Evidence map›Paper›PMID 24238925›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2015

Structural imaging in late-life depression: association with mood and cognitive responses to antidepressant treatment.

Christopher M Marano, Clifford I Workman, Christopher H Lyman, Cynthia A Munro, Michael A Kraut, Gwenn S Smith

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  4. Moderators of treatment response in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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

6 authors at 2 institutions in 1 country.

Christopher M MaranoDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: cmarano1@jhmi.edu.
Clifford I WorkmanDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Christopher H LymanDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Cynthia A MunroDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Michael A KrautRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.
Gwenn S SmithDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI BAKKER, ARNOLD · 1985 to 2019
$37.6M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Geriatric Depression: PET Studies of Pathophysiology and Treatment ResponseR01MH086881 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SMITH, GWENN S · 2010 to 2013
$2.7M
Serotonin Modulation in Geriatric DepressionR01MH064823 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SMITH, GWENN S. · 2003 to 2006
$1.9M
Insulin Resistance in Late-Life DepressionK23MH095971 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MARANO, CHRISTOPHER · 2012 to 2016
$903k
MONOAMINERGIC FUNCTION IN GERIATRIC NEUROPSYCHIATRYK02MH001621 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SMITH, GWENN S · 1998 to 2008
$884k
NCATS NIH HHS UL1 TR 000424NCATS NIH HHS UL1 TR000424NIA NIH HHS P50 AG005146NIMH NIH HHS K02 MH001621NIMH NIH HHS K23 MH095971NIMH NIH HHS MH 1621NIMH NIH HHS MH 64823NIMH NIH HHS MH 86881NIMH NIH HHS MH 95971NIMH NIH HHS R01 MH064823NIMH NIH HHS R01 MH086881
6 · The paper itself

Abstract

objectivesRecent positron emission tomography studies of cerebral glucose metabolism have identified the functional neural circuitry associated with mood and cognitive responses to antidepressant treatment in late life depression (LLD). The structural alterations in these networks are not well understood. The present study used magnetic resonance (MR) imaging and voxel-based morphometry to evaluate the association between gray matter volumes and changes in mood symptoms and cognitive function with treatment with the antidepressant citalopram.

designOpen-label trial with baseline brain MR scan. Mood and cognitive assessments performed at baseline and during citalopram treatment.

settingOutpatient clinics of an academic medical center.

participants17 previously unmedicated patients age 55 years or older with a major depressive episode and 17 non-depressed comparison subjects.

intervention12-week trial of flexibly dosed citalopram. MEASUREMENTS: Gray matter volumes, Hamilton Depression Rating Scale, California Verbal Learning Test, Delis-Kaplan Executive Function System.

resultsIn LLD, higher gray matter volumes in the cingulate gyrus, superior and middle frontal gyri, middle temporal gyrus, and precuneus was associated with greater mood improvement. Higher gray matter volumes in primarily frontal areas were associated with greater improvement in verbal memory and verbal fluency performance.

conclusionsAssociations with antidepressant induced improvements in mood and cognition were observed in several brain regions previously correlated with normalization of glucose metabolism after citalopram treatment in LLD. Future studies will investigate molecular mechanisms underlying these associations (e.g., beta-amyloid, inflammation, glutamate).

Indexed as

AffectAgedAntidepressive Agents, Second-GenerationCerebral CortexCitalopramCognition DisordersFemaleGray MatterHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleMiddle AgedTreatment OutcomeAntidepressive Agents, Second-GenerationCitalopramcitalopramcognitionLate-life depressionmagnetic resonance imagingvoxel-based morphometry

Identifiers

PMID24238925
PMCPMC3997617
OpenAlexW2060907887

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.