Acute prefrontal hemodynamic responses to intermittent theta burst stimulation correlate with current depression and episode recurrence: A cross-sectional study.
Overview
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China
- Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
- Department of Psychiatry, Virtus Medical, Hong Kong, China
- Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
- DZPG (German Center for Mental Health), partner site Munich‐Augsburg, Munich & Augsburg, Germany
- Mental Health Research Center, The Hong Kong Polytechnic University, Hong Kong, China
Abstract
Background: Mounting evidence has indicated that multiple major depressive disorder (MDD) episodes are correlated with brain morphometric changes that confer an increased recurrence risk. Functional abnormalities underlying this recurrent vulnerability remain underexplored. Acute neuroplastic responses to repetitive transcranial magnetic stimulation hold promise to identify such functional alterations.
Methods: This study involved 121 adults, including 39 individuals with current MDD, 41 individuals with MDD in remission, and 41 healthy controls. Cross‐sectional changes in hemodynamic responses and functional connectivity induced by a single session of intermittent theta burst stimulation over the left dorsolateral prefrontal cortex (dlPFC) were measured using simultaneous functional near‐infrared spectroscopy and analyzed with linear mixed models. Hierarchical regression examined the relationships between the number of prior depressive episodes and observed functional changes in patient cohorts.
Results: Stimulation instantly elevated deoxyhemoglobin levels in the stimulated dlPFC across all participants, with greater increases in patient cohorts versus controls, demonstrating a persistent disease effect regardless of prior episodes or remitted state. Poststimulation increases in oxyhemoglobin concentration were current depression‐dependent and associated with multiple episodes in remitted patients. Prefrontal networks were characterized by a transient reduction in global node degree during stimulation in all groups.
Conclusions: Our findings align with clinical and preclinical evidence linking disrupted neurovascular function in the prefrontal cortex to depression pathophysiology. Poststimulation responses in the stimulated dlPFC, reflecting the current state and multiple prior episodes, show potential for aiding in differential diagnosis and indicating depression vulnerability. Longitudinal studies are needed to determine whether such neurological dysfunctions represent disease progression or a vulnerability biomarker.
Reproduced under the paper's license (CC BY), from the paper cited above.
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Data availability statement
The raw data and MATLAB code used in this study are available upon request from the corresponding author.
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
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Version 1, 29 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 13 authors, 4 keywords, 16 MeSH terms, 2 funders, 64 references.
Cite
This paper
Jin, M., Xia, A. W., Chau, W. M., Shi, N. M., Qin, P. P., Zhang, B. B., Kan, R. L., Tang, A. H., Lin, T. T., Wang, S. X., Chung, D. W., Padberg, F., & Kranz, G. S. (2026). Acute prefrontal hemodynamic responses to intermittent theta burst stimulation correlate with current depression and episode recurrence: A cross-sectional study. Psychiatry and clinical neurosciences, 80(7), 616-625. https://
BibTeX
@article{jin2026acute,
author = {Jin, Minxia and Xia, Adam WL and Chau, Wanda MW and Shi, Nancy MXY and Qin, Penny P and Zhang, Bella BB and Kan, Rebecca LD and Tang, Alvin HP and Lin, Tim TZ and Wang, Sharie X and Chung, Dicky WS and Padberg, Frank and Kranz, Georg S},
title = {{Acute prefrontal hemodynamic responses to intermittent theta burst stimulation correlate with current depression and episode recurrence: A cross-sectional study}},
journal = {Psychiatry and clinical neurosciences},
year = {2026},
month = apr,
volume = {80},
number = {7},
pages = {616--625},
publisher = {Wiley},
issn = {1323-1316},
doi = {10.1111/
url = {https://
pmid = {41982072},
pmcid = {PMC13332562}
}
RIS
TY - JOUR
AU - Jin, Minxia
AU - Xia, Adam WL
AU - Chau, Wanda MW
AU - Shi, Nancy MXY
AU - Qin, Penny P
AU - Zhang, Bella BB
AU - Kan, Rebecca LD
AU - Tang, Alvin HP
AU - Lin, Tim TZ
AU - Wang, Sharie X
AU - Chung, Dicky WS
AU - Padberg, Frank
AU - Kranz, Georg S
TI - Acute prefrontal hemodynamic responses to intermittent theta burst stimulation correlate with current depression and episode recurrence: A cross-sectional study
T2 - Psychiatry and clinical neurosciences
J2 - Psychiatry Clin Neurosci
PY - 2026
DA - 2026/
VL - 80
IS - 7
SP - 616
EP - 625
SN - 1323-1316
PB - Wiley
DO - 10.1111/
UR - https://
LA - en
ER -
CSL-JSON
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