Evidence map›Paper›PMID 30216863›Full record

ArticlePsychiatry research. Neuroimaging2018

Increases in orbitofrontal cortex thickness following antidepressant treatment are associated with changes in resting state autonomic function in adolescents with major depression - Preliminary findings from a pilot study.

Julian Koenig, Melinda Westlund Schreiner, Bonnie Klimes-Dougan, Benjamin Ubani, Bryon A Mueller, Kelvin O Lim, Michael Kaess, Kathryn R Cullen

Open access · greenAbstract read
In one paragraph

Article in Psychiatry research. Neuroimaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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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

8 authors at 3 institutions in 3 countries.

Julian KoenigUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Stöckli, Bolligenstrasse 111, 3000, Bern 60, Switzerland; Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstr. 8, 69115, Heidelberg, Germany. Electronic address: julian.koenig@med.uni-heidelberg.de.
Melinda Westlund SchreinerDepartment of Psychology, University of Minnesota, College of Liberal Arts, N218 Elliott Hall, 75 East River Road, Minneapolis, MN, USA.
Bonnie Klimes-DouganDepartment of Psychology, University of Minnesota, College of Liberal Arts, N218 Elliott Hall, 75 East River Road, Minneapolis, MN, USA.
Benjamin UbaniDepartment of Psychiatry, University of Minnesota, Medical School, F256/2B West Building, 2450 Riverside Avenue, Minneapolis, MN, USA.
Bryon A MuellerDepartment of Psychiatry, University of Minnesota, Medical School, F256/2B West Building, 2450 Riverside Avenue, Minneapolis, MN, USA.
Kelvin O LimDepartment of Psychiatry, University of Minnesota, Medical School, F256/2B West Building, 2450 Riverside Avenue, Minneapolis, MN, USA.
Michael KaessUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Stöckli, Bolligenstrasse 111, 3000, Bern 60, Switzerland; Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstr. 8, 69115, Heidelberg, Germany.
Kathryn R CullenDepartment of Psychiatry, University of Minnesota, Medical School, F256/2B West Building, 2450 Riverside Avenue, Minneapolis, MN, USA. Electronic address: Rega0026@umn.edu.
University of Minnesota · USUniversity of Minnesota Medical Center · USUniversity of Bern · CH

Funding

Fronto-limbic Connectivity in Adolescents with MDDK23MH090421 · NIMH · UNIVERSITY OF MINNESOTA · PI CULLEN, KATHRYN REGAN · 2010 to 2014
$811k
NIMH NIH HHS K23 MH090421
6 · The paper itself

Abstract

In adults with major depressive disorder (MDD), effective treatment has been associated with increases in both heart rate variability (HRV) and cortical thickness. However, the impact of treatment on these indices has not yet been examined in adolescents. Cortical thickness and HRV were measured in twelve adolescents with MDD before and after 8 weeks of treatment with a selective serotonin reuptake inhibitor (SSRI). We examined treatment-related changes in depression symptoms, HRV, heart rate (HR), and cortical thickness, and analyzed correlations among these change indices. At follow-up, patients showed significantly decreased depression severity, increased HRV and increased thickness of the left medial orbitofrontal cortex (OFC). Clinical improvement was associated with increased HRV and decreased HR. Increased HRV was associated with increased cortical thickness of left lateral OFC and superior frontal cortex. Due to the small sample size, results represent preliminary findings that need replication. Further, in the absence of a placebo arm, we cannot confirm that the observed effects are due solely to medication. These preliminary findings suggest that SSRI treatment in adolescents impacts both cortical thickness and autonomic functioning. Confirmation of these findings would support OFC thickness and HRV as neurobiological mediators of treatment outcome.

Indexed as

AdolescentAntidepressive AgentsAutonomic Nervous SystemFemaleHeart RateHumansMajor Depressive DisorderMaleOrgan SizePilot ProjectsPrefrontal CortexRestSelective Serotonin Reuptake InhibitorsTreatment OutcomeAntidepressive AgentsSelective Serotonin Reuptake InhibitorsAdolescentCortical thicknessDepressionHeart rateHeart rate variabilityLongitudinalTreatment

Identifiers

PMID30216863
PMCPMC6204080
OpenAlexW2888258306

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.