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There is good evidence to suggest that the pathological version of sadness that people with Major Depression experience could be caused by the failure of the hormone cortisol to properly inhibit sadness-related brain activity in the subgenual cingulate cortex. This project investigates if the subgenual cingulate cortex has become insensitive to cortisol in patients with depression and tests for variants of the cortisol receptor genes that could predispose individuals to develop cortisol insensitivity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy | Other | Healthy individuals will receive both the placebo and hydrocortisone interventions in a randomized order |
|
| Depression | Other | Individuals with depression will receive both the placebo and hydrocortisone interventions in a randomized order |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hydrocortisone acetate | Drug |
|
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Sadness-induced subgenual cingulate activity as measured by functional magnetic resonance imaging. | 2 hours |
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https://redcap.stanford.edu/surveys/?s=3F7WCENPND
Inclusion Criteria:
Exclusion Criteria:
In order to protect against risk associated with taking Hydrocortisone, all participants must not have any of the following:
In order to protect against risks associated with MRI scanning participants must not be/have any of the following:
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| Name | Affiliation | Role |
|---|---|---|
| Keith Sudheimer, Ph.D. | Stanford University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Psychiatry and Behavioral Sciences, 401 Quarry Road | Stanford | California | 94305 | United States |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| C021650 | hydrocortisone acetate |
| D006854 | Hydrocortisone |
| ID | Term |
|---|---|
| D011282 | Pregnenediones |
| D011283 | Pregnenes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 |
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| Drug |
|
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D015062 | 11-Hydroxycorticosteroids |
| D006889 | Hydroxycorticosteroids |
| D000305 | Adrenal Cortex Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D015065 | 17-Hydroxycorticosteroids |