Evidence map›Paper›PMID 19108667›Full record

ArticleJournal of child and adolescent psychopharmacology2008

Neurochemical alterations in adolescent bipolar depression: a proton magnetic resonance spectroscopy pilot study of the prefrontal cortex.

Nick C Patel, Kim M Cecil, Stephen M Strakowski, Caleb M Adler, Melissa P DelBello

Open access · greenAbstract read
In one paragraph

Article in Journal of child and adolescent psychopharmacology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Effect of the Putative Lithium Mimetic Ebselen on Brain Myo-Inositol, Sleep, and Emotional Processing in Humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Trial
  3. Trial
  4. Trial
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  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Glutamatergic Correlates of Bipolar Symptoms in Adolescents.Journal of child and adolescent psychopharmacology · 2020
    Article
  13. Review
  14. Article
  15. Article
  16. A review of MR spectroscopy studies of pediatric bipolar disorder.AJNR. American journal of neuroradiology · 2014
    Review
  17. Article
  18. Article
  19. The neural effects of psychotropic medications in children and adolescents.Child and adolescent psychiatric clinics of North America · 2012
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nick C PatelLifeSynch, Fort Worth, Texas 76102, USA. npatel@lifesynch.com
Kim M Cecil
Stephen M Strakowski
Caleb M Adler
Melissa P DelBello
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · US

Funding

Study of Prevalent Neurotoxicants in ChildrenP01ES011261 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI LANPHEAR, BRUCE P · 2001 to 2006
$6.4M
Structure and Function of Transcription ComplexesP01CA112181 · NCI · UNIVERSITY OF CALIFORNIA BERKELEY · PI TJIAN, ROBERT TSE NAN · 2005 to 2009
$5.7M
Brain Abnormalities in Adolescent Bipolar DisorderK23MH063373 · NIMH · UNIVERSITY OF CINCINNATI · PI DELBELLO, MELISSA P · 2002 to 2006
$898k
Neurobehavioral Effect of Low Level Mangenese ExposureR21ES013524 · NIEHS · UNIVERSITY OF CINCINNATI · PI HAYNES, ERIN N · 2005 to 2006
$336k
NCI NIH HHS CA112181NCI NIH HHS P01 CA112181NIEHS NIH HHS ES011261NIEHS NIH HHS ES013524NIEHS NIH HHS P01 ES011261NIEHS NIH HHS R21 ES013524NIMH NIH HHS K23 MH063373NIMH NIH HHS MH63373
6 · The paper itself

Abstract

objectiveIdentifying neurochemical alterations in adolescent bipolar depression may enhance our understanding of the neurophysiology of bipolar disorder across the age spectrum. The objective of this study was to compare in vivo neurometabolite concentrations in bipolar adolescents with a depressed episode and healthy adolescents using proton magnetic resonance spectroscopy ((1)H MRS).

methodBipolar adolescents with a depressed episode (n = 28) and healthy adolescents (n = 10) underwent a (1)H MRS scan. Anterior cingulate (ACC) and left and right ventral lateral prefrontal (LVLPFC, RVLPFC) metabolite concentrations were calculated and compared between groups using analysis of covariance (ANCOVA).

resultsANCOVA showed significant group differences in ACC N-acetyl-aspartate (NAA) (F(1,33) = 17.8, p = 0.0002), LVLPFC choline (Cho) (F(1,32) = 13.1, p = 0.001), creatine/phosphocreatine (Cr) (F(1,32) = 18.5, p = 0.0002), and NAA (F(1,32) = 13.6, p = 0.0008), and RVLPFC Cr (F(1,32) = 9.6, p = 0.004), mI (F(1,32) = 11.1, p = 0.002), and NAA (F(1,32) = 11.4, p = 0.002) concentrations. In general, the bipolar depressed group had higher neurometabolite concentrations than the healthy group.

conclusionsThere may be localized alterations in brain neurometabolites in adolescents with bipolar depression. Limitations include lack of bipolar adolescents in other mood states and potential confounding effects of prior psychotropic medication use. Confirmatory (1)H MRS studies in larger samples of youths with bipolar depression are needed.

Indexed as

AdolescentAnticonvulsantsAntidepressive AgentsAntipsychotic AgentsAspartic AcidBipolar DisorderBrain ChemistryChildCholineCreatineFemalegamma-Aminobutyric AcidGlutamic AcidGlutamineHumansInositolAnticonvulsantsAntidepressive AgentsAntipsychotic AgentsAspartic AcidCholineCreatinegamma-Aminobutyric AcidGlutamic AcidGlutamineInositolN-acetylaspartate

Identifiers

PMID19108667
PMCPMC2935834
OpenAlexW1987209578

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.