Evidence map›Paper›PMID 37414928›Full record

ArticleMolecular psychiatry2023

Sex matters: acute functional connectivity changes as markers of remission in late-life depression differ by sex.

James D Wilson, Andrew R Gerlach, Helmet T Karim, Howard J Aizenstein, Carmen Andreescu

Open access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Network homeostasis: functional brain network alterations and relapse in remitted late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  4. Article
  5. Article
  6. Review
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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

5 authors at 2 institutions in 1 country.

James D Wilson *Department of Mathematics and Statistics, University of San Francisco, San Francisco, CA, USA.
Andrew R Gerlach *Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-4022-1356
Helmet T KarimDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Howard J AizensteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Carmen AndreescuDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. andrcx@upmc.edu.ORCID 0000-0003-3767-5127
University of Pittsburgh · USUniversity of San Francisco · US

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
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
Recurrence markers, cognitive burden and neurobiological homeostasis in latelife depression (REMBRANDT) - SupplementR01MH121619 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANDREESCU, CARMEN · 2020 to 2024
$5.1M
Machine Learning Models for Identifying Neural Predictors of TMS Treatment Response in MDDK01MH122741 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARIM, HELMET TALIB · 2021 to 2025
$852k
NIMH NIH HHS K01 MH122741NIMH NIH HHS R01 MH076079NIMH NIH HHS R01 MH108509NIMH NIH HHS R01 MH121619NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

The efficacy of antidepressant treatment in late-life is modest, a problem magnified by an aging population and increased prevalence of depression. Understanding the neurobiological mechanisms of treatment response in late-life depression (LLD) is imperative. Despite established sex differences in depression and neural circuits, sex differences associated with fMRI markers of antidepressant treatment response are underexplored. In this analysis, we assess the role of sex on the relationship of acute functional connectivity changes with treatment response in LLD. Resting state fMRI scans were collected at baseline and day one of SSRI/SNRI treatment for 80 LLD participants. One-day changes in functional connectivity (differential connectivity) were related to remission status after 12 weeks. Sex differences in differential connectivity profiles that distinguished remitters from non-remitters were assessed. A random forest classifier was used to predict the remission status with models containing various combinations of demographic, clinical, symptomatological, and connectivity measures. Model performance was assessed with area under the curve, and variable importance was assessed with permutation importance. The differential connectivity profile associated with remission status differed significantly by sex. We observed evidence for a difference in one-day connectivity changes between remitters and non-remitters in males but not females. Additionally, prediction of remission was significantly improved in male-only and female-only models over pooled models. Predictions of treatment outcome based on early changes in functional connectivity show marked differences between sexes and should be considered in future MR-based treatment decision-making algorithms.

Indexed as

BrainMagnetic Resonance ImagingSex CharacteristicsAgedAged, 80 and overAntidepressive AgentsDepressionFemaleHumansMajor Depressive DisorderMaleMiddle AgedRemission InductionSelective Serotonin Reuptake InhibitorsSex FactorsTreatment OutcomeAntidepressive AgentsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID37414928
PMCPMC10919097
OpenAlexW4383340757

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.