Evidence map›Paper›PMID 30358242›Full record

Trial reportThe Journal of clinical psychiatry2018

Trajectories in Cerebral Blood Flow Following Antidepressant Treatment in Late-Life Depression: Support for the Vascular Depression Hypothesis.

Wenjing Wei, Helmet T Karim, Chemin Lin, Akiko Mizuno, Carmen Andreescu, Jordan F Karp, Charles F Reynolds, Howard J Aizenstein

2 registry-linked trialsAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT00892047 phase4completednot on this map

Incomplete Response in Late Life Depression: Getting to Remission

TypeinterventionalSponsorUniversity of PittsburghRan2009 to 2014Enrolled468ConditionsDepressionArmsvenlafaxine XR plus aripiprazole, venlafaxine plus placebo
NCT01124188 phase4completednot on this map

Optimizing Care for Older Adults With Back Pain and Depression

TypeinterventionalSponsorUniversity of PittsburghRan2010 to 2016Enrolled263ConditionsDepression, Back PainArmsHigher-dose venlafaxine, Supportive management, Problem Solving Therapy for Depression and Pain
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. The enigma of vascular depression in old age: a critical update.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
  11. Review
  12. Pathomechanisms of Vascular Depression in Older Adults.International journal of molecular sciences · 2021
    Review
  13. Single and repeated ketamine treatment induces perfusion changes in sensory and limbic networks in major depressive disorder.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2020
    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

8 authors.

Wenjing WeiThe Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
Helmet T KarimDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Chemin LinDepartment of Psychiatry, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Akiko MizunoDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Carmen AndreescuDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jordan F KarpDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Howard J AizensteinWestern Psychiatric Institute and Clinic, 3811 O'Hara St, Pittsburgh, PA 15213. aizen@pitt.edu.

Funding

The RAW Brain - The Effect of Rumination, Anxiety and Worry on Aging and Dementia RiskR01MH108509 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Carmen Andreescu · 2016 to 2026
$10.6M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEW, MARY AMANDA · 2011 to 2015
$8.3M
Pharmacologic MRI Predictors of Treatment Response in Late-Life DepressionR01MH076079 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, ANDREESCU, CARMEN · 2006 to 2022
$7.1M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
1/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083660 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2009 to 2013
$2.7M
Optimizing Care for Older Adults with Back Pain and DepressionR01AG033575 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARP, JORDAN F · 2010 to 2014
$2.3M
Functional and Structural Neuroanatomy in Late-Life Generalized Anxiety DisorderK23MH086686 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANDREESCU, CARMEN · 2010 to 2014
$841k
NIA NIH HHS R01 AG033575NIMH NIH HHS K23 MH086686NIMH NIH HHS P30 MH090333NIMH NIH HHS R01 MH076079NIMH NIH HHS R01 MH083660NIMH NIH HHS R01 MH108509NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

objectiveStudies have identified longitudinally that there exists an association between depression, cerebral blood flow (CBF), and white matter hyperintensities that are thought to be due to vascular pathologies in the brain. However, the changes in CBF, a measure that reflects cerebrovascular integrity, following pharmacotherapy are not well understood. In this study, we investigated the dynamic CBF changes over the course of antidepressant treatment and the association of these changes with depressive symptoms.

methodsWe used pseudocontinuous arterial spin labeling to investigate CBF changes in a sample of older patients (≥ 50 years of age; N = 46; 29 female) with a DSM-IV diagnosis of major depressive disorder. Participants had 5 magnetic resonance imaging scans (at baseline, the day after receiving a placebo, the day after receiving a first dose of venlafaxine, a week after starting venlafaxine treatment, and at the end of trial [12 weeks]). Montgomery-Asberg Depression Rating Scale (MADRS) was used to evaluate depression severity and treatment outcome. We investigated the association between changes in depression severity with changes in voxel-wise CBF while adjusting for potential confounding factors.

resultsIncreased CBF in the middle and posterior cingulate between baseline and end of treatment was significantly associated with percent decrease in MADRS score, independent of sex and Mini-Mental State Examination score (5,000 permutations, cluster forming threshold P < .005, family-wise error P < .05). No significant effects were detected between baseline and other scans (ie, placebo, acute [single dose], or subacute [after a week]).

conclusionsRegional CBF increases were associated with decreases in depressive symptoms. This observation is consistent with the vascular depression hypothesis in late-life depression.

trial registrationClinicalTrials.gov identifiers: NCT00892047 and NCT01124188.

Indexed as

Antidepressive Agents, Second-GenerationCerebrovascular CirculationFemaleGray MatterHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleMiddle AgedTreatment OutcomeVascular DiseasesVenlafaxine HydrochlorideAntidepressive Agents, Second-GenerationVenlafaxine Hydrochloride

Identifiers

PMID30358242
PMCPMC6419103

What OpenQuestion holds

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Registered trials

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.