Neural abnormalities during cognitive generation of affect in Treatment-Resistant depression

Dysfunctions in brain regions known to be involved in affect and mood states are thought to be implicated in depression and may have a role in determining the type and symptoms of this illness. Functional magnetic resonance imaging was used to elucidate neural correlates of cognitive generation of a...

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Veröffentlicht in:Biological psychiatry (1969) 2003-10, Vol.54 (8), p.777-791
Hauptverfasser: Kumari, Veena, Mitterschiffthaler, Martina T, Teasdale, John D, Malhi, Gin S, Brown, Richard G, Giampietro, Vincent, Brammer, Michael J, Poon, Lucia, Simmons, Andrew, Williams, Steven C.R, Checkley, Stuart A, Sharma, Tonmoy
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container_title Biological psychiatry (1969)
container_volume 54
creator Kumari, Veena
Mitterschiffthaler, Martina T
Teasdale, John D
Malhi, Gin S
Brown, Richard G
Giampietro, Vincent
Brammer, Michael J
Poon, Lucia
Simmons, Andrew
Williams, Steven C.R
Checkley, Stuart A
Sharma, Tonmoy
description Dysfunctions in brain regions known to be involved in affect and mood states are thought to be implicated in depression and may have a role in determining the type and symptoms of this illness. Functional magnetic resonance imaging was used to elucidate neural correlates of cognitive generation of affect, using a previously published paradigm of evoking affect with picture-caption pairs, in patients with unipolar, treatment-resistant depression. Compared with control participants, patients showed relatively decreased response in the anterior cingulate (rostral; right) with both negative and positive picture-caption pairs and in the medial frontal gyrus and hippocampus (all left) with positive picture-caption pairs. They demonstrated increased response in the inferior (right) and middle temporal gyri (left) with negative picture-caption pairs, and in the parahippocampal gyrus (right), inferior frontal gyrus (left), subgenual cingulate (right), striatum (right), and brain stem (left) with positive picture-caption pairs. Reduced medial/middle prefrontal and hippocampal activity may account for positive affect disturbances and temporal lobe hyperactivity for negative affect disturbances in treatment-resistant depression. The results also corroborate previous observations from resting positron emission tomography studies and further elucidate the association between hypoactive rostral cingulate and nonresponsiveness to treatment in depression.
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Reduced medial/middle prefrontal and hippocampal activity may account for positive affect disturbances and temporal lobe hyperactivity for negative affect disturbances in treatment-resistant depression. The results also corroborate previous observations from resting positron emission tomography studies and further elucidate the association between hypoactive rostral cingulate and nonresponsiveness to treatment in depression.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Affect</subject><subject>affective processing</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Brain - anatomy &amp; histology</subject><subject>Brain - metabolism</subject><subject>Brain - physiopathology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - etiology</subject><subject>Depression</subject><subject>Depressive Disorder, Major - complications</subject><subject>Depressive Disorder, Major - drug therapy</subject><subject>Depressive Disorder, Major - physiopathology</subject><subject>Drug Resistance</subject><subject>Female</subject><subject>functional magnetic resonance imaging</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Nervous system</subject><subject>Psychology. 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subjects Adult
Adult and adolescent clinical studies
Affect
affective processing
Antidepressive Agents - therapeutic use
Biological and medical sciences
Brain - anatomy & histology
Brain - metabolism
Brain - physiopathology
Cognition Disorders - diagnosis
Cognition Disorders - etiology
Depression
Depressive Disorder, Major - complications
Depressive Disorder, Major - drug therapy
Depressive Disorder, Major - physiopathology
Drug Resistance
Female
functional magnetic resonance imaging
Humans
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Medical sciences
Middle Aged
Mood disorders
Nervous system
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Radiodiagnosis. Nmr imagery. Nmr spectrometry
title Neural abnormalities during cognitive generation of affect in Treatment-Resistant depression
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