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Study M314

Study name

Godlewska BR 2015

Title

Neurochemistry of major depression: a study using magnetic resonance spectroscopy

Overall design

The aim of this study is to use magnetic resonance spectroscopy (MRS) in conjunction with the ultrashort echo time 'SPECIAL' technique to measure cortical levels of GABA, glutamate and glutathione (GSH) levels in unmedicated patients with major depression. The effect of 6-week treatment with the selective serotonin re-uptake inhibitor, escitalopram 10 mg daily, was examined. Patients with DSM-IV major depression (depression group, n = 39) and healthy age-matched controls (control group, n = 31) were studied using proton MRS. GABA, glutamate and GSH were measured relative to creatine in a voxel placed in occipital cortex. Due to technical limitations six patients and four healthy controls were excluded from the between-group analysis. Within-subject analysis for the effect of escitalopram treatment was carried out in 27 patients for whom valid data from baseline and 6-week scans were available. 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; Depression; Depression;

Criteria for depression

DSM-IV-TR diagnosed MDD

Sample size

60

Tissue

Central; Brain; Occipital cortex;

Platform

MRS; MRS: 3 T Siemens TIM Trio scanner (Erlangen, Germany);

PMID

25074444

DOI

10.1007/s00213-014-3687-y

Citation

Godlewska BR, Near J, Cowen PJ. Neurochemistry of major depression: a study using magnetic resonance spectroscopy. Psychopharmacology 2015;232(3):501-7.

Metabolite

Glutathione/(Creatine and Phosphocreatine) ratio;