Reward-related brain function as a predictor of treatment response in adolescents with major depressive disorder
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The present study provides preliminary evidence that pretreatment reward-related brain function in the striatum and medial prefrontal cortex (PFC) could have relevance for predicting both final level and rate of change of clinical characteristics in adolescents with major depressive disorder. Adolescents with depression underwent a functional MRI scan during a monetary reward task, participated in an 8-week open trial of cognitive behavioral therapy (CBT) or CBT plus selective serotonin reuptake inhibitor, and completed reports of anxiety and depressive symptoms before, during, and after treatment. Clinicians rated adolescents' improvement and severity at the same time points. Growth models were used to examine change in clinical characteristics and its association with brain function. Severity, anxiety symptoms, and depressive symptoms decreased over treatment. Final levels of severity and anxiety symptoms were associated with pretreatment striatal reactivity, and rate of anxiety symptom reduction was associated with greater striatal reactivity and lower medial PFC reactivity.
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Reduced mesolimbic activity in MDD is found during reward anticipation and outcomes in both adults and children, and during reward learning.
“Reduced mesolimbic activity in MDD has been found during reward anticipation and outcomes in both adults and children [210,219-227] and during reward learning [206].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [221]
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- Forbes EE Ryan ND Phillips ML Manuck SB Moyles DL Tarr JA Dahl RE under review Reward-Related Brain Function in Adolescents: Role of Puberty and Relation to Positive Affect and Depressive Symptoms
- Silk JS Forbes EE Whalen DJ Jakubcak JL Ryan ND Axelson D Birmaher B Dahl RE under review Ecological Momentary Assessment of Child and Adolescent Depression: Daily Emotional and Social Dynamics
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Demchenko, I., Tassone, V. K., Kennedy, S. H., Dunlop, K., & Bhat, V. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.864902 · Cited by 29 · see citing works
Langenecker, S. A., Crane, N. A., Jenkins, L. M., Phan, K. L., & Klumpp, H. (2018) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-018-0140-2 · Cited by 11 · see citing works
Langenecker, S. A., Klumpp, H., Peters, A. T., Crane, N. A., DelDonno, S. R., Bessette, K. L., Ajilore, O., Leow, A., Shankman, S. A., Walker, S. J., et al. (2019) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.07.001 · Cited by 11 · see citing works
- Authors
- Forbes, E. E., Olino, T. M., Ryan, N. D., Birmaher, B., Axelson, D., Moyles, D. L., & Dahl, R. E.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Forbes, E. E.
- Venue
- Cognitive, Affective, & Behavioral Neuroscience
- Published
- 2010-03-01
- Volume
- 10
- Issue
- 1
- Pages
- 107-118
- ISSN
- 1530-7026 (ISSN-L)
- 1531-135X
- PMC
- PMC2841787
- OpenAlex
- W2005901427
- Cited by
- 178
- References
- 66
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 9 · 2021: 35 · 2020: 15 · 2019: 10 · 2018: 5 · 2017: 7 · 2016: 13 · 2015: 9 · 2014: 10 · 2013: 17 · 2012: 14
- FWCI
- 7.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cognitive Affective & Behavioral Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P01MH041712, P01 MH 41712, K01MH074769, T32MH018951)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- major depressive disorder, adolescents, treatment response prediction, reward processing, striatum, medial prefrontal cortex, cognitive behavioral therapy, selective serotonin reuptake inhibitors, anxiety symptoms, depressive symptoms
- MeSH terms
- Adolescent, Brain, Brain Mapping, Child, Major Depressive Disorder, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Oxygen, Predictive Value of Tests, Psychiatric Status Rating Scales, Reward, Self Concept, Severity of Illness Index, Cognitive Behavioral Therapy, Linear Models
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