The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Structural brain abnormalities in multiple sclerosis patients with major depression
Abstract
Objective To assess the association between major depression and structural brain abnormalities in patients with multiple sclerosis (MS). Methods Two groups of patients with clinically definite MS were studied: 21 with Diagnostic and Statistical Manual of Mental Disorders (4th ed.)-defined major depression and 19 without. The groups did not differ on demographic, disease, or cognitive measures. All subjects underwent brain MRI. Tissue segmentation and regional brain masking were applied to the MRI data. Results Compared with the euthymic subjects, those with major depression had a greater T2-weighted lesion volume (p = 0.003) and more extensive T1-weighted lesion volume in the left medial inferior prefrontal cortex (p = 0.01) and less gray matter volume (p = 0.01) and more CSF volume in the left anterior temporal region (p = 0.005). A logistic regression analysis identified two independent predictors of depression: left medial inferior prefrontal cortex T2 lesion volume and left anterior temporal CSF volume. These variables accounted for 42% of the depression variance score. Conclusion Whereas both lesion burden and atrophy are important in the pathogenesis of depression in MS, psychosocial influences should also be considered.
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“Dans l'une de ces études [39], les effets positifs de la thérapie sont maintenus au moins 6 mois après l'intervention tandis que dans une autre la thérapie se répercute non seulement sur l'humeur mais aussi sur l'adhérence au traitement [41].”
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BackgroundCognitive predictors of response to treatment for depression in multiple sclerosis.
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BackgroundResultInfluentialNeuropsychiatric syndromes associated with multiple sclerosis
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“Twenty-one patients with MS and major depression were matched to 19 MS non-depressed patients on all relevant demographic, neurological and psychosocial (cognitive status, social supports and stressors) variables before all subjects underwent detailed MRI [11].”
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ResultDepression, Anxiety, and Stress Relative to Swallowing Impairment in Persons with Multiple Sclerosis
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“We considered psychiatric disorders as comorbidities, but arguably these conditions may be considered as symptoms or complications in some cases, given their association with structural changes in the brain (Feinstein et al. 2004).”
BackgroundRecognizing and Treating Common Psychiatric Disorders in Multiple Sclerosis
Wilken, J. A., & Sullivan, C. L. (2007) · The Neurologist · doi:10.1097/nrl.0b013e31806dc2e8 · Cited by 23
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“Some studies using magnetic resonance imaging (MRI) have reported associations of MS depression with lesion load in frontal, parietal, or temporal areas [Feinstein et al. 2004; Zorzon et al., Bakshi et al. 2000a].”
Depression, cardiac mortality and all-cause mortality
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Self-citationDepression and neurological disorders
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“T1W lesions 3 studies [15, 22, 31] correlated T1W lesions in frontal lobes with depression or depressive symptoms.”
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Mapping the Relationship of White Matter Lesions to Depression in Multiple Sclerosis
Baller, E. B., Sweeney, E. M., Cieslak, M., Robert‐Fitzgerald, T., Covitz, S. C., Martin, M. L., Schindler, M. K., Bar‐Or, A., Elahi, A., Larsen, B., et al. (2023) · Biological Psychiatry · doi:10.1016/j.biopsych.2023.11.010 · Cited by 36
“Given the high resolution necessary for segmentation, prior work often relied on research scans, increasing costs and effort for recruitment (50,51).”
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“[13] evaluated MS subjects with and without depression by MRI; automatic tissue segmentation (grey matter (GM), WM, and cerebrospinal fluid (CSF)) and regional brain masking were applied to MRI data; regional and total LL were also calculated.”
MethodPsychiatric manifestations of autoimmune disorders
Weiss, D., Dyrud, J., House, R., & Beresford, T. (2005) · Current Treatment Options in Neurology · doi:10.1007/s11940-005-0033-z · Cited by 21
Chitnis, T., Vandercappellen, J., King, M., & Brichetto, G. (2022) · Neurology and Therapy · doi:10.1007/s40120-022-00368-2 · Cited by 19
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Depression in Multiple Sclerosis: Reactive or Endogenous?
