Publications by authors named "Marius Gruber"

Background: Many studies have highlighted the detrimental effect of childhood maltreatment (CM) on depression severity and the course of illness in major depressive disorder (MDD). Yet our understanding of how CM influences the dynamic symptom change throughout a patient's trajectory remains limited. Hence, we investigated the impact of CM on depression severity in MDD with a focus on various treatment phases during inpatient treatment and after discharge (1 or 2 years later) and validated findings in a real-world setting.

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Cognitive-behavioral therapy (CBT) is a primary treatment for depression. Although previous research has underscored the significant roles of white matter (WM) alterations and maladaptive parenting in depression risk, their associations with CBT response remain largely unknown. This longitudinal study investigated the interplay of WM integrity changes over time, treatment response, and parenting style in patients with depression.

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Although specific risk factors for brain alterations in bipolar disorders (BD) are currently unknown, obesity impacts the brain and is highly prevalent in BD. Gray matter correlates of obesity in BD have been well documented, but we know much less about brain white matter abnormalities in people who have both obesity and BD. We obtained body mass index (BMI) and diffusion tensor imaging derived fractional anisotropy (FA) from 22 white matter tracts in 899 individuals with BD, and 1287 control individuals from 20 cohorts in the ENIGMA-BD working group.

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Background: Neuropsychiatric and neurodegenerative disorders involve diverse changes in brain functional connectivity. As an alternative to approaches that search for specific mosaic patterns of affected connections and networks, we used polyconnectomic scoring to quantify disorder-related whole-brain connectivity signatures into interpretable, personalized scores.

Methods: The polyconnectomic score (PCS) measures the extent to which an individual's functional connectivity mirrors the whole-brain circuitry characteristics of a trait.

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Background: Cognitive deficits are a key source of disability in individuals with major depressive disorder (MDD) and worsen with disease progression. Despite their clinical relevance, the underlying mechanisms of cognitive deficits remain poorly elucidated, hampering effective treatment strategies. Emerging evidence suggests that alterations in white matter microstructure might contribute to cognitive dysfunction in MDD.

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Deficits in memory performance have been linked to a wide range of neurological and neuropsychiatric conditions. While many studies have assessed the memory impacts of individual conditions, this study considers a broader perspective by evaluating how memory recall is differentially associated with nine common neuropsychiatric conditions using data drawn from 55 international studies, aggregating 15,883 unique participants aged 15-90. The effects of dementia, mild cognitive impairment, Parkinson's disease, traumatic brain injury, stroke, depression, attention-deficit/hyperactivity disorder (ADHD), schizophrenia, and bipolar disorder on immediate, short-, and long-delay verbal learning and memory (VLM) scores were estimated relative to matched healthy individuals.

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Childhood maltreatment (CM) is associated with increased limbic activity, while social support is linked to decreased limbic activity towards negative stimuli. Our study aimed to explore the interaction of perceived social support with CM, and their combined impact on limbic activity in negative emotion processing. A total of 130 healthy individuals (HC) underwent a negative emotional face processing paradigm.

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Reduced processing speed is a core deficit in major depressive disorder (MDD) and has been linked to altered structural brain network connectivity. Ample evidence highlights the involvement of genetic-immunological processes in MDD and specific depressive symptoms. Here, we extended these findings by examining associations between polygenic scores for tumor necrosis factor-α blood levels (TNF-α PGS), structural brain connectivity, and processing speed in a large sample of MDD patients.

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Background: Depressive symptoms seem to be interrelated in a complex and self-reinforcing way. To gain a better understanding of this complexity, the inclusion of theoretically relevant constructs (such as risk and protective factors) offers a comprehensive view into the complex mechanisms underlying depression.

Methods: Cross-sectional data from individuals diagnosed with a major depressive disorder (N = 986) and healthy controls (N = 1049) were analyzed.

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Importance: Biological psychiatry aims to understand mental disorders in terms of altered neurobiological pathways. However, for one of the most prevalent and disabling mental disorders, major depressive disorder (MDD), no informative biomarkers have been identified.

Objective: To evaluate whether machine learning (ML) can identify a multivariate biomarker for MDD.

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The brain's structural network follows a hierarchy that is described as rich club (RC) organization, with RC hubs forming the well-interconnected top of this hierarchy. In this study, we tested whether RC hubs are involved in the processing of hierarchically higher structures in stimulus sequences. Moreover, we explored the role of previously suggested cortical gradients along anterior-posterior and medial-lateral axes throughout the frontal cortex.

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Background: Controllability is a measure of the brain's ability to orchestrate neural activity which can be quantified in terms of properties of the brain's network connectivity. Evidence from the literature suggests that aging can exert a general effect on whole-brain controllability. Mounting evidence, on the other hand, suggests that parenthood and motherhood in particular lead to long-lasting changes in brain architecture that effectively slow down brain aging.

