4.5 Article

Multidimensional cognitive impairment in unipolar and bipolar depression and the moderator effect of adverse childhood experiences

Journal

PSYCHIATRY AND CLINICAL NEUROSCIENCES
Volume 71, Issue 5, Pages 309-317

Publisher

WILEY
DOI: 10.1111/pcn.12497

Keywords

adverse childhood experiences; bipolar disorder; cognitive performances; major depression; stress

Funding

  1. Italian Ministry of Health [RF-2011-02350980, RF-2011-02349921]

Ask authors/readers for more resources

Aim: Studies have demonstrated neuropsychological deficits across a variety of cognitive domains in depression. These deficits are observable both in major depressive disorder (MDD) and in bipolar disorder (BD) and are present in each phase of the illness, including euthymia. Adverse childhood experiences (ACE) have been associated with an increased risk of developing psychiatric disorders and cognitive deficits. The aim of this study was to assess neuropsychological performances in a sample of MDD and BD patients during a depressive episode compared to healthy controls (HC) and, to investigate if ACE affect the cognitive profiles in the three groups. Methods: Seventy-six BD patients, 57 MDD patients, and 57 HC underwent neuropsychological assessment for cognitive performances through the Brief Assessment of Cognition in Schizophrenia and Wisconsin Card Sorting Test. Results: Both BD and MDD patients obtained significantly lower domain scores across the entire battery compared to HC. Splitting the sample according to exposure to ACE (high and low), the differences observed in the whole sample persisted only in the subsample of those patients exposed to high ACE. Conclusion: This study confirms that cognitive impairment is present both in MDD and BD, albeit in different degrees of severity, and highlights the importance of early stress as a moderator factor when investigating cognitive functions in mood disorders.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Neurosciences

An overview of the first 5 years of the ENIGMA obsessive-compulsive disorder working group: The power of worldwide collaboration

Odile A. van den Heuvel, Premika S. W. Boedhoe, Sara Bertolin, Willem B. Bruin, Clyde Francks, Iliyan Ivanov, Neda Jahanshad, Xiang-Zhen Kong, Jun S. Kwon, Joseph O'Neill, Tomas Paus, Yash Patel, Fabrizio Piras, Lianne Schmaal, Carles Soriano-Mas, Gianfranco Spalletta, Guido A. van Wingen, Je-Yeon Yun, Chris Vriend, H. Blair Simpson, Daan van Rooij, Marcelo Q. Hoexter, Martine Hoogman, Jan K. Buitelaar, Paul Arnold, Jan C. Beucke, Francesco Benedetti, Irene Bollettini, Anushree Bose, Brian P. Brennan, Alessander S. De Nadai, Kate Fitzgerald, Patricia Gruner, Edna Gruenblatt, Yoshiyuki Hirano, Chaim Huyser, Anthony James, Kathrin Koch, Gerd Kvale, Luisa Lazaro, Christine Lochner, Rachel Marsh, David Mataix-Cols, Pedro Morgado, Takashi Nakamae, Tomohiro Nakao, Janardhanan C. Narayanaswamy, Erika Nurmi, Christopher Pittenger, Y. C. Janardhan Reddy, Joao R. Sato, Noam Soreni, S. Evelyn Stewart, Stephan F. Taylor, David Tolin, Sophia I. Thomopoulos, Dick J. Veltman, Ganesan Venkatasubramanian, Susanne Walitza, Zhen Wang, Paul M. Thompson, Dan J. Stein

Summary: Neuroimaging has significantly advanced our understanding of OCD's neurobiology, with ENIGMA consortium's collaborative efforts enhancing statistical power. Their work involves samples from multiple countries and regions, utilizing machine learning techniques for research, contributing to the development of neurobiological models of OCD and global scientific collaboration.