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Neuropsychiatric Manifestations of Multiple Sclerosis: (Rounds in the General Hospital)
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“Major depressive disorder in MS patients has been associated with characteristic CNS changes, including cortical atrophy and lesions in specific regions of the frontal lobes, which may account for some of this observed difference.(19) Major depressive disorder in patients with MS, therefore, is unlikely to represent a…”
Mapping the relationship of white matter lesions to depression in multiple sclerosis
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Deep gray matter substructure volumes and depressive symptoms in a large multiple sclerosis cohort
Hu, C., Dewey, B. E., Mowry, E. M., & Fitzgerald, K. C. (2023) · Multiple Sclerosis Journal · doi:10.1177/13524585221148144 · Cited by 21
Difference in fatigue and pain between neuromyelitis optica spectrum disorder and multiple sclerosis
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“Another study reported that MS patients with major depression had a greater lesion volume compared to those without depression [29].”
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“One study found that multiple sclerosis (MS) patients with and without depressiondidnot differontestsofverbalfluency, attentionorverbal memory [13], while a recent systematic review found that depression in addition to diabetes was associated with reduced cognitive performance relative to diabetes without depression […”
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“Low mood among MS patients has also been associated with structural and functional brain abnormalities, suggesting that depression in MS may arise directly from the demyelination process and be of a different etiology than depression in non-MS patients.(40,41) For example, a diffusion tensor imaging study demonstrated…”
The emotional disorders associated with multiple sclerosis
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Lesion Expansion in Experimental Demyelination Animal Models and Multiple Sclerosis Lesions
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Neuro-immune crosstalk in depressive symptoms of multiple sclerosis
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“The hypothesis that MDD is sustained by a specific neurodegenerative component is supported by some studies that linked MDD in MS to CNS damage mainly involving the frontotemporal regions [54, 55].”
BackgroundNeuroanatomy of pseudobulbar affect
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“The most robust findings in depression implicate more hyperintense lesions in left inferior medial frontal regions and greater atrophy of left anterior temporal regions (Feinstein et al, 2004).”
BackgroundMultiple Sclerosis Patients in Saudi Arabia: Prevalence of Depression and its Extent of Severity
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“Previous studies have demonstrated a notable connection between brain atrophy and affective disorders in pwMS, particularly major depression [39].”
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Comorbidity effect on processing speed test and MRI measures in multiple sclerosis patients.
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“This includes evidence from studies on neuropathological (i.e., atrophy, lesion volume) and immunological factors in depression (Feinstein et al., 2004).”
BackgroundRegional Specificity of Magnetization Transfer Imaging in Multiple Sclerosis
Tjoa, C., Benedict, R., Dwyer, M., Carone, D., & Zivadinov, R. (2008) · Journal of Neuroimaging · doi:10.1111/j.1552-6569.2007.00198.x · Cited by 11
Chamelian, L., Bocti, C., Gao, F.-Q., Black, S., & Feinstein, A. (2005) · CNS Spectrums · doi:10.1017/s1092852900022768 · Cited by 11
Self-citationAlmulla, A., Jaleel, A. K. A., Algon, A. A. A., Tunvirachaisakul, C., Hassoun, H., Al-hakeim, H., & Maes, M. (2022) · medRxiv · doi:10.3390/brainsci13071073 · Cited by 10
“Activated immune-inflammatory pathways and consequent aberrations in brain structure and functions may render MS patients prone to develop mood symptoms and chronic fatigue syndrome [16,73,86].”
BackgroundDepression in multiple sclerosis.
Mrabet, S., Ali, N. B., Kchaou, M., & Belal, S. (2014) · Revue neurologique (Paris) · doi:10.1016/j.neurol.2014.07.017 · Cited by 10
Al-Hussain, F., Al-Salloum, N., Alazwary, N., Saeedi, J., Howaidi, S., & Daif, A. (2017) · Journal of Comparative Effectiveness Research · doi:10.2217/cer-2016-0087 · Cited by 9
Disability in a Community Population with MS with and without Mental Disorders
Patten, S., Williams, J. V. A., Lavorato, D. H., Metz, L., & Bulloch, A. (2012) · International Journal of Psychiatry in Medicine · doi:10.2190/pm.43.1.d · Cited by 9
“MS lesions account for a proportion of the association between MS and major depression [16].”
