Cited by 78Treatment of Major DepressionNeural and Behavioral Psychology StudiesNeurotransmitter Receptor Influence on Behavior

Brain activation predicts treatment improvement in patients with major depressive disorder

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Samson, Andrea C., Meisenzahl, Eva, Scheuerecker, Johanna, Rose, Emma, Schoepf, Veronika, Wiesmann, Martin, Frodl, Thomas·2011·Journal of Psychiatric Research

Abstract

Major depressive disorder (MDD) is associated with alterations in brain function that might be useful for therapy evaluation. The current study aimed to identify predictors for therapy improvement and to track functional brain changes during therapy. Twenty-one drug-free patients with MDD underwent functional MRI twice during performance of an emotional perception task: once before and once after 4 weeks of antidepressant treatment (mirtazapine or venlafaxine). Twelve healthy controls were investigated once with the same methods. A significant difference between groups was a relative greater activation of the right dorsolateral prefrontal cortex (dlPFC) in the patients vs. controls. Before treatment, patients responding better to pharmacological treatment showed greater activation in the dorsomedial PFC (dmPFC), posterior cingulate cortex (pCC) and superior frontal gyrus (SFG) when viewing of negative emotional pictures was compared with the resting condition. Activations in the caudate nucleus and insula contrasted for emotional compared to neutral stimuli were also associated with successful treatment. Responders had also significantly higher levels of activation, compared to non-responders, in a range of other brain regions. Brain activation related to treatment success might be related to altered self-referential processes and a differential response to external emotional stimuli, suggesting differences in the processing of emotionally salient stimuli between those who are likely to respond to pharmacological treatment and those who will not. The present investigation suggests the pCC, dmPFC, SFG, caudate nucleus and insula may have a key role as a biological marker for treatment response and predictor for therapeutic success.

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  1. Ketter TA, Andreason PJ, George MS, Lee C, Gill DS, Parekh PI, et al. Anterior para- limbic medication of procaine-induced emotional and psychosensory experi- ences. Archives of General Psychiatry 1996;53:59e69.
  2. Ustun TB, Sartorius N. Mental illness in primary care: an international study. Chi- chester, England: John Wiley & Sons; 1995.

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Authors
Samson, A. C., Meisenzahl, E., Scheuerecker, J., Rose, E., Schoepf, V., Wiesmann, M., & Frodl, T.
Affiliations
  • Trinity College Dublin (IE)
  • Ludwig-Maximilians-Universität München (DE)
Corresponding author
Samson, Andrea C.
Venue
Journal of Psychiatric Research
Publisher
Elsevier BV
Published
2011-04
Volume
45
Issue
9
Pages
1214-22
ISSN
0022-3956 (ISSN-L)
OpenAlex
W2037037154
Cited by
78
References
60
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 26 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 8 · 2016: 2 · 2015: 5 · 2014: 11 · 2013: 5 · 2012: 6
FWCI
5.39
Type
journal article
Language
en
Open access
Locations
  • Journal of Psychiatric Research (publishedVersion)
  • PubMed (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, other-oa)
  • RWTH Publications (RWTH Aachen) (submittedVersion)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
  • Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
Funders
  • Eli Lilly and Company
  • Science Foundation Ireland
Topics
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
major depressive disorder, antidepressant response, treatment response prediction, brain activation, emotion perception, dorsolateral prefrontal cortex, dorsomedial prefrontal cortex, posterior cingulate cortex, superior frontal gyrus, caudate nucleus, insula, mirtazapine, venlafaxine, biomarkers, self-referential processing
MeSH terms
Adult, Analysis of Variance, Antidepressive Agents, Brain, Brain Mapping, Major Depressive Disorder, Emotions, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Neuropsychological Tests, Oxygen, Pattern Recognition, Visual, Photic Stimulation, Predictive Value of Tests, Reaction Time

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