HUMAN BRAIN MAPPING (2022)

Review Neurosciences

What we learn about bipolar disorder from large-scale neuroimaging: Findings and future directions from theENIGMABipolar Disorder Working Group

Christopher R. K. Ching, Derrek P. Hibar, Tiril P. Gurholt, Abraham Nunes, Sophia I. Thomopoulos, Christoph Abe, Ingrid Agartz, Rachel M. Brouwer, Dara M. Cannon, Sonja M. C. de Zwarte, Lisa T. Eyler, Pauline Favre, Tomas Hajek, Unn K. Haukvik, Josselin Houenou, Mikael Landen, Tristram A. Lett, Colm McDonald, Leila Nabulsi, Yash Patel, Melissa E. Pauling, Tomas Paus, Joaquim Radua, Marcio G. Soeiro-de-Souza, Giulia Tronchin, Neeltje E. M. van Haren, Eduard Vieta, Henrik Walter, Ling-Li Zeng, Martin Alda, Jorge Almeida, Dag Alnaes, Silvia Alonso-Lana, Cara Altimus, Michael Bauer, Bernhard T. Baune, Carrie E. Bearden, Marcella Bellani, Francesco Benedetti, Michael Berk, Amy C. Bilderbeck, Hilary P. Blumberg, Erlend Boen, Irene Bollettini, Caterina del Mar Bonnin, Paolo Brambilla, Erick J. Canales-Rodriguez, Xavier Caseras, Orwa Dandash, Udo Dannlowski, Giuseppe Delvecchio, Ana M. Diaz-Zuluaga, Danai Dima, Edouard Duchesnay, Torbjorn Elvsashagen, Scott C. Fears, Sophia Frangou, Janice M. Fullerton, David C. Glahn, Jose M. Goikolea, Melissa J. Green, Dominik Grotegerd, Oliver Gruber, Bartholomeus C. M. Haarman, Chantal Henry, Fleur M. Howells, Victoria Ives-Deliperi, Andreas Jansen, Tilo T. J. Kircher, Christian Knoechel, Bernd Kramer, Beny Lafer, Carlos Lopez-Jaramillo, Rodrigo Machado-Vieira, Bradley J. MacIntosh, Elisa M. T. Melloni, Philip B. Mitchell, Igor Nenadic, Fabiano Nery, Allison C. Nugent, Viola Oertel, Roel A. Ophoff, Miho Ota, Bronwyn J. Overs, Daniel L. Pham, Mary L. Phillips, Julian A. Pineda-Zapata, Sara Poletti, Mircea Polosan, Edith Pomarol-Clotet, Arnaud Pouchon, Yann Quide, Maria M. Rive, Gloria Roberts, Henricus G. Ruhe, Raymond Salvador, Salvador Sarro, Theodore D. Satterthwaite, Aart H. Schene, Kang Sim, Jair C. Soares, Michael Staeblein, Dan J. Stein, Christian K. Tamnes, Georgios V. Thomaidis, Cristian Vargas Upegui, Dick J. Veltman, Michele Wessa, Lars T. Westlye, Heather C. Whalley, Daniel H. Wolf, Mon-Ju Wu, Lakshmi N. Yatham, Carlos A. Zarate, Paul M. Thompson, Ole A. Andreassen

Summary: MRI-derived brain measures have been widely studied in bipolar disorder (BD) and provide insights into the connections between genes, the environment, and behavior. The ENIGMA Bipolar Disorder Working Group is a collaborative effort that aims to generate consensus findings and improve the replicability of studies on BD. Through large-scale neuroimaging studies, the working group has discovered patterns of brain alterations associated with BD, as well as the effects of medications and clinical risk profiles.

HUMAN BRAIN MAPPING (2022)

Article Neurosciences

Longitudinal Structural Brain Changes in Bipolar Disorder: A Multicenter Neuroimaging Study of 1232 Individuals by the ENIGMA Bipolar Disorder Working Group