BackgroundSonographic basal ganglia alterations are related to non-motor symptoms in multiple sclerosis
Horowski, S., Zettl, U. K., Benecke, R., & Walter, U. (2010) · Journal of Neurology · doi:10.1007/s00415-010-5707-0 · Cited by 9
Psychotic Depression: A Peculiar Presentation for Multiple Sclerosis
Ağan, K., Günal, D. İ., Afşar, N., Tuncer, N., & Kuşçu, K. (2009) · International Journal of Neuroscience · doi:10.1080/00207450903139739 · Cited by 9
“…in the temporal lobe (Zorzon et al., 2001), arcuate fascicule in the dominant hemisphere (Pujol, Bello, Deus, Martı́-Vilalta, & Capdevila, 1997) frontal especially the medial inferior prefrontal cortex, parietal and dominant hemisphere temporal lobe (Feinstein et al., 2004) are claimed areas.”
BackgroundCognitive Reserve Moderates the Effects of Fatigue and Depressive Symptoms in Multiple Sclerosis
Bradson, M. L., Cadden, M. H., Riegler, K. E., Thomas, G. A., Randolph, J. J., & Arnett, P. A. (2023) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acad041 · Cited by 9
Brasanac, J., & Chien, C. (2023) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2023.1151531 · Cited by 7
“, 2014), and larger cerebral T2 lesion load (Feinstein et al., 2004).”
BackgroundQuantitative spinal cord MRI and sexual dysfunction in multiple sclerosis
Seyman, E., Kim, D. D., Bharatha, A., Casserly, C. S., Krysko, K. M., Roy-Hewitson, C., Leon, P. A., Suthiphosuwan, S., & Oh, J. (2022) · Multiple Sclerosis Journal - Experimental Translational and Clinical · doi:10.1177/20552173221132170 · Cited by 8
Katsari, M., Kasselimis, D., Gasparinatos, G., Antonellou, R., & Voumvourakis, K. (2016) · Neurological Sciences · doi:10.1007/s10072-015-2463-z · Cited by 7
“It has also been shown that the burden of demyelinating lesions is related with the severity of depression [28].”
BackgroundKhodarahimi, S., & Rasti, A. (2015) · Clínica y Salud · doi:10.1016/j.clysa.2015.03.002 · Cited by 6
Coping in Neurological Disorders
Rabinowitz, A. R., & Arnett, P. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6605-5_2 · Cited by 7
“Evidence supporting neurobiological antecedents of depression can be found in the stroke, dementia, MS, and PD literatures (Feinstein et al., 2004 ; Remy, Doder, Lees, Turjanski, & Brooks, 2005 ; Schweitzer, Tuckwell, O’Brien, & Ames, 2002 ; Singh et al., 2000 ).”
BackgroundPersonality traits in people with multiple sclerosis: A systematic review and meta-analysis
Mirmosayyeb, O., Panah, M. Y., Vaheb, S., Shaygannejad, V., & Balconi, J. (2025) · The Clinical Neuropsychologist · doi:10.1080/13854046.2025.2508476 · Cited by 6
“…regions) and lower levels of Conscientiousness – these brain structural alternations are associated with mood disorders like major depression (Feinstein et al., 2004; Fuchs, Jaworski, et al., 2022; Fuchs, Schoonheim, et al., 2022; Fuchs, Vaughn, et al., 2022; Schaefer et al., 2012; Vaheb et…”
Posterior Fossa Lesion Load and Pathological Laughing and Crying in Multiple Sclerosis.
Luhoway, J., Sharma, M., Menon, S., Rosehart, H., & Morrow, S. (2019) · International Journal of MS Care · doi:10.7224/1537-2073.2018-016 · Cited by 6
Preventing suicidal behavior in patients with multiple sclerosis: a scoping review
Mellentin, A., Stenager, E., & Stenager, E. (2018) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2018.1549990 · Cited by 6
Impairment of Visual Cognition in Progressive Multiple Sclerosis
Bak, T. H., & Chandran, S. (2014) · Journal of Multiple Sclerosis · doi:10.4172/2376-0389-1000129 · Cited by 3
“Regional atrophy imaging studies of MS patients with and without depression have reported conflicting results, however frontal and temporal lobe pathology appear as the most consistent associations [30–32].”
