Evidence map›Paper›PMID 30260539›Full record

ArticleDepression and anxiety2018

Response rate profiles for major depressive disorder: Characterizing early response and longitudinal nonresponse.

Mary E Kelley, Boadie W Dunlop, Charles B Nemeroff, Adriana Lori, Tania Carrillo-Roa, Elisabeth B Binder, Michael H Kutner, Vivianne Aponte Rivera, W Edward Craighead, Helen S Mayberg

Abstract read
In one paragraph

Article in Depression and anxiety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Training emotion recognition in depression-An experimental study.The British journal of clinical psychology · 2025
    Trial
  3. Trial
  4. Gender Differences in Psychological Outcomes Following Surf versus Hike Therapy among U.S. Service Members.International journal of environmental research and public health · 2024
    Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Breakthroughs and challenges for generating brain network-based biomarkers of treatment response in depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Predicting treatment outcome in depression: an introduction into current concepts and challenges.European archives of psychiatry and clinical neuroscience · 2023
    Review
  15. Article
  16. Review
  17. Predictors of Remission in Acute and Continuation Treatment of Depressive Disorders.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  18. Article
  19. Article
  20. 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

10 authors.

Mary E KelleyDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia.ORCID 0000-0002-2927-4625
Boadie W DunlopDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.ORCID 0000-0002-4653-0483
Charles B NemeroffDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida.
Adriana LoriDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Tania Carrillo-RoaDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Elisabeth B BinderDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Michael H KutnerDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Vivianne Aponte RiveraDepartment of Psychiatry and Behavioral Sciences, Tulane University, New Orleans, Louisiana.
W Edward CraigheadDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Helen S MaybergDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia.

Funding

Special Scientific Procedures: Statistical Modeling CoreP50MH077083 · NIMH · EMORY UNIVERSITY · PI KUTNER, MICHAEL HENRY · 2006 to 2010
$9.3M
Predictors of Treatment Response Relapse and Recurrence in Major DepressionR01MH080880 · NIMH · EMORY UNIVERSITY · PI CRAIGHEAD, W. EDWARD · 2008 to 2012
$6.6M
Neural Correlates of Loss Aversion in Major DepressionK23MH086690 · NIMH · EMORY UNIVERSITY · PI DUNLOP, BOADIE W · 2009 to 2011
$521k
NIMH NIH HHS K23 MH086690NIMH NIH HHS P50 MH077083NIMH NIH HHS R01 MH080880
6 · The paper itself

Abstract

backgroundDefinition of response is critical when seeking to establish valid predictors of treatment success. However, response at the end of study or endpoint only provides one view of the overall clinical picture that is relevant in testing for predictors. The current study employed a classification technique designed to group subjects based on their rate of change over time, while simultaneously addressing the issue of controlling for baseline severity.

methodsA set of latent class trajectory analyses, incorporating baseline level of symptoms, were performed on a sample of 344 depressed patients from a clinical trial evaluating the efficacy of cognitive behavior therapy and two antidepressant medications (escitalopram and duloxetine) in patients with major depressive disorder.

resultsAlthough very few demographic and illness-related features were associated with response rate profiles, the aggregated effect of candidate genetic variants previously identified in large pharmacogenetic studies and meta-analyses showed a significant association with early remission as well as nonresponse. These same genetic scores showed a less compelling relationship with endpoint response categories. In addition, consistent nonresponse throughout the study treatment period was shown to occur in different subjects than endpoint nonresponse, which was verified by follow-up augmentation treatment outcomes.

conclusionsWhen defining groups based on the rate of change, controlling for baseline depression severity may help to identify the clinically relevant distinctions of early response on one end and consistent nonresponse on the other.

Indexed as

Cognitive Behavioral TherapyAdultAgedAntidepressive AgentsBrain-Derived Neurotrophic FactorCitalopramDisease ProgressionDuloxetine HydrochlorideFemaleHumansKainic Acid ReceptorsLatent Class AnalysisMajor Depressive DisorderMaleMiddle AgedReceptor, Serotonin, 5-HT2AAntidepressive AgentsBDNF protein, humanBrain-Derived Neurotrophic FactorCitalopramDuloxetine HydrochlorideGRIK4 protein, humanKainic Acid ReceptorsReceptor, Serotonin, 5-HT2ASerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, humanTacrolimus Binding Protein 5Tacrolimus Binding ProteinsantidepressantsCBT/cognitive behavior therapydepressiongeneticstreatment

Identifiers

PMID30260539
PMCPMC6662579

What OpenQuestion holds

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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.