Christoph Abe, Christopher R. K. Ching, Benny Liberg, Alexander V. Lebedev, Ingrid Agartz, Theophilus N. Akudjedu, Martin Alda, Dag Alnaes, Silvia Alonso-Lana, Francesco Benedetti, Michael Berk, Erlend Boen, Caterina del Mar Bonnin, Fabian Breuer, Katharina Brosch, Rachel M. Brouwer, Erick J. Canales-Rodriguez, Dara M. Cannon, Yann Chye, Andreas Dahl, Orwa Dandash, Udo Dannlowski, Katharina Dohm, Torbjorn Elvsashagen, Lukas Fisch, Janice M. Fullerton, Jose M. Goikolea, Dominik Grotegerd, Beathe Haatveit, Tim Hahn, Tomas Hajek, Walter Heindel, Martin Ingvar, Kang Sim, Tilo T. J. Kircher, Rhoshel K. Lenroot, Ulrik F. Malt, Colm McDonald, Sean R. McWhinney, Ingrid Melle, Tina Meller, Elisa M. T. Melloni, Philip B. Mitchell, Leila Nabulsi, Igor Nenadic, Nils Opel, Bronwyn J. Overs, Francesco Panicalli, Julia-Katharina Pfarr, Sara Poletti, Edith Pomarol-Clotet, Joaquim Radua, Jonathan Repple, Kai G. Ringwald, Gloria Roberts, Elena Rodriguez-Cano, Raymond Salvador, Kelvin Sarink, Salvador Sarro, Simon Schmitt, Frederike Stein, Chao Suo, Sophia I. Thomopoulos, Giulia Tronchin, Eduard Vieta, Lars T. Westlye, Adam G. White, Lakshmi N. Yatham, Nathalia Zak, Paul M. Thompson, Ole A. Andreassen, Mikael Landen

Summary: This study revealed that patients with BD showed faster ventricular enlargements and slower thinning of specific brain regions. More manic episodes were associated with faster cortical thinning, primarily in the prefrontal cortex.

BIOLOGICAL PSYCHIATRY (2022)

Article Psychiatry

The role of clinical and Personological features in predicting high lethality suicide attempts: A study among mood disorder patients

Serena Borroni, Linda Franchini, Silvia Brioschi, Giulia Vassena, Elisabetta Masci, Chiara Franzoni, Giulia Ruotolo, Cristina Colombo, Andrea Fossati

Summary: This study examines the role of sociodemographic and clinical variables as well as personality pathological features in predicting high lethality suicide attempts. The results indicate that previous suicide attempts and current suicide ideation play a role in predicting serious suicide attempts. Specifically, the Detachment domain is associated with high lethality suicide attempts and remains a significant predictor even when considering the effects of previous attempts and ideation.

PERSONALITY AND MENTAL HEALTH (2023)

Article Clinical Neurology

Insulin resistance disrupts white matter microstructure and amplitude of functional spontaneous activity in Bipolar disorder

Elena Mazza, Federico Calesella, Marco Paolini, Camilla di Pasquasio, Sara Poletti, Cristina Lorenzi, Andrea Falini, Raffaella Zanardi, Cristina Colombo, Francesco Benedetti

Summary: Our study investigated the effects of insulin and its derived measures on white matter microstructure and neural functional connectivity in patients with bipolar disorder (BD). The results showed that insulin was negatively associated with fractional anisotropy and positively influenced radial diffusivity and mean diffusivity. Additionally, insulin resistance had a significant effect on radial diffusivity, while insulin sensitivity was positively associated with fractional anisotropy and negatively associated with radial diffusivity and mean diffusivity. These findings suggest that insulin may play a role in the pathophysiology of BD by affecting white matter microstructure and functional connectivity.

BIPOLAR DISORDERS (2023)

Article Clinical Neurology

Brain correlates of subjective cognitive complaints in COVID-19 survivors: A multimodal magnetic resonance imaging study

Marco Paolini, Mariagrazia Palladini, Mario Gennaro Mazza, Federica Colombo, Benedetta Vai, Patrizia Rovere-Querini, Andrea Falini, Sara Poletti, Francesco Benedetti

Summary: Cognitive impairment is a common residual symptom in COVID-19 survivors and is associated with various brain changes. This study investigated the neural correlates of subjective cognitive decline using multimodal imaging in a sample of 58 COVID-19 survivors. The findings revealed widespread white matter disruption and abnormal functional connectivity in the brains of individuals with cognitive complaints. These results suggest a potential brain signature of cognitive decline in COVID-19 survivors and may aid in the identification of therapeutic targets for mitigating long-term cognitive dysfunction.

