n | Meta-analysis results | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Region | Analysis | Studies, n | k | Total | Control | Depression | Mean volume difference ± SE (95% CI), mL | p value | τ2 | Q p | I2, % |
Total brain | DEP | 10 | 13 | 1190 | 472 | 718 | −7.371 ± 6.963 (−21.017 to 6.276) | 0.29 | 0.000 | 0.48 | 0.00 |
DEP-Mix | 4 | 4 | 509 | 202 | 307 | 1.279 ± 10.776 (−19.841 to 22.400) | 0.91 | 0.000 | 0.86 | 0.00 | |
DEP-EO | 3 | 3 | 205 | 104 | 101 | 9.827 ± 16.042 (−21.615 to 41.269) | 0.54 | 0.000 | 0.64 | 0.00 | |
DEP-LO | 3 | 3 | 191 | 104 | 87 | 7.435 ± 15.440 (−22.828 to 37.697) | 0.63 | 0.000 | 0.46 | 0.00 | |
Grey matter | DEP | 8 | 10 | 892 | 387 | 505 | 11.005 ± 4.810 (1.578 to 20.432) | 0.022* | 22.880 | 0.55 | 9.86 |
DEP-FE | 3 | 3 | 178 | 98 | 80 | 15.396 ± 9.344 (−2.919 to 33.710) | 0.10 | 0.000 | 0.44 | 0.00 | |
White matter | DEP | 7 | 8 | 779 | 320 | 459 | 3.662 ± 4.126 (−4.425 to 11.749) | 0.37 | 0.000 | 0.49 | 0.00 |
Intracranial | DEP | 23 | 30 | 2353 | 1083 | 1270 | 13.802 ± 6.204 (1.642 to 25.962) | 0.026* | 191.157 | 0.27 | 17.78 |
DEP-Mix | 16 | 16 | 1686 | 809 | 877 | 12.765 ± 7.932 (−2.782 to 28.312) | 0.11 | 230.603 | 0.19 | 24.89 | |
DEP-EO | 4 | 4 | 365 | 233 | 132 | 21.650 ± 15.926 (−9.564 to 52.864) | 0.17 | 0.000 | 0.45 | 0.00 | |
DEP-FE | 3 | 3 | 282 | 197 | 85 | 20.913 ± 16.023 (−10.491 to 52.317) | 0.19 | 0.000 | 0.33 | 0.00 | |
DEP-noMed | 3 | 3 | 134 | 82 | 52 | −37.443 ± 23.304 (−83.119 to 8.233) | 0.11 | 0.000 | 0.65 | 0.00 | |
Total hippocampus | DEP | 22 | 28 | 2121 | 952 | 1169 | 0.246 ± 0.058 (0.133 to 0.360) | < 0.001* | 0.073 | < 0.001* | 83.74* |
DEP-Mix | 16 | 17 | 1344 | 651 | 693 | 0.261 ± 0.077 (0.111 to 0.411) | < 0.001* | 0.080 | < 0.001* | 85.31* | |
DEP-EO | 3 | 3 | 275 | 156 | 119 | 0.107 ± 0.109 (−0.107 to 0.321) | 0.33 | 0.022 | 0.07 | 62.09* | |
DEP-LO | 5 | 5 | 409 | 223 | 186 | 0.373 ± 0.099 (0.179 to 0.567) | < 0.001* | 0.032 | 0.027* | 65.14* | |
DEP-FE | 6 | 6 | 441 | 280 | 161 | 0.065 ± 0.119 (−0.168 to 0.297) | 0.58 | 0.064 | < 0.001* | 77.13* | |
DEP-Rem | 4 | 4 | 274 | 158 | 116 | −0.020 ± 0.068 (−0.153 to 0.113) | 0.77 | 0.000 | 0.61 | 0.00 | |
Right hippocampus | DEP | 20 | 25 | 2006 | 903 | 1103 | 0.134 ± 0.030 (0.075 to 0.193) | < 0.001* | 0.015 | < 0.001* | 69.53* |
DEP-Mix | 14 | 15 | 1229 | 602 | 627 | 0.128 ± 0.037 (0.056 to 0.201) | < 0.001* | 0.013 | < 0.001* | 67.88* | |
