Altered static and dynamic functional connectivity in major depressive disorder accompanied by high anxiety: evidence
Lujun Li1, Zhijun Zeng2, Yaling Zhou1
1Chengdu Southwest Children's Rehabilitation Hospital, Chengdu, China.
Frontiers in Psychiatry
|June 24, 2025
Summary
Major depressive disorder with high anxiety shows distinct brain connectivity patterns in the visual, default mode, and basal ganglia networks. Understanding these neural circuits may aid targeted treatments for depression.
Area of Science:
- Neuroscience
- Psychiatry
- Medical Imaging
Background:
- Major depressive disorder (MDD) is a common mental health condition.
- Anxiety often co-occurs with MDD, complicating treatment.
- The neural mechanisms underlying MDD with varying anxiety levels are not fully understood.
Purpose of the Study:
- To identify distinct brain connectivity patterns in MDD patients with high versus low anxiety symptoms.
- To explore the role of functional brain networks in the comorbidity of depression and anxiety.
Main Methods:
- Resting-state functional magnetic resonance imaging (rs-fMRI) was used.
- 178 participants (MDD with high anxiety, MDD with low anxiety, healthy controls) were analyzed.
- Static and dynamic functional connectivity analyses were performed.
Main Results:
- Overlapping alterations in auditory cortex and salience network connectivity were observed.
- Distinct functional connectivity patterns were found between the default mode network (DMN), visual network (VN), and basal ganglia network (BGN).
Conclusions:
- The VN-DMN-BGN circuit may underlie varying anxiety levels in MDD.
- Identifying these neural correlations can inform targeted therapeutic strategies for depression.
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