Document Detail


Changes in regional cerebral blood flow following mood challenge in drug-free, remitted patients with unipolar depression.
MedLine Citation:
PMID:  17133439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Studies of mood provocation in remitted patients with depression have enabled the description of specific brain changes relevant to depression relapse vulnerability. Because patients in these studies were also receiving maintenance pharmacotherapy, the ability to subtract out the drug effect from the changes observed is reduced. Our study addresses this concern. Changes in regional cerebral blood flow (rCBF) among 11 medication-free, remitted patients with unipolar depression relative to baseline state were assessed with [(15)O]H(2)O positron emission tomography (PET) following provocation of sadness. Participants showed decreased activation in prefrontal cortex similar to those reported for remitted, medicated patients undergoing mood challenge, as well as for acutely depressed patients who were medication free. Previously reported mediofrontal changes in remitted patients are unlikely to be a consequence of maintenance medication and more likely are evidence of relapse vulnerability.
Authors:
Michael C Gemar; Zindel V Segal; Helen S Mayberg; Kimberley Goldapple; Colleen Carney
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Depression and anxiety     Volume:  24     ISSN:  1091-4269     ISO Abbreviation:  Depress Anxiety     Publication Date:  2007  
Date Detail:
Created Date:  2007-12-24     Completed Date:  2008-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708816     Medline TA:  Depress Anxiety     Country:  United States    
Other Details:
Languages:  eng     Pagination:  597-601     Citation Subset:  IM    
Affiliation:
Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / blood supply*,  physiopathology*,  radionuclide imaging
Cerebrovascular Circulation / physiology
Depressive Disorder / physiopathology*,  psychology*
Female
Humans
Male
Positron-Emission Tomography
Prefrontal Cortex / blood supply,  physiopathology,  radionuclide imaging
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