Background:Patients with schizophrenia(SCZ)and major depressive disorder(MDD)share significant clinical overlap,although it remains unknown to what extent this overlap reflects shared neural profiles.To identify the s...Background:Patients with schizophrenia(SCZ)and major depressive disorder(MDD)share significant clinical overlap,although it remains unknown to what extent this overlap reflects shared neural profiles.To identify the shared and specific abnormalities in SCZ and MDD,we performed a whole-brain voxel-based meta-analysis using magnetization transfer imaging,a technique that characterizes the macromolecular structural integrity of brain tissue in terms of the magnetization transfer ratio(MTR).Methods:A systematic search based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted in PubMed,EMBASE,International Scientific Index(ISI)Web of Science,and MEDLINE for relevant studies up to March 2022.Two researchers independently screened the articles.Rigorous scrutiny and data extraction were performed for the studies that met the inclusion criteria.Voxel-wise meta-analyses were conducted using anisotropic effect size-signed differential mapping with a unified template.Meta-regression was used to explore the potential effects of demographic and clinical characteristics.Results:A total of 15 studies with 17 datasets describing 365 SCZ patients,224 MDD patients,and 550 healthy controls(HCs)were identified.The conjunction analysis showed that both disorders shared higher MTR than HC in the left cerebellum(P=0.0006)and left fusiform gyrus(P=0.0004).Additionally,SCZ patients showed disorder-specific lower MTR in the anterior cingulate/paracingulate gyrus,right superior temporal gyrus,and right superior frontal gyrus,and higher MTR in the left thalamus,precuneus/cuneus,posterior cingulate gyrus,and paracentral lobule;and MDD patients showed higher MTR in the left middle occipital region.Meta-regression showed no statistical significance in either group.Conclusions:The results revealed a structural neural basis shared between SCZ and MDD patients,emphasizing the importance of shared neural substrates across psychopathology.Meanwhile,distinct disease-specific characteristics could have implications for future differential diagnosis and targeted treatment.展开更多
To the Editor:As the novel coronavirus disease 2019(COVID-19)pandemic rapidly spreads around the world,it has resulted in unprecedented economic loss,social turmoil,and detrimental effects on public mental health.In p...To the Editor:As the novel coronavirus disease 2019(COVID-19)pandemic rapidly spreads around the world,it has resulted in unprecedented economic loss,social turmoil,and detrimental effects on public mental health.In particular,the implementation of disease control measures such as nationwide lockdowns,social distancing,school closures,and home quarantine has given rise to a wide range of social anxiety(SA)around the world,from nonclinical manifestations to clinical social anxiety disorder(SAD).[1]Given the potentially severe impairments from SA and the limited mental health care resources,it is vital to identify whether there are vulnerability/risk neuropsychological factors contributing to the progression of SA during the pandemic.展开更多
基金National Key R&D Program of China(No.2022YFC2009904/2022YFC2009900)National Natural Science Foundation(Nos.81621003,81820108018,82027808,and 82001800)Young Elite Scientists Sponsorship Program by CAST(No.2022QNRC001)
文摘Background:Patients with schizophrenia(SCZ)and major depressive disorder(MDD)share significant clinical overlap,although it remains unknown to what extent this overlap reflects shared neural profiles.To identify the shared and specific abnormalities in SCZ and MDD,we performed a whole-brain voxel-based meta-analysis using magnetization transfer imaging,a technique that characterizes the macromolecular structural integrity of brain tissue in terms of the magnetization transfer ratio(MTR).Methods:A systematic search based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted in PubMed,EMBASE,International Scientific Index(ISI)Web of Science,and MEDLINE for relevant studies up to March 2022.Two researchers independently screened the articles.Rigorous scrutiny and data extraction were performed for the studies that met the inclusion criteria.Voxel-wise meta-analyses were conducted using anisotropic effect size-signed differential mapping with a unified template.Meta-regression was used to explore the potential effects of demographic and clinical characteristics.Results:A total of 15 studies with 17 datasets describing 365 SCZ patients,224 MDD patients,and 550 healthy controls(HCs)were identified.The conjunction analysis showed that both disorders shared higher MTR than HC in the left cerebellum(P=0.0006)and left fusiform gyrus(P=0.0004).Additionally,SCZ patients showed disorder-specific lower MTR in the anterior cingulate/paracingulate gyrus,right superior temporal gyrus,and right superior frontal gyrus,and higher MTR in the left thalamus,precuneus/cuneus,posterior cingulate gyrus,and paracentral lobule;and MDD patients showed higher MTR in the left middle occipital region.Meta-regression showed no statistical significance in either group.Conclusions:The results revealed a structural neural basis shared between SCZ and MDD patients,emphasizing the importance of shared neural substrates across psychopathology.Meanwhile,distinct disease-specific characteristics could have implications for future differential diagnosis and targeted treatment.
基金National Natural Science Foundation of China(Nos.81621003,81761128023,81820108018,82027808,and 31800963)
文摘To the Editor:As the novel coronavirus disease 2019(COVID-19)pandemic rapidly spreads around the world,it has resulted in unprecedented economic loss,social turmoil,and detrimental effects on public mental health.In particular,the implementation of disease control measures such as nationwide lockdowns,social distancing,school closures,and home quarantine has given rise to a wide range of social anxiety(SA)around the world,from nonclinical manifestations to clinical social anxiety disorder(SAD).[1]Given the potentially severe impairments from SA and the limited mental health care resources,it is vital to identify whether there are vulnerability/risk neuropsychological factors contributing to the progression of SA during the pandemic.
