DLPFC volume is a neural correlate of resilience in healthy high-risk individuals with both childhood maltreatment and familial risk for depression

Two prominent risk factors for major depressive disorder (MDD) are childhood maltreatment (CM) and familial risk for MDD. Despite having these risk factors, there are individuals who maintain mental health, i.e. are resilient, whereas others develop MDD. It is unclear which brain morphological alter...

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Veröffentlicht in:Psychological medicine 2022-12, Vol.52 (16), p.4139-4145
Hauptverfasser: Brosch, Katharina, Stein, Frederike, Meller, Tina, Schmitt, Simon, Yuksel, Dilara, Ringwald, Kai Gustav, Pfarr, Julia-Katharina, Waltemate, Lena, Lemke, Hannah, Opel, Nils, Meinert, Susanne, Dohm, Katharina, Grotegerd, Dominik, Goltermann, Janik, Repple, Jonathan, Winter, Alexandra, Jansen, Andreas, Dannlowski, Udo, Nenadić, Igor, Kircher, Tilo, Krug, Axel
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container_end_page 4145
container_issue 16
container_start_page 4139
container_title Psychological medicine
container_volume 52
creator Brosch, Katharina
Stein, Frederike
Meller, Tina
Schmitt, Simon
Yuksel, Dilara
Ringwald, Kai Gustav
Pfarr, Julia-Katharina
Waltemate, Lena
Lemke, Hannah
Opel, Nils
Meinert, Susanne
Dohm, Katharina
Grotegerd, Dominik
Goltermann, Janik
Repple, Jonathan
Winter, Alexandra
Jansen, Andreas
Dannlowski, Udo
Nenadić, Igor
Kircher, Tilo
Krug, Axel
description Two prominent risk factors for major depressive disorder (MDD) are childhood maltreatment (CM) and familial risk for MDD. Despite having these risk factors, there are individuals who maintain mental health, i.e. are resilient, whereas others develop MDD. It is unclear which brain morphological alterations are associated with this kind of resilience. Interaction analyses of risk and diagnosis status are needed that can account for complex adaptation processes, to identify neural correlates of resilience. We analyzed brain structural data (3T magnetic resonance imaging) by means of voxel-based morphometry (CAT12 toolbox), using a 2 × 2 design, comparing four groups (N = 804) that differed in diagnosis (healthy v. MDD) and risk profiles (low-risk, i.e. absence of CM and familial risk v. high-risk, i.e. presence of both CM and familial risk). Using regions of interest (ROIs) from the literature, we conducted an interaction analysis of risk and diagnosis status. Volume in the left middle frontal gyrus (MFG), part of the dorsolateral prefrontal cortex (DLPFC), was significantly higher in healthy high-risk individuals. There were no significant results for the bilateral superior frontal gyri, frontal poles, pars orbitalis of the inferior frontal gyri, and the right MFG. The healthy high-risk group had significantly higher volumes in the left DLPFC compared to all other groups. The DLPFC is implicated in cognitive and emotional processes, and higher volume in this area might aid high-risk individuals in adaptive coping in order to maintain mental health. This increased volume might therefore constitute a neural correlate of resilience to MDD in high risk.
doi_str_mv 10.1017/S0033291721001094
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Volume in the left middle frontal gyrus (MFG), part of the dorsolateral prefrontal cortex (DLPFC), was significantly higher in healthy high-risk individuals. There were no significant results for the bilateral superior frontal gyri, frontal poles, pars orbitalis of the inferior frontal gyri, and the right MFG. The healthy high-risk group had significantly higher volumes in the left DLPFC compared to all other groups. The DLPFC is implicated in cognitive and emotional processes, and higher volume in this area might aid high-risk individuals in adaptive coping in order to maintain mental health. 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Stein, Frederike ; Meller, Tina ; Schmitt, Simon ; Yuksel, Dilara ; Ringwald, Kai Gustav ; Pfarr, Julia-Katharina ; Waltemate, Lena ; Lemke, Hannah ; Opel, Nils ; Meinert, Susanne ; Dohm, Katharina ; Grotegerd, Dominik ; Goltermann, Janik ; Repple, Jonathan ; Winter, Alexandra ; Jansen, Andreas ; Dannlowski, Udo ; Nenadić, Igor ; Kircher, Tilo ; Krug, Axel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-dc25e8a97440748d7d72bf533f817363b0732450406c795d12f00ba99e8b91503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Brain</topic><topic>Child abuse &amp; neglect</topic><topic>Childhood</topic><topic>Children</topic><topic>Cognitive ability</topic><topic>Cohort analysis</topic><topic>Coping</topic><topic>Cortex</topic><topic>Depressive personality disorders</topic><topic>Diagnosis</topic><topic>Emotional regulation</topic><topic>Familial factors</topic><topic>Frontal gyrus</topic><topic>High risk</topic><topic>Interaction analysis</topic><topic>Investigations</topic><topic>Magnetic resonance imaging</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Morphometry</topic><topic>Neuroimaging</topic><topic>Neurosciences</topic><topic>Original</topic><topic>Original Article</topic><topic>Post traumatic stress disorder</topic><topic>Prefrontal cortex</topic><topic>Questionnaires</topic><topic>Resilience</topic><topic>Risk factors</topic><topic>Risk groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brosch, Katharina</creatorcontrib><creatorcontrib>Stein, Frederike</creatorcontrib><creatorcontrib>Meller, Tina</creatorcontrib><creatorcontrib>Schmitt, Simon</creatorcontrib><creatorcontrib>Yuksel, Dilara</creatorcontrib><creatorcontrib>Ringwald, Kai Gustav</creatorcontrib><creatorcontrib>Pfarr, Julia-Katharina</creatorcontrib><creatorcontrib>Waltemate, Lena</creatorcontrib><creatorcontrib>Lemke, Hannah</creatorcontrib><creatorcontrib>Opel, Nils</creatorcontrib><creatorcontrib>Meinert, Susanne</creatorcontrib><creatorcontrib>Dohm, Katharina</creatorcontrib><creatorcontrib>Grotegerd, Dominik</creatorcontrib><creatorcontrib>Goltermann, Janik</creatorcontrib><creatorcontrib>Repple, Jonathan</creatorcontrib><creatorcontrib>Winter, Alexandra</creatorcontrib><creatorcontrib>Jansen, Andreas</creatorcontrib><creatorcontrib>Dannlowski, Udo</creatorcontrib><creatorcontrib>Nenadić, Igor</creatorcontrib><creatorcontrib>Kircher, Tilo</creatorcontrib><creatorcontrib>Krug, Axel</creatorcontrib><collection>Cambridge Journals Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; 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source Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete
subjects Brain
Child abuse & neglect
Childhood
Children
Cognitive ability
Cohort analysis
Coping
Cortex
Depressive personality disorders
Diagnosis
Emotional regulation
Familial factors
Frontal gyrus
High risk
Interaction analysis
Investigations
Magnetic resonance imaging
Medical diagnosis
Medical imaging
Mental depression
Mental disorders
Mental health
Morphometry
Neuroimaging
Neurosciences
Original
Original Article
Post traumatic stress disorder
Prefrontal cortex
Questionnaires
Resilience
Risk factors
Risk groups
title DLPFC volume is a neural correlate of resilience in healthy high-risk individuals with both childhood maltreatment and familial risk for depression
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