DEP-EO | 3 | 3 | 275 | 156 | 119 | 0.084 ± 0.050 (−0.015 to 0.183) | 0.09 | 0.002 | 0.27 | 28.16 | |
DEP-LO | 5 | 5 | 409 | 223 | 186 | 0.189 ± 0.061 (0.070 to 0.308) | 0.002* | 0.010 | 0.05 | 57.59* | |
DEP-FE | 6 | 6 | 441 | 280 | 161 | 0.032 ± 0.072 (−0.109 to 0.173) | 0.65 | 0.021 | 0.007* | 68.74* | |
DEP-Rem | 4 | 4 | 274 | 158 | 116 | −0.007 ± 0.044 (−0.093 to 0.079) | 0.88 | 0.000 | 0.65 | 0.00 | |
Left hippocampus | DEP | 20 | 25 | 2006 | 903 | 1103 | 0.124 ± 0.029 (0.067 to 0.180) | < 0.001* | 0.013 | < 0.001* | 67.74* |
DEP-Mix | 14 | 15 | 1229 | 602 | 627 | 0.137 ± 0.034 (0.070 to 0.204) | < 0.001* | 0.010 | 0.001* | 62.22* | |
DEP-EO | 3 | 3 | 275 | 156 | 119 | 0.036 ± 0.053 (−0.069 to 0.141) | 0.50 | 0.003 | 0.18 | 39.69 | |
DEP-LO | 5 | 5 | 409 | 223 | 186 | 0.167 ± 0.049 (0.071 to 0.264) | < 0.001* | 0.005 | 0.17 | 38.87 | |
DEP-FE | 6 | 6 | 441 | 280 | 161 | 0.041 ± 0.049 (−0.055 to 0.137) | 0.41 | 0.005 | 0.17 | 34.46 | |
DEP-Rem | 4 | 4 | 274 | 158 | 116 | −0.002 ± 0.043 (−0.086 to 0.082) | 0.96 | 0.000 | 0.53 | 0.00 | |
Total amygdala | DEP | 9 | 12 | 705 | 314 | 391 | 0.199 ± 0.109 (−0.014 to 0.412) | 0.07 | 0.130 | < 0.001* | 93.25* |
DEP-Mix | 4 | 4 | 257 | 128 | 129 | 0.040 ± 0.075 (−0.108 to 0.188) | 0.60 | 0.015 | 0.039* | 66.18* | |
DEP-FE | 3 | 3 | 177 | 91 | 86 | −0.146 ± 0.182 (−0.503 to 0.211) | 0.42 | 0.087 | < 0.001* | 89.00* | |
DEP-Rem | 3 | 3 | 127 | 70 | 57 | 0.061 ± 0.157 (−0.246 to 0.369) | 0.70 | 0.056 | 0.012* | 76.19* | |
Right amygdala | DEP | 9 | 12 | 705 | 314 | 391 | 0.094 ± 0.052 (−0.009 to 0.195) | 0.07 | 0.026 | < 0.001* | 84.76* |
DEP-Mix | 4 | 4 | 257 | 128 | 129 | 0.022 ± 0.030 (−0.037 to 0.080) | 0.46 | 0.000 | 0.27 | 0.02 | |
DEP-FE | 3 | 3 | 177 | 91 | 86 | −0.074 ± 0.087 (−0.244 to 0.096) | 0.40 | 0.016 | 0.017* | 73.80* | |
DEP-Rem | 3 | 3 | 127 | 70 | 57 | −0.003 ± 0.079 (−0.158 to 0.152) | 0.97 | 0.009 | 0.14 | 48.99 | |
Left amygdala | DEP | 9 | 12 | 705 | 314 | 391 | 0.105 ± 0.056 (−0.004 to 0.213) | 0.06 | 0.031 | < 0.001* | 87.46* |
DEP-Mix | 4 | 4 | 257 | 128 | 129 | 0.028 ± 0.042 (−0.053 to 0.110) | 0.50 | 0.003 | 0.12 | 49.46 | |
DEP-FE | 3 | 3 | 177 | 91 | 86 | −0.064 ± 0.099 (−0.257 to 0.130) | 0.52 | 0.024 | 0.001* | 82.32* | |
DEP-Rem | 3 | 3 | 127 | 70 | 57 | 0.050 ± 0.083 (−0.113 to 0.212) | 0.55 | 0.013 | 0.06 | 62.05* | |
