (TBSS) at age 14 to assess white matter microstructure. They were followed up at age 16 to assess depression. Probabilistic tractography was used to reconstruct white matter streamlines spreading from the regions identified in the TBSS analysis and along bundles implicated in emotion regulation, the uncinate fasciculus and the cingulum. The authors searched for mediating effects of white matter microstructure on the relationship between baseline subthreshold depression and depression at follow-up, and then explored the specificity of the findings. Results: Lower fractional anisotropy (FA) and higher radial diffusivity were found in the anterior corpus callosum in the adolescents with subthreshold depression. Tractography analysis showed that they also had lower FA in the right cingulum streamlines, along with lower FA and higher mean diffusivity in tracts connecting the corpus callosum to the anterior cingulate cortex. The relation between subthreshold depression at baseline and depression at follow-up was mediated by FA values in the latter tracts, and lower FA values in those tracts distinctively predicted higher individual risk for depression. Conclusions: Early FA variations in tracts projecting from the corpus callosum to the anterior cingulate cortex may denote a higher risk of transition to depression in adolescents.

Details

Original languageEnglish
Pages (from-to)1255-1264
Number of pages10
JournalAmerican Journal of Psychiatry
Volume175
Issue number12
Publication statusPublished - Dec 2018
Peer-reviewedYes

External IDs

PubMed 30111185
ORCID /0000-0001-5398-5569/work/161409047

Keywords

ASJC Scopus subject areas