Atlas of Gray Matter Volume Differences Across Psychiatric Conditions: A Systematic Review With a Novel Meta-Analysis That Considers Co-Occurring Disorders.


Por: Fortea L, Ortuño M, De Prisco M, Oliva V, Albajes-Eizagirre A, Fortea A, Madero S, Solanes A, Vilajosana E, Yao Y, Del Fabro L, Galindo ES, Verdolini N, Farré-Colomés A, Serra-Blasco M, Picó-Pérez M, Lukito S, Wise T, Carlisi C, Arnone D, Kempton M, Hauson AO, Wollman S, Soriano-Mas C, Rubia K, Norman L, Fusar-Poli P, Mataix-Cols D, Valentí M, Via E, Cardoner N, Solmi M, Zhang J, Pan P, Shin JI, Fullana MÀ, Vieta E and Radua J

Publicada: 1 jul 2025 Ahead of Print: 2 nov 2024
Resumen:
BACKGROUND: Regional gray matter volume (GMV) differences between individuals with mental disorders and comparison participants may be confounded by co-occurring disorders. To disentangle disorder-specific GMV correlates, we conducted a large-scale multidisorder meta-analysis using a novel approach that explicitly models co-occurring disorders. METHODS: We systematically reviewed voxel-based morphometry studies indexed in PubMed and Scopus up to January 2023 that compared adults with major mental disorders (anorexia nervosa, schizophrenia spectrum, anxiety, bipolar, major depressive, obsessive-compulsive, and posttraumatic stress disorders plus attention-deficit/hyperactivity, autism spectrum, and borderline personality disorders) with comparison participants. Two authors independently extracted data and assessed quality using the Newcastle-Ottawa Scale. We derived GMV correlates for each disorder using: 1) a multidisorder meta-analysis that accounted for all co-occurring mental disorders simultaneously and 2) separate standard meta-analyses for each disorder in which co-occurring disorders were ignored. We assessed the alterations' extent, intensity (effect size), and specificity (interdisorder correlations and transdiagnostic alterations) for both approaches. RESULTS: We included 433 studies (499 datasets) involving 19,718 patients and 16,441 comparison participants (51% female, ages 20-67 years). We provide GMV correlate maps for each disorder using both approaches. The novel approach, which accounted for co-occurring disorders, produced GMV correlates that were more focal and disorder specific (less correlated across disorders and fewer transdiagnostic abnormalities). CONCLUSIONS: This work offers the most comprehensive atlas of GMV correlates across major mental disorders. Modeling co-occurring disorders yielded more specific correlates, supporting this approach's validity. The atlas NIfTI maps are available online.

Filiaciones:
Fortea L:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

Ortuño M:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

De Prisco M:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Bipolar and Depressive Disorders Unit, Hospital Clinic, Barcelona, Spain

Oliva V:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Bipolar and Depressive Disorders Unit, Hospital Clinic, Barcelona, Spain

 Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy

Albajes-Eizagirre A:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

Fortea A:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Psychiatric and Psychology Service, Hospital Clinic, Barcelona, Spain

Madero S:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Schizophrenia Unit, Hospital Clinic, Barcelona, Spain

Solanes A:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

Vilajosana E:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

Yao Y:
 Department of Psychology, The University of Hong Kong, Hong Kong SAR, China

 Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Del Fabro L:
 Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy

Galindo ES:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

Verdolini N:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Bipolar and Depressive Disorders Unit, Hospital Clinic, Barcelona, Spain

 Local Health Unit Umbria 1, Department of Mental Health, Mental Health Center of Perugia, Perugia, Italy

Farré-Colomés A:
 Department of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health, Medical Faculty of Mannheim, Heidelberg University, Mannheim, Germany

Serra-Blasco M:
 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 eHealth ICOnnecta't Program and Psycho-Oncology Service, Institut Català d'Oncologia, 08908 L'Hospitalet de Llobregat, Spain

 Psycho-oncology and Digital Health Group, Health Services Research in Cancer, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), 08908 L'Hospitalet del Llobregat, Spain