EUROPEAN NEUROPSYCHOPHARMACOLOGY (2023)

Article Psychiatry

White matter integrity and pro-inflammatory cytokines as predictors of antidepressant response in MDD

Sigrid Breit, Elena Mazza, Sara Poletti, Francesco Benedetti

Summary: Major depressive disorder (MDD) is a complex and serious mental disorder that can result in chronic recurrent symptoms, treatment resistance, and suicidal behavior. Immune dysregulation and brain volume changes, particularly in white matter (WM), are associated with MDD. Neuroimaging markers and blood markers, such as inflammation-related cytokines, may serve as predictors of treatment response in MDD, but the relationship between peripheral inflammation, WM integrity, and antidepressant response is still not clearly understood. This review aims to explore the association between inflammation and WM integrity, and their impact on MDD pathophysiology and progression, as well as the potential role of novel biomarkers in improving MDD prevention and treatment strategies.

JOURNAL OF PSYCHIATRIC RESEARCH (2023)

Article Clinical Neurology

Reduced corticolimbic habituation to negative stimuli characterizes bipolar depressed suicide attempters

Benedetta Vai, Federico Calesella, Claudia Lenti, Lidia Fortaner-Uya, Elisa Caselani, Paola Fiore, Sigrid Breit, Sara Poletti, Cristina Colombo, Raffaella Zanardi, Francesco Benedetti

Summary: Suicide attempts in Bipolar Disorder are characterized by high levels of lethality and impulsivity. Reduced rates of amygdala and cortico-limbic habituation can identify a fMRI phenotype of suicidality in the disorder related to internal over-arousing states. This study found that bipolar suicide attempters have lower habituation levels in several cortico-limbic areas, suggesting that reduced habituation in the cortico-limbic system may serve as a biomarker for suicidality. Machine learning techniques achieved high accuracy in differentiating suicide attempters from non-attempters.

PSYCHIATRY RESEARCH-NEUROIMAGING (2023)

Article Medicine, General & Internal

The Burden of Survivorship: Survivor Guilt and Its Association with Psychiatric Sequelae in COVID-19 Patients

Mariagrazia Palladini, Mario Gennaro Mazza, Andrea Scalabrini, Patrizia Rovere Querini, Sara Poletti, Francesco Benedetti

Summary: COVID-19 survivors experience intense depressive and post-traumatic symptoms in the sub-acute stages. Survivor guilt may contribute to the development of post-COVID psychiatric implications. This study aims to uncover the affective mechanism behind these implications by examining the association between survivor guilt, psychopathology, and maladaptive attributional style. The study evaluated symptoms of depression, post-traumatic distress, and sleep disturbances in 195 COVID-19 survivors one month after discharge.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Clinical Neurology

Neutrophil to lymphocyte ratio and antidepressant treatment response in patients with major depressive disorder: Effect of sex and hippocampal volume

Marco Paolini, Yasmin Harrington, Laura Raffaelli, Sara Poletti, Raffaella Zanardi, Cristina Colombo, Francesco Benedetti

Summary: This study investigated the impact of Neutrophil-to-lymphocyte ratio (NLR) on treatment response in Major Depressive Disorder (MDD) patients, and the influence of sex and hippocampal volume on this relationship. The results showed that NLR had a different effect on treatment response in females compared to males. Additionally, NLR negatively affected hippocampal volume in females, and hippocampal volume partially mediated the effect of NLR on treatment response in females.

EUROPEAN NEUROPSYCHOPHARMACOLOGY (2023)

Article Clinical Neurology

Hippocampal and parahippocampal volume and function predict antidepressant response in patients with major depression: A multimodal neuroimaging study

Marco Paolini, Yasmin Harrington, Federica Colombo, Valentina Bettonagli, Sara Poletti, Matteo Carminati, Cristina Colombo, Francesco Benedetti, Raffaella Zanardi

Summary: A study found that there is a correlation between MRI imaging and treatment response in patients with major depressive disorder (MDD). The study analyzed MRI scans of 100 patients and found that lower grey matter volumes, particularly in the hippocampus and temporal lobe-related areas, were associated with worse treatment outcomes. Functional connectivity patterns were also found to be related to treatment response.

JOURNAL OF PSYCHOPHARMACOLOGY (2023)

Letter Criminology & Penology

Letter to the Editor: Interpersonal Violent Behavior in Bipolar Disorder: A Preliminary Study on Gender Differences

Lorenzo Fregna, Francesco Attanasio, Guido Travaini, Cristina Colombo

VIOLENCE AND GENDER (2023)

No Data Available