Total putamen | DEP | 6 | 6 | 607 | 268 | 339 | 0.335 ± 0.124 (0.092 to 0.578) | 0.007* | 0.053 | 0.029* | 58.96* |
DEP-Mix | 4 | 4 | 435 | 180 | 255 | 0.148 ± 0.096 (−0.040 to 0.336) | 0.12 | 0.000 | 0.42 | 0.00 | |
Right putamen | DEP | 6 | 6 | 607 | 268 | 339 | 0.167 ± 0.053 (0.063 to 0.271) | 0.002* | 0.001 | 0.50 | 2.61 |
DEP-Mix | 4 | 4 | 435 | 180 | 255 | 0.087 ± 0.070 (−0.049 to 0.223) | 0.21 | 0.000 | 0.73 | 0.00 | |
Left putamen | DEP | 6 | 6 | 607 | 268 | 339 | 0.171 ± 0.076 (0.022 to 0.321) | 0.025* | 0.015 | 0.12 | 44.32 |
DEP-Mix | 4 | 4 | 435 | 180 | 255 | 0.059 ± 0.066 (−0.070 to 0.188) | 0.37 | 0.000 | 0.61 | 0.00 | |
Total caudate | DEP | 6 | 6 | 600 | 249 | 351 | 0.118 ± 0.083 (−0.045 to 0.281) | 0.16 | 0.015 | 0.13 | 36.44 |
DEP-Mix | 4 | 4 | 428 | 161 | 267 | 0.121 ± 0.146 (−0.166 to 0.407) | 0.41 | 0.052 | 0.048* | 62.73* | |
Right caudate | DEP | 6 | 6 | 600 | 249 | 351 | 0.044 ± 0.042 (−0.039 to 0.126) | 0.30 | 0.000 | 0.54 | 0.03 |
DEP-Mix | 4 | 4 | 428 | 161 | 267 | 0.041 ± 0.063 (−0.083 to 0.164) | 0.52 | 0.002 | 0.30 | 14.86 | |
Left caudate | DEP | 6 | 6 | 600 | 249 | 351 | 0.078 ± 0.047 (−0.015 to 0.170) | 0.10 | 0.002 | 0.34 | 11.50 |
DEP-Mix | 4 | 4 | 428 | 161 | 267 | 0.091 ± 0.073 (−0.052 to 0.234) | 0.21 | 0.009 | 0.15 | 41.19 | |
Total pallidum | DEP | 4 | 4 | 306 | 161 | 145 | 0.079 ± 0.045 (−0.009 to 0.168) | 0.08 | 0.002 | 0.28 | 29.36 |
Right pallidum | DEP | 4 | 4 | 306 | 161 | 145 | 0.050 ± 0.024 (0.003 to 0.097) | 0.039* | 0.000 | 0.91 | 0.00 |
Left pallidum | DEP | 4 | 4 | 306 | 161 | 145 | 0.028 ± 0.037 (−0.045 to 0.101) | 0.45 | 0.002 | 0.15 | 44.08 |
Total thalamus | DEP | 3 | 3 | 233 | 113 | 120 | 0.433 ± 0.140 (0.158 to 0.708) | 0.002* | 0.000 | 0.63 | 0.00 |
Right thalamus | DEP | 3 | 3 | 233 | 113 | 120 | 0.220 ± 0.096 (0.032 to 0.408) | 0.022* | 0.000 | 0.80 | 0.00 |
Left thalamus | DEP | 3 | 3 | 233 | 113 | 120 | 0.217 ± 0.102 (0.016 to 0.418) | 0.034* | 0.000 | 0.78 | 0.00 |
CI = confidence interval; DEP = depression; EO = early onset; FE = first episode; I2 = proportion real differences; between studies; k = number of samples or subsamples; LO = late onset; Mix = mixed group; noMed = not taking antidepressants; Q p = Q statistic p value; Rem = remission; SE = standard error; τ2 = variance of true effects.
↵* Significance at p ≤ 0.05 and I2 > 50%.