Evidence map›Paper›PMID 20808132›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2011

Depression in Parkinson's disease: symptom improvement and residual symptoms after acute pharmacologic management.

Roseanne DeFronzo Dobkin, Matthew Menza, Karina L Bienfait, Michael Gara, Humberto Marin, Margery H Mark, Allison Dicke, Jill Friedman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Serum sirtuin 3 levels and multimodal abnormalities in brain structure and function in Parkinson's disease patients with depression.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  4. Active constituents of saffron (Experimental and therapeutic medicine · 2023
    Review
  5. Parkinson and depression: review and outlook.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
  6. The Treatment of Sleep Dysfunction in Neurodegenerative Disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  7. Review
  8. Article
  9. Article
  10. Disturbances of Sleep and Alertness in Parkinson's Disease.Current neurology and neuroscience reports · 2018
    Review
  11. Review
  12. Review
  13. Psychiatric issues in cognitive impairment.Movement disorders : official journal of the Movement Disorder Society · 2014
    Review
  14. Treatment of the sleep disorders associated with Parkinson's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2014
    Review
  15. Depression and Parkinson's disease: current knowledge.Current neurology and neuroscience reports · 2013
    Review
  16. Parkinson's disease therapeutics: new developments and challenges since the introduction of levodopa.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2012
    Review
  17. Article
  18. Article
  19. 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

8 authors at 1 institution in 1 country.

Roseanne DeFronzo DobkinDepartment of Psychiatry UMDNJ, Robert Wood Johnson Medical School, NJ 08854, USA. dobkinro@umdnj.edu
Matthew Menza
Karina L Bienfait
Michael Gara
Humberto Marin
Margery H Mark
Allison Dicke
Jill Friedman
New Jersey Urology · US

Funding

Treatment of Depression in Parkinson's DiseaseR01NS043144 · NINDS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI MENZA, MATTHEW A · 2003 to 2005
$1.2M
Treating Depression in Parkinson's Disease: A New MethodK23NS052155 · NINDS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI DOBKIN, ROSEANNE D · 2007 to 2011
$957k
NINDS NIH HHS 1 K23 NS052155-01A2NINDS NIH HHS K23 NS052155NINDS NIH HHS R01 NS043144NINDS NIH HHS R01NS043144
6 · The paper itself

Abstract

objectiveParkinson's disease (PD) is frequently complicated by depression and there is a paucity of controlled research that can inform the management of this disabling nonmotor complaint. A randomized controlled trial of nortriptyline, paroxetine, and placebo for the treatment of depression in PD (dPD) was recently completed. The purpose of this article is to describe the baseline pattern of depressive symptom presentation in PD, the specific symptoms of dPD that improve with pharmacotherapy, and the residual symptoms that remain in patients who meet a priori criteria for response or remission after acute treatment (8 weeks).

settingThe Departments of Psychiatry and Neurology at Robert Wood Johnson Medical School, New Jersey.

participants: Fifty-two depressed patients (major depression or dysthymia based on Diagnostic and Statistical Manual of Mental Disorders 4th edition criteria) with Parkinson's disease (by research criteria). DESIGN/

interventionA randomized controlled trial of nortriptyline, paroxetine, and placebo. MEASUREMENT: The four subscales (core mood, anxiety, insomnia, and somatic) and individual items from the Hamilton Rating Scale for Depression-17 were the focus of this study. These measures were assessed at baseline and Week 8.

resultsBaseline depressive symptoms were unrelated to motor functioning. Treatment response was associated with significant improvements in the core mood, anxiety, insomnia, and somatic symptoms seen in dPD. Residual symptoms, such as sadness and loss of interest, persisted in treatment responders in a milder form than was initially present.

conclusionsAntidepressants may influence all symptoms of dPD, including those that share great overlap with the physical disease process. Additional research regarding adjunctive interventions is needed to help optimize the management of dPD.

Indexed as

Antidepressive AgentsDouble-Blind MethodDysthymic DisorderFemaleHumansMajor Depressive DisorderMaleMiddle AgedNortriptylineParkinson DiseaseParoxetinePlacebosPsychiatric Status Rating ScalesAntidepressive AgentsNortriptylineParoxetinePlacebos

Identifiers

PMID20808132
PMCPMC3010522
OpenAlexW2037254643

What OpenQuestion holds

Textmetadata
LicenceTDM
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.