White matter abnormalities: Insights into the pathophysiology of major affective disorders
Gianluca Serafini1, Xenia Gonda1, Zoltan Rihmer1
1Gianluca Serafini, Paolo Girardi, Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Abstract:
The presence of white matter hyperintensities (WMHs) has been commonly associated with poor outcome in subjects with major affective disorders. Unfortunately, WMHs may be frequently confounded by the use of psychoactive medications and duration of illness. Although findings from the current literature are quite conflicting, we proposed that subjects with WMHs may be at higher suicidal risk when compared to other subgroups without. Based on the Fazekas modified scale, the severity of WMHs may serve as a trait marker of disease. Interestingly, the presence of WMHs may represent a neurobiological marker between the underlying vulnerability and clinical presentation of major affective disorders.
Insights
White matter hyperintensities (WMHs) in major affective disorders may indicate higher suicidal risk. The severity of these brain changes could serve as a neurobiological marker for disease vulnerability and clinical presentation.
Area of Science:
- Neuroscience
- Psychiatry
- Neuroimaging
Background:
- White matter hyperintensities (WMHs) are linked to poor outcomes in major affective disorders.
- Confounding factors like medication and illness duration complicate WMH interpretation.
- Existing literature on WMHs in affective disorders presents conflicting findings.
Purpose of the Study:
- To investigate the association between WMHs and suicidal risk in major affective disorders.
- To explore the potential of WMH severity as a trait marker for these disorders.
Main Methods:
- Utilized the modified Fazekas scale to assess WMH severity.
- Compared suicidal risk in subjects with and without WMHs.
Main Results:
- Subjects with WMHs showed a higher risk of suicide compared to those without.
- WMH severity, assessed by the Fazekas scale, may act as a disease trait marker.
Conclusions:
- WMHs may represent a neurobiological marker in major affective disorders.
- WMH presence and severity are associated with increased suicidal risk.
- WMHs could bridge underlying vulnerability and clinical manifestations.
Related Concept Videos
Depression: Overview
Alzheimer Disease ll: Pathophysiology
Depressive Disorders: Etiology
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Long-term Depression
Calcium Ion Concentration Mechanism
If over...
Long-term Depression