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Article Synopsis
  • Schizotypy, which indicates a person's vulnerability to psychosis, is linked to both childhood trauma and structural brain changes.
  • A study involving 1182 healthy adults found that interactions between schizotypy levels and childhood trauma exposure affect brain morphology, specifically in regions related to cognitive processing.
  • Results suggest that individuals with high levels of both schizotypy and childhood trauma show significant variations in brain regions important for cognition, indicating that trauma may intensify the effects of schizotypy on brain structure.
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Background: Narcissistic personality traits have been theorised to negatively affect depressive symptoms, therapeutic alliance, and treatment outcome, even in the absence of narcissistic personality disorder. We aimed to examine how the dimensional narcissistic facets of admiration and rivalry affect depressive symptoms across treatment modalities in two transdiagnostic samples.

Methods: We did a naturalistic, observational prospective cohort study in two independent adult samples in Germany: one sample pooled from an inpatient psychiatric clinic and an outpatient treatment service offering cognitive behavioural treatment (CBT), and one sample from an inpatient clinic providing psychoanalytic interactional therapy (PIT).

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A broad range of neuropsychiatric disorders are associated with alterations in macroscale brain circuitry and connectivity. Identifying consistent brain patterns underlying these disorders by means of structural and functional MRI has proven challenging, partly due to the vast number of tests required to examine the entire brain, which can lead to an increase in missed findings. In this study, we propose polyconnectomic score (PCS) as a metric designed to quantify the presence of disease-related brain connectivity signatures in connectomes.

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Childhood maltreatment (CM) has been associated with changes in structural brain connectivity even in the absence of mental illness. Social support, an important protective factor in the presence of childhood maltreatment, has been positively linked to white matter integrity. However, the shared effects of current social support and CM and their association with structural connectivity remain to be investigated.

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Article Synopsis
  • MRI studies show that ECT leads to temporary increases in gray matter volume in patients with major depressive disorder (MDD), but this study investigates long-term changes over two years post-ECT.
  • A group of MDD patients underwent MRI scans before, immediately after, and two years after ECT, while control groups not receiving ECT were also assessed.
  • Results revealed that while gray matter volume increased after ECT, it significantly decreased after two years, indicating these changes are not lasting and correlating with poorer long-term outcomes for depression.
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  • The study investigates the relationship between formal thought disorder (FTD) symptoms and the brain's structural white matter connectivity across three mental health disorders: major depressive disorder, bipolar disorder, and schizophrenia.
  • Researchers analyzed data from 864 patients to identify three main dimensions of FTD: disorganization, emptiness, and incoherence, finding that disorganization and incoherence linked to global brain dysconnectivity.
  • The results highlight specific white matter subnetworks related to FTD, revealing significant overlap with brain regions previously associated with FTD in schizophrenia, indicating that these connection issues may be common across the disorders studied.
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Electroconvulsive Therapy (ECT) is arguably the most effective intervention for treatment-resistant depression. While large interindividual variability exists, a theory capable of explaining individual response to ECT remains elusive. To address this, we posit a quantitative, mechanistic framework of ECT response based on Network Control Theory (NCT).

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Article Synopsis
  • Schizophrenia (SCZ) and bipolar disorder (BD) are severe mental health disorders that share similar symptoms and genetic backgrounds, and may have overlapping effects on brain connectivity.
  • The study analyzed data from nearly 20,000 healthy individuals to examine how genetic risks for SCZ and BD affect brain connectivity using advanced imaging techniques and genome-wide association studies.
  • Results indicated significant links between specific brain regions and genetic risks for both disorders, identifying multiple genomic loci associated with brain circuits relevant to SCZ and BD, supporting the idea that these genetic factors influence brain structure even in healthy individuals.
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Article Synopsis
  • Cognitive dysfunction and changes in brain connectivity are prevalent in major depressive disorder (MDD), but their relationship is not well understood.
  • The study analyzed cognitive performance and brain connections in 805 healthy individuals and 679 MDD patients to explore how cognitive factors relate to brain structural networks.
  • Findings revealed a link between cognitive deficits and reduced connectivity in specific brain subnetworks, which was influenced by the severity of depressive symptoms, highlighting how MDD affects cognitive and brain functioning.
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  • Researchers in neuroscience are using Big Data to improve the reliability and replication of cognitive studies, focusing on memory testing.
  • They conducted a mega-analysis with data from 53 studies, involving over 10,500 individuals, employing methods to harmonize data and reduce variability across different sites.
  • Their findings show that large-scale data sharing can enhance the reproducibility of research in behavioral sciences, and they offer a free conversion tool for this purpose.
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Article Synopsis
  • Therapeutic approaches in psychiatry aim to affect the brain's dynamic network transitions, and Network Control Theory helps quantify how one brain region can influence others in this context.
  • A study using Diffusion Tensor Imaging data analyzed brain connectivity in 692 major depressive disorder (MDD) patients and 820 healthy controls, revealing differences in network controllability that aren't linked to current symptoms.
  • The research found that network controllability in MDD patients is associated with genetic risk factors, family history of mood disorders, and individual characteristics like body mass index, highlighting its potential for personalized mental health treatment strategies.
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Retrospective self-reports of childhood maltreatment (CM) are widely used. However, their validity has been questioned due to potential depressive bias. Yet, investigations of this matter are sparse.

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