ResultMultipl Skleroz Hastalarinda Umutsuzluk, Depresyon Ve Yaşam Doyumu
Aşiret, G. D., Özdemir, L., & Maraşlıoğlu, N. (2014) · Turkish Journal Of Neurology · doi:10.4274/tnd.24471 · Cited by 6
Functional neurological disorder in multiple sclerosis: A prospective study
Cuoco, S., Scannapieco, S., Barra, F., Giordano, C., Gregorio, M. D., Barone, P., & Erro, R. (2025) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2025.106264 · Cited by 5
Knowles, L. M., Esselman, E. C., Turner, A. P., Phillips, K. M., Herring, T. E., Alschuler, K. N., & Ehde, D. M. (2020) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2020.09.385 · Cited by 8
Gil-Ad, I., Amit, B. H., Hayardeni, L., Tarasenko, I., Taler, M., Gueta, R. U., & Weizman, A. (2014) · Journal of Molecular Neuroscience · doi:10.1007/s12031-014-0387-3 · Cited by 5
Depression and Other Psychosocial Issues in Multiple Sclerosis
Rintell, D. J. (2012) · Wiley eBooks · doi:10.1002/9781119963714.ch11 · Cited by 3
Roffman, J. L. (2004) · Elsevier eBooks · doi:10.1016/b978-0-323-02767-0.50032-2 · Cited by 3
Mado, H., Błachut, M. K., Szczegielniak, A. R., Świerzy, K., Zając, M., Kubicka, K., Gorczyca, P. W., & Adamczyk-Sowa, M. H. (2024) · Medicina · doi:10.3390/medicina60030376 · Cited by 3
“Korostil and Feinstein [45,46] evaluated 140 patients using the SCID-I questionnaire to diagnose anxiety disorders.”
BackgroundMethodNeuropathological features of “non‐motor” symptoms in multiple sclerosis and neuromyelitis optica
Kawachi, I. (2019) · Clinical and Experimental Neuroimmunology · doi:10.1111/cen3.12533 · Cited by 3
“The exact pathomechanisms of cognitive impairment in NMOSD have also remained unclear.13 However, pathological studies have provided a few key pathomechanisms of cognitive impairment as follows: (i) neuronal loss in cortical layers II, III and IV; (ii) AQP4 loss in astrocytes in layer I; (iii) increased activation of…”
BackgroundInfluentialKeser, Z., Hasan, K. M., Mwangi, B., Gabr, R., & Nelson, F. M. (2017) · Journal of Neuroimaging · doi:10.1111/jon.12406 · Cited by 4
Gainotti, G., Quaranta, D., & Marra, C. (2016) · Journal of Traumatic Stress Disorders & Treatment · doi:10.4172/2324-8947.1000157 · Cited by 4
“Therefore, even if the occurrence of depression has often been associated to neuronal damage in the left frontal lobe in post-stroke depression [7,21-24] and to lesions in frontal and temporal lobes in depressed MS patients [25,26], several papers have stressed the psychological nature of variables predicting depressi…”
BackgroundMaier, S., Bălașa, R., Bajko, Z., Maier, A., Șchiopu, B., & Buruian, M. (2015) · Acta Marisiensis. Seria Medica · doi:10.1515/amma-2015-0016 · Cited by 4
“concluded that the burden of demyelinating lesions was associated with the severity of depression [44]; we found that the level of depression correlated significantly with the number of T2 lesions on an MRI scan.”
Background
Metadata
- Authors
- Feinstein, A., Roy, P., Lobaugh, N., Feinstein, K., O’Connor, P., & Black, S.
- Affiliations
- St. Michael's Hospital (CA)
- From the University of Toronto (Drs. Feinstein, Lobaugh, O’Connor, and Black), Sunnybrook and Women’s College Health Sciences Centre (Drs. Feinstein, Lobaugh, and Black, P. Roy), and St. Michael’s Hospital (Dr. O’Connor, K. Feinstein), Toronto, Ontario, Canada.
- Venue
- Neurology
- Published
- 2004-02-24
- Volume
- 62
- Issue
- 4
- Pages
- 586-590
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2149802110
- Cited by
- 294
- References
- 34
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 7 · 2023: 12 · 2022: 8 · 2021: 10 · 2020: 11 · 2019: 13 · 2018: 13 · 2017: 9 · 2016: 13 · 2015: 20 · 2014: 16 · 2013: 14 · 2012: 15
- FWCI
- 12.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- multiple sclerosis, major depressive disorder, structural brain abnormalities, gray matter atrophy, cerebrospinal fluid volume, anterior temporal lobe, brain MRI, lesion burden, depression pathogenesis
- MeSH terms
- Adult, Atrophy, Brain, Cognition Disorders, Depressive Disorder, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Multiple Sclerosis
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