Structural brain alterations in major depressive disorder (MDD) are associated with patients' course of illness, especially in progressive and recurrent MDD. Here, a longitudinal study investigated the influence of relapse on gray matter volume. As a result, Voxel based morphometry showed a decrease of insular and DLPF gray matter volume in patients with at least one relapse, while volume in patients without relapse was stable. This illustrates the negative effect of relapse on structural brain alterations.
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