Structural and functional brain correlates of treatment-resistant depression: A systematic review of magnetic resonance imaging studies.

J Affect DisordMay 5, 2026 (epub)
Clinical ResearchPsychiatry

Lauren E Carter, Emily Lowery, Mitul A Mehta et al.

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In 30 seconds

This systematic review examined structural and functional brain changes in treatment-resistant depression (TRD) compared to non-treatment-resistant major depressive disorder (MDD). Analyzing 27 studies, the review found that TRD patients exhibited reduced hippocampal volume and altered functional connectivity in brain regions including the frontal and temporal lobes. The findings highlight the need for standardized methodologies in future research.

Key findings

  • TRD patients showed reduced hippocampal volume compared to non-TRD MDD.
  • Altered functional connectivity was observed in the frontal, temporal, and parietal lobes in TRD.
  • Inconsistencies in white matter volume and integrity were noted across studies.

Why it matters

Understanding the brain correlates of treatment-resistant depression can inform clinicians about the underlying neurobiological mechanisms, potentially guiding more effective treatment strategies for this challenging patient population.

Source

PubMed · PMID 42097177

Published in J Affect Disord. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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