Evidence map›Paper›PMID 22044241›Full record

ArticleStress (Amsterdam, Netherlands)2012

Stressful life events, perceived stress, and 12-month course of geriatric depression: direct effects and moderation by the 5-HTTLPR and COMT Val158Met polymorphisms.

Anthony S Zannas, Douglas R McQuoid, David C Steffens, George P Chrousos, Warren D Taylor

Abstract read
In one paragraph

Article in Stress (Amsterdam, Netherlands), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Moderators of treatment response in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Disruption of Neural Homeostasis as a Model of Relapse and Recurrence in Late-Life Depression.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Review
  9. Review
  10. Article
  11. Article
  12. Heterogeneity in the three-year course of major depression among older adults.International journal of geriatric psychiatry · 2016
    Article
  13. Article
  14. Article
  15. Review
  16. Connectivity underlying emotion conflict regulation in older adults with 5-HTTLPR short allele: a preliminary investigation.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2014
    Article
  17. Article
  18. 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.

Anthony S ZannasDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA. aszannas@gmail.com
Douglas R McQuoid
David C Steffens
George P Chrousos
Warren D Taylor

Funding

Geriatric Depression: Risk Factors for Adverse OutcomesR01MH054846 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI STEFFENS, DAVID C. · 1995 to 2016
$10.1M
Midcareer Investigator Award in Geriatric DepressionK24MH070027 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI STEFFENS, DAVID C. · 2004 to 2013
$1.6M
Vascular Depression: Longitudinal ChangesR01MH078216 · NIMH · DUKE UNIVERSITY · PI TAYLOR, WARREN D · 2007 to 2010
$1.4M
NIMH NIH HHS K24 MH070027NIMH NIH HHS R01 MH054846NIMH NIH HHS R01 MH078216
6 · The paper itself

Abstract

Although the relation between stressful life events (SLEs) and risk of major depressive disorder is well established, important questions remain about the effects of stress on the course of geriatric depression. Our objectives were (1) to examine how baseline stress and change in stress is associated with course of geriatric depression and (2) to test whether polymorphisms of serotonin transporter (5-HTTLPR) and catechol-O-methyltransferase (COMT Val158Met) genes moderate this relation. Two-hundred and sixteen depressed subjects aged 60 years or older were categorized by remission status (Montgomery-Asberg depression rating scale≤6) at 6 and 12 months. At 6 months, greater baseline numbers of self-reported negative and total SLEs and greater baseline perceived stress severity were associated with lower odds of remission. At 12 months, only baseline perceived stress predicted remission. When we examined change in stress, 12-month decrease in negative SLEs and level of perceived stress were associated with improved odds of 12-month remission. When genotype data were included, COMT Val158Met genotype did not influence these relations. However, when compared with 5-HTTLPR L/L homozygotes, S allele carriers with greater baseline numbers of negative SLEs and with greater decrease in negative SLEs were more likely to remit at 12 months. This study demonstrates that baseline SLEs and perceived stress severity may influence the 12-month course of geriatric depression. Moreover, changes in these stress measures over time correlate with depression outcomes. 5-HTTLPR S carriers appear to be more susceptible to both the effects of enduring stress and the benefit of interval stress reduction.

Indexed as

Life Change EventsAgedCatechol O-MethyltransferaseFemaleHumansMajor Depressive DisorderMaleMiddle AgedPerceptionPolymorphism, GeneticSerotonin Plasma Membrane Transport ProteinsCatechol O-MethyltransferaseSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID22044241
PMCPMC3319482

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.