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Meta-Analysis
. 2022 Jan;145(1):42-55.
doi: 10.1111/acps.13371. Epub 2021 Sep 21.

Brain age in mood and psychotic disorders: a systematic review and meta-analysis

Affiliations
Meta-Analysis

Brain age in mood and psychotic disorders: a systematic review and meta-analysis

Pedro L Ballester et al. Acta Psychiatr Scand. 2022 Jan.

Abstract

Objective: To evaluate whether accelerated brain aging occurs in individuals with mood or psychotic disorders.

Methods: A systematic review following PRISMA guidelines was conducted. A meta-analysis was then performed to assess neuroimaging-derived brain age gap in three independent groups: (1) schizophrenia and first-episode psychosis, (2) major depressive disorder, and (3) bipolar disorder.

Results: A total of 18 papers were included. The random-effects model meta-analysis showed a significantly increased neuroimaging-derived brain age gap relative to age-matched controls for the three major psychiatric disorders, with schizophrenia (3.08; 95%CI [2.32; 3.85]; p < 0.01) presenting the largest effect, followed by bipolar disorder (1.93; [0.53; 3.34]; p < 0.01) and major depressive disorder (1.12; [0.41; 1.83]; p < 0.01). The brain age gap was larger in older compared to younger individuals.

Conclusion: Individuals with mood and psychotic disorders may undergo a process of accelerated brain aging reflected in patterns captured by neuroimaging data. The brain age gap tends to be more pronounced in older individuals, indicating a possible cumulative biological effect of illness burden.

Keywords: accelerated brain aging; bipolar disorder; major depressive disorder; meta-analysis; schizophrenia.

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References

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