Neuronal connectivity in major depressive disorder: a systematic review

Katharina Helm,1,2 Kathrin Viol,3 Thomas M Weiger,2 Peter A Tass,4 Christian Grefkes,5,6 Damir del Monte,3 Günter Schiepek3,7 1Institute of Physiology and Pathophysiology, Paracelsus Medical University Salzburg, Salzburg, Austria; 2Department of Biosciences, University of Salzburg, Salzburg...

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Autores principales:	Helm K, Viol K, Weiger TM, Tass PA, Grefkes C, del Monte D, Schiepek G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Major Depressive Disorder (MDD) structural connectivity functional connectivity effective connectivity fMRI EEG Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/003cf8ff620c47b3b5ae6fcafc3fbf63
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spelling	oai:doaj.org-article:003cf8ff620c47b3b5ae6fcafc3fbf632021-12-02T05:28:47ZNeuronal connectivity in major depressive disorder: a systematic review1178-2021https://doaj.org/article/003cf8ff620c47b3b5ae6fcafc3fbf632018-10-01T00:00:00Zhttps://www.dovepress.com/neuronal-connectivity-in-major-depressive-disorder-a-systematic-review-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Katharina Helm,1,2 Kathrin Viol,3 Thomas M Weiger,2 Peter A Tass,4 Christian Grefkes,5,6 Damir del Monte,3 Günter Schiepek3,7 1Institute of Physiology and Pathophysiology, Paracelsus Medical University Salzburg, Salzburg, Austria; 2Department of Biosciences, University of Salzburg, Salzburg, Austria; 3Institute of Synergetics and Psychotherapy Research, University Hospital for Psychiatry, Psychotherapy and Psychosomatics, Paracelsus Medical University Salzburg, Salzburg, Austria; 4Department of Neurosurgery, Stanford University, Stanford CA, USA; 5Department of Neurology, Cologne University Hospital, Cologne, Germany; 6Institute of Medicine and Neurosciences – Cognitive Neurology (INM-3), Research Center Juelich, Juelich, Germany; 7Ludwig Maximilians University, Department for Psychology, Munich, German Background: The causes of major depressive disorder (MDD), as one of the most common psychiatric disorders, still remain unclear. Neuroimaging has substantially contributed to understanding the putative neuronal mechanisms underlying depressed mood and motivational as well as cognitive impairments in depressed individuals. In particular, analyses addressing changes in interregional connectivity seem to be a promising approach to capture the effects of MDD at a systems level. However, a plethora of different, sometimes contradicting results have been published so far, making general conclusions difficult. Here we provide a systematic overview about connectivity studies published in the field over the last decade considering different methodological as well as clinical issues. Methods: A systematic review was conducted extracting neuronal connectivity results from studies published between 2002 and 2015. The findings were summarized in tables and were graphically visualized.Results: The review supports and summarizes the notion of an altered fronto-limbic mood regulation circuitry in MDD patients, but also stresses the heterogeneity of the findings. The brain regions that are most consistently affected across studies are the orbitomedial prefrontal cortex, anterior cingulate cortex, amygdala, hippocampus, cerebellum and the basal ganglia.Conclusion: The results on connectivity in MDD are very heterogeneous, partly due to different methods and study designs, but also due to the temporal dynamics of connectivity. While connectivity research is an important step toward a complex systems approach to brain functioning, future research should focus on the dynamics of functional and effective connectivity. Keywords: major depressive disorder, MDD, structural connectivity, functional connectivity, effective connectivity, fMRI, EEGHelm KViol KWeiger TMTass PAGrefkes Cdel Monte DSchiepek GDove Medical PressarticleMajor Depressive Disorder (MDD)structural connectivityfunctional connectivityeffective connectivityfMRIEEGNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 2715-2737 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Major Depressive Disorder (MDD) structural connectivity functional connectivity effective connectivity fMRI EEG Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Major Depressive Disorder (MDD) structural connectivity functional connectivity effective connectivity fMRI EEG Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Helm K Viol K Weiger TM Tass PA Grefkes C del Monte D Schiepek G Neuronal connectivity in major depressive disorder: a systematic review
description	Katharina Helm,1,2 Kathrin Viol,3 Thomas M Weiger,2 Peter A Tass,4 Christian Grefkes,5,6 Damir del Monte,3 Günter Schiepek3,7 1Institute of Physiology and Pathophysiology, Paracelsus Medical University Salzburg, Salzburg, Austria; 2Department of Biosciences, University of Salzburg, Salzburg, Austria; 3Institute of Synergetics and Psychotherapy Research, University Hospital for Psychiatry, Psychotherapy and Psychosomatics, Paracelsus Medical University Salzburg, Salzburg, Austria; 4Department of Neurosurgery, Stanford University, Stanford CA, USA; 5Department of Neurology, Cologne University Hospital, Cologne, Germany; 6Institute of Medicine and Neurosciences – Cognitive Neurology (INM-3), Research Center Juelich, Juelich, Germany; 7Ludwig Maximilians University, Department for Psychology, Munich, German Background: The causes of major depressive disorder (MDD), as one of the most common psychiatric disorders, still remain unclear. Neuroimaging has substantially contributed to understanding the putative neuronal mechanisms underlying depressed mood and motivational as well as cognitive impairments in depressed individuals. In particular, analyses addressing changes in interregional connectivity seem to be a promising approach to capture the effects of MDD at a systems level. However, a plethora of different, sometimes contradicting results have been published so far, making general conclusions difficult. Here we provide a systematic overview about connectivity studies published in the field over the last decade considering different methodological as well as clinical issues. Methods: A systematic review was conducted extracting neuronal connectivity results from studies published between 2002 and 2015. The findings were summarized in tables and were graphically visualized.Results: The review supports and summarizes the notion of an altered fronto-limbic mood regulation circuitry in MDD patients, but also stresses the heterogeneity of the findings. The brain regions that are most consistently affected across studies are the orbitomedial prefrontal cortex, anterior cingulate cortex, amygdala, hippocampus, cerebellum and the basal ganglia.Conclusion: The results on connectivity in MDD are very heterogeneous, partly due to different methods and study designs, but also due to the temporal dynamics of connectivity. While connectivity research is an important step toward a complex systems approach to brain functioning, future research should focus on the dynamics of functional and effective connectivity. Keywords: major depressive disorder, MDD, structural connectivity, functional connectivity, effective connectivity, fMRI, EEG
format	article
author	Helm K Viol K Weiger TM Tass PA Grefkes C del Monte D Schiepek G
author_facet	Helm K Viol K Weiger TM Tass PA Grefkes C del Monte D Schiepek G
author_sort	Helm K
title	Neuronal connectivity in major depressive disorder: a systematic review
title_short	Neuronal connectivity in major depressive disorder: a systematic review
title_full	Neuronal connectivity in major depressive disorder: a systematic review
title_fullStr	Neuronal connectivity in major depressive disorder: a systematic review
title_full_unstemmed	Neuronal connectivity in major depressive disorder: a systematic review
title_sort	neuronal connectivity in major depressive disorder: a systematic review
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/003cf8ff620c47b3b5ae6fcafc3fbf63
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_version_	1718400331969200128

Neuronal connectivity in major depressive disorder: a systematic review

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