Late-life depressive symptoms and white matter structural integrity within older Black adults

Published on May 2, 2023

Imagine your brain as a bustling city, with different pathways connecting different regions. Well, in this study, scientists explored the impact of late-life depressive symptoms on the structural integrity of the ‘roads’ in older Black adults’ brains. Using fancy brain imaging techniques, they found that higher levels of self-reported depressive symptoms were associated with reduced white matter integrity in several important connections between different brain regions. These areas included the prefrontal cortex, which is involved in decision-making and emotional regulation, as well as pathways connecting to other crucial regions like the insula, striatum, thalamus, and parietal, temporal, and occipital lobes. In simpler terms, it seems that late-life depressive symptoms can have hidden consequences on the highways of our brains, potentially impacting our ability to think clearly and process emotions effectively. The findings highlight the importance of understanding the neurobiological basis of depression in older Black adults. So hop on over to the full article for all the juicy details and get ready to explore the fascinating world within our brains!

IntroductionOlder Black adults experience a high burden of depressive symptoms and cerebrovascular disease but the specific neurobiological substrates underlying the association between late-life depressive symptoms and brain integrity are understudied, particularly in within-group designs.MethodsUsing the Center for Epidemiologic Studies Depression Scale and diffusion-tensor imaging, within-Black variation in the association between late-life depressive symptoms and white matter structural integrity was examined in 297 older Black participants without dementia that were enrolled across three epidemiological studies of aging and dementia. Linear regression models were used to test associations with DTI metrics (fractional anisotropy, trace of the diffusion tensor) as the outcomes and depressive symptoms as the predictor, while adjusting for age, sex, education, scanner, serotonin-reuptake inhibitor use, total volume of white-matter hyperintensities normalized by intracranial volume, and presence of white-matter hyperintensities at the voxel level.ResultsHigher level of self-reported late-life depressive symptoms was associated with greater diffusion-tensor trace (reduced white matter integrity) in connections between commissural pathways and contralateral prefrontal regions (superior and middle frontal/dorsolateral prefrontal cortex), association pathways connecting dorsolateral prefrontal cortex with insular, striatal and thalamic regions, and association pathways connecting the parietal, temporal and occipital lobes and the thalamus.DiscussionThis study demonstrated a discernable pattern of compromised white matter structural integrity underlying late-life depressive symptoms within older Black adults.

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