Evidence map›Paper›PMID 30508746›Full record

ArticleJournal of psychiatric research2019

Brain mechanisms of stress and depression in coronary artery disease.

J Douglas Bremner, Carolina Campanella, Zehra Khan, Negar Fani, Nicole Kasher, Sarah Evans, Collin Reiff, Sanskriti Mishra, Stacy Ladd, Jonathon A Nye and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06740396 (Assessing the Prevalence and Severity of Depression Among Coronary Artery Diseases Patients in Baghdad Using the PHQ-9), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 18% 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.

NCT06740396 recruitingnot on this mapstarted 2025, after this paper: background citation

Assessing the Prevalence and Severity of Depression Among Coronary Artery Diseases Patients in Baghdad Using the PHQ-9: A Cross-Sectional Study

TypeobservationalSponsorAl-Nahrain UniversityRan2025 to 2025Enrolled200ConditionsDepression - Major Depressive Disorder
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 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

12 authors at 2 institutions in 2 countries.

J Douglas BremnerDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA; Department of Radiology, and Internal Medicine (Cardiology), Emory University School of Medicine, Atlanta, GA, USA; Atlanta VA Medical Center, Decatur, GA, USA. Electronic address: jdbremn@emory.edu.
Carolina CampanellaDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Zehra KhanDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Negar FaniDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Nicole KasherDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Sarah EvansDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Collin ReiffDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Sanskriti MishraDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Stacy LaddDepartment of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Jonathon A NyeDepartment of Radiology, and Internal Medicine (Cardiology), Emory University School of Medicine, Atlanta, GA, USA.
Paolo RaggiMazankowski Alberta Heart Institute and the Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Viola VaccarinoDepartment of Internal Medicine (Cardiology), Emory University School of Medicine, Atlanta, GA, USA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Emory University · USUniversity of Alberta · CA

Funding

Neural Circuits in Women with Abuse and PTSDR01MH056120 · NIMH · YALE UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 1999 to 2011
$5.0M
Mechanisms Linking Depression to Cardiovascular RiskR01HL068630 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2001 to 2010
$4.8M
Posttraumatic Stress Disorder and Cardiovascular DiseaseR01AG026255 · NIA · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2004 to 2007
$2.8M
Mechanisms of Depression in CVDR01HL088726 · NHLBI · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2008 to 2012
$2.6M
Mind-Body Interactions in Cardiovascular DiseaseK24HL077506 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2004 to 2013
$1.5M
Biological Correlates of Traumatic StressK24MH076955 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2006 to 2013
$946k
Sex Differences in Myocardial Ischemia Triggered by Emotional Factors after MIR21HL093665 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2009 to 2010
$718k
Training Program in Neuroimaging SciencesT32MH067547 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2005 to 2009
$502k
Shared Instrumentation for Research PET Brain DeviceS10RR016917 · NCRR · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2002 to 2002
$500k
NCRR NIH HHS S10 RR016917NHLBI NIH HHS K24 HL077506NHLBI NIH HHS R01 HL068630NHLBI NIH HHS R01 HL088726NHLBI NIH HHS R21 HL093665NIA NIH HHS R01 AG026255NIMH NIH HHS K24 MH076955NIMH NIH HHS R01 MH056120NIMH NIH HHS T32 MH067547
6 · The paper itself

Abstract

introductionMajor depression is associated with an increased risk for and mortality from coronary artery disease (CAD), however the mechanisms by which this occurs are not clear. Depression, which is linked to stress, is associated with changes in brain areas involved in memory and the stress response, and it is likely that these regions play an important role in this increased risk. This study assessed the effects of stress on brain and cardiac function in patients with CAD with and without depression.

methodsCAD patients with (N = 17) and without (N = 21) major depression based on the Structured Clinical Interview for DSM-IV (DSM-IV) and/or a Hamilton Depression Scale score of nine or greater underwent imaging of the brain with high resolution positron emission tomography (HR-PET) and [O-15] water and imaging of the heart with single photon emission tomography (SPECT) and [Tc-99 m] sestamibi during mental stress (mental arithmetic) and control conditions.

resultsPatients with CAD and major depression showed increased parietal cortex activation and a relative failure of medial prefrontal/anterior cingulate activation during mental stress compared to CAD patients without depression. Depressed CAD patients with stress-induced myocardial ischemia, however, when compared to depressed CAD patients without showed increased activation in rostral portions of the anterior cingulate.

conclusionsThese findings are consistent with a role for brain areas implicated in stress and depression in the mechanism of increased risk for CAD morbidity and mortality in CAD patients with the diagnosis of major depression.

Indexed as

Brain MappingAgedCerebral CortexCoronary Artery DiseaseFemaleHumansMajor Depressive DisorderMaleMiddle AgedPositron-Emission TomographyStress, PsychologicalTomography, Emission-Computed, Single-Photon

Identifiers

PMID30508746
PMCPMC6317866
OpenAlexW2900897780

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.