A longitudinal functional neuroimaging study in medication-naïve depression after antidepressant treatment

Recent studies have indicated the potential clinical use of near infrared spectroscopy (NIRS) as a tool in assisting the diagnosis of major depressive disorder (MDD); however, it is still unclear whether NIRS signal changes during cognitive task are state- or trait-dependent, and whether NIRS could...

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Veröffentlicht in:PloS one 2015-03, Vol.10 (3), p.e0120828-e0120828
Hauptverfasser: Tomioka, Hiroi, Yamagata, Bun, Kawasaki, Shingo, Pu, Shenghong, Iwanami, Akira, Hirano, Jinichi, Nakagome, Kazuyuki, Mimura, Masaru
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container_title PloS one
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creator Tomioka, Hiroi
Yamagata, Bun
Kawasaki, Shingo
Pu, Shenghong
Iwanami, Akira
Hirano, Jinichi
Nakagome, Kazuyuki
Mimura, Masaru
description Recent studies have indicated the potential clinical use of near infrared spectroscopy (NIRS) as a tool in assisting the diagnosis of major depressive disorder (MDD); however, it is still unclear whether NIRS signal changes during cognitive task are state- or trait-dependent, and whether NIRS could be a neural predictor of treatment response. Therefore, we conducted a longitudinal study to explore frontal haemodynamic changes following antidepressant treatment in medication-naïve MDD using 52-channel NIRS. This study included 25 medication-naïve individuals with MDD and 62 healthy controls (HC). We performed NIRS scans before and after antidepressant treatment and measured changes of [oxy-Hb] activation during a verbal fluency task (VFT) following treatment. Individuals with MDD showed significantly decreased [oxy-Hb] values during a VFT compared with HC in the bilateral frontal and temporal cortices at baseline. There were no [oxy-Hb] changes between pre- and post-antidepressant treatment time points in the MDD cohort despite significant improvement in depressive symptoms. There was a significant association between mean [oxy-Hb] values during a VFT at baseline and improvement in depressive symptoms following treatment in the bilateral inferior frontal and middle temporal gyri in MDD. These findings suggest that hypofrontality response to a VFT may represent a potential trait marker for depression rather than a state marker. Moreover, the correlation analysis indicates that the NIRS signals before the initiation of treatment may be a biological marker to predict patient's clinical response to antidepressant treatment. The present study provides further evidence to support a potential application of NIRS for the diagnosis and treatment of depression.
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subjects Adult
Aged
Antidepressants
Antidepressive Agents - therapeutic use
Bioindicators
Biomarkers
Biomarkers - blood
Bipolar disorder
Brain Mapping
Case-Control Studies
Cognitive ability
Correlation analysis
Depressive Disorder, Major - blood
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - drug therapy
Depressive Disorder, Major - physiopathology
Diagnosis
Drugs
Female
Functional Neuroimaging
Humans
Infrared spectroscopy
Longitudinal Studies
Male
Medical imaging
Mental depression
Middle Aged
Near infrared radiation
Near infrared spectroscopy
Neuroimaging
Neurology
Neuropsychological Tests
NMR
Nuclear magnetic resonance
Oxyhemoglobins - metabolism
Prefrontal Cortex - drug effects
Prefrontal Cortex - physiopathology
Psychiatric Status Rating Scales
Spectroscopy, Near-Infrared
Temporal Lobe - drug effects
Temporal Lobe - physiopathology
title A longitudinal functional neuroimaging study in medication-naïve depression after antidepressant treatment
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