Sex differences in anhedonia in bipolar depression: a resting-state fMRI study.

Journal: European archives of psychiatry and clinical neuroscience

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Affiliated Institutions:  The Affiliated Brain Hospital of Nanjing Medical University, Guangzhou Road, Nanjing, , China. The Affiliated Brain Hospital of Nanjing Medical University, Guangzhou Road, Nanjing, , China. zjyao@nju.edu.cn. School of Biological Sciences and Medical Engineering, Southeast University, sipailou, Nanjing, , China. luq@seu.edu.cn.

Abstract summary 

Previous studies about anhedonia symptoms in bipolar depression (BD) ignored the unique role of gender on brain function. This study aims to explore the regional brain neuroimaging features of BD with anhedonia and the sex differences in these patients. The resting-fMRI by applying fractional amplitude of low-frequency fluctuation (fALFF) method was estimated in 263 patients with BD (174 high anhedonia [HA], 89 low anhedonia [LA]) and 213 healthy controls. The effects of two different factors in patients with BD were analyzed using a 3 (group: HA, LA, HC) × 2 (sex: male, female) ANOVA. The fALFF values were higher in the HA group than in the LA group in the right medial cingulate gyrus and supplementary motor area. For the sex-by-group interaction, the fALFF values of the right hippocampus, left medial occipital gyrus, right insula, and bilateral medial cingulate gyrus were significantly higher in HA males than in LA males but not females. These results suggested that the pattern of high activation could be a marker of anhedonia symptoms in BD males, and the sex differences should be considered in future studies of BD with anhedonia symptoms.

Authors & Co-authors:  Wang Xia Yan Sun Huang Xia Sheng You Hua Tang Yao Lu

Study Outcome 

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Statistics
Citations :  Al Zoubi O, Misaki M, Tsuchiyagaito A, Zotev V, White E, Paulus M, Bodurka J (2022) Machine learning evidence for sex differences consistently influences resting-state functional magnetic resonance imaging fluctuations across multiple independently acquired data sets. Brain Connect 12:348–361
Authors :  12
Identifiers
Doi : 10.1007/s00406-024-01765-4
SSN : 1433-8491
Study Population
Males
Mesh Terms
Other Terms
Anhedonia;Bipolar depression;Functional neuroimaging;Hippocampus;Insula;Sex difference
Study Design
Study Approach
Country of Study
Publication Country
Germany