Evidence map›Paper›PMID 33551234›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021

Association of White Matter Integrity With Executive Function and Antidepressant Treatment Outcome in Patients With Late-Life Depression.

Xiaofu He, Elena Pueraro, Yoojean Kim, Carolina Montes Garcia, Ben Maas, Jongwoo Choi, Dakota A Egglefield, Sophie Schiff, Joel R Sneed, Patrick J Brown and 3 more

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Trial
  3. Hearing Rehabilitative Treatment for Older Adults With Comorbid Hearing Loss and Depression: Effects on Depressive Symptoms and Executive Function.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Trial
  4. Antidepressant Augmentation of Antipsychotic Treatment in Schizophrenia: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  5. Moderators of treatment response in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Cognitive phenotypes in late-life depression.International psychogeriatrics · 2023
    Observational
  13. The Elusive 'White Whale' of Treatment Response Prediction: Leveraging the Curse of Heterogeneity in Late-Life Depression.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Xiaofu HeDepartment of Psychiatry (XH, JRS, PJB, SPR, BRR), Vagelos College of Physicians and Surgeons, Columbia University, New York, NY; The New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY. Electronic address: xh2170@cumc.columbia.edu.
Elena PueraroThe New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.
Yoojean KimThe New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.
Carolina Montes GarciaThe New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.
Ben MaasDepartment of Neurology ( BM, AMB), Taub Institute for Research on Alzheimer's Disease and the Aging Brain, G.H. Sergievsky Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
Jongwoo ChoiThe New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.
Dakota A EgglefieldThe Graduate Center, City University of New York (DAE, SS, JRS), New York, NY; Queens College, City University of New York (DAE, SS. JRS), New York, NY.
Sophie SchiffThe Graduate Center, City University of New York (DAE, SS, JRS), New York, NY; Queens College, City University of New York (DAE, SS. JRS), New York, NY.
Joel R SneedDepartment of Psychiatry (XH, JRS, PJB, SPR, BRR), Vagelos College of Physicians and Surgeons, Columbia University, New York, NY; The New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY; The Graduate Center, City University of New York (DAE, SS, JRS), New York, NY; Queens College, City University of New York (DAE, SS. JRS), New York, NY.
Patrick J BrownDepartment of Psychiatry (XH, JRS, PJB, SPR, BRR), Vagelos College of Physicians and Surgeons, Columbia University, New York, NY; The New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.
Adam M BrickmanDepartment of Neurology ( BM, AMB), Taub Institute for Research on Alzheimer's Disease and the Aging Brain, G.H. Sergievsky Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
Steven P RooseDepartment of Psychiatry (XH, JRS, PJB, SPR, BRR), Vagelos College of Physicians and Surgeons, Columbia University, New York, NY; The New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.
Bret R RutherfordDepartment of Psychiatry (XH, JRS, PJB, SPR, BRR), Vagelos College of Physicians and Surgeons, Columbia University, New York, NY; The New York State Psychiatric Institute (XH, EP, YK, CMG, JC, JRS, PJB, SPR, BRR), New York, NY.

Funding

Mechanisms of Antidepressant Non-Response in Late-Life DepressionR01MH102293 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI RUTHERFORD, BRET R · 2014 to 2018
$2.0M
NIMH NIH HHS R01 MH102293
6 · The paper itself

Abstract

objectiveWhile patients with late-life depression (LLD) often exhibit microstructural white matter alterations that can be identified with diffusion tensor imaging (DTI), there is a dearth of information concerning the links between DTI findings and specific cognitive performance, as well as between DTI measures and antidepressant treatment outcomes.

designNeuroimaging and cognitive tests were conducted at baseline in 71 older adults participating in a larger, 8-week duration antidepressant randomized controlled trial. Correlations between DTI measures of white matter integrity evaluated with tract-based spatial statistics, baseline neurocognitive performance, and prospective antidepressant treatment outcome were evaluated.

resultsFractional anisotropy (FA), an index of white matter integrity, was significantly positively associated with better cognitive function as measured by the Initiation/Perseveration subscale of the Dementia Rating Scale in the bilateral superior longitudinal fasciculus (SLF), bilateral SLF-temporal, and right corticospinal tract (CST). An exploratory analysis limited to these tracts revealed that increased FA in the right CST, right SLF, and right SLF-temporal tracts was correlated with a greater decrease in depressive symptoms. Increased FA in the right CST predicted a greater chance of remission, while increased FA in the right CST and the right SLF predicted a greater chance of treatment response.

conclusionIn late-life depression LLD subjects, white matter integrity was positively associated with executive function in white matter tracts which act as key connecting structures underlying the cognitive control network. These tracts may play a role as a positive prognostic factor in antidepressant treatment outcome.

Indexed as

White MatterAgedAnisotropyAntidepressive AgentsBrainDepressionDiffusion Tensor ImagingExecutive FunctionHumansProspective StudiesTreatment OutcomeAntidepressive Agentsdementia rating scaleDiffusion tensor imagingexecutive functionlate-life depressiontreatment outcomewhite matter integrity

Identifiers

PMID33551234
PMCPMC8298620

What OpenQuestion holds

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Registered trials

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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.