Evidence map›Paper›PMID 31617234›Full record

ArticleInternational journal of geriatric psychiatry2020

Association between increased theta cordance and early response to ECT in late-life depression.

Michael J Ward, Helmet T Karim, Zachary F Jessen, Avniel Singh Ghuman, R Mark Richardson, Charles F Reynolds, Jordan F Karp

Open access · greenAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. [Research progress on the characteristics of magnetoencephalography signals in depression].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Review
  3. Closed-Loop Brain Stimulation.Biological psychiatry · 2024
    Review
  4. Article
  5. Article
  6. 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

7 authors at 2 institutions in 1 country.

Michael J WardDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA.
Helmet T KarimDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0002-9286-0694
Zachary F JessenMedical Scientist Training Program, Northwestern University, Chicago, IL.
Avniel Singh GhumanDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA.
R Mark RichardsonDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA.
Jordan F KarpDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · USNorthwestern University · US

Funding

RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F · 2011 to 2015
$8.3M
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
Inside the Social Perception Network: Dynamics, Connectivity, and StimulationR01MH107797 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GHUMAN, AVNIEL S · 2015 to 2019
$2.4M
Neural basis of local and circuit-level spontaneous and task-evoked hemodynamic brain activityR21MH103592 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GHUMAN, AVNIEL S, HUPPERT, THEODORE JAMES · 2016 to 2017
$424k
NIMH NIH HHS P30 MH090333NIMH NIH HHS R01 MH107797NIMH NIH HHS R21 MH103592NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

objectivesMore than half of patients with major depression who do not respond to initial antidepressants become treatment resistant (TRD), and while electroconvulsive therapy (ECT) is effective, it involves anesthesia and other medical risks that are of concern in geriatric patients. Past studies have suggested that theta cordance (TC), a correlate of cerebral metabolism measured by electroencephalography, could guide treatment decisions related to patient selection and engagement of the therapeutic target. METHODS/

designEight patients with late-life treatment resistant depression (LL-TRD) underwent magnetoencephalography (MEG) at baseline and following seven sessions of ECT. We tested whether the mean and regional frontal cortex TC were able to differentiate early responders from nonresponders.

resultsFive patients whose depression severity decreased by >30% after seven sessions were considered early responders. We found no baseline differences in mean frontal TC between early responders compared with nonresponders, but early responders exhibited a significant increase in TC following ECT. Further, we found that compared with nonresponders, early responders exhibited a greater change in TC specifically within the right prefrontal cortex.

conclusionsThese results support the hypothesis that increases in frontal TC are associated with antidepressant response. We expand on previous findings by showing that this change is specific to the right prefrontal cortex. Validation of this neural marker could contribute to improved ECT outcomes, by informing early clinical decisions about the acute efficacy of this treatment.

Indexed as

Electroconvulsive TherapyAgedDepressive Disorder, Treatment-ResistantFemaleFrontal LobeHumansMaleMiddle AgedTheta RhythmTreatment OutcomedepressionECTlate lifeneural markertheta cordance

Identifiers

PMID31617234
PMCPMC7047608
OpenAlexW2981222526

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.