Literature DB >> 15172942

Hippocampal volume change in depression: late- and early-onset illness compared.

Adrian J Lloyd1, I Nicol Ferrier, Robert Barber, Anil Gholkar, Allan H Young, John T O'Brien.   

Abstract

BACKGROUND: Evidence for structural hippocampal change in depression is limited despite reports of neuronal damage due to hypercortisolaemia and vascular pathology. AIMS: To compare hippocampal and white matter structural change in demographically matched controls and participants with early-onset and late-onset depression.
METHOD: High-resolution volumetric magnetic resonance imaging (MRI) and rating of MRI hyperintensities.
RESULTS: A total of 51 people with depression and 39 control participants were included. Participants with late-onset depression had bilateral hippocampal atrophy compared with those with early-onset depression and controls. Hippocampal volumes did not differ between control participants and those with early-onset depression. Age of depression onset correlated (negatively) with hippocampal volume but lifetime duration of depression did not. Hyperintensity ratings did not differ between groups.
CONCLUSIONS: Results suggest that acquired biological factors are of greater importance in late-than in early-onset illness and that pathological processes other than exposure to hypercortisolaemia of depression underlie hippocampal atrophy in depression of late life.

Entities:  

Mesh:

Year:  2004        PMID: 15172942     DOI: 10.1192/bjp.184.6.488

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN: 0007-1250            Impact factor:   9.319


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