Depression in Parkinson's Disease: A Positron Emission Study
Open accessAbstract
Background: This study investigated biological correlates of depression in patients with idiopathic Parkinson's disease (PD). We tested the hypothesis that in patients with PD and depression, there was regional dysfunction involving brain areas previously implicated in functional imaging studies of patients with primary depression. Method: Using positron emission tomographic measurements of regional cerebral blood flow (rCBF), patterns of resting rCBF were measured in ten patiens with PD and major depression, and ten patients with PD alone. The results were compared with findings from ten patients with primary depression and ten normal controls, scanned using identical methods as part of an earlier study. Groups were matched for age, sex and symptom severity. Results: Bilateral decreases in rCBF were observed in anteromedial regions of the medial frontal cortex and the cingulate cortex (Brodmann's areas (BA) 9 and 32) in the depressed PD group, compared with those with PD alone and compared with normal controls. This regional disturbance overlapped that observed in patients with primary depression. Conclusions: The findings indicate that the medial prefrontal cortex is a common area of neural dysfunction in the manifestation of both primary depression and depression in PD.
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Parkinson's disease patients with depression show altered metabolism or blood flow in orbital and medial frontal cortex compared with non-depressed Parkinson's patients or healthy controls.
“Patients with Parkinson’s disease who manifest depression show altered metabolism or blood flow in the orbital and medial frontal cortex compared to non-depressed Parkinson’s patients or healthy controls (42, 43).”
From Localization of Dysfunction in Major Depressive Disorder: Prefrontal Cortex and Amygdala (2011) · cites this paper as [43]
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- Authors
- Ring, H. A., Bench, C. J., Trimble, M. R., Brooks, D. J., Frackowiak, R. S. J., & Dolan, R. J.
- Affiliations
- UCL Queen Square Institute of Neurology (GB)
- The Royal Free Hospital (GB)
- Corresponding author
- Ring, H. A.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1994-09
- Volume
- 165
- Issue
- 3
- Pages
- 333-339
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W1969926186
- Cited by
- 219
- References
- 26
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 6 · 2015: 6 · 2014: 7 · 2013: 11 · 2012: 1
- FWCI
- 6.95
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Max Planck Digital Library (submittedVersion, other-oa)
- MPG.PuRe (Max Planck Society) (submittedVersion, other-oa)
- Funders
- Wellcome Trust
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- Parkinson's disease, depression, regional cerebral blood flow, medial prefrontal cortex, cingulate cortex, primary depression, neuroimaging of depression
- MeSH terms
- Aged, Brain, Brain Mapping, Depressive Disorder, Dominance, Cerebral, Female, Frontal Lobe, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Male, Mental Status Schedule, Middle Aged, Parkinson Disease, Regional Blood Flow, Tomography, Emission-Computed, Geriatric Assessment, Prefrontal Cortex
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