TY - JOUR PY - 2023// TI - Depression after head injury might be separate disorder JO - JAMA journal of the American Medical Association A1 - Harris, Emily SP - ePub EP - ePub VL - ePub IS - ePub N2 - Depression after a traumatic brain injury (TBI) might represent a distinct condition from major depressive disorder, according to an analysis that applied a precision brain-mapping method to data gathered from 273 participants in 5 previously published studies. People with depression associated with TBI--what the researchers termed "TBI affective syndrome"--had distinct connectivity patterns within a particular brain circuit compared with those with depression who did not have TBI and those who experienced TBI alone. The brain regions that form the circuit are involved in attention to the external world as well as internal reflection and rumination. If changes in brain connectivity rather than differences in neurochemical and psychological factors indeed underpin the pathophysiology of TBI-associated depression, patients with the condition might be better served by structurally oriented treatments such as transcranial magnetic stimulation rather than serotonergic or cognitive behavioral therapy, the researchers noted in Science Translational Medicine.
Language: en
LA - en SN - 0098-7484 UR - http://dx.doi.org/10.1001/jama.2023.12543 ID - ref1 ER -