Reduced fractional anisotropy in depressed patients due to childhood maltreatment rather than diagnosis

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Susanne Meinert - , University of Münster (Author)
  • Jonathan Repple - , University of Münster (Author)
  • Igor Nenadic - , University of Marburg (Author)
  • Axel Krug - , University of Marburg (Author)
  • Andreas Jansen - , University of Marburg (Author)
  • Dominik Grotegerd - , University of Münster (Author)
  • Katharina Förster - , University of Münster (Author)
  • Verena Enneking - , University of Münster (Author)
  • Katharina Dohm - , University of Münster (Author)
  • Simon Schmitt - , University of Marburg (Author)
  • Frederike Stein - , University of Marburg (Author)
  • Katharina Brosch - , University of Marburg (Author)
  • Tina Meller - , University of Marburg (Author)
  • Ronny Redlich - , University of Münster (Author)
  • Joscha Böhnlein - , University of Münster (Author)
  • Lisa Sindermann - , University of Münster (Author)
  • Janik Goltermann - , University of Münster (Author)
  • Elisabeth J. Leehr - , University of Münster (Author)
  • Nils Opel - , University of Münster (Author)
  • Leni Aldermann - , University of Münster (Author)
  • Andreas Reuter - , University of Münster (Author)
  • Ricarda I. Schubotz - , University of Münster (Author)
  • Tim Hahn - , University of Münster (Author)
  • Tilo Kircher - , University of Marburg (Author)
  • Udo Dannlowski - , University of Münster (Author)

Abstract

Reduced fractional anisotropy (FA) associated with Major Depressive Disorder (MDD) overlaps anatomically with effects of childhood maltreatment experiences. The aim of this study was, therefore, to replicate the negative effect of childhood maltreatment on white matter fiber structure and to demonstrate, that alterations in MDD might be partially attributed to the higher occurrence of childhood maltreatment in MDD. Two independent cohorts (total N = 1 256) were investigated in a diffusion tensor imaging study: The Münster Neuroimaging Cohort (MNC, N = 186 MDD, N = 210 healthy controls, HC) as discovery sample and the Marburg-Münster Affective Disorders Cohort Study (MACS, N = 397 MDD, N = 462 HC) as replication sample. The effects of diagnosis (HC vs. MDD) and Childhood Trauma Questionnaire (CTQ) scores on FA were analyzed. A main effect of diagnosis with higher FA in MDD patients compared with HC was found in the MNC (pFWE = 0.021), but not in the MACS (pFWE = 0.52) before correcting for CTQ. A significant negative correlation of FA with CTQ emerged in both cohorts (MNC: pFWE = 0.006, MACS: pFWE = 0.012) in several tracts previously described in the literature. No CTQ × diagnosis interaction could be detected. Any main effect of diagnosis was abolished after correcting for CTQ (MNC: pFWE = 0.562, MACS: pFWE = 0.115). No differences in FA between MDD and HC could be found after correcting for childhood maltreatment, suggesting that previously reported group differences might be attributed partially to higher levels of maltreatment experiences in MDD rather than diagnosis itself. Furthermore, a well-established finding of reduced FA following childhood maltreatment experiences was replicated.

Details

Original languageEnglish
Pages (from-to)2065-2072
Number of pages8
JournalNeuropsychopharmacology
Volume44
Issue number12
Publication statusPublished - Nov 2019
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 31382267
PubMedCentral PMC6897978

Keywords

Sustainable Development Goals

Library keywords