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Background: Previous research has indicated that individuals with depression and anxiety disorders may similarly changes in brain connectivity compared to healthy control. These patterns of altered connectivity may emerge upon disorder onset in adolescence. Establishing shared and specific patterns at this early stage can help investigate underlying biological processes, with implications for intervention, but remaining unclear whether adolescent MDD and AD are associated with similar or distinct functional connectivity patterns.
Objective: To determine similarities and differences in brain connectivity neuroimaging between adolescent MDD and AD.
Methods: Eligibility criteria were established following PICOS. We conducted searches using controlled vocabulary and searching syntax on PubMed, Scopus, ScienceDirect, and Web of Science databases, up to January 31, 2024. The quality of papers was assessed using PRISMA.
Results: 5137 papers were retrieved, with 38 meeting the inclusion criteria. In the synthesis of results, it was found that adolescent MDD patients exhibit increased connectivity within default mode network (DMN), especially in areas posterior cingulate cortex and medial prefrontal cortex; and salience network (SN) including anterior cingulate cortex and insula. Adolescent AD patients show hyperconnectivity and dysregulated activity in DMN, enhanced connectivity within SN including amygdala. MDD and AD both show involvement of limbic system including amygdala and hippocampus.
Conclusion: Results suggest both adolescent MDD and AD exhibit alterations in connectivity of SN; disrupted connectivity within DMN; dysregulation in connectivity between limbic and sensorimotor system. They also differentiate in certain connectivity patterns. These could serve as biomarkers for future research on transdiagnostic features across psychiatric disorders.
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http://dx.doi.org/10.1016/j.neubiorev.2025.106309 | DOI Listing |
Transl Psychiatry
September 2025
Department of Human Sciences, The Ohio State University, Columbus, OH, USA.
A ketogenic diet (KD) has shown promise as an adjunctive therapy for neurological and neuropsychiatric disorders, including bipolar disorder and major depressive disorder (MDD). We examined tolerance for a KD in young adults with MDD and assessed symptoms of depression and metabolic health. Students (n = 24) with a confirmed diagnosis of MDD at baseline receiving standard of care counseling and/or medication treatment were enrolled in a 10-12 week KD intervention that included partial provision of ketogenic-appropriate food items, frequent dietary counseling, and daily morning tracking of capillary R-beta-hydroxybutyrate (R-BHB).
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September 2025
H. Lundbeck A/S, Copenhagen, Denmark.
Objective: To evaluate efficacy, safety, and tolerability of vortioxetine in children ages 7 to 11 years with major depressive disorder.
Method: Patients meeting criteria for incomplete improvement in depressive symptoms (Children's Depression Rating Scale-Revised [CDRS-R] total score ≥40 plus <40% reduction and Parent Global Assessment Global Improvement score >2) after 4 weeks of single-blind lead-in treatment with a brief psychosocial intervention plus placebo were randomized 1:1:1:1 to 8-week double-blind treatment with brief psychosocial intervention and placebo, vortioxetine 10 mg/day, vortioxetine 20 mg/day, or fluoxetine 20 mg/day. Following preplanned interim analysis, enrollment to fluoxetine was stopped, and patients were randomized 1:1:1 to placebo, vortioxetine 10 mg, or vortioxetine 20 mg.
Mol Psychiatry
September 2025
Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Background: Peripartum depression (PPD) is a form of major depressive disorder (MDD) that begins during the peripartum period and poses a significant mental health challenge affecting 10 to 29% of women.
Objective: This systematic review and multimodal activation likelihood estimation (ALE) meta-analysis explored the distinct structural, functional, and metabolic features of the PPD brain as compared to female non-peripartum MDD.
Methods: For this purpose, we conducted a comprehensive literature search in PubMed, Embase and PsycINFO databases to identify peer-reviewed original studies investigating the neural correlates associated with PPD or fMDD.
Neuropsychiatr Dis Treat
September 2025
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, People's Republic of China.
Objective: Adolescent anhedonia (AA) exhibits distinct characteristics. Currently available anhedonia scales in Chinese are designed solely for adult populations. This investigation assessed the psychometric characteristics of the Chinese Anhedonia Scale for Adolescents (ASA-C) across clinical, subthreshold, and typically developing adolescent cohorts, while establishing its optimal cut-off for prominent anhedonia identification.
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