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The high overlap on the symptomatic and neurobiological levels led to ongoing debates about their diagnostic and neurobiological uniqueness. Delineating the shared and disorder-specific intrinsic functional connectivities and their causal interactions is fundamental to precision diagnosis and treatment. In this study, we recruited 138 participants including 45 postpartum depression, 31 postpartum depression comorbid with anxiety patients, and 62 healthy postnatal women with age ranging from 23 to 40\u00a0years. We combined independent component analysis, resting-state functional connectivity, and Granger causality analysis to reveal the abnormal intrinsic functional couplings and their causal interactions in postpartum depression and postpartum depression comorbid with anxiety from a large-scale brain network perspective. We found that they exhibited widespread abnormalities in intrinsic and effective functional network connectivities. Importantly, the intrinsic and effective functional network connectivities within or between the fronto-parietal network, default model network, ventral and dorsal attention network, sensorimotor network, and visual network, especially the functional imbalances between primary and association cortices could serve as effective neural markers to differentiate postpartum depression, postpartum depression comorbid with anxiety, and healthy controls. Our findings provide the initial evidence for shared and disorder-specific intrinsic and effective functional network connectivities for postpartum depression and postpartum depression comorbid with anxiety, which provide an underlying neuropathological basis for postpartum depression or postpartum depression comorbid with anxiety to facilitate precision diagnosis and therapy in future studies.<\/jats:p>","DOI":"10.1093\/cercor\/bhae478","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T23:28:52Z","timestamp":1732750132000},"source":"Crossref","is-referenced-by-count":3,"title":["Shared and disorder-specific large-scale intrinsic and effective functional network connectivities in postpartum depression with and without anxiety"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4771-2676","authenticated-orcid":false,"given":"Kexuan","family":"Chen","sequence":"first","affiliation":[{"name":"Faculty of Life Science and Technology, Kunming University of Science and Technology , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Medical School, Kunming University of Science and Technology , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingzi","family":"Ma","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Primate Biomedical Research , Institute of Primate Translational Medicine, , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Kunming University of Science and Technology , Institute of Primate Translational Medicine, , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Yunnan Key Laboratory of Primate Biomedical Research , No. 727 Jingming South Road, Chenggong District, Kunming 650500 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, No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Yunnan Key Laboratory of Primate Biomedical Research , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Chen","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Primate Biomedical Research , Institute of Primate Translational Medicine, , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Kunming University of Science and Technology , Institute of Primate Translational Medicine, , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Yunnan Key Laboratory of Primate Biomedical Research , No. 727 Jingming South Road, Chenggong District, Kunming 650500 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Province, The Affiliated Hospital of Kunming University of Science and Technology , No. 157 Jinbi Road, Xishan District, Kunming 650500 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuejia","family":"Luo","sequence":"additional","affiliation":[{"name":"Medical School, Kunming University of Science and Technology , No. 727 Jingming South Road, Chenggong District, Kunming 650500 ,","place":["China"]},{"name":"Center for Brain Disorders and Cognitive Sciences , School of Psychology, , No. 3688, Nanhai Avenue, Nanshan District, Shenzhen 518061 ,","place":["China"]},{"name":"Shenzhen University , School of Psychology, , No. 3688, Nanhai Avenue, Nanshan District, Shenzhen 518061 ,","place":["China"]},{"name":"The State Key Lab of Cognitive and Learning , Faculty of Psychology, , No. 19 Xinjiekouwai Street, Haidian District, Beijing 100875 ,","place":["China"]},{"name":"Beijing Normal University , Faculty of Psychology, , No. 19 Xinjiekouwai Street, 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