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Study M229

Study name

Michael N 2003a

Title

Neurotrophic effects of electroconvulsive therapy: a proton magnetic resonance study of the left amygdalar region in patients with treatment-resistant depression

Overall design

The aim of this study was to detect probable neurotrophic changes during electroconvulsive therapy (ECT). For this purpose, N-acetylaspartate (NAA), an amino acid exclusively located in neurons, and other brain metabolites such as glutamine/glutamate (Glx), choline (Cho), and creatine (Cr) were measured in patients by localized proton magnetic resonance spectroscopy. A total of 28 severely depressed patients (DSM-IV) were enrolled, and the left amygdalar region was investigated by proton STEAM spectroscopy before and after unilateral ECT. The sample consisted of unipolar depressives (depression group, n = 13) and bipolar depressives (bipolar depression group, n = 15). Age- and gender-matched healthy controls (depression control group, n = 13; bipolar control group, n = 15) were enrolled. Patients required a mean of 11.6 +- 5 ECT treatments. Metabolite quantification was reported in institutional units.

Study Type

Type1;

Type2;

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Treatment-resistant depression; Treatment-resistant depression;

Criteria for depression

DSM-IV diagnosed MDD

Sample size

26

Tissue

Central; Brain; Amygdala;

Platform

MRS; MRS: 1.5 T STEAM spectroscopy (Magnetom SP, Siemens, Erlangen, Germany);

PMID

12655317

DOI

10.1038/sj.npp.1300085

Citation

Michael N, Erfurth A, Ohrmann P, et al. Neurotrophic effects of electroconvulsive therapy: a proton magnetic resonance study of the left amygdalar region in patients with treatment-resistant depression. Neuropsychopharmacology 2003;28(4):720-5.

Metabolite

Glutamate and Glutamine;