Picó-Pérez M:
 Live and Health Sciences Research Institute (ICVS), University of Minho, Braga, Portugal

 ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal

 Departamento de Psicología Básica, Clínica y Psicobiología, Universitat Jaume I, Castelló de la Plana, Spain

Lukito S:
 Department of Child and Adolescent Psychiatry Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK

Wise T:
 Max Planck UCL Centre for Computational Psychiatry and Ageing Research, University College London, London, UK

 Division of the Humanities and Social Sciences, California Institute of Technology, California, CA, USA

 Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK

Carlisi C:
 Department of Child and Adolescent Psychiatry Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK

 Division of Psychology and Language Sciences, University College London, London, UK

Arnone D:
 Centre for Affective Disorders, Psychological Medicine, King's College London, London, UK

 Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada

 Department of Mental Health, The Ottawa Hospital, Ottawa, ON, Canada

Kempton M:
 Department of Neuroimaging, Institute of Psychiatry, Psychology & Neurosciences, King's College London, UK

 Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK

Hauson AO:
 California School of Professional Psychology, San Diego, CA, USA

 Department of Psychiatry, University of California, San Diego, CA, USA

Wollman S:
 California School of Professional Psychology, San Diego, CA, USA

Soriano-Mas C:
 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Department of Psychiatry, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain

 Department of Social Psychology and Quantitative Psychology, Universitat de Barcelona, Barcelona, Spain

Rubia K:
 Department of Child and Adolescent Psychiatry Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK

Norman L:
 Department of Child and Adolescent Psychiatry Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK

 Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA

 The Social and Behavioral Research Branch, National Human Genome Research Institute, National Institute of Health, BetheSDa, Maryland, USA

Fusar-Poli P:
 Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK

 Early Psychosis: Interventions and Clinical-Detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology, London, UK

 Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy

 Outreach and Support in South London (OASIS) Service, South London and Maudsley NHS Foundation Trust, London, UK

Mataix-Cols D:
 Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK

 Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden

 Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden

Valentí M:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Bipolar and Depressive Disorders Unit, Hospital Clinic, Barcelona, Spain

Via E:
 Department of Child and Adolescent Mental Health, Hospital Sant Joan de Déu, Barcelona, Spain

Cardoner N:
 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Sant Pau Mental Health Group, Institut d'Investigació Biomèdica Sant Pau (IBB-Sant Pau), Hospital de la Sant Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Barcelona, Catalonia, Spain

Solmi M:
 Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada

 Regional Centre for the Treatment of Eating Disorders and On Track: The Champlain First Episode Psychosis Program, Department of Mental Health, The Ottawa Hospital, Ottawa, ON, Canada

 Ottawa Hospital Research Institute (OHRI) Clinical Epidemiology Program University of Ottawa, Ottawa, ON, Canada

 Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany

Zhang J:
 State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China

Pan P:
 Department of Neurology, Department of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Affiliated Yancheng Hospital of Southeast University, Yancheng, China

Shin JI:
 Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea

 Severance Underwood Meta-research Center, Institute of Convergence Science, Yonsei University, Seoul 03722, South Korea

Fullana MÀ:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Psychiatric and Psychology Service, Hospital Clinic, Barcelona, Spain

Vieta E:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain

 Bipolar and Depressive Disorders Unit, Hospital Clinic, Barcelona, Spain

 Psychiatric and Psychology Service, Hospital Clinic, Barcelona, Spain

Radua J:
 Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain

 Department of Medicine, University of Barcelona, Institute of Neuroscience, Barcelona, Spain

 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain
ISSN: 00063223





Biological Psychiatry
Editorial
ELSEVIER SCIENCE INC, STE 800, 230 PARK AVE, NEW YORK, NY 10169, Estados Unidos America
Tipo de documento: Article
Volumen: 98 Número: 1
Páginas: 76-90
WOS Id: 001574260200011
ID de PubMed: 39491638
imagen Green Submitted, Green Published, hybrid

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