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2025 ; 25
(1
): 1019
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Depressive disorders are associated with brain structural injury in HIV-positive
men who have sex with men
#MMPMID41131489
He Y
; Wang W
; Wu P
; Sun G
; Ma Y
; Cai M
; Liu L
; Liu Y
; Wang L
; Zhang Y
; Wan C
; Zhang T
; Zhang Y
BMC Psychiatry
2025[Oct]; 25
(1
): 1019
PMID41131489
show ga
BACKGROUND: Depressive disorders (DD) are more prevalent among people with HIV
(PWH) compared to the general population. Research in the general population has
confirmed the association between depression and gray matter atrophy as well as
reduced cortical thickness. However, there is a lack of neuroimaging studies
investigating brain structural changes in PWH with comorbid DD (PWH-DD). METHODS:
This cross-sectional study included 69 HIV-positive men who have sex with men,
categorized into PWH-DD (n?=?29) and PWH control (n?=?40) groups based on the
diagnosis of DD. Participants underwent clinical, neuropsychiatric, and MRI
evaluations. Voxel-based and surface-based morphometry techniques were applied to
analyze gray matter volume (GMV) and cortical anatomical characteristics in
structural MRI data. The imaging findings were ultimately correlated with the
results of clinical assessments. RESULTS: Compared to participants in the PWH
control group, those in the PWH-DD group showed higher scores in evaluation of
depression, anxiety, sleep disturbances, childhood trauma, and mental health
symptoms, indicating a greater burden of psychological and emotional distress.
Comparisons of brain structure showed that participants in the PWH-DD group
exhibited lower GMV in the left middle frontal gyrus, shallower sulcal depth in
the left supramarginal and bilateral superior parietal regions, and lower fractal
dimension in multiple frontal and temporal lobe areas compared to those in the
PWH control group. Among all participants, correlation analysis demonstrated that
GMV of the left middle frontal gyrus was significantly negatively correlated with
Self-Rating Depression Scale scores. CONCLUSION: This study emphasizes that
HIV-positive men who have sex with men with comorbid DD exhibit poorer mental
health status and more severe brain structural alterations. However, further
longitudinal studies are needed to explore the exact causal relationship between
DD and brain structural injury in PWH.