Evidence map›Paper›PMID 21969419›Full record

ArticleArchives of general psychiatry2012

Anterior cingulate cortex γ-aminobutyric acid in depressed adolescents: relationship to anhedonia.

Vilma Gabbay, Xiangling Mao, Rachel G Klein, Benjamin A Ely, James S Babb, Aviva M Panzer, Carmen M Alonso, Dikoma C Shungu

Open access · greenAbstract read
In one paragraph

Article in Archives of general psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 6 pooled it
4.4field-weighted citation impact, top 4% 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

117 citing papers in PubMed, 6 syntheses or guidelines pooled it, 196 citations in OpenAlex.

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  17. Change in brain molecular landscapes following electrical stimulation of the nucleus accumbens.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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57 more citing papers are in PubMed but not listed here.

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.

Vilma GabbayDepartment of Child and Adolescent Psychiatry, New York University Child Study Center, New York University Langone Medical Center, New York, NY 10016, USA. vilma.gabbay@nyumc.org
Xiangling Mao
Rachel G Klein
Benjamin A Ely
James S Babb
Aviva M Panzer
Carmen M Alonso
Dikoma C Shungu
New York University · US

Funding

Novel MRS Neurotechnology for Imaging GABA & Glutamate Function in SchizophreniaR01MH075895 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI SHUNGU, DIKOMA C · 2007 to 2011
$2.3M
The Neurobiology of Adolescent DepressionK23MH077072 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GABBAY, VILMA · 2007 to 2011
$1.0M
Omega-3 Fatty Acids in Adolescents with DepressionR21AT002395 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GABBAY, VILMA · 2005 to 2007
$666k
The Role of Omega-3 Fatty Acids in Adolescent DepressionR21AT004576 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GABBAY, VILMA · 2009 to 2010
$461k
NCCIH NIH HHS AT002395NCCIH NIH HHS AT004576NCCIH NIH HHS R21 AT002395NCCIH NIH HHS R21 AT004576NIMH NIH HHS K23 MH077072NIMH NIH HHS MH075895NIMH NIH HHS MH077072NIMH NIH HHS MH077072-03S1NIMH NIH HHS R01 MH075895
6 · The paper itself

Abstract

contextAnhedonia, a core symptom of major depressive disorder (MDD) and highly variable among adolescents with MDD, may involve alterations in the major inhibitory amino acid neurotransmitter system of γ-aminobutyric acid (GABA).

objectiveTo test whether anterior cingulate cortex (ACC) GABA levels, measured by proton magnetic resonance spectroscopy, are decreased in adolescents with MDD. The associations of GABA alterations with the presence and severity of anhedonia were explored.

designCase-control, cross-sectional study using single-voxel proton magnetic resonance spectroscopy at 3 T.

settingTwo clinical research divisions at 2 teaching hospitals.

participantsTwenty psychotropic medication-free adolescents with MDD (10 anhedonic, 12 female, aged 12-19 years) with episode duration of 8 weeks or more and 21 control subjects group matched for sex and age.

main outcome measuresAnterior cingulate cortex GABA levels expressed as ratios relative to unsuppressed voxel tissue water (w) and anhedonia scores expressed as a continuous variable.

resultsCompared with control subjects, adolescents with MDD had significantly decreased ACC GABA/w (t = 3.2; P < .003). When subjects with MDD were categorized based on the presence of anhedonia, only anhedonic patients had decreased GABA/w levels compared with control subjects (t = 4.08; P < .001; P(Tukey) < .001). Anterior cingulate cortex GABA/w levels were negatively correlated with anhedonia scores for the whole MDD group (r = -0.50; P = .02), as well as for the entire participant sample including the control subjects (r = -0.54; P < .001). Anterior cingulate cortex white matter was also significantly decreased in adolescents with MDD compared with controls (P = .04).

conclusionsThese findings suggest that GABA, the major inhibitory neurotransmitter in the brain, may be implicated in adolescent MDD and, more specifically, in those with anhedonia. In addition, use of a continuous rather than categorical scale of anhedonia, as in the present study, may permit greater specificity in evaluating this important clinical feature.

Indexed as

AdolescentAnhedoniaCase-Control StudiesChildCross-Sectional StudiesFemalegamma-Aminobutyric AcidGyrus CinguliHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMajor Depressive DisorderMaleNeuroimagingNeurotransmitter AgentsYoung Adultgamma-Aminobutyric AcidNeurotransmitter Agents

Identifiers

PMID21969419
PMCPMC3711232
OpenAlexW2099029781

What OpenQuestion holds

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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.