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Study procedures were not feasible.
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| Name | Class |
|---|---|
| Western Institute for Biomedical Research | UNKNOWN |
| University of Utah | OTHER |
| Molecular Imaging Program, Huntsman Cancer Institute | UNKNOWN |
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Several lines of evidence support the existence of an underlying abnormality in brain energy metabolism may play a key role in the biology of mood disorders. The current study utilizes two distinct but complementary imaging techniques, fluorodeoxyglucose (FDG) positron emission tomography (PET) and multinuclear magnetic resonance spectroscopy (MRS), to better understand the nature of these metabolic abnormalities in major depressive disorder (MDD). The investigators hypothesize that individuals with depression will have increased metabolic activity as measured by PET in certain brain regions involved in mood regulation, but that this metabolic activity will be inefficient based on MRS findings. For this study, the investigators will study 10 medication-free, currently depressed participants with recurrent MDD, 10 depressed participants with recurrent MDD currently taking antidepressant medication, and up to 20 healthy control participants matched to depressed participants for age and gender. Depressed and healthy participants will each undergo one PET scan and one MRS scanning session.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Depressed, unmedicated | Participants with MDD who are not treated with any antidepressant medication | ||
| Depressed, on antidepressant | Participants with MDD, currently depressed but on a stable dose of an SSRI antidepressant | ||
| Healthy control | Healthy participant with no MDD or other psychiatric condition, matched by age and gender to MDD participants |
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| Measure | Description | Time Frame |
|---|---|---|
| high energy phosphate metabolites (Phosphocreatine (PCr)) as measured by magnetic resonance spectroscopy | relative concentration of Pcr | cross-sectional |
| Measure | Description | Time Frame |
|---|---|---|
| regional cerebral glucose metabolism, as measured by Positron Emission Tomography (PET) | binding potential of FDG | cross-sectional |
| N-Acetyl-Aspartate (NAA) metabolite intensity, as measured by proton Magnetic Resonance Spectroscopy (MRS) |
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Inclusion Criteria:
Exclusion Criteria:
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Community sample
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| Name | Affiliation | Role |
|---|---|---|
| Paul J Carlson, M.D. | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Utah Dept of Psychiatry | Salt Lake City | Utah | 84112 | United States |
De-identified scanning images may be individually examined after the study is completed if new analysis methods become available to collaborators.
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| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| D003863 | Depression |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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relative concentration of NAA
| cross-sectional |
| severity of depressive symptoms, as scored on the Montgomery-Asberg Depression Rating Scale (MADRS) | MADRS composite score | cross-sectional |
| D001519 |
| Behavior |