Evidence map›Paper›PMID 32187776›Full record

ArticleDepression and anxiety2020

Positive and negative valence systems in major depression have distinct clinical features, response to antidepressants, and relationships with immunomarkers.

Gustavo C Medeiros, A John Rush, Manish Jha, Thomas Carmody, Jennifer L Furman, Andrew H Czysz, Joseph M Trombello, Crystal M Cooper, Madhukar H Trivedi

Abstract read
In one paragraph

Article in Depression and anxiety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Article
  3. Measuring affective symptoms of depression in aphasia: development of an accessible ecological momentary assessment tool.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  14. Moving beyond descriptive nosology: an argument for negative valence systems disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  15. Cognitive, Disability, and Treatment Outcome Implications of Symptom-Based Phenotyping in Late-Life Depression.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
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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

9 authors.

Gustavo C MedeirosDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-0091-1192
A John RushAcademic Medicine Research Institute and Office Clinical Sciences, Duke-National University of Singapore, Singapore.ORCID 0000-0003-2004-2382
Manish JhaDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-2764-2391
Thomas CarmodyDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.
Jennifer L FurmanDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-1755-3774
Andrew H CzyszDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-0832-1760
Joseph M TrombelloDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-4953-3831
Crystal M CooperDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-5312-1370
Madhukar H TrivediDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-2983-1110

Funding

Translational Research Activities in Neuropsychiatry (TRAIN) - Renewal - 1R25MH101078 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2014 to 2025
$2.1M
TREATMENT RESISTANT DEPRESSION-278990003N01MH090003 · NIMH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · 1999 to 2003
–
NIMH NIH HHS N01 MH090003NIMH NIH HHS N01 MH-90003NIMH NIH HHS R25 MH101078
6 · The paper itself

Abstract

backgroundHeterogeneity in major depressive disorder (MDD) is well recognized but not well understood. Core depressive features are reward and emotional symptoms, which reflect dysfunctions in the positive valence (PV) and negative valence (NV) systems, respectively. This study assessed whether PV and NV systems (based on selected symptoms) were associated with different clinical features, antidepressant response, and levels of immunomarkers in adults with MDD.

methodsThese analyses used data from combining medications to enhance depression outcomes study (N = 665; n = 166 for immunomarkers). PV and NV symptom scores were extracted from the clinician-rated 30-item Inventory of Depressive Symptomatology. Correlational analyses were conducted.

resultsPV and NV symptom scores were substantially associated with different clinical features. PV symptoms (impaired motivation, impaired energy, and anhedonia) were independently associated with female gender (p < .001), older age (p = .012), and higher cognitive and physical impairment (p < .001) according to the 7-item Cognitive and Physical Functioning Questionnaire. Conversely, NV symptoms (anxiety and interpersonal sensitivity) were independently associated with younger age (p = .013), more anxious comorbidities (p = .001 for generalized anxiety disorder and p = .002 for social phobia) and other commonly associated noncriterion symptoms (p < .001). Overall, PV symptoms were more responsive to antidepressants than NV symptoms (p < .0001; Cohen's d = .455). A PV symptom score was positively correlated with the concentration of three proinflammatory and one anti-inflammatory factor. In contrast, an NV symptom score was negatively associated with only one proinflammatory immunomarker.

conclusionsPV and NV system functions appear to be reflected in selected clinical symptoms that differentially relate to other clinical features, treatment outcomes, and immunological function.

Indexed as

Major Depressive DisorderAdultAgedAnhedoniaAntidepressive AgentsAnxiety DisordersDepressionFemaleHumansAntidepressive Agentsbiomarkersdepressionimmunomarkersmajor depressive disordernegative valencepositive valenceRDoC

Identifiers

PMID32187776
PMCPMC9900948

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.