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Reduced amygdala volume in newly admitted psychiatric in-patients with unipolar major depression.

Abstract：

:Structural neuroimaging studies investigating amygdala volumes in patients suffering from major depression have yielded variable results. Discrepant findings across studies may be attributable in part to heterogeneity with respect to antidepressant medication and to lack of adequate control for the effects of total brain volume and age. Here, 24 unipolar depressed in-patients newly admitted to a psychiatric unit and 14 healthy control participants matched for age, gender, and years of education underwent quantitative magnetic resonance imaging (MRI) toward the end of a one-week washout period. Saliva cortisol was measured at 08.00 and at 16.00h in patients during washout. Absolute amygdala volumes were significantly reduced in the patient group (by 13% in left amygdala and 12% in right amygdala). The effect of reduced amygdala volumes in patients remained significant after correction for brain volume (BV) and age. Furthermore, amygdala volume measurements in the patient sample showed a significant inverse relationship to the number of preceding depressive episodes. In patients, severity of disease (baseline HAMD scores) and baseline cortisol levels were not related to amygdala volume. This study of a sample of unmedicated depressed in-patients adds to the small, yet growing, body of evidence linking untreated major depression to reduced amygdala volume.

journal_name

J Psychiatr Res

journal_title

Journal of psychiatric research

authors

Kronenberg G,Tebartz van Elst L,Regen F,Deuschle M,Heuser I,Colla M

doi

10.1016/j.jpsychires.2009.03.007

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

1112-7

issue

13

eissn

0022-3956

issn

1879-1379

pii

S0022-3956(09)00068-5

journal_volume

43

pub_type

杂志文章

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