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Study M275

Study name

Huang YY 2010

Title

Effects of antidepressant treatment on N-acetyl aspartate and choline levels in the hippocampus and thalami of post-stroke depression patients: a study using 1H magnetic resonance spectroscopy

Overall design

The aim of this study was to determine the biochemical abnormalities that occur in post-stroke depression (PSD) and to assess the effect of antidepressants in patients with PSD at the biochemical level. We used magnetic resonance imaging to detect structural or functional abnormalities in PSD patients. Patients with PSD (depression group, n = 30) and age-matched subjects (control group, n = 20) were enrolled. Magnetic resonance spectroscopy (MRS) of the brain was conducted in all subjects at the beginning of the study. Patients with PSD were treated with the antidepressant paroxetine (20-40 mg/days) for 6 months. After the 6-month period, all PSD subjects underwent MRS again. PSD patients were evaluated with the Hamilton Depression Scale (HAMD) both before and after treatment with the antidepressant. Metabolite quantification was reported relative to total creatine as the reference peak.

Study Type

Type1;

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Post-stroke depression; Post-stroke depression;

Depressive disorder; Geriatric depression; Geriatric depression;

Criteria for depression

DSM-IV diagnosed MDD

Sample size

50

Tissue

Central; Brain; Thalamus;

Central; Brain; Hippocampus;

Platform

MRS; MRS: 3.0 T GE Signa Highspeed Superconductive Imaging System (GE Medical Systems, Milwaukee, WI, USA);

PMID

20227856

DOI

10.1016/j.pscychresns.2009.11.009

Citation

Huang Y, Chen W, Li Y, et al. Effects of antidepressant treatment on N-acetyl aspartate and choline levels in the hippocampus and thalami of post-stroke depression patients: a study using 1H magnetic resonance spectroscopy. Psychiatry Res 2010;182(1):48-52.

Metabolite

N-Acetyl aspartate/(Creatine and Phosphocreatine) ratio;

Choline-containing compounds/(Creatine and Phosphocreatine) ratio;