Cited by 105Neurological disorders and treatmentsObsessive-Compulsive Spectrum DisordersTreatment of Major Depression

Characterizing the therapeutic response to deep brain stimulation for treatment-resistant depression: a single center long-term perspective

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Crowell, Andrea L., Garlow, Steven J., Riva-Posse, Patricio, Mayberg, Helen S.·2015·Frontiers in Integrative Neuroscience

Abstract

The number of depressed patients treated with deep brain stimulation (DBS) is relatively small. However, experience with this intervention now spans more than 10 years at some centers, with study subjects typically monitored closely. Here we describe one center's evolving impressions regarding optimal patient selection for DBS of the subcallosal cingulate (SCC) as well as observations of short- and long-term patterns in antidepressant response and mood reactivity. A consistent time course of therapeutic response with distinct behavioral phases is observed. Early phases are characterized by changes in mood reactivity and a transient and predictable worsening in self ratings prior to stabilization of response. It is hypothesized that this characteristic recovery curve reflects the timeline of neuroplasticity in response to DBS. Further investigation of these emerging predictable psychiatric, biological, and psychosocial patterns will both improve treatment optimization and enhance understanding and recognition of meaningful DBS antidepressant effects.

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Crossref · 10.3389/fnint.2015.00041

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  • The first manifestation of effective SCC DBS is usually relief of negative affect and changes in physical awareness.

    “the first manifestation of effective SCC DBS is usually a relief of negative affect and changes in physical awareness [98]”

    From Deep brain stimulation for depression. (2022) · cites this paper as [98]

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References 35 · Cited by 105

Authors
Crowell, A. L., Garlow, S. J., Riva-Posse, P., & Mayberg, H. S.
Affiliations
Emory University (US)
Corresponding author
Crowell, Andrea L.
Venue
Frontiers in Integrative Neuroscience
Published
2015-06-15
Volume
9
Pages
41-41
ISSN
1662-5145 (ISSN-L)
OpenAlex
W1952951183
Cited by
105
References
35
Citations by year
2026: 3 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 29 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 26 · 2017: 8 · 2016: 9
FWCI
10.10
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Integrative Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Neurology › Neurological disorders and treatments
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
deep brain stimulation, treatment-resistant depression, subcallosal cingulate, antidepressant response, mood reactivity, patient selection, neuroplasticity, long-term follow-up, recovery trajectories

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