Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Reduced Lateral OFC Volume and Suicidality in BD

Bipolar Disord; ePub 2018 Nov 24; Huber, et al

The orbitofrontal cortex (OFC) is involved in decision‐making, impulsivity, and reward circuitry, which have shown to be impaired in bipolar disorder (BD). In order to investigate the relationship between suicide behavior and the OFC in youth with BD, researchers conducted a recent study consisting of 37 participants with BD and 26 non‐psychiatric controls, aged 13 to 21 years. Participants completed a diagnostic interview and mood rating scales and later underwent an MRI on a 3T Siemens Verio scanner. Researchers found:

  • 18 participants with BD had a history of suicide attempt (SA).
  • Bipolar youth with a history of SA showed reduced left lateral OFC volumes compared to controls, but there was no difference between BD attempters and non‐attempters.
  • Controls and BD non‐attempters had significantly greater OFC cortical thickness than BD attempters.
  • Additionally, there was a significant negative correlation between OFC volumes and suicide lethality, demonstrating that as suicide lethality increased, OFC volume in BD youth was reduced.

Citation:

Huber RS, S P, Kondo DG, Shi X, Renshaw PF, Yurgelun-Todd DA. Reduced lateral orbitofrontal cortex (OFC) volume and suicide behavior in youth with bipolar disorder. [Published online ahead of print November 24, 2018]. Bipolar Disord. doi:10.1111/bdi.12729.

This Week's Must Reads

Cognition Impairment a Familial Disposition of MDD, JAMA Psychiatry; ePub 2018 Dec 26; Mackenzie, et al

Cognition in MDD and Aberrant Network Connectivity, J Psychiatr Res; 2019 Mar; Albert, Potter, Boyd, et al

Partner Criticism During Therapy for Recurrent MDD, Behav Res Ther; ePub 2018 Dec 21; Vittengl, et al

Study: Predictions of MDD Are Multifactorial, Depress Anxiety; ePub 2018 Dec 5; van Bronswijk, et al

Linguistic Analysis of Memories of People with MDD, PLoS One; ePub 2018 Nov 26; Himmelstein, et al

Must Reads in Bipolar Disorder

BD Course Strongly Affected by Comorbid Disorders, J Affect Disord; ePub 2018 Dec 25; Weintraub, et al

Differentiating Borderline Personality from BD, Compr Psychiatry; 2019 Jan; Balling, et al

Bipolar Diathesis in Major Depression Disorder , J Affect Disord; ePub 2018 Nov 2; Bennett, et al

Expressed Emotion Among Parents of Youths with BD, Psychiatry Res; 2018 Dec; Millman, Weintraub, et al

Predicting Risk of Conversion from Mania to BD I/II , J Am Acad Child Adolesc Psychiatry; 2018 Oct; Birmaher, et al