Evidence map›Paper›PMID 41826877›Full record

ArticleBMC psychiatry2026

Peripheral immune cell markers as predictors of electroconvulsive treatment response.

Aykut Karahan, İzzet Çağrı Metin, Rabia Rakan, Filiz Civil Arslan

Abstract read
In one paragraph

Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Aykut KarahanDepartment of Psychiatry, Faculty of Medicine, Karadeniz Technical University, Trabzon, Ortahisar, 61080, Turkey. ps.aykut@hotmail.com.ORCID 0000-0001-7028-9362
İzzet Çağrı MetinDepartment of Psychiatry, Faculty of Medicine, Karadeniz Technical University, Trabzon, Ortahisar, 61080, Turkey.
Rabia RakanDepartment of Psychiatry, Faculty of Medicine, Karadeniz Technical University, Trabzon, Ortahisar, 61080, Turkey.
Filiz Civil ArslanDepartment of Psychiatry, Faculty of Medicine, Karadeniz Technical University, Trabzon, Ortahisar, 61080, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch indicates that higher levels of inflammation in patients with depression could be associated with a better response to electroconvulsive therapy (ECT). However, studies on the usefulness of immune markers as a potential biomarker for ECT response are scarce.

aimThis study sought to investigate whether peripheral immune cell markers are associated with ECT response in patients with depression.

methodTwenty-seven patients who received ECT treatment with a diagnosis of major depression in the Karadeniz Technical University psychiatry inpatient clinic were evaluated retrospectively. Baseline hemogram parameters of the patients, including neutrophil-to-lymphocyte (NLR), platelet-to-lymphocyte (PLR), and mean platelet volume (MPV) and C-reactive protein (CRP) levels, were determined. The relation of these markers with clinical characteristics, pre- and post-treatment Montgomery-Asberg Depression Rating Scale (MADRS) scores, and treatment response was evaluated.

resultsBaseline serum MPV levels were significantly higher in responders than non-responders to ECT (p = 0.002). Higher baseline MPV levels were significantly correlated with a higher decline in MADRS scores during treatment (r = 0.421, p = 0.029) and lower end-of-treatment MADRS scores (r = -0.489, p = 0.010). In multivariate regression analysis, baseline MPV levels were found to be a significant factor predicting treatment response independent of age, sex, and baseline MADRS scores. At ROC analyses, the optimum cut-off values for prediction of treatment response to ECT were 9.8 for MPV (sensitivity of 72.2%, specificity of 88.9%, p = 0.003).

conclusionMPV could be a potential biomarker for ECT response in patients with depression. Further prospective studies are now needed to verify these findings.

Indexed as

Electroconvulsive TherapyMajor Depressive DisorderAdultAgedBiomarkersBlood PlateletsC-Reactive ProteinFemaleHumansLymphocytesMaleMean Platelet VolumeMiddle AgedNeutrophilsRetrospective StudiesTreatment OutcomeBiomarkersC-Reactive ProteinDepressionElectroconvulsive therapyInflammationMean platelet volümePeripheral immune markersTreatment response

Identifiers

PMID41826877
PMCPMC13097838

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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.